Stoneridge Health Care, LLC

In the surveyor’s words

From the most serious findings on record at Stoneridge Health Care, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Apr 13, 2022

  Based on observation, test tray temperatures, and interview, the facility failed to serve palatable food at a safe and appetizing temperature during the lunch meal on 4/11/2022. The findings include: Observation in the dining room on 4/11/2022 at 12:37 PM, revealed 2 dining carts arrived in the dining room with 25 trays total (including a test tray). The last resident's meal was delivered at 12:52 PM. Observation in the hall on 4/11/2022 at 12:52 PM, revealed temperatures taken of the test tray by Cook #1 as follows: Ham-pureed 80 degrees F (Fahrenheit); Ham-chopped: 100 degrees F; Ham slice-whole: 80 degrees F; mixed vegetables: 110 degrees F; mixed vegetables-pureed: 60 degrees F; pineapple casserole: 85 degrees F; and pineapple casserole pureed: 75 degrees F. […]

• No harm, potential for more than minimal, widespreadF809Apr 13, 2022

  Based on facility policy review, facility documentation review, medical record review, and interview, the facility failed to ensure there was no more than 14 hours between a substantial evening meal and breakfast the following day. The findings include: Review of the facility's policy titled, Frequency of Meals, dated September 1, 2017, revealed, .It is the policy of this facility that each resident shall receive at least three (3) meals daily, as well as an evening or bedtime snack .At least three (3) meals or their equivalent are served daily, at regular times, with not more than a fourteen (14) hour span between the evening meal and breakfast . […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2022

  Based on facility policy review, observation, and interview, the facility's dietary department failed to maintain dietary equipment in a sanitary manner and failed to ensure food was served under sanitary conditions when a male dietary employee with facial hair was observed working in the kitchen without wearing a hair net or beard net and a Certified Nurse Aide entered the kitchen without wearing a hairnet. Findings include: Review of the facility policy titled, Personnel Standards, Dietary, revised 1/1/2005, revealed, .It is the policy of this facility that dietary personnel shall follow sanitary standards .Hair nets, covering all of the hair, must be worn at all times while on duty . […]

• No harm, potential for more than minimal, patternF656Apr 13, 2022

  Based on facility policy review, medical record review, and interview, the facility failed to implement a person-centered care plan for 14 of 17 sampled residents (Resident #12, #13, #14, #18, #19, #21, #23, #24, #25, #29, #31, #132, #183, and #184) reviewed. The findings include: Review of the facility's policy titled, Admitting the Resident, dated [DATE], revealed, .An individualized Comprehensive Care Plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident .4. […]

• No harm, potential for more than minimal, isolatedF689Mar 17, 2026

  Based on policy review, medical record review, observation, and interview, the facility failed to monitor water temperatures to ensure the environment was free from accident hazards when hot water temperatures ranging from 131 degrees Fahrenheit (F) to 134 degrees F were found in 6 of 17 (Resident #4, #7, #14, #15, #20, #23, #26, #27, and #30) occupied resident bathrooms, with no documentation of temperatures being monitored from 11/26/2025 though 3/15/2026. The findings include: 1. Review of the facility policy titled, Accident and Hazard Prevention Policy, dated 1/1/2026, revealed .A systematic process shall be in place to identify, evaluate, and correct environmental hazards on an ongoing basis . 2. […]