Stoneridge Poplar Run

In the surveyor’s words

From the most serious findings on record at Stoneridge Poplar Run, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 3, 2024

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the skilled unit kitchen and the main kitchen of the dietary department. Findings include: Review of the facility's policy entitled, Food Storage, dated August 13, 2024, revealed that when a food item was opened, a use-by date must be noted on the item and the food was to be discarded after this date. Observations during the tour of the skilled unit kitchen on October 1, 2024, at 9:50 a.m., revealed the following: The ice machine had a white substance on the outside of the lid. Inside the ice machine there was a dark substance along the front of the plastic ice shield. The can opener had a black dried substance on the blade. […]

• No harm, potential for more than minimal, widespreadF812Jan 6, 2022

  Based on observation, review of facility policy and staff interview, it was determined that the facility failed to maintain sanitary conditions and store food properly in the kitchen. (Main Kitchen and Skilled Nursing Kitchen) Findings include: Review of the facility policy entitled, Sanitation and Infection Control, Receiving and Storage, reviewed July 9, 2021, revealed that products in storage were to be labeled with the date on delivery and once the product was opened the package was to be labeled with an opened and discard date. Further, dry bowlpack cereal and bottled juices were to be discarded after the use by date on the package and packaged dry goods, such as pasta and rice, were to be used within 12 months of receipt of product. […]

• No harm, potential for more than minimal, patternF584Apr 27, 2022

  Based on observation, it was determined that the facility failed to provide housekeeping services to maintain a clean environment in resident rooms and common areas of the nursing unit. Findings include: Observations during environmental tour of the nursing unit on April 26, 2022, at 2:00 p.m., revealed the following: Resident room 135 had small pieces of debris and a sticky spot on the floor. There was a layer of dust under bed B. These conditions were still present when observed on April 27, 2022, at 12:15 p.m. Resident room 147 had small pieces of debris on the floor. There were food crumbs, dust and two napkins under bed A. […]

• No harm, potential for more than minimal, isolatedF656Jul 27, 2026

  Based on clinical record review and staff interview it was determined that the facility failed to develop and/or implement a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for two of three sampled residents. (Residents 1, 2)Findings include: Clinical record review revealed that Resident 1 had diagnoses that included metabolic encephalopathy, dementia, and depression. The Minimum Data Set (MDS) Care Area Assessment (CAA) summary dated January 29, 2026, noted that Resident 1's dementia diagnosis, delirium, and behavioral symptoms were to be addressed in the care plan. […]

• No harm, potential for more than minimal, isolatedF637Nov 14, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that a Minimum Data Set assessment for a significant change in condition was completed for one of 14 sampled residents. (Resident 2) Findings include:Clinical record review revealed that Resident 2 experienced a decline in overall status and hospice services began on October 17, 2025. There was no Minimum Data Set (MDS) assessment completed to reflect the significant change in the resident's condition. In an interview on November 14, 2025, at 10:29 a.m., the Administrator confirmed that a significant change MDS assessment was not completed upon a change in the resident's condition.