Surrey Place Nursing Center

In the surveyor’s words

From the most serious findings on record at Surrey Place Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 3, 2023

  Based on observation, interview, and record review the facility failed to ensure all residents were free from medical neglect. The facility failed to ensure licensed practical nurses had the appropriate skills and competency to administer intravenous (IV) medication via central line access devices for 1 of 1 residents, Resident #197. The lack of IV certification and validation of competency for IV medication administration can result in an increased risk of infection, damage to veins and the injection sites, an air embolism (a blood vessel blockage cause by one or more bubbles of air or other gas in the circulatory system), phlebitis (inflammation of a vein), and blood clots. […]

• Immediate jeopardy, isolatedF726Mar 3, 2023

  Based on observation, interview and record review the facility failed to ensure licensed practical nurses (LPNs) had the appropriate skills and competencies to administer intravenous (IV) medication via central line access devices for 1 of 1 residents, Resident #197. The lack of IV certification and validation of competency for IV medication administration can result in an increased risk of infection, damage to veins and injection sites, an air embolism, phlebitis, and blood clots, causing tissue damage or even be life threatening. […]

• Immediate jeopardy, isolatedF835Mar 3, 2023

  Based on observation, interview, and record review, the facility administration failed to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by not assuming full responsibility for the day to day operations of the facility by allowing unqualified facility staff to work outside of their scope of practice, administering IV (intravenous) medications via midline catheters for 1 of 1 residents, Resident #197, without certification of education, training and validation of competency for IV medication infusion to residents who are administered IV medications. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2023

  Based on observations, interviews, and record review, the facility failed to ensure food is stored, covered, labeled, and discarded in the kitchen and failed to maintain sanitary standards for equipment used to prepare, cook, and serve the residents. (Photographic evidence obtained). Findings include: A walk-through tour of the kitchen was conducted on 02/27/23 at 09:10 AM with the Certified Dietary Manager (CDM). The walk-in cooler had a large container labeled Chili and labeled with a prepared date of 02/19/23 and a use by date of 02/22/23. A sheet pan was located on the bottom shelf of the walk in cooler and the sheet pan was observed to have a bag of thawed raw chicken and a roll of raw ground beef with no separation of the two items to prevent cross contamination. […]

• No harm, potential for more than minimal, widespreadF908Mar 3, 2023

  Based on observations, interviews, and record review the facility failed to maintain equipment to be in a safe and clean operating manner. Findings include: An observation of the meat slicer equipment was conducted on 02/28/23 at 6:45 AM when the Certified Dietary Manager (CDM) removed the covering for observation. The meat slicer had a rust-colored debris and food particles on a center connector of the blade. During an interview with the CDM on 2/28/23 at 6:53 AM the CDM confirmed that the meat slicer had a rust-colored debris and food particles on a center connector of the blade. […]