Tattnall Healthcare Center

In the surveyor’s words

From the most serious findings on record at Tattnall Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881Aug 21, 2025

  Based on interview, record review, record review, and review of the facility's policy titled, Infection Prevention 8.3, the facility failed to implement policies and procedures to ensure an effective antibiotic stewardship program when the Infection Preventionist (IP) did not complete an infection screening evaluation to determine if the correct antibiotics were ordered in order to reduce the development of antibiotic-resistance organisms for residents prescribed antibiotics in the facility. In addition, the Antibiotic Stewardship Program lacked documentation of the tracking or trending of antibiotic usage or where infections occurred in the facility. This failure had the potential to affect all residents' safety related to antibiotic usage and increased the risk of antibiotic-resistance. […]

• No harm, potential for more than minimal, widespreadF812Mar 28, 2024

  Based on observation, staff interview, record review, and review of the facility policies titled, Food Storage, and Sanitation & Food Production, the facility failed to ensure the kitchen was maintained in a sanitary manner for 64 out of 65 residents receiving an oral diet. Specifically, the facility failed to ensure dietary staff allow the clean dishware to air dry; change gloves after touching soiled dishes, removing clean dishware from dish washer without performing hand hygiene; label and date food stored in reach in cooler and freezer, bulk food item containers had a scoop properly stored; directly touching food items with contaminate gloves during meal service, chemicals were not labeled with the name of the product inside. […]

• No harm, potential for more than minimal, widespreadF812Jul 8, 2022

  Based on observations, document review, staff interviews, and review of the facility's dishwasher procedure, the facility failed to ensure the dishwasher was operating per manufacturer's requirements to ensure dishes were sanitized and failed to ensure a fan was free of dust and debris while operating in one of one kitchen. The deficient practice affected 70 of 72 residents receiving an oral diet. Findings include: 1. A review of the facility's undated Dishwashing Temperature Procedure revealed, 1. If water is in machine lift drain plug, release all cold water. If there is no water in machine then run water until hot, then insert drain plug. 2. Fill hot water to correct level. 3. If water temp [temperature] is less than 120 degrees, repeat set 1 and 2. 4. […]

• No harm, potential for more than minimal, widespreadF882Jan 7, 2021

  Based on observations, record review, staff interview, and the facility 's policy titled, Infection Control Preventionist the facility failed to ensure a qualified Infection Preventionist(IP) was on staff at the facility, creating the potential for an ineffective infection prevention program that may contribute to the spread of COVID-19 for all residents in the facility. The census was 59 residents. Findings include: Record review of the facility's policy titled, Infection Preventionist revised 2020, revealed .The Infection Preventionist (ICP) is responsible for the implementation and review of the center 's infection prevention program. […]

• No harm, potential for more than minimal, patternF804Aug 21, 2025

  Based on observations, interviews, and record review, the facility failed to serve food that was palatable and hot for three of five residents (R) (R25, R26, and R47) reviewed for food palatability out of a total sample of 33 residents. This failure had the potential for the residents to skip meals and potential for weight loss. Findings included:1. A review of R25's quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 8/6/2025 and located in the electronic medical record (EMR) under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated the resident was cognitively intact.During an interview on 8/18/2025 at 11:21 am, R25 stated the food served at the facility did not always taste good. […]