The Blossoms at Prescott Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at The Blossoms at Prescott Rehab & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 1, 2022

  Based on observation, record review and interview, the facility failed to ensure a resident in a wheelchair was secured in the facility van in accordance with the van restraint manufacturer's instructions to prevent injury for 1 (Resident #1) of 3 (Residents #1, #2, and #3) case mix residents who required transport in a wheelchair on the facility van in the past 2 weeks. This failed practice resulted in past noncompliance at the level of immediate jeopardy, which caused or could have caused serious harm, injury, or death to Resident #1, who flipped over backward in the wheelchair when the van accelerated and had the potential to cause more than minimal harm to 6 residents who required wheelchairs during transport on the facility's van in the past 2 weeks, as identified by the Director of… […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2023

  Based on observation, interview, and record review the facility failed to ensure staff distributed and served food in a safe and sanitary manner. This failed practice had the potential to affect 15 sampled Residents (Residents #4, #18, #21, #23, #24, #25, #27, #28, #33, #34, #35, #38, #39, #40 and #41) with the potential to affect 40 residents that eat food prepared from the kitchen. The findings are: a. On 11/21/23 at 10:04 AM, Dietary #1 placed 7 rolls with milk in the food blender and pureed. Dietary #1 opened the lid with the left gloved hand, picked up the spatula with the right gloved hand and stirred the rolls then picked up the milk lid with the right gloved hand and screwed it back onto the milk. […]

• No harm, potential for more than minimal, patternF812Oct 31, 2024

  Based on observation and interview the facility failed 1) to ensure food items were labeled with an accurate use by date to ensure food was not used beyond its safety period. 2) to ensure professional standards for sanitary conditions and equipment were maintained to prevent cross-contamination in storage of food and kitchen equipment, and 3) to ensure safe food preparation and identification of potential hazards in food preparation process and adhering to critical control points to reduce the risk of food contamination. The findings are: A. On 10/28/24 at 10:10 AM and 11:25 AM, 31 bowls of dry cereal of various kinds, did not have a use by date on the bowls. The tray the bowls were sitting on contained one label identifying assorted cereal. […]

• No harm, potential for more than minimal, patternF880Oct 31, 2024

  Based on observation, record review, interview, and facility policy review it was determined the facility failed to ensure appropriate hand hygiene and failed use wipes to avoid cross contamination, and the facility failed to follow recommended manufacture guidelines pertaining to the use of one incontinent brief to prevent infections for 1 sampled (Resident #40)) reviewed for female peri care. Findings include: Resident #40 with a diagnoses of stroke, chronic obstructive pulmonary disease, and type II diabetes. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/14/2024 suggest a Brief Interview for Mental Status (BIMS) score of 9 (8-12 indicates moderate impairment), and Resident #40 requires total care. a. […]

• No harm, potential for more than minimal, patternF622Jun 5, 2024

  Based on interview and record review, the facility failed to ensure 1 (Resident #1) of 1 sampled resident was able to return to the facility following a hospitalization . The findings are: Review of an Admission Record indicated the facility admitted Resident #1 with a diagnosis of Autistic Disorder. Review of the Discharge Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/09/2024 revealed Resident #1's cognitive skills for decision making were severely impaired according to the Staff Assessment for Mental Status. A review of a Care Plan with a target date of 11/29/2023 indicated Resident #1 and/or his family will receive the support needed for successful transition into long term care. […]