The Blossoms at Rogers Rehab & Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 5, 2022

  Based on observation, record review and interview, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #1) of 3 (Residents #1, #2, and #3) case mix residents who were at high risk for elopement. This failed practice resulted in past noncompliance at the level of immediate jeopardy, which caused was likely to cause serious harm, injury, or death to Resident #1, who wandered from the facility and was found the next day by the police in a different city and had the potential to have more than minimal harm to 23 residents who were identified as High Elopement Risks, according to a list provided by the Director of Nursing (DON) on 5/04/2022. The Administrator was notified of the Past Immediate Jeopardy on 5/05/2022. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 22, 2023

  Based on observations, interview and record review, the facility failed to ensure hand sanitizer was used between delivery and set up of resident meal trays. The findings are: 1. On 12/18/23 at 05:30 PM, the Business Office Manager (BOM) used hand sanitizer before getting the meal tray. The BOM delivered the meal tray to the resident and did not use hand sanitizer before getting the next meal tray. At 05:33 PM, the BOM was observed using a cell phone. The BOM placed the cell phone in her pocket and proceeded to pick up another meal tray without using hand sanitizer. The BOM delivered the meal tray to the resident and then used hand sanitizer. 2. On 12/18/23 at 05:40 PM, the BOM was asked how often are you supposed to sanitize your hands when passing meal trays? The BOM stated, Each time. […]

• No harm, potential for more than minimal, widespreadF812Sep 29, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items; to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen, failed to ensure food items stored in dry goods area were sealed; failed to ensure 1 of 1 ice machine scoop/holder was maintained in a sanitary condition, and trash receptacles were clean and in hands free working order. The failed practices had the potential to affect 92 residents who received meals from 1 of 1 kitchen according to a list provided by the dietary manager on 9/29/22 at 9:00 AM. The findings are: 1. During a tour of the kitchen on 09/26/22 at 10:50 AM, the following were observed: a. […]

• No harm, potential for more than minimal, widespreadF761Nov 19, 2021

  Based on observation and interview, the facility failed to ensure only authorized personnel had access to medication storage rooms in order to provide safe and secure storage of medications for the residents residing in 1 of 1 facility. The findings are: 1. On 11/17/21 at 1:45 PM, the Life Safety Code Surveyor informed the team leader that the Maintenance Manager had keys to the medication rooms. a. On 11/17/21 at 3:10 PM, the Maintenance Manager was asked to accompany this surveyor to the medication storage rooms to observe refrigerator temperatures. The Maintenance Manager escorted this surveyor to the largest medication room (1 of 2) at the back of the building. The Maintenance Manager opened the locked medication room with his key and allowed the surveyor entry into the room. […]

• No harm, potential for more than minimal, widespreadF812Nov 19, 2021

  Based on observation and interview, the facility failed to ensure staff washed their hands or changed gloves between clean and dirty tasks, hair coverings were worn to prevent loose hair from contaminating food or the workspace, food stored in the refrigerator/freezer was sealed and dated, food was dated upon being received, food was utilized by the use-by date and food was covered during transport to the residents' rooms to prevent potential food borne illness for the residents who received meals from 1 of 1 kitchen. The findings are: 1. On 11/15/21 at 12:05 PM, the Dietary Manager was in the kitchen. Her hair net rested on the center of her forehead, covered the bun on the top of her head and stopped in the middle of the back of her head. […]