The Green House Cottages of Homewood

In the surveyor’s words

From the most serious findings on record at The Green House Cottages of Homewood, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 1, 2024

  Surveyor: Cahoone, [NAME] Based on observation, and interview, three employees who did not perform hand hygiene before serving food in the kitchen in Cottages 7 and 8, this had the potential to affect 22 residents who receive meals, and 1 employee who did not perform hand hygiene going from raw meat to serving bread in Cottage 3. This had the potential to affect 10 residents who receive a tray from the kitchen, and open food in freezers in Cottages 4 and 5 that was not dated. This had the potential to affect 21 residents who receive food in Cottages 4 and 5. The findings are: 1. Cottage 7: a. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator, freezer and dry storage area were covered or sealed; expired food items were removed / discarded on or before the expiration or use by dates; opened products were stored in the refrigerator in accordance with the manufacturer's instructions on the label; and Dietary Employees washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 6 of 6 kitchens. […]

• No harm, potential for more than minimal, patternF677Feb 1, 2024

  Based on observation, record review and interview, the facility failed to ensure fingernail care and shaving was regularly provided for 4 (Residents #32, #51, #57 and #60) of 4 sampled residents who required staff assistance with personal hygiene. The findings are: 1. On 1/29/2024 at 9:08 AM, Resident #32's fingernails nails were uncut and jagged the resident was unshaved. Resident #32 stated he likes to be shaved. a. On 01/30/24 at 9:08 AM, Resident #32 remained unshaved. Resident #32 stated he likes to be shaved and asked for a shave. b. Resident #32's Care Plan with a revision date of 01/16/24 documented, .ADLs fluctuate a bit d/t [due to] COPD [chronic obstructive pulmonary disease] and dialysis. […]

• No harm, potential for more than minimal, patternF695Feb 1, 2024

  Based on observation, record review and interview the facility failed to ensure a resident had physicians order for oxygen for 1 (Resident #41) of 3 (Residents #41, #10 and #39) Residents who received oxygen as documented on a list provided by the Director of Nursing (DON) on 02/01/24 at 9:05 AM. The findings are: Resident #41 diagnosis of hemiplegia and hemiparesis, non-Hodgkin lymphoma, and peripheral vascular disease. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/01/23 documented a Brief Interview for Mental Status (BIMS) score of 14 (13-15 indicates cognitively intact) and did not receive oxygen therapy. a. A Care Plan with a revision date of 01/08/24 documented, 01/07/2024 Oxygen as ordered/needed for SOB [shortness of breath]. b. […]

• No harm, potential for more than minimal, patternF726Feb 1, 2024

  Based on observation, interview and record review, the facility failed to ensure licensed staff had been trained properly to take care of a resident with an enteral feeding tube. The findings are: 1. On 1/31/24 at 1:50 PM, Licensed Practical Nurse (LPN) #1 administered medication through a enteral feeding tube. The nurse failed to check for placement before administering the medication and hydration. The Surveyor asked LPN #1 what process she uses to check placement. LPN #1 stopped administering the flush and said, We do that by pulling back on the syringe. I should have done that. The Surveyor asked what the reason was for checking placement before flushing the enteral feeding tube. LPN #1 said she was not sure what the reason would be, and she cannot remember what the case would be. […]