The Green House Cottages of Southern Hills

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jan 3, 2022

  Based on observation, record review, and interview, the facility failed to ensure the care planned level of supervision was provided to a resident with a history of burning himself while smoking and staff responsible for the resident's care were aware of the need to provide supervision and secure cigarette lighters to prevent further potential injury for 1 (Resident #47); and failed to ensure smoking safety assessments were conducted and documented upon admission and at least quarterly to determine the level of supervision necessary to ensure resident safety for 2 (Residents #47 and #20) of 3 (Residents #47, #20 and #34) sampled residents who resided in the [NAME] Cottage and smoked. […]

• Immediate jeopardy, isolatedF689Apr 30, 2024

  Based on observation, interview and record review, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #82) of 1 sampled resident reviewed for elopement. The lack of an effective monitoring plan resulted in Resident #82 eloping from the facility and being found walking in the grass on the side of a public highway, approximately 100 yards from the resident's residence. 1. Resident #82 followed two other residents out to the back patio for their smoke break and staff only checked on residents every 5 to 10 minutes when they were outside the residence. Resident #82 was admitted on [DATE] with a diagnosis of Alzheimer's disease and had an Admission Assessment which indicated the resident was at risk of wandering. […]

• Immediate jeopardy, isolatedF689Jul 13, 2023

  Based on observation, record review, and interview, the facility failed to ensure safety and supervision to prevent elopement from the secure unit for 1 (Residents #1) of 3 (Resident #1, #2, #3) sampled residents. This failed practice resulted in Past non-compliance at Immediate Jeopardy. The Administrator was informed of the Immediate Jeopardy on 07/12/2023 at 2:00 PM. The findings are: 1. Resident #1 was admitted to the secure unit in the facility on 02/24/2023 with diagnosis of dementia, anxiety disorder, and chronic obstructive pulmonary disease and repeated falls. […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2024

  Based on observation, record review and interview, the facility failed to ensure (1) food preparation equipment was free of peeling and chipped paint to prevent potential food borne illness for resident who received meals from the kitchen in Cottage #6, (2) expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 7 of 7 kitchens, (3) foods stored in the freezer, refrigerator and dry storage area were covered, sealed, dated and were stored in accordance with the manufacturer's instructions for residents who received meals from the kitchen in Cottage #7, (4) that 1 of 7 ice scoop holder was maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who… […]

• No harm, potential for more than minimal, widespreadF812Jan 3, 2022

  Based on observation, record review and interview, the facility failed to ensure expired food items were promptly removed from stock; food items stored in the refrigerator, freezer, and storage areas were covered Dietary Employees washed their hands between dirty and clean tasks and before handling clean dishes or food items; the blender was maintained in clean condition; and hot foods were maintained at or above 135 degrees Fahrenheit while awaiting service to prevent potential food borne illness for residents who received meals from 7 of 7 kitchens. The findings are: 1. On [DATE] at 10:48 a.m., in Cottage #1, there were two loaves of white bread stored on a shelf in the storage room with an expiration date of [DATE]. 2. […]