The Health Center at Standifer Place

In the surveyor’s words

From the most serious findings on record at The Health Center at Standifer Place, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF657Jul 23, 2025

  Based on facility policy review, medical record review, observation, and interview, the facility failed to revise the care plan for 1 resident (Resident #142) of 42 residents reviewed for care plans. The findings include:Review of the facility's policy titled, Care Plan Policy, dated 12/2023, revealed .comprehensive care plan .includes .services that are to be furnished .maintain the resident's highest practicable .well-being .individualized interventions .care plans are updated as needed .Review of the facility's policy titled, Side Rail Assessment, dated 11/2018, revealed .side rail(s) are used to assist with resident safety, positioning .update care plan as needed .Review of the medical record revealed Resident #142 was admitted to the facility on [DATE] with diagnoses including… […]

• No harm, potential for more than minimal, isolatedF695Jul 23, 2025

  Based on facility Respiratory Therapy Manual review, medical record review, observation, and interview, the facility failed to properly date and store a nasal cannula for 1 resident (Resident #220) of 7 residents reviewed for oxygen therapy and failed to properly date an inline suction catheter (closed suction system designed to remove secretions in patients with artificial airways) for 1 resident (Resident #147) of 11 residents sampled with inline suction catheters.The findings include: Review of the facility's undated Respiratory Therapy Manual revealed .Change Out of Respiratory Disposables.applies to OXYGEN .VENTILATORS.SUCTION.Nasal Cannulas.Inline suction catheters.are to be changed weekly. […]

• No harm, potential for more than minimal, isolatedF814Jul 23, 2025

  Based on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 1 of 3 dumpsters (dumpster B) and failed to ensure the outside dumpster area was maintained in a sanitary and orderly condition. The findings include:Review of the facility's policy titled, Garbage/Refuse Disposal, dated 5/2023, revealed .All garbage, refuse .shall be disposed of in a sanitary manner .The area around dumpsters shall be free of waste products, including paper trash .but not limited to .gloves .to prevent harborage and feeding of pests .During an observation of the outside dumpster area on 7/22/2025 at 10:43 AM, with the Dietary Manager, revealed 3 dumpsters for waste disposal. […]

• No harm, potential for more than minimal, isolatedF880Jul 23, 2025

  Based on facility policy review, medical record review, observation, and interview the facility failed to ensure biohazard waste was contained properly for 1 resident (Resident #3) of 6 residents observed on transmission based precautions, failed to ensure a sanitary environment for 1 resident (Resident #95) of 4 residents observed, and failed to offer hand hygiene assistance prior to meals to 5 residents (Residents #244, #199, #268, #359, and #350) on 1 of 4 hallways observed for meal tray distribution.The findings include:Review of the facility's policy titled, Handwashing and Hand Hygiene, dated 10/2024 revealed .staff will encourage residents to complete hand hygiene .before eating .Medical record review revealed Resident #3 was admitted to the facility on [DATE] with diagnoses… […]

• No harm, potential for more than minimal, isolatedF921Jul 23, 2025

  Based on observation and interview, the facility failed to ensure 2 of 2 Physical Therapy Gym's mat platform tables were maintained in good repair. The findings include:During an observation on 7/23/2025 at 11:20 AM, in the facility's Physical Therapy Gym, revealed 2 mat platform tables had multiple large rips and tears which exposed the foam padding.During an interview on 7/23/2025 at 11:25 AM, the facility's Director of Therapy, confirmed, .the rips and tears have been there a while and I see what you are saying, they could be a problem, and we do need them covered or replaced .