The Preston Health Center

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 29, 2024

  Based on record review, review of the facility investigation, interview, and facility policy review, the facility failed to ensure one (Resident (R)9) out of six residents reviewed for mechanical lift transfers out of a sample of 20 residents was safe when being transferred from a mechanical lift. This resulted in harm when R9 sustained a fractured clavicle when being transferred with a mechanical lift. This deficiency was cited as past non-compliance (PNC). Findings include: Review of the facility policy, revised July 2017, for utilizing the mechanical lifting machines stated at least two nursing assistants were needed to safely move a resident with a mechanical lift. […]

• No harm, potential for more than minimal, widespreadF812Nov 15, 2022

  Based on review of facility policy, observation, and interview, the facility failed to ensure: 1) Accurate labeling and dating of foods, 2) Removal of expired foods from refrigeration and storage. Findings include: Review of the undated facility policy and procedure titled, KITCHEN AND FOOD STORAGE AREA states: Policy: The skilled Health Center's kitchen and nourishment kitchen will meet the same standards for quality for sanitation, cleanliness, and health as required by state regulations for the main kitchen and food serving area. Procedure: 1) All rooms where food or drink is stored, prepared, or served or where utensils are washed shall be in good repair, clean, and protected from dust, flies, vermin, rodents, and other contamination. […]

• No harm, potential for more than minimal, widespreadF814Nov 15, 2022

  Based on review of facility policy, observation and interview, the facility failed to ensure proper disposal of refuse. Findings include: Review of the undated facility policy and procedure titled, KITCHEN AND FOOD STORAGE AREA states: Policy: The skilled Health Center's kitchen and nourishment kitchen will meet the same standards for quality for sanitation, cleanliness, and health as required by state regulations for the main kitchen and food serving area. 7) All garbage, trash, and rubberish shall be collected daily and taken to storage facilities. […]

• No harm, potential for more than minimal, widespreadF880Jan 8, 2021

  Based on observation, interviews, and Centers for Disease Control (CDC) publication, it was determined the facility failed to ensure their employees were fit tested for the use of N95 respirator masks. Five staff were observed wearing an N95 mask. The facility had a total of 118 employees that were not fit tested . This deficient practice occurred during the COVID-19 pandemic. Findings included: Reference: CDC publication, titled, Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, last updated 12/14/2020, indicated, Respirator use must be in the context of a complete respiratory protection program in accordance with OSHA Respiratory Protection standard (29 CFR 1910.134). […]

• No harm, potential for more than minimal, patternF761Nov 15, 2022

  Based on review of facility policy, observations, and interviews, the facility failed to ensure expired medications and biologicals were removed from 2 of 3 medication storage rooms. Findings Include: Review of the facility policy titled, Drug Storage, revealed no indication on the disposal of expired medications and biologicals. Multiple requests were made for policies regarding disposition of expired medication with no documentation provided by the facility during the survey. Observation of the Arbor Unit medication storage room on 11/14/22 at 3:16 PM revealed, three (3) [NAME] I.V. Starter Kits with an expiration date of 08/05/22. Also, one (1) of the [NAME] I.V. Starter Kits was opened and no longer sterile. […]