The Sharon at Southpark

In the surveyor’s words

From the most serious findings on record at The Sharon at Southpark, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 28, 2023

  Based on observations, record review, and staff interviews, the facility failed to discard spoiled food stored in the lower-level refrigerator, failed to discard expired food items stored for use in the lower-level dry goods storage room and in the rehabilitation hall nourishment refrigerator. This practice had the potential to affect food served to residents. The findings included: 1. An observation on [DATE] at 11:20 AM with the Culinary Director revealed the following: -The refrigerator located in the lower-level kitchen storage revealed had 4 green peppers covered in white/ grayish fuzzy substance and wilted brownish iceberg lettuce. […]

• No harm, potential for more than minimal, patternF814Sep 28, 2023

  Based on observations and staff interviews the facility failed to remove loose garbage, food, and debris from around 1 of 1 trash receptacle located outdoors behind the kitchen. This practice had the potential to impact sanitary conditions and attract pests/rodents. The findings included: An observation (with the Director of Environmental Services) of the outdoor trash receptacle area on 9/26/23 at 3:15 PM revealed trash and food littered around the trash receptacle. During the observation, flies were swarming around the trash receptacle. […]

• No harm, potential for more than minimal, patternF880Sep 28, 2023

  Based on dining observations, staff interviews and record review, the facility failed to provide or assist 4 of 4 residents with hand hygiene before meals during 2 of 2 dining observations (Resident #157, #207, #208, and #209). The findings included: The facility policy, entitled Handwashing/Hand Hygiene, revised August 2019, recorded in part, this facility considers hand hygiene the primary means to prevent the spread of infections. Residents will be encouraged to practice hand hygiene. Use an alcohol-based hand rub or alternatively, soap and water for the following situations: before and after eating or handling food. 1a. A continuous observation of the lunch meal on the rehab unit occurred on 9/25/23 from 12:47 PM until 12:55 PM. […]

• No harm, potential for more than minimal, isolatedF625Nov 7, 2024

  Based on record review, and Resident Representative (RR) and staff interviews, the facility failed to notify the resident and/or the RR of the facility's bed hold policy when the resident was transferred to the hospital for 1 of 1 resident reviewed for hospitalization (Resident #13). The findings included: Resident #13 was admitted to the facility 7/29/24. The 5-day Minimum Data Set (MDS) dated [DATE] indicated Resident #3 had severe cognitive impairment. A review of the nurse's notes revealed Resident #13 was discharged to the hospital 8/19/24 and did not return to the facility. […]

• No harm, potential for more than minimal, isolatedF626Nov 7, 2024

  Based on record review and Resident Representative (RR), Hospital Case Manager and staff interviews, the facility failed to permit a resident to return to the facility after being discharged to the hospital for evaluation due to a change of condition for 1 of 1 resident reviewed for hospitalization (Resident #13). The findings included: Resident #13 was admitted to the facility 7/29/24. The 5-day Minimum Data Set (MDS) dated [DATE] indicated Resident #3 had severe cognitive impairment. A review of the nurse's note dated 8/19/24 at 8:05 AM indicated Resident #13 had an unwitnessed fall at 1:40 AM and was being monitored. Resident #13's vital signs were obtained around 5:00 AM and his temperature and heart rate had dropped. […]