The Springs Broadway

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 10, 2022

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired dairy products and food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before they handled clean equipment or food items to prevent the potential for cross contamination. These failed practices had the potential to affect all residents who received meals from the kitchen (total census: 70) as documented on a list provided by Dietary Supervisor. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator, freezer and storage area were covered and sealed; dietary staff washed their hands before handling clean equipment or food Items; kitchen appliances (deep fryer and the shelf below the deep fryer) were clean and free of stains and spills; frozen food items were kept frozen until used; supplements were maintained at a temperature at or below 41 degrees Fahrenheit; and hot foods were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF677Mar 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure that activities of daily living (ADL) were performed, and nail care was completed for 2 (Resident #9 and Resident #49) residents of 8 sampled residents reviewed for ADLs. The findings are: A review of the facility policy Activities of Daily Living, Supporting revised in March 2025, indicated that Policy Statement: Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. 4. If residents with cognitive impairment or dementia resist care, staff will attempt to identify the underlying cause of the problem and not just assume the resident is refusing or declining care. […]

• No harm, potential for more than minimal, patternF688Mar 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure that limited range of motion did not worsen for 2 residents (Resident #9 and Resident #49) of 3 sampled residents reviewed for range of motion. The findings include: A review of the facility policy Resident Mobility and Range of Motion revised in July 2024, 1. Residents will not experience an avoidable reduction in the range of motion (ROM). 2. Residents with limited range of motion will receive treatment and services to increase and/or prevent a further decrease in ROM. 3. […]

• No harm, potential for more than minimal, patternF805Mar 27, 2025

  Based on observation, facility record review and interview, the facility failed to ensure food was in the proper form for the residents, affecting six residents with orders for pureed diets in the facility. The findings include: A review of the facility policy QRT Food Palatability issued on 9/1/2021 indicated that Food and liquids are prepared and served in a manner, form, and texture to meet resident's needs. A review of the Recipe Pureed Chicken Pot Pie indicated Blend until smooth adding liquid/thickener needed to obtain a pudding like consistency. On 03/25/2025 at 10:35 AM, this surveyor observed Dietary [NAME] (DC) #2 add 8 four-ounce scoops of chicken pot pie to the food processor. […]