The Springs Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF812Jul 28, 2021

  Based on observations, interviews, and record reviews, the facility failed to maintain an environment that meets professional standards for food service safety and ensure the residents' food was prepared under sanitary conditions when: 1. Unpasteurized eggs (pasteurized eggs have been gently heated to eliminate bacteria, a process that makes the eggs safe to consume if not fully cooked so that all parts of the egg do not have to be completely firm; unpasteurized eggs have not been heat treated to eliminate this bacteria), served to nine residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, and 9) were not cooked to ensure all parts of the eggs were completely firm to eliminate the risk of Salmonella infection (usually caused by eating raw or undercooked meat poultry or eggs and can be… […]

• Actual harm, isolatedF690Nov 21, 2023

  Based on interview and record review, the facility failed to provide appropriate care and treatment services to prevent recurrent urinary tract infection (UTI- an infection in any part of the urinary system which include the kidneys, ureters, bladder, and urethra) to a resident with an indwelling catheter (IC - a flexible tube passed into the bladder to allow urine to drain), for one of three residents reviewed (Resident A). This failure resulted in Resident A to have recurrent episodes of UTIs on [DATE], [DATE], [DATE], [DATE], and [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure safety and sanitation were observed in he kitchen when:1. Multiple ham and cheese sandwiches found undated in the kitchen and at Station 2 Clean utility room refrigerators;2. A plastic container of ketchup was found in the kitchen refrigerator with the corner of the lid open to air;3. Two packages of meat were found in the freezer undated;4. Multiple food items were found in the Clean Utility Room of Station 3 refrigerator not labeled and undated;5. A small amount of orange colored residue was found on a plastic piece of the ice machine in the Clean Utility Room of Station 2; 6. […]

• No harm, potential for more than minimal, widespreadF801Jul 28, 2021

  Based on observations, interviews and record reviews, the facility failed to employ a Dietary Manager (DM) who met the qualifications of a Director of Food and Nutrition Services when the full-time Registered Dietitian (RD) did not maintain oversight of the day-to-day operations of the dietetic service. This failure resulted in multiple deficient practices observed during the federal abbreviated survey from July 26 through 28, 2021 in the dietetic service. These deficiencies put 121 Residents who ate the food at risk for serious harm from unsafe and unsanitary food handling practices and inadequate nutrition (cross reference F803, F806 and F812). […]

• No harm, potential for more than minimal, widespreadF803Jul 28, 2021

  Based on observations, interviews, and record reviews, the facility failed to ensure residents were served the quantity of food as specified on the menu when only one half the portion size of the entrée for lunch was served according to the recipe for Beef Pot Pie and the menu spreadsheet. This failure had the potential to result in undernutrition for the 121 Residents who were served food at the facility. Finding: During an observation in the kitchen on July 26, 2021, from 12:15 through 12:45 PM, resident trayline (assembly of Resident meal trays) was observed. Cook 2 was plating the resident's hot food and used one number 8 scoop (one half cup or 4-ounce scoop) to serve the Beef Pot Pie and the pureed Beef Pot Pie. […]