The Springs Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at The Springs Nursing & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 20, 2023

  Based on observation, staff interview, and facility document review, the facility staff failed to store food properly in the main kitchen; dried food and meat were not labeled. The Findings Include: On 9/18/23 at 11:45 AM, the initial kitchen tour was conducted with the dietary manager (other staff, OS #2). The dry storage room yielded opened bulk bags of sugar, powdered gravy, and flour without dates indicating when the item was opened or when the item was to be used by. When asked about the opened containers, OS #2 said that the items should have been dated with an open date and an use by date. […]

• No harm, potential for more than minimal, patternF883Sep 20, 2023

  Based on clinical record review, staff interview, and facility document review, the facility staff failed to accurately assess and document pnemococcal vaccine status for one of five resident records reviewed: Resident # 17. Findings include: On 9/19/23 beginning at 11:00 a.m., five resident records were reviewed for immunization status. Resident # 17 was identified as having no documentation of either having been administered or having declined the pneumonia vaccine. On 9/19/23 at 1:30 p.m., the DON (director of nursing) was asked for assistance in locating the information. On 9/20/23 at 8:30 a.m., the DON stated, I have a declination form in my notebook that was signed by the son on 5/29/23. […]

• No harm, potential for more than minimal, patternF812Aug 10, 2022

  Based on observation, staff interview, and review of facility documents, the facility failed to ensure food was stored in a manner to ensure food safety, and kitchen staff failed follow proper handwashing procedures. The findings were: 1. At approximately 9:30 a.m. on 8/9/2022, during a tour of the Kitchen, the following was observed in the reach-in cooler: An open package of lunch meat in a zip-lock bag was undated. Asked about the lunch meat, the Dietary Manager said, That's sliced ham. An open package of grated cheese, identified by the Dietary Manager as Mozzarella, wrapped in saran wrap was undated. An open package of grated cheese, identified by the Dietary Manager as Parmesan, wrapped in saran wrap was undated. […]

• No harm, potential for more than minimal, isolatedF607Sep 20, 2023

  Based on employee file review and staff interview, the facility staff failed to follow the abuse policy for two of 25 employee files reviewed. Two employee files did not have a background investigation check obtained. Findings include: On 9/19/23 beginning at 2:00 p.m., 25 employee files were reviewed. Two files did not include background investigation checks. On 9/19/23 at 3:20 p.m., the payroll/benefit administrator, identified as Other Staff (OS) # 1, was interviewed. OS # 1 stated, We looked at that, and the previous human resource person did not print it off. I have the print out that the money and forms were sent, but if I print off the reference check, it will have today's date since it wasn't printed off and filed in the employee's record at the time it came back. […]

• No harm, potential for more than minimal, isolatedF656Sep 20, 2023

  Based on observation, staff interview, and clinical record review, the facility staff failed to develop a comprehensive care plan for one of twenty residents (Resident #7). The findings include: Resident #7 (R7) had no care plan developed regarding moisture associated skin damage (MASD). R7 was admitted to the facility with diagnoses that included dementia with agitation, gastroesophageal reflux disease, hypertension, diabetes, major depressive disorder, dysphagia, chronic kidney disease, restless leg syndrome and atrial fibrillation. […]