The Springs of Chenal

In the surveyor’s words

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

• Actual harm, isolatedF697Sep 15, 2021

  Based on record review and interview, the facility failed to ensure pain management was promptly addressed after admission to the facility, in accordance with physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings are: Resident #4 was admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The admission Minimum Data Set (MDS) had not yet been completed at the time of the survey. a. A hospital Discharge Summary dated 9/10/21 at 2:09 PM documented the resident was hospitalized from 8/7/21 to 9/10/21 and, .Hospital Course: [Resident #4] . PMHx [past medical history] notable for recurrent GI [gastrointestinal] bleeding refractory to medical therapy s/p [status post [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jul 25, 2024

  Based on observation, record review, and interview, the facility failed to ensure foods in the freezer and storage room were covered, sealed and dated to maintain freshness and prevent potential cross contamination; and expired food items foods were promptly removed from stock to maintain freshness and prevent potential cross contamination; dietary staff practiced good hand washing techniques to prevent potential cross contamination of food and clean dishes. The findings are: 1. On [DATE] at 7:41 AM, Dietary [NAME] #1, on the tray line serving the breakfast meal, picked up tray cards and placed them on a tray. Without washing his hands, he picked up the breakfast plates, and with his fingers inside the plate he placed breakfast food on the plate. 2. […]

• No harm, potential for more than minimal, widespreadF812Jul 20, 2023

  Based on observation and interview, the facility failed to ensure expired beverage/food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; dietary staff washed their hands and changed gloves before handling food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen and hot food items on the steamtable were maintained at a temperature at or above 135 degrees Fahrenheit 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, widespreadF812May 6, 2022

  Based on observation and interview, the facility failed to ensure hot foods were maintained at or above 135 degrees Fahrenheit (F) on the steam table while awaiting service and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 40 residents who received meals from the kitchen (total census: 41), as documented on a list provided by Dietary Employee #1. The findings are: 1. On 4/18/22 at 6:18 PM, the temperature of the food items was checked and read by Dietary Employee#1. The temperatures were: Turnip greens were 120 degrees F and pork chops were 110 degrees F. 2. […]

• No harm, potential for more than minimal, widespreadF880Sep 15, 2021

  Based on observation, record review and interview, the facility failed to ensure staff properly wore a face mask covering the nose and mouth; failed to ensure signage was posted outside each isolation room to alert staff and visitors of the need to don personal protective equipment (PPE) or contact a nurse prior to entering the room; and failed to ensure biohazardous waste was properly stored while awaiting disposal to prevent potential transmission of COVID-19 and other communicable diseases and infections in 1 of 1 facility. These failed practices had the potential to affect all 42 residents who resided in the facility, according to the Resident Census and Conditions of Residents form dated 9/13/21. The findings are: 1. […]