The Springs of Harrison

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 4, 2024

  According to observation, interview, and record review, the facility failed to ensure food was stored properly, kitchen equipment was maintained properly, and disinfectant was in use for the dishwasher. The findings are: On [DATE] at 11:15 AM, a container containing powdered milk had no date. The Dietary Manager said that it is a 5-gallon bucket. On [DATE] at 11:17 AM, the following observations were made in the walk-in freezer: a. Twenty-four 4-ounce bowls of ice cream were on trays on the bottom left shelf with no date. b. Two bags of frozen coconut, one with a date of ,d+[DATE] and the other had no date with frost on the bags. The Dietary Manager said that they were clumpy and hard, possibly frost bitten. c. A plastic 2 pound container of salami was not dated. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2023

  Based on observation, interview, and record review, the facility failed to ensure food items stored in the refrigerator, freezer, and dry storage areas were dated when received and/or opened to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed/discarded by the expiration or use by dates to prevent potential for food bone illness; and dietary staff washed their hands before handling clean dishes and trays 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 64 residents who received meals from 1 of 1 kitchen (total census: 64), as documented on the Diet list provided by Administrator on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Sep 27, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator and freezer were dated and labeled; clean dishes were allowed to air dry before being stored; and dietary equipment was maintained in clean condition to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 61 residents who received meals from the kitchen (total census: 61), as documented on a list provided by the Dietary Manager on 9/17/2021. The findings are: 1. On 09/13/2021 at 11:10 am, the following observations were made in the kitchen: a. There was a zipped bag containing seven beef patties with no date or label in the white chest freezer near the dry storage room. b. […]

• No harm, potential for more than minimal, patternF550Aug 27, 2024

  Based on observations, interviews, records review, and facility policy review, the facility failed to ensure residents, or their representatives were notified of the high concentrations of [NAME] gas in the facility, depriving them of the right to choose to remain in the facility or move to another facility. This failed practice had the potential to affect all residents residing in the facility. Findings include: A review of Resident #6's electronic health records, reviewed on 08/26/2024 at 1:45 PM, revealed no documentation of [an electronic system for email, text or phone call messaging] to residents or their representatives regarding [NAME] gas exposure. […]

• No harm, potential for more than minimal, patternF584Apr 4, 2024

  Based on observation, interview, and record review, the facility failed to maintain a safe, functional, sanitary, and homelike environment for the residents to promote dignity and prevent the potential injury or spread of disease. The findings are: On 04/01/2024 at 02:13 PM, observed Resident #28 sitting in a wheelchair in the resident's room. The left and right wheelchair arm rests were wrapped in bubble plastic and black duct tape. Resident #28 was asked, Is this your wheelchair? Resident #28 stated, No, my [family member] brought mine from home, but it was too wide, so [the family member] took it home, and fixed this wheelchair so the arms would stay on. On 04/02/2024 at 08:31 AM, the right arm rest on Resident #25's wheelchair had the vinyl torn with foam exposed. […]