The Springs of Waldron

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 25, 2023

  Based on observation, record review and interview, the facility failed to ensure opened packages of food were sealed and dated in the dry storage room to maintain food freshness and prevent the potential for infestation, and the facility failed to ensure the ice machine was clean to prevent the potential for foodborne illness. The failed practices had the potential to affect 50 residents who received a meal tray from the kitchen, as documented on a list provided by the Business Office Manager on 8/22/23 at 12:43 PM. The findings included: On 08/21/2023 with Dietary Employee #1, the following was observed: a. At 9:56 AM, there was one bag of cookie wafers unsealed and undated. b. […]

• No harm, potential for more than minimal, widespreadF812May 14, 2021

  Based on observation and interview, the facility failed to ensure food was stored properly in the freezer, dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 43 residents who received meals from the kitchen (total census: 44) as documented on a list provided by the Assistant Director of Nursing (ADON) on 05/13/21. The findings are: 1. On 05/10/21 at 6:01 A.M., in the freezer there was a tray of frozen red liquid labeled thickened popsicles, 5 of the popsicles were uncovered. […]

• No harm, potential for more than minimal, patternF803Dec 11, 2024

  Based on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to ensure that nutritionally balanced meals were provided for the residents for 1 of 1 meal observed. The findings are: 1. On 12/09/2024, the menu for the noon meal documented residents on pureed regular diets and on mechanical soft diets were to receive 4 ounces (oz) of meat balls in sauce. 2. On 12/9/24 at 12:11 PM, Dietary [NAME] (DC) #1 placed 16 meatballs into a blender and ground. DC #1 poured the ground meatballs into a pan and placed it on the steam table to be served to 17 residents who required mechanical soft diets. 3. […]

• No harm, potential for more than minimal, patternF812Dec 11, 2024

  Based on observation, interview, and record review, the facility failed to ensure foods stored in the dry storage areas, refrigerator, and freezer were covered and sealed, expired food items were promptly removed, and dietary staff washed their hands before handling clean equipment or food items for 2 of 2 meals observed. The findings are: 1. On [DATE] at 11:13 AM, the following observations were made in the kitchen areas: a. An opened box of baking soda was in the cabinet above the food preparation counter. The box had an expiration date of [DATE]. The Dietary Manager (DM) was interviewed and was asked what she use baking soda for. The DM stated the staff used it when a recipe calls for it, but they had not used it to bake anything in a long time. b. […]

• No harm, potential for more than minimal, patternF880Dec 11, 2024

  Based on observations, interviews, record review, and facility policy review, the facility failed to ensure staff used proper hand hygiene when providing care for 2 (Residents #5, #6) of 3 (Residents #4, #5, #6) sampled residents. The finding include: 1. A review of the significant change Minimum Data Set (MDS), with the Assessment Reference Date of 9/15/2024, revealed Resident #5 had a Brief Interview of Mental Status (BIMS) score of 12, indicating moderate impaired cognition. Resident #5 was frequently incontinent of bowel and bladder. a. A plan of care for Resident #5, revision date 8/15/2023, revealed Resident #5 had an Activities of Daily Living (ADL) self-care deficit related to impaired mobility, weakness, and fluctuation in mental status. b. […]