Thomas Hospitals Skilled Nursing Unit

In the surveyor’s words

From the most serious findings on record at Thomas Hospitals Skilled Nursing Unit, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF882Jul 14, 2021

  Based on review of record review and interview, the facility failed to ensure the employee, who was designated as the Infection Preventionist for the unit, had completed specialized training in infection prevention and control. Additionally, the facility failed to ensure the Infection Preventionist was a member of the Skilled Nursing Unit Quality Assessment and Assurance Committee and reported on the infection control program, to the committee, on a regular basis . This practice had the potential to affect all residents in the facility. Facility census: 11. Findings included: a) Infection Preventionist training An interview, with the Infection Preventionist, on 07/13/21 at 3:05 PM, revealed the employee had not completed a specialized training in infection prevention and control. […]

• No harm, potential for more than minimal, patternF656Jul 31, 2025

  Based on record review, staff interviews, and observation, the facility failed to develop and implement person-centered, comprehensive care plans that included individualized activities for 9 of 16 residents reviewed (Residents #30, #29, #6, #1, #32, #27, #37, #38, and #23). This failure resulted in residents, including those with low BIMS scores and those who remained in their rooms, lacking documented activity interventions tailored to their needs and preferences. Resident Identifier: #30, #29, #6, #1, #32, #27, #38, and #23 Facility Census: 16a) On 07/30/2025 at 12:00 PM, a review of 16 resident records revealed that nine (9) lacked individualized activity care plans or interventions, despite cognitive or physical limitations requiring modified or room-based activities.Resident #30 had… […]

• No harm, potential for more than minimal, patternF675Jul 31, 2025

  Based on interviews, observations, and record reviews, the facility failed to ensure residents maintained the highest practicable mental and psychosocial well-being. The facility did not provide individualized activities and meaningful engagement for residents who remain in their rooms, failing to implement sensory stimulation or one-on-one interventions. In addiiton they failed to offer weekend activity programming for all residents. Facility Census: 16. a) On 07/30/25 The facility reported that it does not provide outings or opportunities for community involvement.On 07/31/25 The facility was unable to provide specific programming for one-on-one or sensory stimulation residents who are either unable or unwilling to leave their rooms.During record review on 07/30/25 at 12:00 PM a review… […]

• No harm, potential for more than minimal, patternF679Jul 31, 2025

  Based on record review, interviews, and observations, the facility failed to provide an ongoing activities program that met the individual needs, interests, and abilities of residents in accordance with their comprehensive assessments and care plans. Specifically, the facility failed to offer room-based or sensory stimulation activities for residents who did not leave their rooms, failed to develop individualized care plans for activities for most sampled residents, and did not offer weekend activities. These systemic failures had the potential to negatively impact the residents' quality of life and psychosocial well-being. […]

• No harm, potential for more than minimal, patternF812Jul 31, 2025

  Based on observation, and staff interviews, the facility failed to date and safely store open and prepared food items in multiple refrigeration units; maintain cleanliness of kitchen equipment and surfaces; and implement effective systems to prevent contamination or spoilage of food, including food that may be consumed by residents. These practices created a risk of foodborne illness. Facility Census: 16.On 07/30/2025 at 11:48 AM, the following was observed in the kitchen areas:Walk-In Cooler:A canister of chopped garlic was observed with no open or discard date.Walk-In Freezer:A bag of chicken tenders was stored outside of the original box, open and without a date.An open box of fish filets was observed without an open date and not sealed, exposing contents to possible… […]