Timothy Daniels House

In the surveyor’s words

From the most serious findings on record at Timothy Daniels House, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Mar 6, 2025

  Based on nursing staff schedule review, nursing staff time sheet review, and interviews, the facility failed to ensure staffing included the services of a Registered Nurse (RN) for a minimum of eight consecutive hours per day, seven days a week as required. Specifically, the facility failed to ensure RN coverage for eight hours per day seven days a week as follows: 7/1/24 through 9/30/24 there was no RN coverage in a 24-hour period for 6 of 92 days and 12/4/24 through 3/4/24 there was no RN coverage in a 24-hour period for 6 of 91 days. […]

• No harm, potential for more than minimal, widespreadF880Mar 6, 2025

  Based on records reviewed, policy review and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment. Specifically, the facility failed to: 1. Perform surveillance activities to monitor and investigate causes of infections and the manner of spread throughout the facility; and 2. For Resident #21, ensure Gastrostomy tube (G-tube: a tube that is placed directly into the stomach through an abdominal incision for administration of nutrition, fluids, and medication) equipment was maintained in a clean and sanitary manner to decrease the risk of potential contamination and infection. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF880Feb 16, 2024

  Based on record review, policy review, and interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment. Specifically, the facility failed to perform surveillance activities to monitor and investigate causes of infections and the manner of spread. Findings include: Review of the facility's policy titled Infection Prevention and Control Program, undated, indicated but was not limited to the following: -This program will: a. Develop a system for preventing, identifying, reporting, and investigating communicable diseases. b. Perform surveillance activities to monitor and investigate causes of infection and manner of spread in order to prevent infection in the facility. c. […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2022

  Based on observation and staff interview, the facility failed to ensure foods were stored, prepared, and served under sanitary conditions. Specifically, the facility failed 1. To ensure the kitchen was kept clean and sanitary; and 2. To ensure the dish machine reached the appropriate temperatures to properly sanitize dishes. Findings include: 1. On 7/28/22 at 9:14 A.M., the surveyor observed the following sanitation concerns in the kitchen: -the microwave oven was not clean with food splatter on the inside surfaces. -the table to the left of the oven had a significant amount of flour and sugar spilled on the lower shelf. -the recessed handles for the reach in coolers and freezers had a significant amount of dried food and crumbs coating them. […]

• No harm, potential for more than minimal, widespreadF838Aug 2, 2022

  Based on Facility Assessment review and staff interview, the facility failed to identify resources based on the resident population to determine the necessary care and support services needed to care for residents. Specifically, the facility 1) Failed to accurately address the resources available for behavioral and mental health services; and 2) Failed to accurately address the nurse staffing plan based on the resident population and care needs required within the facility. Findings include: Review of the Facility Assessment, last updated 4/26/22, and reviewed with the Quality Assurance Performance Improvement (QAPI) Committee indicated the facility has 40 licensed beds and has an average daily census of 30 residents. […]