Traylor Retirement Community

In the surveyor’s words

From the most serious findings on record at Traylor Retirement Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Dec 4, 2025

  Based on interviews, record review, and review of a facility policy titled Policy & Procedure Manual, Director of Food and Nutrition Services, the facility failed to have a qualified Dietary Manger (DM) who possessed the necessary skills and certifications for a Certified Dietary Manager and who was a clinically qualified nutrition professional, per the facility policy. This failure had the potential to affect all 71 residents receiving meals from the kitchen by compromising the safe preparation, service, and overall management of the facility's dietary program. Findings include:An undated facility policy titled Policy & Procedure Manual Director of Food and Nutrition Services documented: . Procedure:1. […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2025

  Based on observations, interviews, and review of facility policies titled Cleaning Instructions: Ice Machine and Equipment, Bare Hand Contact with Food and Use of Plastic Gloves, WET NESTING POLICY, Refrigerator & (and) Freezer Temperature Monitoring Policy, the facility failed to ensure:1) the ice machine was free of a pink substance in the lid;2) staff washed their hands after touching a trash can lid before returning to the tray line;3) spoons, forks, and knives were not wet nesting; and4) the temperatures of the refrigerator/freezer PM temperatures were documented on the temperature logs.These deficient practices had the potential to affect 71 of 71 residents who received meals from the kitchen. Finding include:1. […]

• No harm, potential for more than minimal, patternF908Dec 4, 2025

  Based on observations, interviews, and review of a facility policy titled Equipment Malfunctions and Repairs, the facility failed to maintain essential equipment in safe and effective operating condition. Specifically, water was leaking from a pipe underneath the three-compartment sink and dripping into a pan placed under the sink and one of the facility's two commercial washing machines was non-functional. This was observed by the surveyor on 12/04/2025. The Laundry Supervisor (LS) said the machine had been non-functional for three weeks. The Administrator (ADM) stated the repair company had been to the facility on [DATE], and a part was ordered for the repair on 11/26/2025. […]

• No harm, potential for more than minimal, isolatedF635Dec 4, 2025

  Based on interview, record review, and review of facility policies titled admission Orders and admission of a Resident, the facility failed to ensure Resident Identifier (RI) #11's physician orders included details necessary for the care and treatment of an indwelling urinary catheter upon admission on [DATE] for an existing urinary catheter. The facility obtained an order on 11/04/2025 for use of a urinary catheter and included the size of catheter RI #11 was to have, but still failed to include details such as care, treatment, changing of the urinary catheter, and any other details the physician may have wished to include, placing the resident at risk for inadequate clinical oversight and unmet care needs. This affected RI #11, one of two residents for whom closed records were reviewed. […]

• No harm, potential for minimal, widespreadF921Dec 4, 2025

  Based on observation, interview and a facility policy titled Safe and Homelike Environment the facility failed to maintain the exterior physical environment in safe and good repair. Specifically, on 12/3/2025 and 12/4/2025 a damaged soffit with exposed wood and hanging metal was observed on the back side of the building facing a patio area. This concern was brought up during the resident council meeting that took place on 12/03/2025, and staff indicated it had remained in that state for more than a year. Additionally, a discarded water heater was observed near the outdoor patio area where residents may gather. […]