Treemont Health Care Center

In the surveyor’s words

From the most serious findings on record at Treemont Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen (main kitchen) reviewed for sanitary kitchen. The facility failed to ensure the thermometer on the low temperature dishwashing machine was in working condition. This failure could place residents at risk for foodborne illness. The findings include: In an observation and interview on 9/19/24 at 12:50 p.m. of the dishwashing machine located in the kitchen area, Dishwasher A demonstrated how to use the machine by turning it on and running dishware through it. Observation of the two thermometers on the screen revealed they did not move. Dishwasher A said the thermometers did not work. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2022

  Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure sanitary practices were maintained in the kitchen as frozen foods were improperly stored, and freezers and refrigerators were unsanitary. These failures could place residents who ate from the kitchen at risk for cross-contamination and food-borne illness. Findings included: Observation on 06/14/22 at 10:20 a.m. revealed in the outside walk-in freezer there were uncovered and exposed hamburger patties. There was also beer battered onion rings that were soft to the touch and not completely frozen. Interview on 06/16/22 at 9:15 a.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 5, 2021

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1of 1 kitchen (Kitchen #1) reviewed for food safety requirements, in that: Food items in kitchen refrigerator were not stored at proper temperatures. A container of 2% Milk with an expiry date of 1/20/21 stored in the nourishment refrigerator A container of Sour cream stored in the nourishment refrigerator had an expiration date of 4/15/20 . Three containers of opened thickened juice and a container of Med Pass did not have a use by dated . A pan of breakfast sausage in the breakfast steamtable had temperature in the danger zone. […]

• No harm, potential for more than minimal, patternF694Dec 4, 2025

  Based on observation, interview and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 1 (Resident #55) residents reviewed for intravenous fluids.-The facility failed to ensure Resident #55 's subclavian central line's dry dressing was changed every 5 to 7 days per facility policies and procedures, including orders for monitoring the site. […]

• No harm, potential for more than minimal, patternF759Dec 4, 2025

  Based on observation, interview and record review the facility failed to ensure that the medication error rate was not five percent (%) or greater. The facility had a medication error rate of 35% based on 11 errors out of 31 opportunities, which involved 4 of 9 residents (Residents #5, #23, #53 and #55) and 2 of 4 staff (MA A, MA B and LVN C) reviewed for medication errors.1. The facility failed to ensure MA A administered Magnesium Oxide (used as a dietary supplement to address magnesium deficiency and as an antacid to relieve heart burn and indigestion). It was initialed as given on 12/1/2025 to Resident #53.2. The facility failed to ensure MA A administered Arginald Powder (used to support wound healing, particularly for chronic and slow-to-heal wounds). […]