Union Nursing

In the surveyor’s words

From the most serious findings on record at Union Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF806Aug 28, 2025

  Based on observation, interview, and record review facility staff failed to notify residents the different alternate food options available and failed to provide alternative meals for residents which accommodated the residents' preferences for eight residents (Resident #2, #9, #10, #27, #32, #48, #52, and #54) out of 13 sampled residents. This had the potential to affect all residents. The facility census was 46. 1. Review of the facility's Alternates and Meal Substitutions policy, undated, showed alternates shall be available for all meals for residents who dislike the menu items. For breakfast an alternate shall be available for the entree, and at lunch and dinner, an alternate shall be available for the entree and vegetable. […]

• No harm, potential for more than minimal, widespreadF801Jun 20, 2024

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. This failure has the potential to affect all residents. The facility census was 53. Review of the facility provided policies, showed the records did not contain a policy related to the qualifications for Director of Food and Nutrition Services. Review of the dietary manager's (DM) personnel records showed a hire date for the DM position listed as 01/04/24. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2023

  Based on observation, interview and record review, the facility staff failed to allow sanitized dishes to air dry prior to stacking in storage and use to prevent the growth of food-borne pathogens and cross-contamination. Facility staff also failed to serve drinks to residents at meals in a sanitary manner and perform hand hygiene as often as necessary to prevent cross-contamination. The facility census was 52. 1. Review of the facility's Dish and Utensil Handling policy, undated, showed the policy directed staff to air dry dishes, cups and glasses prior to storage. […]

• No harm, potential for more than minimal, patternF569Aug 28, 2025

  Based on interview and record review, facility staff failed to refund resident funds within 30 days of discharge from the facility for 12 discharged residents (Resident #62, #63, #64, #65, #66, #67, #68, #69, #70, #71, #72, and #73). The facility census was 46.1.Review of the facility's-maintained Accounts Receivable Report, dated 08/26/25, showed 12 discharged residents with personal funds held in the facility operating account: Resident Amount Held in Operating Account discharge date #62 $282.00 01/25/25#63 $8,280.00 05/05/25#64 $228.45 07/17/24#65 $534.00 05/16/25#66 $7,015.00 07/09/25#67 $2,090.00 07/07/25#68 $282.00 03/14/25#69 $15,576.00 03/30/25#70 $264.00 07/27/25#71 $252.15 12/24/23#72 $564.00 06/30/25#73 $108.00 06/02/25Total $35,475.60During an interview on 08/27/25 at 2:55… […]

• No harm, potential for more than minimal, patternF656Aug 28, 2025

  Based on observation, interview, and record review, facility staff failed to develop and implement a comprehensive person-centered care plan to reflect the care needs for four residents (Resident #4, #33, #54, and #55) out of 13 sampled residents. The facility census was 46.1. Review of the facility policy Resident Assessment Instrument (RAI) Policy, dated 04/14/25, showed the facility will adhere to all Center for Medicare & Medicaid Services (CMS) regulations which are considered the definitive source in completion of the RAI process. This includes coding the Minimum Data Set (MDS) with accuracy, and the development of the comprehensive care plan.2. […]