Union Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF657Dec 1, 2021

  Based on interviews and record reviews, the facility failed to revise the comprehensive care plan for 1 of 3 residents reviewed for accident hazards/ supervision/ devices. On [DATE] at 8:00 AM, Resident (R)1 was found unresponsive by facility staff in the dining area. Specifically, the facility failed to monitor R1, who had known behaviors of taking others food to eat, while on pureed diet. This failure resulted in Immediate Jeopardy (IJ) to resident health or safey. On [DATE] at approximately 8:24 AM, Emergency Medical Services (EMS) arrived at the facility and pronounced R1 deceased at approximately 8:30 AM. Based on full and/or limited record reviews and interviews, it was determined on [DATE] at 2:29 PM that an Immediate Jeopardy existed. […]

• Immediate jeopardy, isolatedF689Dec 1, 2021

  Based on record reviews and interviews, the facility failed to ensure Resident (R)1 did not have access to solid foods while on a pureed diet for 1 of 3 residents reviewed for accidents/incidents. On [DATE] at 8:00 AM, R1 was found unresponsive by facility staff in the dining area. Specifically, the facility failed to monitor R1, who had known behaviors of taking others food to eat, while on a pureed diet. This failure resulted in Immediate Jeopardy (IJ) to resident health or safety. On [DATE] at approximately 8:24 AM, Emergency Medical Services (EMS) arrived at the facility and pronounced R1 deceased at approximately 8:30 AM. Based on full and/or limited record reviews and interviews, it was determined on [DATE] at 2:29 PM that an Immediate Jeopardy existed. […]

• No harm, potential for more than minimal, widespreadF812May 10, 2023

  Based on observations, staff interviews, and record review, the facility failed to ensure food stored in the main kitchen was labeled, dated, and had not expired. Additionally, staff failed to utilize safe food handling. The failures had the potential to increase the prevalence, spread of foodborne illness, and cross contamination for all 82 residents residing in the facility. Findings include: Review of the facility's policy titled Food and Nutrition Services dated ,d+[DATE] documented, Foods are labeled for food safety. Information on the label tells staff when food is approaching dates when it would be removed from service. […]

• No harm, potential for more than minimal, patternF812Jan 17, 2025

  Based on observation, interview, and facility policy review, the facility failed to store foods in accordance with professional food storage standards for labeling and dating for 1 of 1 resident refrigerator observed. Findings included: A facility policy titled, Food Receiving and Storage, revised November 2022, revealed, Refrigerated/ Frozen Storage. 1. All foods stored in the refrigerator or freezer are covered, labeled, and dated ('use by' date). The policy revealed, 7. Refrigerated foods are labeled, dated and monitored so they are used by their 'use-by' date, frozen, or discarded. The policy revealed the section titled Foods and Snacks Kept on Nursing Units indicated, 2. […]

• No harm, potential for more than minimal, isolatedF554Jan 17, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure 1 (Resident (R)16) of 19 sampled residents was assessed to determine whether the resident could safely self-administer medications prior to keeping the medication at the resident's bedside. Findings included: A facility policy titled, Self-Administration of Medications, revised February 2021, revealed, Residents have the right to self-administer medications if the interdisciplinary team has determined that it is clinically appropriate and safe for the resident to do so. The policy revealed, 1. […]