United Pioneer Home

In the surveyor’s words

From the most serious findings on record at United Pioneer Home, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 29, 2025

  Based on observation, interview and record review, the facility did not ensure the resident's environment remains as free of accident hazards as possible. The facility did not implement new interventions and increase supervision when needed to prevent accidents for 2 of 3 residents (R) (R1, R2) reviewed.-R1 is at risk for falls and fell on [DATE], 12/30/24, 01/01/25, 01/09/25, 05/13/25, 06/06/25, 08/04/25, 08/05/25, and the facility did not place new interventions or increase supervision to prevent further fall incidents. On 08/06/25, x-ray results revealed a left humeral head fracture. On 08/08/25, additional x-rays of left knee related to complaints of pain, revealed an acute transverse non-displaced fracture of the mid portion of the left patella. […]

• No harm, potential for more than minimal, widespreadF812Sep 24, 2025

  Based on observation and interview, the facility did not ensure food was stored and prepared in a sanitary manner that prevents foodborne illness to the residents. This practice had the potential to affect all 40 residents within the facility.*Open food noted in cold storage, not labeled and dated.*Cook D did not have a hair net on mustache. Findings:Labeling open foods:The 2022 FDS Food Code documents at 3-501.18 Ready-to-Eat, Time/Temperature Control for Safety Food: Disposition .A date marking system may be used which places information on the food, such as on an overwrap or on the food container, which identifies the first day of preparation, or alternatively, may identify the last day that the food may be sold or consumed on the premises. […]

• No harm, potential for more than minimal, widespreadF880Jul 10, 2024

  Based on observation, interview and record review, the facility did not maintain an infection prevention program designed to provide a safe and sanitary environment to prevent the transmission of communicable disease and infection. This has the potential to affect all 33 residents residing in the facility. The facility did not implement Standard of Practice (SOP) for documentation of Infection Control Surveillance and Monitoring with isolation precaution type, start date, and stop date. […]

• No harm, potential for more than minimal, widespreadF881Jul 10, 2024

  Based on interview and record review, the facility did not establish an Infection Prevention and Control Program (IPCP) that must include, at a minimum, the following elements: An antibiotic stewardship program that includes a system to monitor/review antibiotic use. This has the potential to affect all 33 residents residing in the facility. The facility did not follow a Standard of Practice (SOP) for antibiotic stewardship for antibiotic use for residents on the line list logs from January 2024 through June 2024 line lists. The facility did not implement a SOP for antibiotic stewardship to monitor/review antibiotic usage, outcome measures, and summarizing of antibiotic resistance. […]

• No harm, potential for more than minimal, widespreadF908Aug 2, 2023

  Based on observations, interviews and kitchen temperature log review, the facility did not ensure the dishwashers were maintained and in safe operating condition. This has the potential to affect all 32 residents. The dishwasher did not reach manufacturer recommended temperatures to effectively sanitize dishes. Findings include: On 08/01/23 at 9:20 AM, Surveyor observed the dishwasher in kitchenette on Harmony House. The dishwasher had been running prior to Surveyor entering the area. Surveyor observed the wash temperature go up to 145 after Dietary Aide (DA) G restarted it 3 times. The dishwasher is a Champion hot water machine. For a high temperature dishwasher (heat sanitization) the wash temperature should be 150 - 165 degrees F. […]