University Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 24, 2022

  Based on observation, interview, and record review, the facility failed to ensure a sanitary kitchen, when there where dead insects and cobwebs under the shelves in the dry storage and behind the stove. This had the potential to contaminate the food and food contact surfaces in a highly susceptible population of 43 residents. Findings: During an observation and interview on January 18, 2022, at 8:05 AM, under the shelf in the dry storage room on the east wall, there was cobwebs. Under the shelf on the west wall, there were dead insects on the floor under the shelf. The Dietary Supervisor stated the floors should be clean. During an observation on January 18, 2022, at 8:16 AM, there were cobwebs behind the stove and some debris on the floor under the stove. […]

• No harm, potential for more than minimal, widespreadF812Jan 21, 2022

  Based on observation, interview, and record review, the facility failed to ensure a sanitary kitchen, when there where dead insects and cobwebs under the shelves in the dry storage and behind the stove. This had the potential to contaminate the food and food contact surfaces in a highly susceptible population of 43 residents. Findings: During an observation and interview on January 18, 2022, at 8:05 AM, under the shelf in the dry storage room on the east wall, there was cobwebs. Under the shelf on the west wall, there were dead insects on the floor under the shelf. The Dietary Supervisor stated the floors should be clean. During an observation on January 18, 2022, at 8:16 AM, there were cobwebs behind the stove and some debris on the floor under the stove. […]

• No harm, potential for more than minimal, patternF641Jan 24, 2022

  Based on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS - facility assessment tool), for three of three residents reviewed for resident assessment (Resident 5, 18, and 27) when: 1. One of Resident 5's active diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] 2. Resident 18's [MEDICATION(S)], an antiplatelet (medication that prevents blood cells from sticking together forming a clot) was coded as an anticoagulant (medication that prevents the formation of blood clots) in Resident 18's MDS, dated [DATE]. 3. […]

• No harm, potential for more than minimal, patternF646Jan 24, 2022

  Based on interview and record review, the facility failed to ensure the Pre-Admission Screening and Resident Review (PASRR- a federal requirement to help ensure individuals who have a mental disorder or intellectual disabilities are not inappropriately placed in nursing homes for long term care) were re-evaluated after a Significant Change in Status Assessment (SCSA- a comprehensive Minimum Data Set [MDS- a facility assessment tool] assessment done for resident that must be completed when a resident meets the significant change guidelines for either improvement or decline), for three of three residents reviewed for PASRR (Residents 9, 18, and 33). […]

• No harm, potential for more than minimal, patternF641Jan 21, 2022

  Based on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS - facility assessment tool), for three of three residents reviewed for resident assessment (Resident 5, 18, and 27) when: 1. One of Resident 5's active diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] 2. Resident 18's [MEDICATION(S)], an antiplatelet (medication that prevents blood cells from sticking together forming a clot) was coded as an anticoagulant (medication that prevents the formation of blood clots) in Resident 18's MDS, dated [DATE]. 3. […]