Van Buren Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Van Buren Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 14, 2023

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator/freezer were covered, sealed and dated; expired food items were promptly removed/discarded by the expiration or use by dates to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 97 residents who received meals from the kitchen (total census: 98), as documented on a list provided by the Dietary Supervisor on [DATE] at 2:22 AM. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2022

  Based on observation, record review, and interview, the facility failed to ensure the ice scoop holder, meat slicer, can opener, fan guard, and the main dining room's ice dispenser were maintained in a clean condition to minimize the risk of food borne illness for residents who received meals from the kitchen. These failed practices had the potential to affect 92 residents who received meals from the kitchen (total census 93), based on a list provided by dietary employee #2 on 4/8/22. On 4/4/2022, the following observations were made: 1. At 10:21 AM, the blue ice scoop holder mounted to the side of the ice machine in the kitchen had an unidentified blackish, gritty substance in the bottom of it. Dietary Employee #2 was asked what she saw in the holder, and she said, Dirt. […]

• No harm, potential for more than minimal, widespreadF880May 10, 2021

  Based on observation, record review and interviews the facility failed to ensure infection control measures were consistently implemented to reduce the potential for the spread of disease and infection as evidenced by ensuring all visitors were screened for signs and symptoms of COVID-19 upon entry into the facility, also failed to ensure staff did not self-screen for signs and symptoms, failed to follow guidelines for handling ice scoops, and sanitizing and or washing hands between administration of medications, the handling of trash, trays and other objects. These failed practices had the potential to affect all 100 Residents per the Resident Matrix provided by the Director of Nursing (DON) on 5/3/21 at 11:00 A.M. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Jan 15, 2021

  Based on observation and interview, the facility failed to ensure 2 of 2 ice machines were maintained in a clean and sanitary condition, failed to ensure food items stored in the freezer were covered or sealed, failed to ensure floors in the kitchen, storage room, and dish washer area were free of debris, dirt, grease, grime and stains and failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness and to provide a clean sanitary environment for food preparation. These failed practices had the potential to affect 94 residents who received meals from the kitchen (total census: 97) as documented on a list provided by the Dietary Supervisor on 01/14/2021 at 5:07 P.M. The findings are: 1. […]

• No harm, potential for more than minimal, patternF583Jul 14, 2023

  Based on observation and interview, the facility failed to ensure privacy and confidentiality of personal and medical information was maintained during medication administration by not locking the computer screens when not in use for 2 (Residents #29 and #59) of 2 sampled residents. The findings are: 1. On 07/12/23 at 8:33 AM, on the East Hall the medication cart was left unattended with the laptop screen opened and unlocked with Resident #29's name, information, and photo visible. 2. On 07/12/23 at 8:33 AM, the Surveyor asked Licensed Practical Nurse (LPN) #3 to look at the computer on the medication cart and tell this Surveyor what was wrong. LPN #3 stated, I left it open. The Surveyor asked if she should lock the laptop computer when she left her medication cart unattended. […]