Vancrest Health Care CTR of Ho

In the surveyor’s words

From the most serious findings on record at Vancrest Health Care CTR of Ho, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Apr 19, 2021

  Based on medical record review, observation, staff interview, and facility policy review, the facility staff failed to follow their policy to complete hand sanitizing to prevent the spread of infection. This failed practice had the potential to affect 45 of 45 residents residing in the facility. The census was 45. Findings include: Review of the medical record for Resident #147 revealed she was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Observation on 04/12/21 at 12:02 P.M. revealed State tested Nurse Aid (STNA) #112 was passing lunch trays on the 200-Hall. STNA #112 left one resident room and without sanitizer her hands. […]

• No harm, potential for more than minimal, patternF812Feb 19, 2026

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure the snack/nourishment refrigerator for the 300 Hall and 400 Hall nurses' stations was maintained with properly dated and labeled food and beverage items to prevent the potential for foodborne illness. The facility identified thirty-one residents (#1, #4, #9, #14, #16, #17, #18, #19, #20, #23, #24, #26, #27, #28, #29, #30, #31, #32, #33, #36, #39, #40, #42, #44, #46, #48, #50, #55, #57, #59, and #67) who receive nourishments from the refrigerator. The facility census was 56.Findings include:Observation on 02/18/26 at 1:58 P.M. […]

• No harm, potential for more than minimal, patternF800Sep 21, 2023

  Based on observation, staff interview, and review of the menu spreadsheet, review of recipe, review of resident diet list, the facility failed to ensure pureed protein was prepared following the recipe to ensure adequate protein was provided. This affected one (#19) of one resident identified on a pureed diet. Additionally, the facility failed to ensure appropriate scoop sizes were used to serve protein portions to Resident #19 on a pureed diet, and to 11 (#2, #4, #9, #17, #23, #24, #26, #35, #36, #38, and #40) residents identified on a mechanical soft diet. The facility census was 44. Findings include: 1. Review of Resident #19's medical record revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, patternF812Sep 21, 2023

  Based on observation, staff interview, review of resident diet list, and review of policy, the facility failed to ensure hand hygiene was practiced during the preparation of mechanical soft food. This had the potential to affect 11 residents (#2, #4, #9, #17, #23, #24, #26, #35, #36, #38, and #40) identified on a mechanical soft diet. The facility census was 44. Findings include: Observations on 09/20/23 beginning at 11:03 A.M., revealed Cook #301 wearing gloves and handling tongs to pick up patties of veal parmesan to prepare mechanical soft textured food. Interview at that time with Cook #301 stated there were 11 residents on a mechanical soft diet, and she prepared the patties of veal parmesan in batches to not overload the food processor. […]

• No harm, potential for more than minimal, isolatedF561Feb 19, 2026

  Based on resident interview, observation, medical record review, the review of dietary meal ticket, staff interview, and review of facility policy, the facility failed to honor residents' food preferences. This affected one (#49) of two residents reviewed for preferences. The facility census was 56. Findings include:Review of the medical record for Resident #49 revealed an admission date of 12/10/25. Diagnoses included fracture of superior rim of left pubis, subsequent encounter for fracture with routine healing, chronic atrial fibrillation, unspecified diastolic (congestive) heart failure, and chronic kidney disease.Review of the Minimum Data Set (MDS) assessment, dated 12/12/25, revealed Resident #49 had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was… […]