View Heights Conv Hosp

In the surveyor’s words

From the most serious findings on record at View Heights Conv Hosp, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Sep 5, 2023

  Based on interview and record review, the facility failed to develop and implement a comprehensive care plan addressing eating behaviors for one of one sampled resident (Resident 1). On [DATE], the Registered Dietician (RD) observed Resident 1 eating too quickly and not chewing food items thoroughly. The RD recommended to encourage slower eating, chew foods thoroughly and swallow. On [DATE], the RD observed the resident eating quickly and not clearing her mouth between bites. The RD recommended Resident 1 be placed on mechanically soft finely chopped texture diet and 1:1 supervision during meals. […]

• Immediate jeopardy, isolatedF689Sep 5, 2023

  Based on observation, interview, and record review, the facility failed to supervise one of one sampled resident (Resident 1) during meals by failing to: 1. Followthe facility ' s policy and procedure (P&P), titled High Risk Safety Monitoring, which indicated assigned staff for residents on 1:1 monitoring, will be within two feet ([ft] unit of measurement) from the resident. 2. Follow the Registered Dietitian (RD) recommendation, dated [DATE], to provide Resident 1 with 1:1 supervision (one staff supervising one resident only) during dining. 3. […]

• No harm, potential for more than minimal, widespreadF801May 7, 2026

  Based on interview and record review, the facility failed to employ a dietary supervisor (DS) that met the qualifications of having an associate's degree or higher in food service management or in hospitality, was a certified dietary manager, certified food service manager or had national certification for food service management and safety. This deficient practice had the potential to affect 145 residents residing in the facility by potentially not receiving the nutritional assistance and guidance required to attain their highest practicable well-being.Findings:During an interview on 5/4/2026 at 8:30 a.m., a kitchen staff, introduced as Dietary Supervisor (DS) 1, was unable to produce credentials which indicated she was qualified as a Certified Dietary Manager (CDM). […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, interview, and record review, the facility failed to:1. Properly wash dishware using water temperature lower than manufacturer specifications.2. Practice standard hygienic practices in the kitchen when [NAME] 1 failed to wear a beard restraint during food preparation.3. Practice standard hygienic practices when [NAME] 2 wore 11 pieces of jewelry during food preparation.These deficient practices had the potential to result in harmful bacterial growth that could lead to foodborne illness (a disease caused by consuming food or drinks that are contaminated by germs or toxins) in 145 of 145 residents.Findings:1. During a concurrent observation and interview on 5/4/2026 at 9:12 a.m. […]

• No harm, potential for more than minimal, widespreadF800Feb 14, 2025

  Based on observation, interview and record review, the facility did not provide a diet that met the nutritional needs for all facility residents by: 1. Not ensuring residents received a breakfast that offered a nutritional value. 2. Not ensuring a system was in place to ensure meal substitutes and alternatives provided were of equal or nutritive value for all facility residents. These deficient practices had the potential to impact resident's nutritional status and could result in all residents sustaining undesired weight loss and malnutrition. Findings: 1. During an observation on 2/13/2025 at 7:11 a.m. in the kitchen, a mc muffin sandwich without meat was served to the residents. The mc muffin sandwich contained only scrambled eggs. During an interview on 2/13/2025 at 7:20 a.m. […]