Vivo Healthcare Gateway

In the surveyor’s words

From the most serious findings on record at Vivo Healthcare Gateway, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 11, 2024

  Based on observations, interviews, and record review, the facility failed to ensure the kitchen area was maintained in a clean and sanitary manner, and food was prepared and stored in accordance with professional standards for food safety in one out of one facility kitchen and two out of two nourishment rooms. Findings included: An observation was conducted on 12/10/24 at 2:36 p.m. in the north unit nourishment room of: -Cups and trash on the floor under the table. -The shelf above the refrigerator had dirt, dry spilled liquid, and a container with an unknown liquid. -The refrigerator and freezer contained undated, unlabeled food. -There thermometer in the refrigerator was broken and there was no thermometer in the freezer. […]

• No harm, potential for more than minimal, widespreadF908Mar 21, 2024

  Based on observations, staff interviews, and facility record review, the facility failed to ensure a working and properly maintained dish washing machine in the kitchen, during two of four days observed, (3/18/2024, and 3/19/2024). It was determined the low temperature chemical sanitizer dish washing machine either; 1. Was not meeting required wash and rinse temperatures, and 2. The chemical sanitizer was allocated and delivered well over acceptable ranges. Findings included: On 3/18/2024 at 9:10 a.m. an observation of the kitchen was conducted with Staff C, Dietary Manager, Staff C revealed the facility operates a low temperature dish washing machine and the expectations for wash temperatures was 125 degrees Fahrenheit (F)., and rinse temperatures was 125 degrees F. […]

• No harm, potential for more than minimal, patternF584Mar 21, 2024

  Based on observations, interviews, and record review, the facility failed to provide a clean and homelike environment for one resident unit (Secured Unit) out of two resident units in the facility. Finding included: 1. An observation on 03/18/24 at 10:27 a.m., revealed the secured unit dayroom had ceiling tiles that were pushed up and not flush with the ceiling. The blinds that hung in the window of the dayroom were broken and pulled apart. The walls in the secured unit dayroom were scratched and a piece of the wall near the locked storage closet was cracked. The main door of the dayroom was scratched and was missing paint. […]

• No harm, potential for more than minimal, patternF645Mar 21, 2024

  Based on interviews and record review, the facility failed to ensure the Level I Preadmission Screening and Resident Review (PASRR) was accurate upon admission for ten residents (#7, #13, #14, #20, #50, #53, #65, #80, #88 and #170) of fifteen residents sampled for PASRR review. Findings included: 1. A review of the Admission Record showed Resident #65 had an original admitted [DATE] with diagnoses including repeated falls, essential hypertension, and unspecified psychosis not due to a substance or known physiological condition. […]

• No harm, potential for more than minimal, patternF679Mar 21, 2024

  Based on observations, interviews, and record review the facility failed to have activities available and provide adequate space for activities for 52 residents residing on one of one memory care units. Findings included: The initial tour of the memory care unit was conducted on 3/18/24, the observation of the unit and resident rooms did not reveal any posted activity calendar. On 3/18/24 at approximately 10:00 a.m., Staff G, Licensed Practical Nurse/Unit Manager (LPN/UM), took approximately 6-7 memory care residents outside to a patio to play with a football. On 3/18/24 at 10:04 a.m., an observation was made of 12 residents sitting, either in a dining chair or wheelchair, in the day room on the memory care unit. The television was playing a sitcom. […]