Williams Co Hillside Country L

In the surveyor’s words

From the most serious findings on record at Williams Co Hillside Country L, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 27, 2025

  Based on observation, staff interview, review of the facility's water management program, review of the Centers for Disease Control (CDC) guidance and review of facility policy, the facility failed to meet the requirements for a Legionella water management program. This had the potential to affect all residents. Additionally, the facility failed to maintain infection control practices during insulin administration. This affected one resident (#18) for administration of insulin. The facility census was 65. Findings include: 1. Interview on 02/27/25 at 9:15 A.M. with Maintenance Director (MD) #486 revealed the facility had eye wash stations and a whirlpool. […]

• No harm, potential for more than minimal, widespreadF888Oct 28, 2022

  Based on review of the facility's staff vaccination COVID-19 log, staff interview, review of the facility's policy, and review of the Centers of Medicare and Medicaid Services (CMS) memorandum QSO-23-02-ALL, the facility failed to ensure staff were COVID-19 vaccinated, had an approved exemption, or had been identified as appropriate for a temporary delay per Center for Disease Control and Prevention (CDC) guidance. The vaccination rate for the facility was calculated at 74%. This had the potential to affect all 65 residents currently residing in the facility. […]

• No harm, potential for more than minimal, widespreadF908Oct 28, 2022

  Based on observation, staff interview, review of the dishwasher temperature log, and review of the facility's policy, the facility failed to ensure the dishwashing machine maintained the appropriate temperature for effective sanitation. This had the potential to affect 64 residents who resided in the facility and received food from the kitchen. Resident #41 received no food by mouth and thus no food from the kitchen. The facility census was 65. Findings include: Observation on 10/24/22 at 10:24 A.M. of the dishwasher in the kitchen washroom revealed the dishwasher was a high temperature dishwasher. The sticker on the outside of the machine indicated the dishwasher needed to reach 180 degrees Fahrenheit (F) during the rinse cycle. […]

• No harm, potential for more than minimal, patternF610Feb 27, 2025

  Based on review of the facility submitted self-reported incidents (SRI), staff interview and review of the facility policy, the facility failed to ensure thorough investigations were completed. This affected six (#30, #31, #43, #45, #52, and #56) of six residents reviewed for thorough facility investigations. The facility census was 65. Findings include: 1. Review of the facility submitted SRI, created on 11/04/24 at 10:46 A.M., revealed an allegation of physical abuse involving Resident #45 and Resident #30. Review of the corresponding facility investigation revealed no evidence a thorough investigation was completed, including staff interviews, witness statements, like resident interviews/assessments, or any staff education. 2. […]

• No harm, potential for more than minimal, patternF812Feb 27, 2025

  Based on observation, staff interview, medical record review and review of facility policy, the facility failed to ensure non-pasteurized eggs were cooked appropriately. This affected three (#11, #23, and #40) residents who received soft cooked eggs from the kitchen. Additionally, the facility failed to ensure staff practiced proper hand hygiene while providing meal assistance. This affected two (#26 and #49) residents observed during meal service. The facility identified five additional residents (#10, #16, #29, #41, and #58) who required assistance during meals. The facility census was 65. Findings include: 1. Review of the medical record for Resident #11 revealed an admitted [DATE] with a diagnosis of hypertension. […]