Omni Continuing Care

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 06/23/2026 beginning at 5:31 PM a tour of the kitchen was conducted with Dietary Manager (DM) E.On 06/23/2026 at 5:32 PM an interview with DM E was conducted regarding date marking. When asked about date marking, DM E indicated a receive date, an open date and a use by date are placed on items. On 06/23/2026 at 5:35 PM observed an opened bag of salad mix with a date of 6/19/26 on the bag. On 06/23/2026 at 5:39 PM observed an open bag of spinach with no date on the bag. On 06/23/2026 at 5:40 PM observed an open package of hot dogs with no date. In an interview at this time, when asked if this item is usually dated, DM E stated yes. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings Include:On 06/23/2026 at 6:31 PM observed the sink hot water faucet nonfunctional in the [NAME] Hall nourishment room. On 06/23/2026 at 7:52 PM observed the hot water handle missing from the janitor sink in the [NAME] Hall janitor closet. On 06/23/2026 at 7:58 PM observed the hot and cold water faucets off and the foot pedals intact at the sink fixture in the [NAME] Hall soiled utility room, indicating possible stagnant water in the line. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain general cleanliness and repair of the premises as well as proper storage of clean and sanitary supplies. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents. Findings Include:On 06/23/2026 at 7:53 PM observed a janitor sink with a chemical pre-dispensing system in place and the cold water faucet on in the [NAME] Hall janitor closet. This set up puts undue back pressure on the faucet's Hose Bib vacuum breaker, which can compromise the integrity of the mechanism. On 06/23/2026 at 8:02 PM observed chipped paint on the toilet base and along the interior surface of the bowl in the [NAME] Hall shower room. [NAME] discoloration was visible on the interior of the bowl in areas where paint was missing. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain dignity by not providing a foley catheter bag cover for one resident (R123) to maintain dignity out of two residents reviewed for dignity, resulting in the potential for impaired mental and psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide timely communication for a change in health status for one (R49) of one hospice resident resulting in the missed opportunity to coordinate care to provide sufficient continuity and collaboration to address the R49's needs.

Inspectors wroteBased on observation, interview, and record review the facility failed to adequately address one resident (R59) of one resident identified to possess smoking paraphernalia, resulting in the potential for unidentified and unsafe smoking practices within the facility that did not comply with the facility's smoking policy.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Preadmission / Screening (PAS)/Annual Resident (ARR) Mental Illness/ Intellectual Disability/ Related Conditions Identification forms (DCH-3877 and/or DCH-3878) documents were reviewed, revised, and sent to the local state agency for review and/or evaluation for intellectual/ developmental disability needs in a timely manner for two residents (R32 and R54) of seven residents reviewed for PASSARs, resulting in the potential for unmet intellectual/ developmental disability care needs.

Inspectors wroteBased on observation, interview, and record review the facility failed to follow the Physician order for administering medications through a Percutaneous tube (Peg Tube), a flexible tube surgically inserted directly into the stomach through the skin of the abdomen to deliver nutrition, hydration, and medication, for one resident (R87) of twenty eight residents reviewed for medication administration, resulting in residents not receiving the full amount of their prescribed medications and water, and the potential for PEG tube malfunction due to clogging.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure respiratory care equipment was stored in a sanitary manner for one resident (R8) out of four residents reviewed for storage of respiratory equipment, resulting in the potential for a decline in of respiratory health.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure routine dental services were provided to one resident (R16) of one resident reviewed for routine dental services, resulting in unmet oral health needs and discomfort.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain physical facilities, install backflow prevention, date mark food, and properly cool potentially hazardous foods, resulting in the potential for increased risk of food borne illness, affecting all residents that consume food from the kitchen.

Inspectors wroteBased on observation and interview, the facility failed to maintain equipment in good repair and clean condition, properly store refuse, and maintain physical facility, resulting in contamination of equipment and a non-homelike environment, affecting all residents, staff, and visitors in the facility.

Inspectors wroteBased on interview and record review, the facility failed to complete an OBRA (Omnibus Budget Reconciliation Act) Level II Evaluation for one (R40) of one residents reviewed for PASARRs (Preadmission Screen and Resident Review), resulting in the potential for unmet mental health services.

Inspectors wroteBased on observation and interview the facility failed to provide timely ADL (Activities of daily living) care to include nail care and shaving, for three residents (R21, R53, and R56) of six residents reviewed for ADL care resulting in dissatisfaction with care.

Inspectors wroteThis citation pertains to Intake number MI000144806. Based on interview and record review the facility failed to obtain a Physical Therapy (PT) and Occupational Therapy (OT) evaluation upon admission for one (R345) of one resident reviewed for physical rehab, resulting in delayed Physical and Occupational Therapy treatment.

Inspectors wroteBased on observation, interview, and record review the facility failed to follow the standards of infection control for proper PPE use (mask, gloves, gown) and proper hand hygiene, for one resident (R68) out of three residents reviewed for tracheostomy care, resulting in the increased potential for cross-contamination of diseases which place a vulnerable population at high risk for infections.