Spring View Manor Healthcare and Rehabilitation

Inspectors wroteThe facility reported a census of 40 residents with one kitchen. Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage and preparation to prevent the potential spread of foodborne illness to the residents of the facility.

Inspectors wroteThe facility reported a census of 40 residents. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for Certified Nurse Aide (CNAs) with the required topics and no less than 12 hours per year for two out of five staff reviewed.

Inspectors wroteThe facility identified a census of 40 residents. The sample included 12 residents with three reviewed for Center for Medicare and Medicaid Services (CMS) Beneficiary Lability notices. Based on record review and interviews, the facility failed to provide form CMS-10055 Skilled Nursing Facility (SNF) Advanced Beneficiary Notice of Non-Coverage (ABN- which included the estimated cost for continued services) to the resident or their representative for Resident (R) 6 and R25.

Inspectors wroteThe facility reported a census of 40 residents. The sample included 12 residents with four residents reviewed for hospitalization. Based on interview and record review, the facility failed to provide Resident (R) 50 with a written notification of transfer to the resident and/or his representative as soon as practicable and failed to send a copy of that notification to the ombudsman.

Inspectors wroteThe facility reported a census of 40 residents and one kitchen. Based on observation, interview, and record review, the facility failed to ensure staff served meals at safe and appetizing temperatures. The facility also failed to follow the recipe of pureed green beans, which altered the nutritive content. Findings Included:- During an observation on 03/16/26 at 11:08 AM, Dietary Staff (DS) EE added tap water to the green beans during the puree process of the green beans. Immediate review of the facility recipe for pureed green beans revealed that if the puree consistency needed to be thinned, the staff were to gradually add an appropriate hot liquid such as broth, gravy, milk, or reserved cooking liquid. During an observation on 03/16/2026 at 11:35 AM, DS EE handed the cooked pureed spaghetti to DS BB, who then took the cooked pureed spaghetti to a resident in the dining room. [...]

Inspectors wroteThe facility identified a census of 40 residents. The facility identified 10 residents on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to ensure Resident (R) 37 and R5's nebulizer (a device that changes liquid medication into a mist easily inhaled into the lungs) masks were stored in a sanitary manner when not in use. The facility also failed to ensure staff wore the required personal protective equipment (PPE) for EBP and sanitized hands when doing direct care.

Inspectors wroteThe facility identified a census of 40 residents. The sample included 12 residents with five reviewed for immunization status. Based on record reviews, and interviews, the facility failed to offer or obtain informed declinations, consent, or a physician-documented contraindication for the influenza (highly contagious viral infection that attacks the lungs, nose, and throat and can be deadly in high-risk groups) vaccination for Resident (R) 28.

Inspectors wroteThe facility reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to ensure the posted daily nurse staffing sheets included accurate and identifiable information to include actual staff hours, as required.

Inspectors wroteThe facility reported a census of 34 residents. Based on record review and interview, the facility failed to ensure four out of five Certified Nurse Aides (CNA) who were employed over a year, and Certified Medication Aides (CMA/CNA) reviewed, received annual evaluations as required.

Inspectors wroteThe facility reported a census of 34 residents. Based on interview and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS i.e., Payroll Base Journal (PBJ), related to licensed nursing licensed and certified nursing staffing information when the facility failed to accurately report weekend staffing for the second quarter 2023 January through March and fourth quarter 2023 July through September 2023.

Inspectors wroteThe facility reported a census of 34 residents with five residents reviewed for immunizations. Based on interview and record review, the facility failed to ensure staff provided education for informed decision making for the 2023 influenza vaccine for two of the five residents, Resident (R)21 and R11. The facility failed to ensure one of the five residents received education for informed decision making for the pneumococcal vaccine, R21. The facility failed to ensure three of the five residents received education for informed decision making for the Covid-19 vaccination.

Inspectors wroteThe facility reported a census of 34 residents with 12 residents selected for review, which included three residents reviewed for activities of daily living (ADL's). Based on observation, interview, and record review, the facility failed to provide personal grooming for one of the three, Residents (R)10, reviewed for activities of daily living.

Inspectors wroteThe facility reported a census of 34 residents with 12 residents selected for review. Based on interview and record review, the facility failed to obtain laboratory values in a timely manner for one of the 12 Residents (R)4, and failed to administer medications according to physician instructions for one of the 12 residents, (R)29. Findings Included: - Review of Resident (R)4's undated Physician Order Sheet revealed diagnoses that included chronic respiratory and heart failure, diabetes (when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin ) and kidney failure. On 04/10/24, a licensed nursing noted documented staff notified the physician that R29 had nausea and vomiting for three days. The physician instructed staff to obtain a Complete Blood Count (CBC) and Comprehensive Metabolic Panel (CMP) on 04/11/24. [...]

Inspectors wroteThe facility reported a census of 34 residents which included 12 residents selected for review. Based on observation, interview, and record review, the facility failed to ensure one of the 12 Residents, Resident (R) 1, received sanitary tube feeding technique, and staff performed hand hygiene prior to insulin administration for one of two residents (R)9 related to insulin administration to prevent possible infections.

Inspectors wroteThe facility reported a census of 34 residents. Based on interview and record review, the facility failed to ensure the daily staff posting contained actual hours worked as required.

Inspectors wroteThe facility reported a census of 28 residents with 13 selected for review. Based on observation, record review, and interview, the facility failed to develop a comprehensive care plan for one of the residents, Resident (R)9 for use of CPAP (continuous positive airway pressure)/BiPAP (bi-level positive airway pressure) equipment.

Inspectors wroteThe facility reported a census of 28 residents with 13 selected for review, including one reviewed for respiratory care services. Based on observation, interview, and record review, the facility failed to change out oxygen tubing per physician order and failed to obtain physician order for use, settings, and care of one of the resident's, Resident (R)9's use of his CPAP (continuous positive airway pressure)/BiPAP (bi-level positive airway pressure) equipment, which increased risk of R9 developing a respiratory infection.