Springdale Health and Rehabilitation Center

Inspectors wroteBased on observations, interviews, record reviews and facility policy review it was determined that the facility failed to store portable oxygen cylinders properly based on two out of two observations.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations, interviews, record review and facility policy review the facility failed to ensure medications were properly stored to ensure residents did not have access to medications without supervision from an unsecured medication care and a medical supply storage closet left unsecured, during two of two observations.

Inspectors wroteBased on observations, interviews, and facility document review, the facility failed to provide a safe and functional environment by failing to ensure corridors were equipped with firmly secured handrails and failing to maintain resident room walls in good repair. Specifically, handrails were loose on E Hall and C Hall, one of one bedroom observed (Resident #19) had scratches in the paint on the left side of the wall beside the bed. Based on observations, interviews, record review and facility policy review, the facility failed to ensure corridors were equipped with firmly secured handrails; specifically, handrails were loose on two (E and C Halls) of four Halls observed.

Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure a safe, functional, and sanitary environment by failing to implement the smoking policy. The facility failed to ensure residents extinguished cigarette butts in non-combustible, self-closing ashtrays and failed to ensure staff smoked only in authorized areas. Specifically, cigarette butts were found on the ground around the resident patio, in flowerpots, and in a rock bed near the dining room exit leading to the staff smoking area. Based on observations, interviews, and facility policy review, the facility failed to ensure a safe, functional, and sanitary environment by failing to implement the smoking policy. The facility failed to ensure residents extinguished cigarette butts in non-combustible, self-closing ashtrays and failed to ensure staff smoked only in authorized areas. [...]

Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure open food items stored in the refrigerator were dated; spoiled fruit was promptly removed/discarded from the walk-in refrigerator; a beverage labeled with a staff member's name was not stored in the walk-in refrigerator; and expired food was promptly removed/discarded by the expiration date to prevent service to residents; to ensure sanitary procedures including hand hygiene were followed when handling raw and cooked food, to prevent a potential foodborne illness in 1 of 1 kitchen. This failed practice had the potential to affect 95 residents as documented on a list provided by the Director of Nursing (DON) on 08/01/2024 at 12:39 PM.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure staff did not stand over residents who required assistance during meals for 2 (Resident #12 and Resident #60) of 2 sampled residents observed during meal service.

Inspectors wroteBased on observations, interviews, and policy document review, the facility failed to maintain a clean and safe environment for 3 sampled residents (Resident #13, #26, and #51).

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, the facility failed to ensure a staff member did not remove food from the floor and place it on a dining table during meal service; failed to ensure hand hygiene was performed while assisting a resident with their meal intake for 1 (Resident #12) resident of 2 sampled residents observed during meal service and failed to ensure hand hygiene was performed while handling meal trays; failed to ensure hand hygiene and glove changes were performed during tracheostomy care for 1 (Resident #99) resident of 1 sampled resident reviewed for tracheostomy care; and failed to ensure proper personal protective equipment (PPE) was used and hand hygiene was performed with glove changes, during perineal care for 1 (Resident #21) resident of 1 sampled resident observed during perineal care.

Inspectors wroteBased on record review and interview, the facility failed to ensure the comprehensive care plan was individualized to addressed appropriate care and services for activities of daily living (ADL) for 2 Residents (R #2, #5) of 5 sampled residents who required ADL assistance.

Inspectors wroteBased on record review and interview, the facility failed to ensure residents individualize plan of care was revised to reflect the current needs of the resident and updated to include oxygen use for 1 Resident (R #2) of 3 sample mix residents who use oxygen as documented in physician orders.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were showered/bathed as scheduled to promote good personal hygiene for 5 Residents (Resident R #1, #2, #3, #4, #5) sample mix residents who require assistance with showering/bathing.

Inspectors wroteBased on observation and interview the facility failed to ensure that resident's right to receive mail on the weekend was maintained. The failed practice had the potential to affect all 91 residents who reside in the facility according to the census and condition which was provided by the Director of Nursing (DON) on 7/24/23 at 12:30 P.M.

Inspectors wroteBased on observation and interview the facility failed to ensure practices were utilized to prevent cross contamination during dining and food preparation. The practice had the ability to affect all 90 residents who received their meals from 1 of 1 facility kitchen according to a list provided by consultant #1 at 9:38 AM and 34 residents who eat their meals in the main dining room according to a list provided by RN consultant #2 on 7/28/23 on.

Inspectors wroteBased on interview and record review, the facility failed to ensure residents with a trust account had access to their personal funds after business hours and on weekends. This failed practice had the potential to affect 19 (Resident #30, #34, #9, #56, #365, #24, #23, #72, #14, #59, #60, #80, #5, #62, #25, #45, #33, #68, #11) sampled residents who have a trust account managed by the facility.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents meals were removed from serving trays for 12 of 15 residents served in the dining room on the secured unit, and failed to ensure a resident's bed linens were clean, and sanitary to enhance quality of life for 1 (Resident #23) of 1 sampled resident.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure Activities of Daily Living (ADL) care was provided for 4 sampled residents (Resident #9, #14, #23, #45), for 2 sampled residents (R#23 and R#45) who required assistance with ADL's.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure skin assessments were performed on a consistent basis for 1 (Resident #23) sampled residents.

Inspectors wroteBased on observation, record review and interview the facility failed to ensure personal care items and sharpened pencils were contained on the secure unit. This failed practice had the potential to effect 15 residents who reside on the secure unit according to the Census List provided the by Nurse Consultant on 7/24/2023 at 11:00 a.m.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the nebulizer mouthpiece and medicine cup was contained after use for 1 (Resident #41) of 1 sampled resident.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that linen and clothing is processed in a manner to minimize the risk of cross contamination. The failed practice had the ability to affect 91 residents who utilized linen and/or clothing processed by 1 of 1 facility laundry according to the Census & Condition which was provided by the Director of Nursing on [DATE] at 12:30 PM.