Taylor Healthcare Center

Inspectors wroteBased on observation, interview and policy review the facility failed to properly store food in accordance with professional standards. issues with food storage were found in the facility kitchen walk in cooler, utensil drawer, and nourishment pantry. This had the potential to affect all residents in the facility. Facility census: 59Findings Included: a) On 9/29/25 11:35AM, during initial brief tour of Kitchen, with Corporate Dietary Manager (CDM) #82 CDM #82 who acknowledged the following:-Utensils found in drawer scattered in all different directions-The reach in cooler temperature per inner thermometer was at 41 degrees. [...]

Inspectors wroteBased on observation and staff interview the facility failed to establish and maintain an infection prevention program to help prevent the development and transmission of communicable diseases and infections. This has the potential to affect more than a limited number of residents. Resident identifiers:# 9, #31, #47, #48, #54, #58 and #66. Facility Census: 59 a) On 09/29/25 at 12:25 PM an observation revealed that when CNA # 65 and CNA #40 were assisting in passing lunch trays on A Hall they passed the noon meal trays to Resident #54, #48, and #58, and did not offer hand hygiene. The above finings were confirmed in an interview with the Administrator on 09/29/25 at 1:10 PM at which time she stated the residents were to be given wipes to clean their hands with each meal. [...]

Inspectors wroteFacility failed to provide residents a dignified experience by pulling them down the hall backwards when the resident was unable to propel himself. Resident identifier: #43. Facility census: 59. a) Resident #43The facility failed to provide Resident #43 a dignified experience by pulling them down the hall backwards when resident was unable to propel himself. 11/11/25 1:15 PM observed Staff #77 puling Resident #43 down the hall backwards. When asked Staff #77 if that is how they normally transferred she stated, No he normally takes himself, but I needed to change his shirt. 11/11/2025 1:31 PM observed resident propelled himself up the hall towards the dining room. 11/11/2025 1:40 PM DON stated, We do not have a policy but that is not good practice. I will educate them no on not pulling them backwards.

Inspectors wroteBased on interview and record review, the facility failed to assist the resident in gaining access to hearing services by making appointments and arranging transportation. This failed practice was true for one (1) of three (3) residents reviewed for referral to specialized services during the Long Term Care Survey Process. Resident Identifier: #32. Facility Census: 59. Findings Include a) Resident #32During an interview with Resident #32 on 09/29/25 the resident stated that she had difficulty hearing what people were saying. Resident #32 stated I don't feel like I am a part of the world. I have to ask people to repeat themselves constantly. Resident further noted that her husband had Got us the railroad insurance. Everything is covered 100%. So, I should be able to get hearing aids. [...]

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide specialized drinking equipment ordered by the physician. This failed practice was found true for (1) one of (3) three residents reviewed for nutrition during the Long-Term care Survey Process. Resident identifier #56. Facility Census 59. Findings Include: a) Resident #56 A record review on 09/30/25 at 11:40 AM, revealed a physician's order for Resident #56 that read as follows: Dysphasia, advance texture, think liquids consistency, double portion entree with all meals, finger foods when available, food in bowls, Kennedy cup with all meals An observation on 09/30/25 at 12:25 PM revealed Resident #56 being served his lunch in the dining room. Registered nurse (RN) #13 served him his lunch tray and there was no [NAME] Cup. The RN opened his milk and put a straw in it. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to ensure that all alleged violations involving neglect and/or mistreatment were reported, no later than 24 hours of the alleged event brought to the facility's attention, to appropriate state agencies as required. Residents #40, #50, #46, and #55. Facility Census:

Inspectors wroteBased on observation and staff interview the facility failed to ensure a walk-in cooler was cleaned to meet the professional standards for food service safety. During the kitchen tour it was discovered the floor of the walk-in cooler needed to be cleaned. This had the potential to affect any resident receiving nourishment from the kitchen. Facility census:

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident had the right to be informed of, and participate in, her treatment. This was true for one (1) of 17 residents reviewed in the Long-Term Care Survey Process. Resident identifier# 34. Facility census: 59.

Inspectors wroteBased on record review and staff interview, the facility failed to notify one (1) of three (3) resident's representative/family member in a timely fashion of a significant change and the need to alter treatment. The facility transferred Resident #28 to the hospital on [DATE]. However, Resident #28's representative / family member was not notified of the transfer. Resident Identifier: #28. Facility Census: 59.

Inspectors wroteBased on recorded reviews and staff interviews, the facility failed to ensure the development of comprehensive person-centered care plans for three (3) of 17 residents. The care plans were not developed in the areas of schizophrenia for Resident #5, post-traumatic stress disorder (PTSD) for Resident #10, and hospice services for Resident #37. Resident identifiers: #5, #10, and #37. Facility census: 59.

Inspectors wroteBased on record review and staff interview, the facility failed to maintain an accurate medical record for one (1) of 17 sampled residents reviewed during the Long-Term Care Survey process. Resident identifier: #34. Facility census: 59.

Inspectors wroteBased on observation, resident council meeting and staff interviews the facility failed to make accessible the ombudsman and the State Survey Agency contact information for Residents. This had the potential to affect an unlimited number of Residents. Resident Identifiers: #24, #38, #28, #16, #197, #198, #8, #97, #22, #17, #7, and #33. Facility Census: 51 Findings Included: a) Notifications Many observations made during the Long-Term Care Survey Process, the Resident Rights and contact information for the State Ombudsman and State Survey Agency contact information were not posted for the accessibility for the residents. [...]

Inspectors wroteBased on observation, medical record review, and staff interview and the facility failed to implement a comprehensive person-centered care plan by not providing an in-room activity calendar. This is true for 4 of 16 resident review for the care area of care plan. Resident Identifiers: Resident #42, #22, #32, and #30. Facility Census: 51 Findings Included: a) Resident #42 During the initial tour of the facility on 08/29/22 observation found no monthly activity calendar posted in residents rooms. During a medical record review on 08/30/22 revealed Resident #42's care plan with a initiated date of 06/05/20 contained the following: Focus Statement: Resident #42's name will participate in most out of room activities. Goal Statement: Resident #42 name will remain active in out of room activities through next review date Interventions included: [...]

Inspectors wroteBased on observation, and staff interview, the facility failed to correctly document temperatures for the nourishment room refrigerator. This deficient practice has the potential to affect a limited number of residents that receive nutrients from the nourishment room. Facility Census:

Inspectors wroteBased on medical record reviews and staff interview the facility failed to complete the Physician Orders for Scope of Treatment (POST) forms. This was discovered for two (2) of sixteen (16) residents reviewed for the area of Advance Directives. Residents #44 and #96 had incomplete POST forms. Resident identifiers: #44 and #96. Facility census: 51.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure timely notification was made to the physician after a change in condition was identified. This deficient practice had the potential to affect one (1) of three (3) residents reviewed for the care area of falls. Resident identifier: #8. Facility census: 51.

Inspectors wroteBased on observation, medical record review, and staff interview the facility failed to provide necessary respiratory care and services. This was true for one (1) of one (1) resident reviewed for respiratory services during the investigation phase of the survey process. It was observed Resident #32 was not receiving oxygen therapy at the prescribed rate. Resident identifier: #32 Facility census: 51. Findings Included: a) Resident #32 During an observation on 08/30/22 at 8:08 AM, Resident #32's oxygen flow rate was at three (3) liter/minute (l/m) via nasal cannula. On 08/30/22 at 8:10 AM Licensed Practical Nurse LPN #48 acknowledged Resident #32 was receiving her oxygen at three (3) l/m. A review of Resident #32's orders verified the physician orders for oxygen was two (2) m/l. A Physicians order dated on 08/02/22, typed as written: [...]

Inspectors wroteBased on observation, staff interview, resident interview and medical record review, the facility failed to provide specialized eating utensils and specialized cup for residents at meal time. This was an random opportunity for discovery. Resident Identifiers: #30 and #31. Facility Census: 51 Findings Included: a) Resident #30 During an breakfast observation on 08/30/22 at 8:14 AM, Resident #30 had received her breakfast tray, the residents drinks were served in regular cups and the resident was not eating with weighted utensils. The diet order meal ticket on tray stated. Adaptive Equipment: [NAME] Cup and Weighted Utensils During an interview on 08/30/22 at 8:14 AM Nurses Aide (NA) #9 acknowledged there was no Kennedy cup or weighted utensils on breakfast tray. NA stated she rarely receives them on her tray. [...]

Inspectors wroteBased on observation and staff interview the facility failed to maintain sanitary condition of the outside garbage receptacle to prevent the harborage and feeding of pests. This deficient practice has the potential to affect a limited number of residents that reside in the facility. Facility Census: 51 Findings Included: a) Outside garbage receptacle Observation made during the outside tour at 8:11 AM on 08/31/22, revealed a lid on the garbage receptacle was open, the area around the garbage receptacle had trash scattered about on the ground which included: used gloves, used masks, plastic silverware, toothbrushes, mouthwash bottles, full trash bags, undergarments, straws, straw papers, cereal bowls and empty orange juice containers. During an interview on 08/31/22 at 8:11 AM, the Administrator stated we will get it cleaned up right away. .