The Springs of Camden

Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure foods stored in the dry storage area were covered and sealed; expired food items were promptly removed / discarded, on or before the expiration or use by date; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment; and the ice machine was maintained in a clean sanitary condition for one of one meal observed.

Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure that interest was paid on a resident trust account. This failed practice affected one (Resident #3) of three sampled residents, for whom the facility maintained trust accounts, per a list provided by the Business Office Manager (BOM) on 05/07/2025.

Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure the comprehensive assessment for the current and previous year accurately reflected the Pre-admission Screening and Resident Review (PASRR) status of one (Resident #4) of two sampled residents reviewed for comprehensive assessments.

Inspectors wroteBased on observations and interviews, the facility failed to ensure hot foods were served hot and cold foods/beverages were served cold to maintain palatability and encourage adequate nutritional intake for two meals at which food temperatures were checked.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that temperatures were monitored in the refrigerators and freezers to prevent cross contamination and food borne illness for residents who received meals from the facility kitchen. This failed practice had the potential to affect 70 residents who receive meals from the facility kitchen

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each Resident was treated with respect and dignity during meal service, in a manner that promotes maintenance or enhancement of his/her quality of life for 4 (Resident #19 #28, #37, and #64) of 5 sampled residents that required assistance with meal service.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were not stored at the bedside and on top of the medication carts to prevent the potential of misappropriation of resident property. This failed practice had the potential to affect 4 (Residents #15, #17, #27, #177) sampled residents and had the potential to affect 15 residents that ambulate and/or self-propel on East Hall.

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure meals were served at a palatable, attractive, and safe appetizing temperature to one 1 Resident #15 of 7 Sampled Residents that eat from the kitchen on East Hall.

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure Droplet Precautions were followed and appropriate PPE was worn in COVID isolation rooms preventing the potential risk for spread of infection and cross contamination affecting all 74 residents in the facility. The facility failed to ensure food and beverages were not used on the plywood table in the laundry room to prevent cross contamination with the potential to affect 67 residents who wash their clothing at the facility, and the facility failed to follow their Legionella Water Management Programing policy by ensuring interventions were in place to prevent the spread of waterborne pathogens, and monitoring effectiveness. This failed practice had the potential to affect all 74 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to protect the privacy of 1 (Resident #38) sampled resident by leaving medication cards face up and unattended on the medication cart on East Hall. This failed practice had the potential to affect all 74 residents that are receiving medication in the facility.

Inspectors wroteBased on interview and record review, the facility failed to conduct meetings about resident care planning and/or notified family representatives of any such meeting for 1 (Resident #28) sampled resident.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a mechanical lift was maintained in a safe, operational condition to prevent possible injury for 1 (Resident #22) sampled resident with the potential to affect 17 residents on East Hall requiring mechanical lift assistance.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper incontinence care was provided to 1 (Resident #64) of 4 sampled residents dependent on staff for incontinence care on Co-ed [NAME] Hall. This failed practice had the potential affect 9 Residents dependents on staff for incontinence care and cause skin breakdown, poor hygiene, and/or infection.

Inspectors wroteBased on observation and interview the facility failed to ensure that food was prepared under sanitary conditions; that food and equipment was stored in a manner that did not promote foodborne illness; and resident trays were free of chips and cracks. The failed practice had the potential to effect 64 residents who received their meals from one of one kitchen according to a list provided by the Administrator on 1/12/23 10:10 AM.

Inspectors wroteBased on observation and interview the facility failed to ensure that the kitchen freezer operated in a manner that was safe and minimized the possibility of food cross contamination which could result in food borne illness. The failed practice had the potential to affect the 64 residents who obtain their meals from 1 of 1 Kitchen according to a list provided by the Administrator on 1/12/23 at 10:10 AM.

Inspectors wroteBased on interview and record review, the facility failed to ensure the Minimum Data Sets (MDS) were accurately encoded for oxygen for 1 (Resident #41) of 2 (Resident #41 and R #71) sample selected residents with Physician Orders for Oxygen; and failed to ensure MDS were accurately encoded for Anticoagulants (AC) for 2 (Resident #1 and #55) of 3 (Resident #1, #11, and #55) sample selected residents with Physician Orders (PO) for Plavix.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Activities of Daily Living (ADL) care was provided to 1 (Resident #41) of 5 (Resident #3, R #20, R #35, R #36, and R #41) sample selected residents who were dependent on staff for ADL care as documented on the list provided by Consultant #1 on 1/12/23.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure catheter bags were maintained in a manner to minimize the risk of contamination for 1 (Resident #50) of 4 (Resident #11, R #20, R #40, and R #50) sample selected residents with catheters and failed to ensure catheter care and catheter output was completed and documented per Physicians Orders for 1 (Resident #40) of 4 (Resident #11, R #20, R #40, and R #50) sample selected residents with catheters as documented on the list of residents with catheters provided by Consultant #2 at 9:08 AM on 1/12/23.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Quality Assessment and Assurance (QAA) Committee put forth good faith attempts to correct, monitor, and reassess its own quality deficiencies for proper respiratory care for residents who were on Oxygen Therapy, and for Activities of Daily Living (ADL) Care for residents who were dependent on staff's physical assistance for ADL tasks. This failed practice had the potential to affect (how many residents?)

Inspectors wroteBased on interview and record review, the facility failed to ensure all staff were fully vaccinated, had an approved or pending medical or religious exemption, or a temporary delay per the Center for Disease Control (CDC) per the Centers for Medicare and Medicaid Services (CMS) COVID-19 Health Care Staff Vaccination Regulations Quality, Safety and Oversight on 01/14/22 (QSO).

Inspectors wroteBased on observation, interview and record review, the facility failed to investigate an injury in a timely manner and investigate for other possible injuries to 1 (Resident #40) sample selected residents who was injured due to an improper transfer performed by a staff member.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pain management and pain medication side effect care areas and interventions were included in the Individualized Care Plan for 1 (Resident #40) of 18 (Resident #1, R #4, R #8, R #9, R #11, R #13, R #18, R #19, R #26, R #28, R #35, R #37, R #40, R #41, R #50, R #66, R #71, and R #73) sample selected residents who required Individualized Care Plans.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen was set at the Physician ordered flow rate for 1 (Resident #41) of 2 (Resident #41 and R #71) sample selected residents as documented by a list of residents on Oxygen provided by the Consultant #2 on 1/12/23.