State Findings:
Ensure the facility is licensed under applicable State and local law and operates and provides services incompliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Based on observation, interview, and record review, it was determined the facility failed to be in compliance with all state laws for 80 of 80 residents reviewed for environment. The census and condition report documented 80 residents lived in the facility.
Findings:
A court record, dated 01/05/18, documented Fountain View Manor, the Plaintiff, engaged in Strategic Litigation Against Public Participation. The court found the Plaintiff confessed filing a lawsuit in order to silence the Defendant.
Store, prepare, distribute and serve food in accordance with professional standards.
Based on observation, interview, and record review, it was determined the facility failed to prepare, serve, and store food in a sanitary manner for 80 residents who ate meals prepared by the kitchen. The facility failed to:
a) Ensure the ice machine was locked and the lid was not left open.
b) Ensure the staff wore beard covers when serving food.
c) Ensure the staff washed their hands when serving food.
d) Ensure the food service tables were cleaned appropriately and garbage was contained.
e) Ensure visitors did not have access to facility refrigerators.
On 02/24/20 at 11:03 AM, dietary aide #1 was observed preparing the lunch meal. The dietary aide had a mustache and beard. The dietary aide was not wearing a beard cover. 11:15 AM, dietary aide #1 stated he only wore a beard guard when serving food, not when preparing the food.
On 02/26/20 at 7:00 AM, dietary cook #1 prepared and served the breakfast meal. The cook did not wash her hands prior to starting the meal service. The cook opened drawers, picked up empty food boxes from the floor, touched several unclean surfaces, and returned to serving the meal. The cook served the bread for the meal with her bare hands. The cook did not wash her hands during the meal service.
On 02/26/20 at 8:00 AM, dietary aide #2 obtained a used dish cloth from the dirty dishwashing area, wiped the food service counter, and returned the dish cloth the the dirty dishwashing sink.
On 02/26/20 at 8:15 AM, a visitor with soiled hands was observed obtaining a gallon of milk from the refrigerator located in the dining area. The visitor opened the container, poured milk into a personal cup, fumbled the lid catching it against his soiled jacket, placed the lid back on the container, and returned it to the refrigerator.
Dispose of garbage and refuse properly.
Based on observation and interview, it was determined the facility failed to maintain kitchen sanitation and store refuse in containers with lids/covers for 80 of 80 residents who received food from the kitchen.
Findings:
On 02/26/20 at 7:00 AM, dietary cook #1 prepared and served the breakfast meal. The trash receptacle beside the stove had the lid propped open and trash was overflowing. Three empty boxes with loose wrapping paper were stacked on the floor by the stove. Two empty gallon milk containers were sitting on the counter near the food service area.
Based on observation, interview, and record review, it was determined the facility failed to ensure the resident and/or the resident’s representative were informed of and allowed to participate in the
interdisciplinary care plan meetings…
Provide and implement an infection prevention and control program.
Based on observation, interview, and record review, it was determined the facility failed to maintain an infection control program to prevent the development and spread of infection for two (#42 and #25) of 24 sampled residents reviewed for infection control.
On 02/26/20 at 12:45 PM, LPN #1 stated gloves should be change after cleaning a wound.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Based on interview and record review, it was determined the facility failed to implement pneumococcal immunization procedures for five (#4, #5, #36, #42, and #44) of five sampled residents reviewed for immunizations.
On 02/27/20 at 2:19 PM the director of nurses stated the residents were not provided educational information or a consent form for the pneumococcal immunization
Your Experience Matters
...and we want to hear it.
NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. This nursing home and many others across the country are cited for abuse and neglect.
If you have or had a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.
We have helped many already and we can help you and your loved one as well by filing a state complaint, hiring a specialized nursing home attorney or helping you find a more suitable location for your loved one.
You can make a difference, even if your loved one has already passed away.
Please give us a call at 1-800-645-5262 or fill out our form detailing your experience.
Personal Note from NHA-Advocates
NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety.
If you are struggling and upset, click here to understand your options, or contact us through our contact form or call our toll free hot line number: 1-800-645-5262.
