Green Acres Manor

The facility underwent a Plan of Correction (POC) follow-up visit. The primary finding relates to water temperature compliance in resident care areas. Specifically, multiple water sources were measured outside the required 105-120 degrees F range, resulting in one Type B deficiency citation.

This was a Case Management visit where the LPA reviewed the status of previously cited deficiencies. The facility addressed several issues, including the range/stove, kitchen vent, and laundry room cabinet, which were observed to be operational or repaired. However, the water temperature issue (87303(e)(2)) remains a concern requiring further action and follow-up testing.

FACILITY EVALUATION REPORT

The investigation was conducted following a complaint regarding pests. The allegation was found to be substantiated due to the presence of ants observed in the facility. A Type A deficiency was cited for the immediate health and safety risk posed by the ants, alongside a Type B deficiency citing general cleanliness and sanitary standards.

The inspection identified numerous deficiencies across multiple areas, including food storage, staff certifications, resident room safety, and general facility maintenance. Multiple citations were issued, primarily citing Type B non-compliance issues. Immediate corrective actions are required for expired food, unsecured sharp objects, and ensuring all staff possess current CPR/First Aid and annual training.

The inspection revealed multiple critical deficiencies across several areas, including unsecured toxins in laundry rooms, insufficient staff CPR/First Aid certification, and missing medication documentation for residents. All cited deficiencies were classified as Type A, indicating an immediate health, safety, or personal rights risk to the residents in care. Immediate corrective action is required for all noted violations.

The report details two separate complaint investigations conducted on or around September 13-15, 2022. In both instances, the allegations raised regarding food supply, medication storage, resident clothing, documentation falsification, facility disrepair, dishwasher sanitation, and incident reporting were found to be unsubstantiated or unfounded. Therefore, no formal deficiencies were cited in the provided text.

The inspection was conducted unannounced and focused on infection control practices. The facility was found to be in good repair, and staff were cooperative. No deficiencies were cited during this inspection.