Southfork

The facility failed to ensure kitchen floors were kept clean, as evidenced by brown and black grease buildup between the stove and fryers. There was no set cleaning schedule in place, and the Dietary Manager reported an inability to properly clean the area due to a lack of degreaser.

The facility failed to ensure that kitchen floors were kept clean. An observation on 07/30/25 revealed brown and black grease buildup on the floor and the sides of equipment between the stove and fryers.

The facility failed to ensure the implementation of physician orders for one resident regarding daily blood pressure checks, weight checks, and a laboratory test. Specifically, the resident's electronic medication administration record (eMAR) showed no entries for required daily blood pressure checks for a two-week period in October 2022.

The facility failed to ensure the implementation of physician orders for one resident. Specifically, the facility did not perform or document required daily blood pressure checks, weight checks, or laboratory tests as ordered by the physician.

The facility failed to ensure physician notification for a resident with diabetes when fingerstick blood sugar readings were outside of prescribed parameters. Specifically, multiple elevated blood sugar readings between July and September 2019 were documented without any evidence that the Primary Care Provider was notified.

The facility failed to ensure physician notification for a resident with diabetes when fingerstick blood sugar readings were outside of prescribed parameters. Specifically, multiple instances of blood sugar readings greater than 300 were documented in the eMAR without any evidence that the Primary Care Provider was notified. Staff admitted to occasionally forgetting to notify the physician when they became busy.