Health inspection·July 26, 2023

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to provide the necessary care and services for hygiene for 1 (Resident #1) of 3 residents reviewed. Residents Affected - Few The findings included: On 7/26/23 at 2:04 p.m., Resident #1 said she has not been getting two showers a week like she is supposed to. She said her hair has not been washed either. She said one day last week she was taken to the shower, but there was no hot water, so it was just a quick rinse without a hair shampoo. She said this bothers her because her hair is thick and greasy. She said the lack of showers required her son to pay for shampoo at the salon and that was unacceptable. She said they offered the hair wash with a dry cap, but that does nothing for her hair. She said no one had offered her a bed bath or shower today. On 7/26/23 at approximately 2:10 p.m., in an interview, the Unit Manager, Licensed Practical Nurse Staff S said each resident gets two showers a week. The schedule is in the shower book. If the resident refuses, the nurse is notified, and it is documented. The resident's hair is washed during the shower, but they can also have their hair washed at the salon for a monetary charge. Record Review of the shower schedule for Resident #1 indicated showers were twice weekly on Mondays and Thursdays. Record review of the shower sheets for Resident #1 indicated in the month of July the resident was given a sponge bath on 7/24/23, bed bath on 7/18/23, and a bed bath on 7/10/23. Review of the Certified Nursing Assistant (CNA) Documentation Survey Report v2 for June 2023 for Bathing revealed Resident #1 was given a sponge bath on 6/3/23, 6/9/23, and 6/29/23. There was no indication Resident #1 received a shower with hair shampoo during the month of June 2023. Review of the CNA Documentation Survey Report v2 for July 2023 for Bathing revealed Resident #1 was given a sponge bath on 7/3/23, and a full bed bath on 7/10/23. There was no indication Resident #1 received a shower with hair shampoo during the month of July 2023. On 7/26/23 at 3:53 p.m., in an interview, the Regional Representative said she recognized there was an opportunity for staff improvement regarding bathing and showers at the facility. She said the Director of Nursing provided in-service education to the staff on 6/21/23. Page 1 of 2 105842 105842 07/26/2023 Crescent Health and Rehabilitation Center 5401 Sawyer Rd Sarasota, FL 34233

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, record review and staff interview, the facility failed to maintain the kitchen in a clean, safe, and sanitary manner that is in good repair by not having a dishwasher that effectively maintained the minimum wash and rinse temperatures to ensure effective sanitization. The findings included: Facility policy titled Dishwashing Machine Operation- High Temperature (04/07/06) indicated under Bullet #8: Check and record temperatures of wash and rinse water Wash temperatures are to be 150 degrees Fahrenheit for single tank machines and 160 degrees Fahrenheit for conveyor type machines. Rinse temperatures must be at least 180 degrees Fahrenheit. Temperatures should not exceed 170 degrees Fahrenheit for wash or 200 degrees Fahrenheit for rinse. Bullet #9 indicated: Record wash and rinse temperatures on the Dishwasher Temperature Log Form. On 7/26/23 at 11:25 a.m., during a tour of the kitchen dishwashing area, it was noted the facility had a conveyor type high temperature dishwashing machine. The Dishwasher Temperature/Chemical Record had no recorded temperatures for breakfast for 7/13/23-7/16/2023 and 7/26/23, and no recorded temperatures for breakfast, lunch, or dinner on 7/19/23-7/25/23. On 7/26/23 at 11:28 a.m., the high temp dishwasher cycle was observed. The wash cycle reached a temperature of 150 degrees Fahrenheit, and the rinse temperature did not move at all. On 7/26/23 at 11:36 a.m., a second dishwasher cycle was observed with the Regional Director of Maintenance. The wash cycle reached 158 degrees Fahrenheit, and the rinse cycle did move at all. The Regional Director of Maintenance said temperatures did not meet specifications and the rinse cycle did not seem to be cycling on. He said all dishes will have to be re-washed and paper will need to be used for now. On 7/26/23 at 12:19 p.m., the Administrator said the facility currently had no Certified Dietary Manager. She said the dietitian had been going in the kitchen but was unaware if she had been monitoring the dishwasher. The Administrator said it was not good that the temperature log for the dishwasher had not been monitored and documented. She said it was a concern that the dishes weren't sanitized properly. Class III 105842 Page 2 of 2