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Inspection visit

Health inspection

AVENUE AT LYNDHURSTCMS #3664881 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

366488 06/03/2024 Avenue at Lyndhurst 5442 Rae Road Lyndhurst, OH 44124
F 0806 Level of Harm - Potential for minimal harm Residents Affected - Many Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Based on observation, interview, and record review the facility failed to provide condiments or an alternative for breakfast on 06/03/24. This had the potential to affect all residents who receive food from the kitchen, other than Residents #9 and #40 who the facility identified as receiving nothing by mouth. The facility census was 78. Findings include: Observation on 06/03/24 at 9:15 A.M. revealed residents in the special care dining room requesting syrup for their waffles. Interview on 06/03/24 at 9:15 A.M. with State Tested Nursing Assistant (STNA) #532 confirmed the kitchen reported to them that they were out of syrup and offered no alternatives. Interview on 06/03/24 at 9:16 A.M. with Resident #66 and Resident #68 revealed they had no syrup for their waffle or sausage patty and really wanted syrup. They confirmed they only had butter on their trays for their waffle. Interview on 06/03/24 at 9:18 A.M. with Resident #59 revealed he wanted syrup for his waffle, but the kitchen did not have any and did not offer him anything else. Interview on 06/03/24 at 9:20 A.M. with Resident #62 confirmed he had no syrup for his breakfast from the kitchen, but he had an extra stash in his room where he had some. Interview on 06/03/24 at 9:30 A.M. with Resident #33 revealed he had no syrup only butter for his waffle that day. Interview on 06/03/24 at 9:32 A.M. with STNA #555 confirmed she had no syrup or alternatives to offer her residents for breakfast that morning. Observation on 06/03/24 at 9:35 A.M. of the menu for the day in the main hallway revealed breakfast for 06/03/24 was choice of juice, hot or cold cereal, waffles, sausage, and choice of milk. Observation of the kitchen storage on 06/03/24 at 9:45 A.M. revealed no concerns. Dry storage revealed no syrup was available. Interview during the observation on 06/03/24 at 9:45 A.M. with Dietary Manager #549 confirmed she received a phone call this morning that the facility was out of syrup. She reported that the facility Page 1 of 2 366488 366488 06/03/2024 Avenue at Lyndhurst 5442 Rae Road Lyndhurst, OH 44124
F 0806 Level of Harm - Potential for minimal harm Residents Affected - Many had jelly and sugar free syrup that needed pre poured as an alternative. She confirmed she was not on tray line this morning but when she did get to the facility, she ordered more syrup, and it will be delivered hopefully that day. Interview on 06/03/24 at 9:50 A.M. with Dietary Aide #506 confirmed he was on tray line for breakfast that morning. He reported only one nursing aide called the kitchen requesting sugar free syrup for one resident, but he was not sure who it was and who it was for. He confirmed no alternatives were communicated to the staff. Review of the facility invoices from 05/08/24 to 06/03/24 revealed the facility had 200 packets of syrup delivered on 05/08/24 and 05/22/24. This deficiency was an incidental finding identified during the complaint investigation. 366488 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0806GeneralS&S Cno actual harm

    F806 - Food and drink

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

FAQ · About this visit

Common questions about this visit

What happened during the June 3, 2024 survey of AVENUE AT LYNDHURST?

This was a inspection survey of AVENUE AT LYNDHURST on June 3, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at AVENUE AT LYNDHURST on June 3, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and pre..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.