Elm Crest Manor
Inspection Findings
F-Tag F684
F-F684 is considered past noncompliance. The facility implemented corrective actions on 06/14/24 to ensure the deficient practice does not recur by:
* The facility completed an investigation with interviews of staff that determined the cause of the incident. Resident #1's morning snack on 06/14/24 consisted of a granola bar and beef jerky. Staff failed to follow the pureed diet order.
* The facility provided immediate staff education to the CNA and nurse present during the incident.
* The facility provided education to nursing staff through the communication book.
* The facility placed binders noting all resident diets in the resident's coffee/snack area and the nurses' station.
* On-going education with all staff will continue to occur.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 355110