Granada Hills Convalescent

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received services and assistance to prevent urinary tract infections (UTI, an infection in the bladder/urinary tract) for one of two sampled residents (Resident 39) reviewed for UTI by failing to ensure Residents 39's urinal bottle (portable container for collecting urine) was labeled with the name or room number of the residents. The deficient practices had the potential for cross-contamination (the physical movement or transfer of harmful bacteria from one person, object or place to another), development of UTI, and potential switching of urinal bottle with other residents. Findings: During a review of Resident 39's admission Record (AR), the AR indicated the facility admitted the resident on 11/11/2025, with diagnoses including osteomyelitis (inflammation of bone or bone marrow, usually due to infection) of left ankle and foot, type two diabetes mellitus (DM2- a disorder characterized by…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure parenteral fluids (liquids, such as medication or nutrition, that are administered to the body by bypassing the digestive system) were administered consistent with professional standards of practice to one of one sampled resident (Resident 39) reviewed for hydration by failing to: 1. Label the peripherally inserted central catheter (PICC, a long, thin tube inserted into a vein in the arm that travels up to a large vein near the heart) line with the date of last dressing change. 2. Change the loose and soiled PICC line dressing. 3. Obtain an order for PICC line dressing changes. The deficient practices had the potential for complications associated with intravenous therapy and catheter-related infections. Findings: During a review of Resident 39's admission Record (AR), the AR indicated the facility admitted the resident on 11/11/2025, with diagnoses including acute osteomyelitis (an infection of the bone) of left ankle and foot, type two (2) diabetes mellitus (DM, a disorder characterized by difficulty…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure a resident who received dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed) was provided treatment in accordance with standards of practice by failing to ensure that the dialysis center recorded a resident's pre and post dialysis weights (the weight before and after fluid is removed during the dialysis treatment) on 11/17/2025 for one of one sampled resident (Resident 7) receiving dialysis treatment. This deficient practice had the potential for Resident 7 to have unidentified complications after dialysis treatment such as abnormal vital signs (pulse rate, temperature, respiration rate, and blood pressure). Findings: During a review of Resident 7's admission Record (or Facesheet, the front page of the chart that contains a summary of basic information about the resident), the admission record indicated the facility admitted the resident on 11/15/2019, and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain infection prevention and control practices when Resident 10 was observed removing clean linens from a covered clean unattended linen cart located in facility hallway. This deficient practice had the potential to contribute to contamination (making something dirty) of clean linens increasing the risk of infection transmission to residents. Findings: During a review Resident 10's admission Record, the admission record indicate the facility admitted Resident 10 on 8/25/2023, with diagnoses including but not limited to depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), allergic rhinitis (allergy symptoms in your nose like sneezing, runny nose), and dementia (a progressive state of decline in mental abilities). During a review of Resident 10's Minimum Data Set (MDS - a resident assessment tool), dated 8/12/2025, the MDS indicated Resident 10's cognition (process of thinking) was impaired. The MDS indicated Resident 10 required minimal assistance from staff for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY d. During a review of Resident 15's admission Record (AR), the AR indicated the facility admitted the resident on 4/2/2024, with diagnoses including neurocognitive disorder (decreased mental function due to a medical disease other than a psychiatric illness) and age-related osteoporosis (weak and brittle bones due to lack of calcium and Vitamin D). During a review of Resident 15's History and Physical (H&P), dated 4/3/2024, the H&P indicated the resident had the capacity to understand and make decisions. During a review of Resident 15's Minimum Data Set (MDS, a federally mandated resident assessment tool), dated 7/7/2024, the MDS indicated the resident had the ability to makes self-understood and understand others and the resident mostly required substantial to maximal assistance on mobility and activities of daily living (ADLs, are essential and routine tasks that most young, healthy individuals can perform without assistance). During an observation on 10/1/2024, at 9:18 a.m., observed Resident 15 lying in bed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide care in accordance with professional standards for four of four sampled residents (Residents 11, 144, 33, and 28) investigated during review of insulin (a hormone that lowers the level of glucose [a type of sugar] in the blood) care area by failing to ensure licensed nurses rotate (a method to ensure repeated injections are not administered in the same area) subcutaneous (beneath the skin) insulin administration sites. The deficient practice had the potential for adverse effect (unwanted, unintended result) of same site subcutaneous administration of insulin such as lipodystrophy (abnormal distribution of fat) and cutaneous amyloidosis (is a condition in which clumps of abnormal proteins called amyloids build up in the skin). Cross Reference F760 Findings: a. During a review of Resident 11's admission Record (AR), the AR indicated the facility admitted the resident on 8/12/2024, with diagnoses including type 2 diabetes mellitus (DM2, a chronic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure the resident environment was free of accident hazards for two of six sampled residents (Residents 15, 44, 31, 6, and 12) investigated under accidents by failing to ensure 1. Resident 15, 44, 31, and 36's fall mat (a floor mat designed to reduce the risk of injury from fall by providing a soft-landing surface) did not have medical equipment or furniture on top of the mat. This deficient practice lessened the effectiveness of the fall mat to prevent falls with injury by placing a heavy equipment and furniture on top of the fall mat, decreasing its effectiveness to lessen the impact of a fall due to permanent dented mat surface and placed the residents at risk for injury if they were to hit the equipment or furniture during a fall. 2. Failing to ensure the portable air conditioning (AC) appliance exhaust panel or sleeve inside Resident 12's window was secured properly and did not fall on top the resident's bed. This deficient practice…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents were free of any significant medication errors (means the observed or identified preparation or administration of medications or biologicals which is not in accordance with the prescriber's order, manufacturer's specifications, and accepted professional standards) for four of four sampled residents (Residents 11, 144, 33, and 28) investigated during review of insulin (a hormone that lowers the level of glucose [a type of sugar] in the blood) care area by failing to ensure licensed nurses rotate (a method to ensure repeated injections are not administered in the same area) subcutaneous (beneath the skin) insulin administration sites. The deficient practices had the potential for adverse effect (unwanted, unintended result) of same site subcutaneous administration of insulin such as lipodystrophy (abnormal distribution of fat) and cutaneous amyloidosis (is a condition in which clumps of abnormal proteins called amyloids build up in the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections by failing to ensure: 1. Resident 15's nasal cannula oxygen tubing (a thin, flexible tube that delivers oxygen to a patient through two prongs that fit into the nostrils) was labeled with the date it was last changed for one of two sampled residents investigated under respiratory care. 2. Resident 32's nasal cannula oxygen tubing was off the floor and the nebulizer tubing (a tube that connects the compressor of a nebulizer to the medication cup) was labeled with the date it was last changed for one of two residents investigated under respiratory care. 3. The facility discarded two opened enteral feeding kit (a tube that delivers nutrition or hydration into the stomach or small intestine of a patient who is unable to eat or drink…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure that the pad call light (a device with sensitive touch surface ideal for patients who may have difficulty using standard call cord to signal need for assistance from a professional staff) was within reach for one (1) out of 37 sampled residents. This deficient practice had the potential to result in the resident not being able to call for facility staff assistance and delay of care and services that can negatively affect resident's comfort and well-being. Findings: During a review of Resident 31's admission Record, the admission Record indicated the facility admitted the resident on 8/9/2024 with diagnoses including but not limited to dementia (a general term for a condition with loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and mild protein-calorie nutrition (a type of undernutrition when a person does not consume enough protein…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure residents receiving enteral feeding (also known as tube feeding, a method of supplying nutrients directly into the gastrointestinal [the body's system for processing liquids and foods] tract) received appropriate care and services to prevent complications of enteral feeding for one out of two sampled residents (Resident 27) by failing to ensure the enteral feeding tube tip attached to a Y adapter (a three-way connector in which two ends are adjacent to the tubing) was covered with a cap when not in use. The deficient practice had the potential to contaminate the enteral feeding system. Findings: During a review of Resident 27's admission Record (AR), the AR indicated the facility admitted the resident on 1/6/2021, and readmitted the resident on 11/25/2022, with diagnoses including gastro-esophageal reflux disease (GERD, is a chronic digestive disorder that occurs when stomach contents flow back into the esophagus) and dysphagia (difficulty swallowing). During a review of Resident 27's History and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review the facility failed to ensure residents who need respiratory care are provided care consistent with professional standards of practice for one of two sampled residents (Resident 32) investigated under respiratory care by failing to ensure: 1. A physician's order was obtained for Resident 32's use of bilevel positive airway pressure (BIPAP, a noninvasive machine that helps people breathe). 2. The BIPAP mask and tubing were kept off the floor. These deficient practices had a potential for Resident 32 to develop respiratory complications. Findings: During a review of Resident 32's admission Record (AR), the AR indicated the facility admitted the resident on 7/25/2022, and readmitted the resident on 9/22/2024, with diagnoses including acute respiratory failure with hypercapnia (a condition where the lungs have trouble removing carbon dioxide from the blood, causing a buildup of carbon dioxide in the blood), pleural effusion (a condition where too much fluid builds up in the space between the lungs and chest wall), and dependence on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review the facility failed to accurately and safely provide or obtain pharmaceutical services to one (1) of three (3) sampled residents (Resident 36) investigated during medication administration task. The facility failed to flush the medications in between administration via gastrostomy tube (G-tube - a medical device that is inserted through the abdomen into the stomach to provide nutrition, fluids, and medications to patients who are unable to consume food or liquids by mouth). This deficient practice had the potential to place Resident 36 at risk of health complications such as drug interaction and delay in the provision of care. Findings: During a review of Resident 36's admission Record, the admission Record indicated the facility admitted the resident on 3/9/2024 and was readmitted into the facility on 4/17/2024 with diagnoses that included dementia (a general term for a condition with loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), gastrostomy status, and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review the facility failed to ensure the resident's drug regimen was free from unnecessary drugs for one of two sampled residents (Resident 27) investigated under anticoagulants (a substance that is used to prevent and treat blood clots in blood vessels and the heart) by failing to ensure there was adequate monitoring on the use of an anticoagulant-Apixaban. The deficient practice had the potential to predispose the resident on the adverse effect (a harmful or abnormal result) of anticoagulant use such as bleeding. Findings: During a review of Resident 27's admission Record (AR), the AR indicated the facility admitted the resident on 1/6/2021, and readmitted the resident on 11/25/2022, with diagnoses including atrial fibrillation (a heart condition that causes an irregular heartbeat, often faster than normal), gastro-esophageal reflux disease (GERD, a chronic digestive disorder that occurs when stomach contents flow back into the esophagus), and long-term use of anticoagulants. During a review of Resident 27's History and Physical (H&P), dated 8/2/2023,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review the facility failed to discard nine (9) boxes of BinaxNOW COVID-19 Antigen Self-Test ( a rapid antigen point-of-care test that can be used to diagnose an active COVID-19 [an infectious disease caused by the SARS-CoV-2 virus) used on staff and residents with expiration date of 1/18/2024 stored in the facility's Medication Room observed during medication storage and labeling facility task. The deficient practice increased the risk of the resident being misdiagnosed with COVID-19 that leads to delay in the care and treatment. Findings: During a concurrent observation and interview on 10/3/2024, at 9:40 a.m., with Licensed Vocational Nurse 1 (LVN 1), inside the Medication Room, 9 boxes of BinaxNOW COVID-19 Antigen Self-Test with expiration date of 1/18/2024 was observed. LVN 1 stated they used those self-test kits to test staff and residents for COVID-19. LVN 1 stated expired medications and test kits should be disposed of after its expiration date to prevent adverse effects (a harmful or abnormal result) of drugs and false diagnosis to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the order for Restorative Nursing Assistance (RNA - a type of program in long term care facilities intended to restore lost abilities or maintain potentially deteriorating functions for residents) program was entered accurately in the electronic health record (EHR) for one (1) out of 1 sampled resident (Resident 36) during an investigation under the position/mobility care area. This deficient practice had the potential for incomplete and inaccurate medical documentation and cause a delay in provision of necessary care and services Resident 36 needs. Findings: During a review of Resident 36's admission Record, the admission Record indicated the facility admitted the resident on 3/9/2024 and was readmitted on [DATE] with diagnoses that included dementia (a general term for a condition with loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), gastrostomy status,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program regarding Coronavirus disease 2019 (COVID-19, a viral infection that is highly contagious and easily transmits from person to person, causing respiratory problems and may cause death) for one of five sampled residents (Resident 1), by failing to ensure Registered Nurse 1 (RN 1) perform hand hygiene (hand washing with soap and water and use of alcohol-based hand sanitizer) before and after providing care to Resident 1 and after touching unclean surfaces. RN 1 also did not wear gloves during the blood pressure monitoring procedure on Resident 1. These deficient practices placed other residents and staff at risk for exposure and contracting COVID-19. Findings: A review of Resident 1 ' s admission Record indicated the facility admitted the resident on 5/28/2018. Resident 1 ' s diagnoses included hemiplegia (paralysis that affected one side of the body) and hemiparesis (weakness or inability to move one side of the body) on the left side, heart failure (a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review facility failed to maintain privacy of confidential information when Certified Nursing Assistant 3 (CNA 3) left an electronic health record (EHR- a digital version of a patient's paper chart) open , unattended, and out of view for one of one resident sampled (Resident 25). This deficient practice violated Resident 25's right to privacy and confidentiality of their medical records. Findings: A review of Resident 25's admission Record indicated the facility admitted the resident on 2/21/2020 and readmitted the resident on 10/7/2020 with diagnoses that included Parkinson's disease (), essential (primary) hypertension (the blood is pumping with more force than normal through your arteries [blood vessels that distribute oxygen-rich blood to your entire body]), and unspecified dementia (the loss of cognitive functioning such as thinking, remembering, and reasoning to an extent that it interferes with a person's daily life and activities). A review of Resident 25's Minimum Data Set (MDS - a standardized assessment and care screening tool),…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop and implement resident-centered care plans for two of 14 sampled residents (Resident 25 and Resident 87) by failing to: 1. Ensure Resident 25 had a care plan addressing the use of Cefdinir (an antibiotic [medicines that treat or prevent bacterial infections] medication). 2. Ensure Resident 87 had a care plan addressing the use of a cervical collar (C-collar, a medical device used to restrict movement whenever spinal motion restriction is indicated). These deficient practices placed the residents at risk for not receiving the necessary services and treatment to meet their medical, physical, mental and psychosocial needs. Findings: a. A review of Resident 87's admission Record indicated the facility originally admitted the resident on 9/1/2023 and readmitted on [DATE] with diagnoses including intraspinal (being within the spine) abscess (buildup of pus) and granuloma (a cluster of white blood cells and other tissues) and cervical (neck) region…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, facility failed to meet professional standards of quality for a resident who has a gastrostomy tube (GT- a tube inserted through the abdomen and into the stomach used to deliver nutrition or medication)) by failing to verify the route of administration for a supplement, pro-stat (a ready-to-drink concentrated liquid protein medical food) prior to administration for one of one sample resident (Resident 27). This deficient practice had the potential to result in Resident 27 receiving the medication orally causing the resident to aspirate. Findings: A review of Resident 27's admission Records indicated the facility admitted the resident on 1/6/2021 and readmitted the resident on 11/25/2022 with diagnosis that included unspecified dementia (the loss of cognitive functioning such as thinking, remembering, and reasoning to an extent that it interferes with a person's daily life and activities), essential (primary) hypertension (the blood is pumping with more force than normal through your arteries [blood vessels that distribute…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement its policy and procedure on labeling and storage of drugs and biologicals by: 1. Failing to label two Aplisol (a sterile aqueous solution of a purified protein fraction for intradermal [done within the layers of skin] administration as an aid in the diagnosis of tuberculosis [disease caused by germs that are spread from person to person through the air]) multi-dose (multiple doses) vials with an open date for one of one medication storage reviewed. 2. Failing to label MiraLAX (a brand-name, over-the-counter product that is typically used to treat short-term constipation) with an open date during medication pass observation for one of one sampled resident (Resident 27). These deficient practices increased the risk that the facility's residents could have received medication that had become ineffective or toxic due to improper storage or labeling resulting in a negative impact to their health and well-being. Findings: a. During…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to implement infection prevention and control practices for one of one sampled resident (Resident 138), by failing to label Resident 138's oxygen tubing and humidifier with a placement (the action of putting something in a particular place) date. This deficient practice had the potential for staff to not timely change oxygen tubing and humifidier, placing the resident at risk for respiratory infection. Findings: A review of Resident 138's admission Records indicated the facility admitted the resident on 9/14/2023 with diagnosis that included chronic obstructive pulmonary disease (COPD- a common lung disease causing restricted airflow and breathing problems) with acute exacerbation (the process of making something that is already bad even worse), dependence on supplemental oxygen, and depression (a constant feeling of sadness and loss of interest, which stops you doing your normal activities). A review of Resident 138's Minimum Data Set (MDS - a standardized assessment and care screening tool), dated 9/20/2023…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.