Blue Palms Health And Rehabilitation Center Of Del

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to establish an infection prevention and control program (IPCP) that included a system for preventing, identifying, reporting, investigating, and controlling infections, specifically, the spread of a gastrointestinal infection (GI) affecting 15 (Residents #208, #32, #42, #36, #22, #207, #21, #24, #35, #51, #40, #1, #8, #14 and #20) of 50 residents living in the facility. Failure to control the spread of infection can result in serious harm to residents, staff, volunteers, visitors, and other individuals providing services to the facility. Facility staff also failed to implement enhanced barrier precautions (EBP) for two (Residents #1 and #304) of two residents with indwelling devices from a total survey sample of 30 residents. The findings include: On 3/30/25 at 11:00 AM, upon entrance to the facility, Licensed Practical Nurse (LPN) G notified the survey team that there was a gastrointestinal (GI) outbreak and stated approximately 50% of the residents…

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 that a Level II Preadmission Screening and Resident Review (PASRR) evaluation was completed after a Level 1 screening suggested the possibility of a serious mental illness for one (Resident #6) of one resident reviewed for PASRR, out of 30 residents in the total survey sample. The findings include: A review of Resident #6's medical record revealed an initial admission date of 11/19/2017 with the most recent readmission on [DATE]. The resident's diagnoses included hereditary and idiopathic neuropathy, hyperlipidemia, dysphagia, pneumonia, fracture of left femur, acquired absence of kidney, sacrococcygeal disorders, gout, anemia, muscle weakness (generalized, history of falling), unspecified intellectual disabilities, not an acceptable Primary Diagnosis, 08/14/2023, Secondary Diagnosis During Stay, 10/4/2023, dementia in other diseases classified elsewhere, unspecified severity with agitation, secondary diagnosis and present on admission [DATE]),…

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 observations, interviews, and record review, the facility failed to develop comprehensive care plans that included measurable objectives and timeframes to meet residents' medical, nursing, mental, and psychosocial needs for four (Residents #1, #40, #24 and #31) of 30 residents reviewed for care planning from a total survey sample of 30 residents. The findings include: 1. On 3/30/25 at 11:30 AM, Resident #1 was observed in bed with a pressure relieving mattress, catheter bag hanging at bedside, bilateral boots to prevent pressure wounds, and a peripherally inserted central catheter (PICC) line in the left upper arm. A review of the medical record revealed that Resident #1 was initially admitted on [DATE]. On 2/21/25, he had an unplanned discharge to an acute care hospital with return anticipated. On 3/1/25, he was readmitted from the hospital. Resident #1's diagnoses included multiple sclerosis, contractures of both knees, pressure ulcer of the left buttocks-Stage 4, chronic pain, hydronephrosis,…

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 record review and interview, the facility failed to provide treatment and care in accordance with professional standards of practice for two (Residents #304 and #305) of 30 residents in the total survey sample. Resident #304 was not provided adequate care for a Jackson Pratt (JP) drain, and the facility failed to obtain a timely hospice consult per physician's orders for Resident #305, who was admitted on [DATE], with a physician's order for Consult [provider name] Hospice dated 3/12/25 at 12:55 PM. As of 4/2/25, three weeks after the order was written and on the last day of the survey, there was no documented evidence that a hospice consult had been obtained. The findings include: 1. A review of Resident #304's medical record revealed an admission date of 3/7/25 with a re- entry on 3/26/25. Diagnoses included encounter for surgical aftercare following surgery, non-pressure chronic ulcer of lower leg with unspecified severity, diabetes mellitus type II, pressure ulcer of the sacral region stage III,…

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 kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to complete temperature logs for the dish machine and ice cream box, properly clean and sanitize the kitchen ice machine, fryer, upper and lower-level of convection oven, can opener, oven tray lines, and grill; date mark numerous open food packages in the dry storage room, on the bread rack, under the food prep table, in the refrigerator, and in the freezer. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 6/19/2023 at 11:20 a.m. During the tour, no temperature log for June 2023 was displayed for the ice cream box, and incomplete temperature logs for June…

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 observations, interviews, and record review, the facility failed to ensure that one (Resident #11) of 13 residents receiving oxygen therapy, from a total sample of 21 residents, received the correct oxygen flow rate as ordered by the physician. The findings include: On 6/19/23 at 2:11 p.m., Resident #11 was observed lying in bed wearing a nasal cannula. Her oxygen concentrator, located at bedside, was observed with a flow rate set at 3.5 L/min. (liters per minute) (Photographic evidence obtained) On 6/20/23 at 11:11 a.m., another observation was made of Resident #11 lying in bed wearing her nasal cannula. Her oxygen concentrator was running and the flow rate was set at 3.5 L/min. (Photographic evidence obtained) A review of Resident #11's physician's order, dated 12/8/2020, revealed she was to receive oxygen at 3 L/min via nasal cannula as needed for an oxygen saturation <90%. On 6/21/23 at 10:29 a.m., another observation of Resident #11's oxygen concentrator revealed it was set at 3.5 L/min.…

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 observations, interviews, record review, and review of the facility policy and procedure, the facility failed to ensure that a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for two (Resident #11 and Resident #13) of two residents sampled for review of range of motion services, from a total sample of 20 residents. The findings include: 1. On 9/20/21 at 12:33 PM, Resident #11 was observed sitting in her wheelchair. She had a contracture of her left hand. Resident #11 stated, I don't get any therapy to help me walk, they said my torso isn't stable. When she was asked if she uses a splint for her left hand and arm. She stated, Yes, but I don't know where it is. On 9/21/21 at 10:32 AM, Resident #11 was observed sitting in her wheelchair in the living room area of the facility. Her left arm did not have a splint in place. On 9/22/21 at 12:30 PM, Resident #11 was observed in her wheelchair in…

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 record review and staff interviews, the facility failed to monitor resident behaviors and potential side effects related to the use of psychotropic medication for one (Resident #25) of five residents reviewed for unnecessary medications from a total of 20 residents in the sample. The findings include: A record review for Resident #25 revealed she was admitted on [DATE], with the following diagnoses: urinary tract infection (UTI); unspecified dementia without behavioral disturbance; syncope and collapse; anxiety disorder; major depressive disorder; adjustment disorder with mixed anxiety and depressed mood. A review of physician orders on 6/11/21, revealed an order for Seroquel 25 mg (milligram) by mouth every 12 hours for dementia, depression, and delusional ideation. A review of Resident #25's medication administration records (MAR) for July through September 2021 revealed no behavior monitoring documentation and/or side effect monitoring documentation for the antipsychotic medication, Seroquel. 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and facility policy and procedure review, the facility failed to properly store medication in locked compartments, allowing only authorized personnel access to them for one (Resident #10) of 20 sampled residents, by leaving a medication cup with pills in it and a bottle of artificial tears on the resident's bedside table and failing to ensure the resident took the medications. The findings include: An interview was conducted with Resident #10 on 9/20/21 at 1:04 PM. During the interview, a clear pill cup containing one white oblong shaped tablet was observed on the resident's overbed table. Resident #10 stated it was a pain pill which she gets every four hours. She stated the nurse brings it to her, and then she takes it on her own as needed. On 9/21/21 at 2:29 PM, a second interview was conducted with Resident #10. During the interview, and a clear bottle of artificial tears was observed on the resident's overbed table. Resident #10 stated, she used the eye drops…

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.