Lake Placid Health And Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility 1) failed to maintain the storage of medications in four of four sampled medication carts (West Front, [NAME] Back, 200-hall and Happy Trails) without expired, undated and loose medications, 2) failed to ensure the locked narcotic boxes were unremovable for two (East and West) of two sampled medication refrigerators, 3) failed to ensure two of two sampled rescue carts (100 & 400 halls) which contained medication for low blood sugar were locked while unattended and not in use, and 4) failed to ensure medications were not stored at bedside in two resident rooms (309 and 406) observed during survey. Findings included: On 7/23/25 at 11:59 a.m. an observation with Staff K, Licensed Practical Nurse (LPN) was conducted of the [NAME] Front medication cart. The observation revealed: - 4 vials containing Albuterol/Ipratropium nebulizer medication was lying on top of the foil packaging and 3 vials were lying under the foil package. - One vial of…

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, record review, interviews, and review of the Plan of Correction, the facility failed to ensure it had a functioning Quality Assurance Committee. The facility was actively involved in the creation, implementation, and monitoring of the plan of correction for deficient practice identified during an annual survey on 07/21/2025 to 07/24/2025 and was cited at F628. During the revisit on 09/23/2025 through 09/25/2025, the facility was recited at F628 related to discharge process. The facility had developed a Plan of Correction with a completion date 08/22/2025. The facility had not comprehensively implemented the plan of correction for the identified deficiencies related to ensuring the resident's clinical discharge records were accurately documented, signed and readily available for three residents (#25, #26, #27) out of three residents reviewed for completion and accuracy of records. Findings included: On 9/25/25 at 1:33 p.m. an interview was conducted with the Nursing Home Administrator (NHA)…

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 and interviews, the facility failed to ensure dignity was maintained for residents during meals on one unit (East Wing) out of three units in the facility. Findings included: An observation was conducted on 7/21/25 on the East Wing. In the dining area there were three residents seated at a table together. At 1:07 p.m. the first resident was served their lunch tray; the second resident had her head lying on the table asleep and the third resident sat and watched the first resident eat. At 1:10 p.m. the second resident woke up and took the first resident's drink and began drinking it. No staff were in the dining room at that time. The second resident then proceeded to take the first resident's ice cream and began licking it. It was not until 1:21 p.m. that the second resident was delivered their meal tray and 1:22 p.m. the third resident was delivered their meal tray. At 3:06 p.m. the third resident that received his meal tray remained sitting pushed up to the table in the dining room with…

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 honor 1 (Resident #83) choice to transfer to another facility out of 5 residents sampled. Findings Included: During an interview on 07/21/2025 at 11:12 a.m., Resident #83 stated she wanted to go to a another facility. She said, I talked to them about this and nothing happens. They don't care and they act like they don't hear you. Review of Resident 83's admission record revealed an admission date of 08/28/2024. Resident #83 was admitted to the facility with diagnoses to include unspecified protein-calorie malnutrition, other bipolar disorder, unspecified mood [affective] disorder, opioid dependence, uncomplicated, bipolar disorder, current episode mixed, moderate, and generalized anxiety disorder. Review of Resident #83's Quarterly Minimum Data Set (MDS), dated [DATE], revealed Section C. Cognitive Patterns, revealed a Brief Interview Mental Status (BIMS) of 10 out 15 showing moderate cognitive impairment. Review of the facility Grievance…

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 interviews and record review the facility did not provide preparation and orientation for discharge and complete a discharge summary for one resident (#124) out of two reviewed for discharge. Findings included: Review of admission Records showed Resident #124 was admitted on [DATE] with diagnoses including atrial fibrillation, myocardial infarction, personal history of transient ischemic attack, and acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral. Review of Resident #124's Care Plan showed a focus area of discharge plan home with home health, dated 5/25/25. Interventions included: discuss discharge plan on admission, discuss with resident/family/responsible party discharge planning, social service evaluation as needed. Review of Resident #124's progress notes showed a narrative note written by Staff DD, Licensed Practical Nurse (LPN), dated 7/16/25, showing resident d/c [discharge] with understanding all d/c summary and instructions along with medications. Resident…

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 Activities of Daily Living (ADL)'s were completed for three residents (#80, #83, and #11) related to matted hair, untrimmed fingernails, haircuts, and showers out of three residents reviewed. Findings Included: During an observation on 07/21/2025 at 11:27 a.m., Resident #80 was observed lying in bed dressed in a hospital gown. Resident #80's hair was observed unkept and matted. Resident #80 stated “I would like my hair brushed; I have knot in my hair.” Resident #80's nails were observed to be yellow, overgrown with black debris underneath them. Resident #80 stated “If I had scissors, I could cut them, I don’t like them being this long. You would be a miracle worker if you could get my hair fixed.” Review of Resident #80's admission record revealed an admission date of 11/27/2023. Resident #80 was admitted to the facility with diagnosis to include Unspecified Dementia, Unspecified Severity, Without Behavioral Disturbance, Psychotic…

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 record review and interviews, the facility did not ensure medication recommendations from the pharmacy consultant were reviewed and addressed by the medical provider for one (#8) of five residents reviewed for unnecessary medications.Findings included:A review of Resident #8's admission record revealed an original admission date of 11/12/24, and a re-admission date of 5/31/25. The admission record revealed diagnoses to include gastro-esophageal reflux disease without esophagitis, unspecified, major depressive disorder, recurrent, moderate, unspecified dementia, unspecified severity, with other behavioral disturbance, conversion disorder with seizures or convulsions, mood disorder due to known physiological condition, unspecified, other specified anxiety disorders, fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing, unspecified fracture of the lower end of left radius, subsequent encounter for closed fracture with routine healing, unspecified fracture of lower end of left ulna, subsequent encounter for closed…

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, record reviews, and interviews, the facility failed to ensure a functioning grievance process for three (Resident #1, #2, and #9) of three residents sampled for grievance process. Findings included: On 07/22/2024 the facility was requested to provide the grievance log for 08/01/2023 through the date of survey, 07/22/2024. 1.On 07/22/2024, the facility provided the grievance log which reflected two grievances listed for Resident #1 during the reviewed period. One dated 11/15/2023 regarding hydration preference and one dated 11/15/2023 regarding room cleanliness. Both grievances were documented to have been resolved. On 07/22/2024 at 3:06 p.m., an interview was conducted with the Social Service Director (SSD). When asked if she had received any grievance regarding missing clothing for Resident #1, she provided a post note for review. The SSD said she had been told a concern by Resident #1's family member regarding missing clothes and she had written it down on the post note about a week ago.…

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 interviews, the facility failed to convey personal funds deposited with the facility within 30 days of discharge with a final accounting of the funds to the resident for one (Resident #2) of one resident reviewed for personal funds of thirteen sampled residents. Findings included: A review of Resident #2's clinical chart, the face sheet, documented an admission to the facility on [DATE], and subsequent discharge of 04/27/2024. During a phone interview conducted with (Resident #2's family member), she stated Resident #2 had a balance of $11.00 in his personal trust account that was not returned to him. On 07/22/2024, a review of the facility grievance log reflected one grievance on file for the reviewed period of 08/01/2023 through the date of survey, 07/22/2024, for Resident #2. A review of the grievance form, dated 05/01, reflected no documentation of the person making the complaint and relationship to resident, the area was blank. The grievance: Money was taken and clothes returned.…

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, staff interviews, and review of the facility's policy, the facility failed to 1.) complete the Preadmission Screening and Resident Review (PASARR) Level II upon a new qualifying mental health diagnosis for eight (Residents #19, #12, #48, #101, #50, #47, #74, and #78); and 2.) ensure the accuracy of a PASARR Level I for two (Residents #24 and #223) of ten residents admitted with mental health diagnoses sampled for PASARR. Findings include: 1. Review of the clinical record revealed Resident #19 was admitted to the facility on [DATE], with a readmission on [DATE], and a primary diagnosis of Diabetes according to the admission face sheet. Further review of the admission face sheet revealed subsequent diagnoses that included Bipolar disorder (as of 12/6/2013) and Major Depressive Disorder (as of 11/16/2021). Review of the quarterly Minimum Data Set (MDS) dated [DATE] for Resident #19 revealed under Section I, diagnoses that included Depression and Bipolar Disorder; and under Section N,…

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, observations, interviews, and review of the facility's policy titled Comprehensive Care Plans, the facility failed to ensure the development and/or implementation of comprehensive care plans was completed for five (Resident #5, #12, #41, #81, and #82) of 44 sampled residents. Findings included: 1. A review of Resident #41's medical record revealed Resident #41 was admitted to the facility on [DATE] with a diagnosis of a nondisplaced intertrochanteric fracture of the left femur. A review of Resident #41's Minimum Data Set (MDS) assessment, dated 1/23/2023 revealed, under Section M: Skin Conditions, Resident #41 was admitted to the facility with one unstageable pressure ulcer. A review of Resident #41's physician's orders revealed a treatment order, dated 2/14/2023, for an unstageable wound to the right heel to cleanse the wound with normal saline, apply Santyl to the wound bed, cover the wound with hydrogel, and secure with a bordered gauze every day shift. A review of Resident #41's care…

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, record review, and review of the facility's policy, the facility failed to ensure three (Residents #40, #13 and #88) of six residents reviewed for vaccine administration were offered and administered Pneumococcal vaccinations. Findings include: Review of the clinical record for Resident #40 revealed the resident was admitted to the facility on [DATE], and readmitted on [DATE] according to the admission face sheet. Review of Immunization record located in the electronic health record (EHR) revealed the resident was offered and received a Pneumococcal vaccine (Pneumococcal polysaccharide - PPSV23) on 07/24/2015. Review of a vaccination declination form dated 10/14/2022 and provided by the Nursing Home Administrator (NHA) revealed a subsequent Pneumococcal vaccine was declined by the resident's family member. No additional information was available in the EHR detailing the reason for the seven-year delay between administration of the vaccine and offering the second vaccine dose. Review of 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 provide dignified assistance during dining for two (Residents #11 and #72) of 44 residents sampled. Findings included: A dining observation made on 02/19/2023 at 12:00 p.m., showed staff and residents were in the dining room engaging in conservation. Staff were observed passing out food trays according to the resident's assigned tables. Staff F, Registered Nurse (RN) and Staff G, Certified Nursing Assistant (CNA) were observed standing up over Resident # 11 and Resident #72 while assisting the residents with their lunch meal. A review of the admission Record revealed Resident # 11 was admitted on [DATE] with diagnoses to include but not limited to Dysphagia Oropharyngeal Phase, Anxiety Disorder, Unspecified and Unspecified Dementia, Unspecified Severity without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance. A review of the Minimum Data Set ( MDS), dated [DATE] , Section C-Cognitive Patterns showed Resident #11's…

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 interviews and record reviews, the facility failed to ensure timely completion of a comprehensive assessment for one (Resident #223) of 44 sampled residents. Findings included: A review of Resident #223's medical record revealed Resident #223 was admitted to the facility on [DATE] with diagnoses of hemiplegia and hemiparesis following cerebral infarction, Alzheimer's disease, dementia, and depression. A request was made on 2/21/2023 at 3:40 PM for Resident #223's admission Minimum Data Set (MDS) assessment. The assessment was not provided by the facility. A review of Resident #223's medical record revealed an open MDS admission assessment with an Assessment Reference Date (ARD) of 2/13/2023. The medical record also revealed Resident #223's admission MDS assessment was due on 2/20/2023. An interview was conducted on 2/21/2023 at 3:41 PM with the facility's Regional Clinical Reimbursement Nurse (RCRN), who stated Resident #223's admission MDS assessment should have been completed on 2/20/2023. The RCRN…

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, record review and, policy review, the facility failed to ensure there was ongoing communication and collaboration with the dialysis facility for one (Resident #59) of one resident reviewed for dialysis care and services. Findings included: During an interview on 02/19/23 at 12:46 PM, Resident #59 stated that she went to Dialysis on Tuesdays, Thursdays, and Saturdays. A record review of Resident #59's medical record showed diagnoses of End Stage Renal Disease (Primary) and Dependence on Renal Dialysis. A physician order dated 02/03/23 showed the resident was to attend a local Dialysis Center on the days of Tuesday, Thursday, and Saturdays with transportation, location and times noted in the order. The five day minimum data set (MDS) dated [DATE] showed Dialysis treatment for Resident #59 in section O. The person-centered comprehensive care plan was developed with a focus of End Stage Renal Disease and Dialysis. Further record review of Resident #59's dialysis book showed blank Dialysis…

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 reviews, the facility failed to ensure a medication administration error rate of less than five percent. A total of 32 medication administration opportunities were observed with 2 errors, resulting in a medication administration error rate of 6.25%. Findings included: A review of Resident #123's medical record revealed Resident #123 was admitted to the facility on [DATE] with a diagnosis of type 2 diabetes mellitus (DM). A review of Resident #123's physician's orders revealed an order, dated 2/10/2023, for Humalog 100 unit/milliliter (ml) by KwikPen subcutaneous injection as per sliding scale every 4 hours at 8:00 AM, 12:00 PM, 4:00 PM, 8:00 PM, 12:00 AM, and 4:00 AM. An observation of medication administration for Resident #123 was conducted on 2/21/2023 at 9:17 AM with Staff B, Registered Nurse (RN). Staff B, RN performed a blood glucose check on Resident #123, which resulted in a reading of 194. Staff B, RN prepared Resident #123's Humalog KwikPen to administer 10…

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 reviews, the facility failed to implement an effective Infection Control and Prevention program by 1.) failing to ensure hand hygiene was conducted during a dressing change for an intravenous (IV) line for one (Resident #224) and during medication administration for one (Resident #123), 2.) failed to ensure proper set up of a sterile field during a dressing change for an IV line for one (Resident #224), 3.) failed to ensure proper disinfection of point-of-care devices for one (Resident #123), and 4.) failed to ensure isolation precautions were followed for one (Resident #224) of forty four sampled residents. Findings included: A review of Resident #224's medical record revealed Resident #224 was admitted to the facility on [DATE] with diagnoses of osteomyelitis, Methicillin-resistant Staphylococcus aureus (MRSA) infection, and pressure ulcer of the sacral region. A review of Resident #224's physician's orders revealed an order, dated 2/5/2023 for Contact isolation…

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, interviews, observation, and policy review the facility did not ensure a care plan was developed for wandering for one (#65) of 40 sampled residents, and the facility failed to implement the plan of care for seizure precautions for one (#49) of 40 sampled residents. Findings included: 1. On 6/02/21 at 8:55 AM, an interview was conducted with Resident #7. Resident #7 reported that Resident #65 goes in everybody's rooms, takes things, puts the items in her room, and the staff get the items back. Resident #7 said he has found Resident #65 laying in his bed. The staff just let her do whatever she wants. Resident #7 had not talked to anyone in the facility about it because he didn't know who to talk to. Resident #7 stated the staff all know about it, but he thinks they don't watch Resident #65 good enough because there is not enough staff. A review of Resident #65's admission record revealed a diagnosis of Alzheimer's disease. A review of the quarterly Minimum Data Set Assessment (MDS) dated…

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 reviews, the facility failed to properly assess the activity needs to ensure an individualized and meaningful activity program was developed for two (#49, #5) of three residents sampled for activities. Findings included: A review of Resident #5's Medical Record revealed that Resident #5 was admitted to the facility on [DATE] with diagnoses of Alzheimer's Disease, mood disorder, anxiety disorder, and age related cognitive decline. A review of Resident #5's Physician's Orders revealed an order, dated on 09/05/2020, for activities as tolerated. A review of Resident #5's Minimum Data Set (MDS) Assessment revealed, under Section C - Cognitive Patterns, a Brief Interview for Mental Status (BIMS) score of 3, indicating severe cognitive impact. A review of Resident #5's Care Plan revealed a problem, revised on 06/03/2021, that Resident #5 declined attending most group activities because of her condition and diagnosis. Interventions included to encourage and assist resident…

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 reviews, and review of facility policy, the facility failed to ensure respiratory equipment was stored in accordance with professional standards of practice for one (Resident #195) of one resident sampled out of 12 residents in the facility receiving respiratory care and treatment. Findings included: A review of Resident #195 Medical Record revealed that Resident #195 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease (COPD), Acute and Chronic Respiratory Failure, and Congestive Heart Failure (CHF). A review of Resident #195's Physician's Orders revealed the following orders: - An order, dated 05/06/2021 to change nebulizer tubing and external bag every Sunday on night shift. Date tubing and external bag. - An order, dated 05/06/2021 to change oxygen tubing and bag every Sunday on night shift. Label and date tubing. - An order, dated 05/12/2021 for Ipratropium-Albuterol solution 0.5-2.5 milligrams/3 milliliters, 1 dose…

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.