Quinton Mem Hc & Rehab Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interviews, record review, and review of the License Practical Nurse and Registered Nurse (Charge Nurse) Job Descriptions, the facility failed to ensure residents received care in accordance with physician orders for one of 39 sampled residents (R) (R6). Specifically, the facility failed to ensure lab tests, and assessment of hemorrhoids were conducted as ordered by the physician. The deficient practice had the potential to place R6 at increased risk of adverse clinical outcomes related to blood loss.Findings include:Review of the facility's Licensed Practical Nurse (LPN) and Registered Nurse (RN) job descriptions documented, Reviews duties of collection of lab specimens and interpreting results. Maintain effective lines of communication with attending physicians. Charting of information regarding patient progress, ailments, medication symptoms, and observations. Addresses with supervising nursing staff, the progress of patients and how to proceed with care. They may be…

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 review, staff interviews, and review of facility's electronic Work Order system's cleaning schedule titled, Oxygen Concentrators: In-House Maintenance, the facility failed to ensure respiratory equipment was maintained in a clean and sanitary manner by not cleaning the oxygen concentrator filter for two of 30 residents (R)(R58 and R67), on respiratory care. This deficient practice had the potential to cause ineffective oxygen delivery, respiratory complications, and increased risk of infection.Findings Include:Record review of facility's electronic Work Order System's cleaning schedule titled, Oxygen Concentrators: In-House Maintenance, dated 05/15/2026 documented under section titled, Cleaning the Cabinet Filter - Risk of Damage: To avoid damage to the internal components of the unit: DO NOT operate the concentrator without the filter installed or with a dirty filter. 1. Remove the filter and clean as needed. 1. Environmental conditions that may require more frequent inspection 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 observations, resident and staff interviews, and review of the facility policies titled, HLTC Oxygen (O2) Administration and HTLC Administering Medications Through Nebulizer, the facility failed to bag and store unused O2 and nebulizer tubing, and cannulas/masks for four of 28 residents (R) (R52, R68, R39, and R287) receiving respiratory services . The deficient practice had the potential to allow unhealthy organisms to contact the equipment and of spreading infection in the facility. Findings include: Review of the facility policy titled HLTC Oxygen Administration revealed under Procedure: . 4. Maintenance, a. Replace oxygen tubing at least monthly and more often as needed for contamination, dysfunction, or visibly soiled tubing. Review of the facility policy titled HLTC Administering Medications Through Nebulizer revealed under Procedure: . 5. Cleaning, a. The facility will: i. Wipe machine with warm, soapy water and rinse or use an all-purpose disinfecting wipe according to the instructions on the label, and observing the appropriate kill time, at least once a week 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and review of the facility's policies titled, Food Receiving and Storage, Preventing Foodborne Illness-Food Handling, and Food Brought by Family/Visitors, the facility failed to ensure opened food items in the kitchen were labeled and dated; failed to discard expired food items, failed to monitor refrigerator temperatures in two of two resident pantries, and failed to properly date and store food left for a resident. These deficiencies had the potential to affect 74 residents receiving an oral diet. The census was 74. Findings include: Review of the policy titled, Food Receiving and Storage issued 1/1/2019 revealed the following: Purpose: Foods shall be received and stored in a manner that complies with safe food handling practices. 7. Dry foods that are stored in bins will be removed from original packaging, labeled, and dated (use by date). 8. All foods stored in the refrigerator or freezer will be covered, labeled, and dated (use by date). 12. Functioning 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 observations, staff interviews, review of the facility policy titled, Hamilton Long Term Care [HLTC] Non-Controlled and Controlled Medication Ordering, Receiving, and Storage, and review of the facility document titled, HLTC Medication Administration Competency Evaluation, the facility failed to ensure one of four medication carts were locked and secure when unattended that permitted only authorized personnel to have access on two occasions. The facility failed to ensure that narcotics were counted and documented at the beginning of each shift on two of four medications carts. In addition, the facility failed to ensure medications were stored with proper identification/labeling for three residents on one medication cart. These failures placed residents at risk of having their unsecured medications diverted and being administered incorrect medications. Findings include: Review of the policy titled, HLTC Non-Controlled and Controlled Medication Ordering, Receiving, and Storage, date of issue 10/1/2019 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record review, and review of the facility's policies titled, Medication Self-Administration Medications and Medication Administration-General, the facility failed to assess one resident (R) (R#51) of 31 sampled for the ability to self-administer medications prior to leaving medications at the bedside. This deficient practice had the potential to adversely affect the safety of R#51 and other residents in the facility. Findings include: Review of the policy titled, Resident Self-Administration Medications dated 10/1/2019 revealed: Policy: 1. Each resident who desires to self-administer medications is permitted to do so if the interdisciplinary team has determined that the practice would be safe for the resident and other residents in the facility. 2. The resident must be deemed competent to accurately self-administer medications prior to self-administering medications. 3. A physician's order is required for residents to self-administer medication and store…

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 Advanced Directives, the facility failed to ensure that the Do Not Resuscitate (DNR) document was signed by a physician for one resident (R) (R#52) of 31 sampled residents reviewed for advanced directives. Findings include: Review of the policy titled, Advanced Directives, date of issue 1/1/2019, revealed online item # 6. The facility will inform the Directive resident's physician of any advanced directives to ensure appropriate orders are obtained when indicated. Review of the electronic medical record (EMR) for (R) #52 revealed diagnoses that included but not limited to chronic obstructive pulmonary disease, anemia, dysphagia, paroxysmal atrial fibrillation, and hypertension. Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed R#52 had a Brief Interview for Mental Status (BIMS) of 15 which indicates resident was cognitively intact. Review of the EMR revealed R#52 signed a document titled Do Not Resuscitate…

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, staff interviews, record review, and review of the facility policy titled, HLTC [[NAME] Long Term Care] Care Planning, the facility failed to follow the care plan for splint application for one resident (R) (R#60), failed to develop a care plan for splint application and passive range of motion (PROM) for one resident (R#57), and failed to develop a care plan for splinting for one resident (R#73). This deficient practice had the potential to affect the delivery of the proper care and services provided to R#60, R#57, and R#73. The sample size was 31. Findings include: Review of the policy titled, HLTC Care Planning dated 11/1/2019 revealed the policy was for each resident to have a baseline and comprehensive care plan that reflects resident centered care and services and in effort to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. The Baseline Care Plan section line numbered 7 revealed: The facility will develop and implement 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, record review, staff interviews, and review of facility policy titled, HLTC [[NAME] Long Term Care] Restorative Nursing Policy, the facility failed to provide restorative services as related to range of motion exercises for one resident (R) #13 of 31 sampled residents and related to splint use and contracture management for three residents (R#73, R#60, and R#57) of 31 sampled residents. These failures had the potential to cause a decline in R#13, R#73, R#60, and R#57's functional abilities. Findings: Review of the policy titled, HLTC Restorative Nursing Policy, dated 1/1/2019, revealed that the purpose of the program is that the facility shall provide a restorative program to ensure residents receive restorative nursing care as needed to promote the resident's ability to adapt and adjust to living as independently and safely as possible. The Restorative programs may include the following, but not limited to active range of motion (AROM), splint or brace assistance, transfer, walking,…

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.