Diversicare Of Council Grove

The facility reported a census of 46 residents. Based on observation, interview, and record review, the facility failed to maintain a clean, comfortable, and homelike environment in the common living area for the residents of the facility. This placed the affected residents at risk for decreased quality of life.Findings included:- Observation on 07/08/25 at 10:38 AM revealed a strong odor of urine upon entering the facility from the east doors to the A-Hall unit.Observation on 07/08/25 at 10:42 AM, R3 sat in a reclining chair in the common area. R3's pants were wet on the front between the legs, and the seat of the chair was saturated. There was a strong odor of urine.Observation on 07/08/25 at 10:54 AM, Certified Nurse Aide (CNA) M and CNA N brought a sit-to-stand lift to assist R3 out of the recliner. As they lifted R3, they could see that the recliner and R3 were saturated. CNA M did not clean the chair, but requested that someone call housekeeping to clean the chair. On 07/08/25 at 11:16 AM, the recliner remained uncleaned. CNA M again requested that a staff member call…

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.

The facility reported a census of 46 residents. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program related to inadequate hand hygiene during wound care and inadequate cleaning of furniture. This deficient practice had the potential to spread possible infections to the residents in the facility.Findings included:- Resident (R)3's Electronic Medical Record (EMR) revealed diagnoses of cognitive communication deficit (an impairment in organization, sequencing, attention, memory, planning, problem-solving, and safety awareness) due to cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), and a history of urinary tract infections (UTI-an infection in any part of the urinary system). R3's 04/27/25 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of two, indicating severe cognitive impairment. R3 was always incontinent of urine and bowel, and she…

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.

The facility had a census of 46 residents. Based on observation, interview, and record review, the facility failed to ensure effective pest control in the facility. This deficient practice placed the affected residents of the facility at risk for decreased health and wellness. (Refer to F684) Findings included: - On 07/08/25 at 08:05 AM, 10:20 AM, and 12:00 PM, observation of R2's room revealed a lot of flies in the room. Further observation revealed a fly paper strip hanging from the ceiling in R2's room next to the closet. On 07/08/25 at 10:05 AM, 01:30 PM, and 03:05 PM, observation of R1's room revealed a lot of flies in R1's room. R1's room did not show any evidence of any fly mitigation attempts. On 07/08/25 at 01:30 PM, observation of wound care on R1's right lower leg revealed live maggots (fly larvae) on R1's right lower leg wound.On 07/08/25 at 02:10 PM, Administrative Nurse D revealed that the facility had been concerned about flies for a while, and Administrative Staff A had been implementing fly mitigation strategies. On 07/08/25 at 05:00 PM, Administrative Staff 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.

The facility reported a census of 46 residents. The sample included three residents. Based on observation, interview, and record review, the facility failed to treat residents in a dignified manner when Resident (R)2 received personal care without privacy. This deficient practice placed the resident at risk for decreased psychosocial well-being and embarrassment.Findings included:- R2's Electronic Medical Record (EMR) revealed a diagnosis of a local infection of the skin and unspecified adult personality disorder.R2's 06/30/25 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition.Observation on 07/08/25 at 12:00 PM, Licensed Nurse (LN) G entered R2's room without shutting the door. LN G did not close the curtain to provide privacy. LN G proceeded to perform a dressing change on both of the resident's legs with the door and privacy curtain open, leaving the resident visible from the hall.On 07/08/25 at 12:25 PM, LN G confirmed she should have provided privacy for R2 when she provided his dressing…

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 The facility identified a census of 52 residents. The sample included one resident reviewed for involuntary discharge. Based on observation, record review, and interview, the facility initiated a 30-day involuntary discharge for Resident (R)1 though R1's clinical record did not contain evidence to validate the reason for the involuntary discharge. This deficient practice placed R1 at risk for impaired health and well-being and involuntary discharge from the facility. Findings included: - R1's Electronic Health Record (EHR), under the Diagnosis tab, recorded diagnoses of schizoaffective disorder bipolar type (characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought) diabetes mellitus type two (DM2 - when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin), heart failure (chronic inability of the heart to pump blood sufficiently which results in shortness of breath), visual loss [to] both eyes, personality…

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.

The facility reported a census of 43 residents. Based on observation, interview, and record review the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS on the Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report weekend staffing for Quarter 3 of 2023 (April 1-June 3), Quarter 4 of 2023 (July 1-September 30), Quarter 1 of 2024 (October 1-December 31) and Quarter 2 of 2024 (January 1-March 31). Findings Included: - Review of the Payroll Base Journal (PBJ) Staffing Data Report for fiscal year (FY), Quarter 3 2023 (April 1-June 3), Quarter 4 (July 1-September 30), Quarter 1 2024 (October 1-December 31) and Quarter 2 (January 1-March 31), revealed excessively low weekend staffing. Review of the facility's daily staffing sheets revealed the facility's weekend staffing to be the same as the staffing…

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 The facility reported a census of 43 residents with 14 residents selected for review. Based on observation, interview, and record review, the facility failed to review and revise the care plans for four or the sampled residents, Resident (R) 18 and R8 for scabies (a contagious skin infection caused by mites) infections, R41 for use of urine collection leg bag device, and R19 for self-removal of anchoring device, and alternative catheter stabilizing devices. Findings included: - Review of R8's medical record, revealed a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion), and vision loss. The Significant Change Minimum Data Set (MDS), dated [DATE], assessed the resident with severely impaired cognition. The resident was dependent on staff for activities of daily living (ADLs). The Cognitive Loss/Dementia Care Area Assessment (CAA) revealed the resident required extensive/total assistance with all ADLs. The Care Plan reviewed 06/07/24, instructed staff the resident had…

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 The facility reported a census of 43 residents with 14 residents sampled, including two residents reviewed for dignity. Based on observation, interview, and record review, the facility failed to show respect and dignity to two Residents (R)19, by failing to cover the resident's bare lap, which left the silicone portion of an indwelling urinary catheter (a catheter that is inserted into the bladder and left in place for many days or weeks) visible to others while in the dining room and R41 for failure to utilize a dignity cover for the collection leg bag of the resident's indwelling urinary catheter while in the dining room and common's area. Findings included: - Review of Resident (R)41's electronic medical record (EMR) revealed a diagnosis of obstructive and reflux uropathy (when urine flow is blocked (partially or completely) through the ureter (the duct by which urine passes from the kidney to the bladder), bladder, or urethra (the duct by which urine is conveyed out of the body from the bladder) due to an…

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.

The facility reported a census 43 residents with 14 residents sampled, which included Resident (R)18 reviewed for reasonable accommodation. Based on observation, interview, and record review, the facility failed to ensure reasonable accommodation of R18's needs when the facility failed to follow up on recommendations for a different wheelchair, which would meet the resident's physical needs and preference to maintain his independence. Findings included: - Review of Resident (R)18's Physician Orders, dated 08/18/24, included diagnoses muscular dystrophy (MD - group of inherited disorders that involve muscle weakness and loss of muscle tissue, and worsen over time), contracture (abnormal permanent fixation of a joint or muscle) of the right and left ankles, immobility syndrome (paraplegic-paralysis characterized by motor or sensory loss in the lower limbs and trunk) and anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The Modified Annual Minimum Data Set (MDS), dated 10/11/23 documentation included a Brief Interview 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.

The facility reported a census 43 residents with 14 residents sampled, which included one Resident (R)18 reviewed for notification of change in condition. Based on observation, interview, and record review, the facility failed to notify the resident's chosen representative when the resident required a new form of treatment, related to the resident's newly diagnosed scabies infestation. Findings included: - Review of Resident (R) 18's Physician Orders, dated 08/18/24, included diagnoses muscular dystrophy (MD-group of inherited disorders that involve muscle weakness and loss of muscle tissue, and worsen over time), contracture (abnormal permanent fixation of a joint or muscle) of the right and left ankles, immobility syndrome (paraplegic) and anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear) disorder, and scabies infestation (contagious infestation of the skin by burrowing mites). The Modified Annual Minimum Data Set (MDS), dated 10/11/23 included a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was…

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 The facility reported a census of 43 residents with 14 residents selected for review, which included three residents reviewed for accidents. Based on observation, interview and record review, the facility failed to ensure staff provided safe transfers for one, Resident (R)19, of the three residents reviewed. Findings included: - Review of Resident (R)19's medical record revealed diagnoses that included cerebral vascular accident (CVA stroke sudden death of brain cells due to lack of oxygen), osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain), chronic obstructive pulmonary disease (COPD a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), neurogenic bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system). The Significant Change Minimum Data Set (MDS), dated [DATE], assessed the resident with a Brief Interview for Mental Status (BIMS) score of four, which indicated…

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 The facility reported a censes of 43 residents with 14 residents selected for review and three residents reviewed for bowel and bladder. Based on observation, interview, and record review, the facility failed to analyze one Resident (R) 95's three-day voiding diary to determine type of incontinence and pattern of incontinence to mitigate fall occurrences and provide sanitary urinary catheter (a tube that drains urine from the bladder) care for one resident (R19) to prevent urinary tract infections of the three residents reviewed. Findings included: - Review of Resident (R) 19's medical record revealed diagnoses that included cerebral vascular accident (CVA stroke sudden death of brain cells due to lack of oxygen), osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain), chronic obstructive pulmonary disease (COPD a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), neurogenic bladder (dysfunction 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.

The facility reported a census of 43 residents, 14 residents selected for review, which included one resident reviewed for respiratory care. Based on observation, interview, and record review the facility failed to ensure staff provided sanitary care to respiratory equipment and administration of aerosolized (vapor) medication for one Resident (R) 39. Findings included: - Review of Resident (R)39's medical record revealed diagnoses that included chronic obstructive pulmonary disease (COPD a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing) and congestive heart failure (CHF a condition with low heart output and the body becomes congested with fluid). The admission Minimum Data Set (MDS). Dated 02/05/24, assessed the resident with a Brief Interview for Mental Status (BIMS) score of seven, with indicated severe cognitive impairment. The Cognitive Loss Care Area Assessment (CAA) dated 02/05/24, assessed the resident had COPD and CHF The resident had a low oxygen level without her continuous flow oxygen 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 The facility reported a census of 43 residents with 14 residents sampled, including five residents reviewed for unnecessary medications. Based on interview and record review, the facility failed to ensure two Residents (R) 12 and R 27 remained free from unnecessary medications related to failure to administer as needed (PRN) medications for bowel movements (BM). Findings included: - Review of Resident (R) 12's electronic medical record (EMR) revealed a diagnosis of constipation (the inability to pass stool). The Annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. She required extensive assistance of two staff for transfers and toileting. She was always continent of bowel and had no constipation during the assessment period. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 08/28/23, documented the resident required staff assistance with transferring…

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.

The facility had a census of 42 residents. The sample included 12 residents. Based on record review and interview, the facility lacked evidence the required committee members attended the Quality Assessment and Assurance (QAA) Committee meetings at least quarterly. This placed the residents who resided in the facility at risk for decreased quality of care. Findings included: - On 12/05/22 at 01:35 PM, , the facility's Quality Assurance Performance Improvement (QAPI) meeting attendance sheets lacked signatures of attendees/committee members on the sheets. The sheets had just an X placed by members who allegedly attended the meetings. On 12/05/22 at 02:30 PM, Administrative Staff A stated the facilty changed to electronic sign in sheets and the facility did not have staff who attended sign the sheets. The facility's Quality Assurance& Performance Improvement Policy, revised 03/13/2020, documented it was the facility policy each resident and/or patient received the necessary care to attain or maintain the highest practicable physical, mental, psychosocial well-being, in accordance 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 The facility had a census of 42 residents. The sample included 12 residents with no COVID (an acute respiratory illness capable of producing severe respiratory complications including death) positive residents identified. Based on observation, record review and interview the facility failed to identify high transmission rates for COVID and failed to ensure facility staff wore masks to protect residents and staff, and prevent COVID transmission for the 42 residents residing in the facility. This placed all residents at increased risk for transmission of infectious disease. Findings included: - On 11/29/22 at 08:00AM, upon entrance into the facility observation revealed the facility staff did not wear masks. On 11/29/22 at 09:30AM, Administrative Nurse D verified that facility staff were not wearing masks. On 11/29/22 at 09:40AM, Administrative Nurse D stated the facility received an electronic message every Monday in the late afternoon regarding the transmission rate for COVID and then mads the decision if facial…

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.

The facility had a census of 42 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide a safe, clean comfortable and homelike environment in one of three halls on the A unit and one of three halls and the commons area by the nurse's station in the B unit. This placed the residents at risk for an unsafe and uncomfortable environment. Findings included: - On 11/29/22 at 10:20 AM, observation revealed Resident (R) 7's room door would not easily latch. On 11/29/22 at 10:25 AM, observation revealed R10's room door casing was not attached to the frame, approximately three to four inches at the bottom, and R10's transition flooring piece into the bathroom from her room lifted from the floor approximately three inches. On 11/30/22 at 11:59 AM, observation revealed a dark brown recliner in the B unit commons area by the nurse's station had fraying of the material on the sides of the footrest approximately 12 inches by three to four inches, and the footrest would not stay up. On 12/05/22 at 12:13 PM, Maintenance Staff U…

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 The facility had a census of 42 residents. The sample included 12 residents with six reviewed for activities of daily living (ADL). Based on observation, interview and record review the facility failed to provide shaving for dependent Resident (R) 28, which placed the resident at risk of impaired comfort and dignity. Finding included: - R28's diagnoses included hemiplegia (paralysis of one side of the body) following cerebral infarction (CVA- sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain ) affecting left non-dominant side, chronic kidney disease, major depressive disorder (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, emptiness and hopelessness), diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin) with diabetic neuropathy (dysfunction of nerves causing numbness or weakness), and unspecified lack 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 The facility had a census of 42 residents. The sample included 12 residents. Based on observation, record review and interview the facility failed to prevent a decrease in range of motion (ROM)/mobility for one of six residents, Resident (R) 4, reviewed for activities of daily living. This placed R4 at risk of further contractures (abnormal permanent fixation of a joint) and impaired mobility. - R4's diagnoses included type two diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), localized edema (swelling), psoriasis (chronic skin disorder characterized by red patches covered by thick, dry silvery adherent scales), anemia (condition without enough healthy red blood cells to carry adequate oxygen to body tissues), muscle weakness, pain in joints of right and left hands, contracture of right and left hands, and other reduced mobility. The Quarterly Minimum Data Set (MDS), dated [DATE], documented R4 had severe cognitive impairment, inattention 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 The facility had a census of 42 residents. The sample included 12 residents of which five were reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure and record consistent medication administration for Resident (R) 29, and R28. This placed the residents at risk for ineffective medication regimen. Findings included: - R29's Electronic Medical Record (EMR) documented he had diagnoses of Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), hyperlipidemia (condition of elevated blood lipid levels), major depressive disorder (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness and emptiness), hypertension (elevated blood pressure), anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), gastro- esophageal reflux (GERD-backflow of stomach contents…

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 The facility had a census of 42 residents. The sample included 12 residents with five reviewed for unnecessary medications. Based on observations, record review, and interview the facility failed to provide an appropriate diagnosis for R29's antipsychotic (class of medications used to treat psychosis and other mental emotional conditions) medication. This placed R29 at risk for complications related to receiving an unnecessary antipsychotic medication. Findings included: - R29's Electronic Medical Record (EMR) documented he had diagnoses of Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), hyperlipidemia (condition of elevated blood lipid levels), major depressive disorder (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness and emptiness), hypertension (elevated blood pressure), anxiety (mental or emotional reaction characterized by apprehension,…

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.