Parkside Homes

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident #3 Activities of Daily Living Resident (R) pertinent diagnoses from (date) physician's order EMR documented: PAIN, UNSPECIFIED(R52), UNSPECIFIED DISORDER OF EYE AND ADNEXA(H57.9), GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS(K21.9), DRY EYE SYNDROME OF UNSPECIFIED LACRIMAL GLAND (H04.129), IRON DEFICIENCY(E61.1), MYALGIA, UNSPECIFIED SITE(M79.10), ANEMIA, UNSPECIFIED(D64.9), ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSPECIFIED ANGINA PECTORIS (I25.119), HYPOKALEMIA(E87.6), RESTLESS LEGS SYNDROME(G25.81), VITAMIN DEFICIENCY, UNSPECIFIED(E56.9), PULMONARY HYPERTENSION, UNSPECIFIED(I27.20), MIXED HYPERLIPIDEMIA(E78.2), NONRHEUMATIC AORTIC VALVE DISORDER, UNSPECIFIED(I35.9), OVERACTIVE BLADDER(N32.81), LONG TERM (CURRENT) USE OF ANTICOAGULANTS(Z79.01), OTHER KYPHOSIS, SITE UNSPECIFIED(M40.299), OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC)(G47.33), CHRONIC KIDNEY DISEASE, STAGE 4 (SEVERE)(N18.4), UNSPECIFIED ABNORMALITIES OF GAIT AND MOBILITY(R26.9), NEED FOR ASSISTANCE 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 reported a census of 34 residents with 12 residents selected for review. Based on observation, interview, and record review, The facility failed to accurately complete the Minimum Data Set for three residents, Resident (R) 35 related to falls and injections, R31 related to the use of a Foley catheter (tube inserted into the bladder to drain urine into a collection bag) and oxygen, and R 24 related to falls. This placed the residents at risk for uncommunicated care needs. Findings included: - Resident (R)35 's Electronic Health Record (EHR) revealed diagnoses of repeated falls, dementia (progressive mental disorder characterized by failing memory, confusion), muscle weakness and closed fracture (broken bone without a break in the skin) with routine healing of right femur (thigh bone) and diabetes (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin). The 07/08/24 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS)…

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 34 residents with 12 residents sampled that included one resident reviewed for baseline care plan. Based on interviews, observations, and record review, the facility failed to develop a person-centered baseline care plan for one resident, Resident (R) 238. This deficient practice had the potential to lead to uncommunicated needs and accidents. Findings included: - Review of the Electronic Health Record (EHR) revealed Resident (R)238 had the following diagnoses: extradural and subdural abscess (cavity containing pus and surrounded by inflamed tissue that is inside your skull or near your spine), Methicillin susceptible staphylococcus aureus infection (MRSA - a type of bacteria resistant to many antibiotics), sepsis (a systemic reaction that develops when the chemicals in the immune system release into the blood stream to fight an infections which cause inflammation throughout the entire body instead. Severe cases of sepsis can lead to the medical emergency, septic shock), 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.

The facility had a census of 34 residents, the sample included 12 residents. Based on observation, interview, and record review, the facility failed to develop a comprehensive care plan with interventions to address the enhanced barrier precautions for Resident (R)12's wounds, to ensure infection control precautions, which placed other residents at risk. Findings included: - Review of the Electronic Medical Record (EMR) included diagnoses of hypertension (HTN- elevated blood pressure), chronic kidney disease (CKD- a long term condition where the kidneys are damaged and cannot filter the blood properly), restless leg, history of venous thrombosis (clot that developed within a blood vessel) and embolism (an obstruction in a blood vessel due to a blood clot or other foreign matter that gets stuck while traveling through the blood stream), and presence of vascular implants. The 07/23/24 admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. R12 used a walker and wheelchair and required supervision or…

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 34 residents with 12 residents selected for review. Based on observation, interview and record review, the facility failed to review and revise the comprehensive care plan for two residents, Residents (R) 24 and R31 related to falls and accident hazards. These deficient practices had the potential to lead to uncommunicated needs that would negatively affect the physical and psychosocial well-being of the residents. Findings included: - Review of the Electronic Health Record (EHR) for Resident (R) 24 revealed diagnoses that included diabetes mellitus type 2 (DM2 - when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin) and unspecified epilepsy (a brain disorder characterized by repeated seizures and glaucoma (abnormal condition of elevated pressure within an eye which can cause loss of vision). Review of the 05/02/24 Annual Minimum Data Set (MDS) revealed the resident had a Brief Interview for Mental Status (BIMS) score of 14, which…

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 34 residents with 12 residents selected for review. Based on observation, interview, and record review, the facility failed to assess and address skin issues including open areas to her bilateral legs and edema (swelling resulting from an excessive accumulation of fluid in the body tissues) for Resident (R) 12. This deficient practice had the potential to place R12 at an increased risk for development of additional medical problems. Findings included: - Review of the Electronic Medical Record (EMR) included diagnoses of hypertension (HTN- elevated blood pressure), chronic kidney disease (CKD- a long term condition where the kidneys are damaged and cannot filter the blood properly, restless leg, history of venous thrombosis (clot that developed within a blood vessel) and embolism (an obstruction in a blood vessel due to a blood clot or other foreign matter that gets stuck while traveling through the blood stream), and presence of vascular implants. The 07/23/24 admission Minimum…

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 - R3's Electronic Medical Record (EMR) documented diagnoses of atherosclerotic heart disease (heart disease caused by narrowing of the vessels on the heart), pulmonary hypertension (high blood pressure of the great vessels in the chest), congestive heart failure (CHF - a condition with low heart output and the body becomes congested with fluid), obstructive sleep apnea (OSA - a disorder in which the upper airways of the throat become constricted during sleep and can cause periods of apnea [absence of breathing]), and atrial fibrillation (rapid, irregular heartbeat). The Annual Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 14, which indicated intact cognition. The assessment documented that R3 utilized a wheelchair or walker and required maximum/moderate assistance for personal hygiene, toileting, and bathing and received oxygen. R3's Activities Care Area Assessment (CAA) dated 08/15/24 documented R3 received oxygen. The Care Plan provided by the facility 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.

The facility reported a census of 34 residents with 12 residents sampled. Based on interview and record review the facility failed to provide the pneumococcal vaccine (vaccine designed to prevent pneumonia [inflammation of the lungs which can be debilitating or lethal in the elderly]) declination form to four of the five residents reviewed. (Resident (R) 3,11, 17 and 238). Additionally, the facility failed to provide R3 with the influenza vaccine (a vaccine designed to prevent influenza [highly contagious viral infection]) declination form for one of the five residents reviewed. Findings included: - Review of the Electronic Health Record (EHR) of 2023-2024 for R3, R11, R17 and R238 lacked documentation of the pneumococcal vaccine declination form. Review of the EHR of 2023 - 2024 for R3 lacked documentation of the influenza vaccine declination form. On 10/09/24 at 02:09 PM, Administrative Nurse C reported that Administrative Nurse B would keep the residents' consents and declination forms as she could not located declination forms for the residents in EHR. On 10/09/24 at 03:03 PM,…

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 38 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to store paints and glue securely and failed to lock an unalarmed exit door during extremely cold weather which was accessible to two cognitively-impaired independently mobile residents. The facility further failed to investigate and identify causative factors and implement meaningful resident centered interventions to prevent falls for Resident (R)20, R25, and R29. This placed the affected residents at risk for falls and fall related injuries. Findings included: - On 12/15/22 at 08:58 AM, observation in the unlocked nourishment room revealed the following: Four (4-ounce) bottles of acrylic glue, which label read not intended for use with children without adult supervision. Numerous (eight oz.) different colored bottles of acrylic paint, which label read choking hazard small parts not for children. On 12/15/22 at 08:58 AM, Activity Z verified the above findings 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.

The facility had a census of 38 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to store drugs and biologicals under proper temperature controls in one of two medication rooms. This placed the affected residents at risk for ineffective medication regimen. Findings included: - On 012/15/22 at 09:00 AM, observation during initial tour of the medication room in the main building revealed the temperature log for the medication refrigerator lacked daily temperatures for 11 days in October 2022, six days in November 2022, and three days in December. On 12/15/22 at 09:00 AM, Licensed Nurse (LN) E verified there were missing days on the medication refrigerator temperature log. LN E stated evening shift staff were responsible for checking the refrigerator temperatures. On 12/21/22 at 10:30 AM, Administrative Nurse D stated that she expected nursing staff to check the temperatures of the medication refrigerator in the medication room daily to ensure it was running at the appropriate temperature for medication storage. 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 The facility had a census of 38 residents. The sample included 14 residents with three reviewed for pressure injuries. Based on observation, record review, and interview the facility failed to notify the physician when Resident (R) 29 had a wound on his left heel. This placed R29 at risk for delayed treatment and impaired wound healing. Findings included: - R29's Electronic Medical Record (EMR) documented R29 had diagnoses of weakness, osteoarthritis (chronic arthritis without inflammation), pain and diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin) with diabetic neuropathy (medical term for a condition in which there are problems with nerves in the body; either they have been damaged or are affected by a disease). R29's Quarterly Minimum Data Set (MDS), dated [DATE], documented R29 had a Brief Interview of Mental Status (BIMS) score of five, which indicated severe cognitive impairment. The MDS documented the resident required extensive…

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 38 residents. The sample included 14 residents. Based on observation, record review and interview, the facility failed to review and revise Resident (R) 20, and R25's plans of care with resident centered interventions to prevent falls and failed to update R29's care plan for pressure injury to the heel. This deficient practice placed the residents at risk of uncommunicated care needs as related to falls and skin breakdown. Findings included: -The Medical Diagnosis section within R20's Electronic Medical Record (EMR) included 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), fracture (broken bone) of left femur (thigh bone), , nondisplaced fracture of greater trochanter ( top of the thighbone) or right femur, repeated falls, urgency of urination, muscle weakness, lack of coordination, abnormalities of gait and mobility, diabetes mellitus (when…

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 38 residents. The sample included 14 residents with five residents reviewed for pressure injuries. Based on observation, record review, and interview, the facility failed to ensure one of five residents received necessary treatment and services to promote healing for Resident (R) 29's left heel pressure injury (localized injury to the skin and/or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear and/or friction). This placed R29 at risk for further injury, delayed healing and wound related pain. Findings included: - R29's Electronic Medical Record (EMR) documented R29 had diagnoses of weakness, osteoarthritis (chronic arthritis without inflammation), pain and diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin) with diabetic neuropathy (medical term for a condition in which there are problems with nerves in the body; either they have been damaged or are…

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 38 residents. The sample included 14 residents with three reviewed for bowel and bladder and urinary tract infection (UTI-infection of any part of the urinary system). Based on observation, record review, and interview the facility failed to provide appropriate treatment and services to prevent UTIs when staff failed to change gloves during perineal (genital areas) care for Resident (R) 29, who had a history of UTIs. This placed R29 at risk for recurring UTI and related complications. Findings included: - R29's Electronic Medical Record (EMR) documented he had a diagnose of UTIs. R29's Quarterly Minimum Data Set (MDS), dated [DATE], documented R29 required extensive staff to supervision assistance with activities of daily living (ADLs). The MDS documented R29 was frequently incontinent of urine, and occasionally incontinent of bowel. R29's ADLs and Incontinence Care Plan, revised 10/26/22, documented his increased risk of incontinence could increase his risk of skin irritation 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 38 residents. The sample included 14 residents, of which five were reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to obtain a stop date for Resident (R) 17 for use of as needed (PRN) antianxiety (class of medications that calm and relax people with excessive anxiety, nervousness, or tension) medication, which placed R17 at risk of receiving unnecessary psychotropic (medication that affects a person's mental status) medication. Findings included: - The Medical Diagnosis section within R17's Electronic Medical Record (EMR) included diagnoses of atrial fibrillation (rapid, irregular heartbeat), weakness, repeated falls, pain due to trauma and anxiety disorder. The Quarterly Minimum Data Set (MDS), dated [DATE], documented R17 had intact cognition, required extensive assistance of one staff for activities of daily living, received scheduled and PRN pain medication, and had two or more non-injury falls. The MDS further…

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 with 10 residents that attended the Resident Council meeting. Based on interview and record review, the facility failed to ensure facility residents' right to receive mail by not delivering mail to the residents on Saturdays. Findings Included: - Interview on 07/27/21 at 02:15 PM, with 10 residents that attended Resident Council meeting revealed that the facility does not deliver mail on Saturdays to any of the residents. Interview on 07/28/21 at 10:01 AM, with Dietary staff BB revealed the task of Saturday mail delivery was previously performed by the Activity Director, a now vacant position. Interview on 07/28/21 at 12:32 PM, with Licensed Nurse G who worked every other weekend revealed no one has passed mail on Saturday in a couple months. Social Services staff passed mail during the week. Interview on 07/29/21 at 11:37 AM, with Social Services Staff X revealed the Administrator told her the facility did not receive mail on Saturdays. Interview on 07/29/21 at 11:44 AM, with Postal Worker GG revealed the post office was willing 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.

The facility reported a census of 46 residents. Based on record review and interview, the facility failed to provide Notice to Medicare Provider Non-coverage (NOMNC) to two of the three residents reviewed, of his or her right to an expedited review of a services termination for Resident (R)18 and R34. Findings included: - The SNF [skilled nursing facility] Beneficiary Protection Notification Review, revealed that Resident (R)34's last covered day of skilled services ended on 04/19/21 and the facility initiated the discharge from Medicare A services when benefit days were not exhausted. The facility failed to provide R34 a NOMNC prior to discharge from skilled services. The SNF Beneficiary Protection Notification Review, revealed that Resident (R)18's last covered day of skilled services ended on 04/29/21 and the facility initiated the discharge from Medicare A services when benefit days were not exhausted. The facility failed to provide R 18 a NOMNC prior to discharge from skilled services On 07/29/21 at 10:05 AM, Social Services staff X, stated that she only provided an Advanced…

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 46 residents with 21 selected for review, including Resident (R)195 reviewed for baseline care plan. Based on observation, record review and interview, the facility failed to provide the resident and the resident representative with a baseline care plan summary following admission to the facility. Findings included: - The Notes, dated 07/20/21, for Resident (R)195, revealed he admitted to the facility on [DATE]. The Nursing Home admission Orders, dated 07/20/21, included diagnoses of anemia (condition without enough healthy red blood cells to carry adequate oxygen to body tissues), weakness, gastro esophageal reflux disease (GERD- backflow of stomach contents to the esophagus), weight loss, diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), Vitamin B12 deficiency, Benign prostatic hyperplasia/hypertrophy(BPH, non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary…

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 46 residents with 21 selected for review. Based on observation, interview, and record review, the facility failed to revise Resident (R)25's care plan following falls. Findings included: - The Physician Orders, dated 06/21/21, for Resident (R)25, included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain ) of the knee, weakness, pain in left hip, pain in left knee, muscle weakness, and dementia (progressive mental disorder characterized by failing memory, confusion). The Quarterly Minimum Data Set (MDS), dated [DATE], assessed R25 with a Brief Interview of Mental Status (BIMS) score of 14, which indicated cognition intact. R25 required limited assistance of one staff for bed mobility, transfers, toilet use, walking in room, and locomotion on and off unit. She required supervision and setup for walking in the corridor,…

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 46 residents with 21 selected for review including two residents reviewed for falls. Based on observation, interview, and record review, the facility failed to implement new interventions for one Resident (R)25 following falls. Findings included: - The Physician Orders, dated 06/21/21, for Resident (R)25, included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain ) of the knee, weakness, pain in left hip, pain in left knee, muscle weakness, and dementia (progressive mental disorder characterized by failing memory, confusion). The Quarterly Minimum Data Set (MDS), dated [DATE], assessed R25 with a Brief Interview of Mental Status (BIMS) score of 14, which indicated cognition intact. R25 required limited assistance of one staff for bed mobility, transfers, toilet use, walking in room, and locomotion on and off unit. 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 46 residents with 21 selected for review including one resident reviewed for respiratory care. Based on observation, interview, and record review, the facility failed to properly store oxygen tubing and suction machine tubing, failed to change out the oxygen concentrator humidifier bottle, and failed to change/clean the suction machine canister. These practices increased the risk of Resident (R)38 developing a respiratory infection. Findings included: - The Physician Orders, dated 07/06/21, for Resident (R)38, included diagnoses of obstructive sleep apnea (disorder of sleep characterized by periods without respirations), and hypoxia (inadequate supply of oxygen). The Significant Change Minimum Data Set (MDS), dated [DATE], assessed R38 with a Brief Interview of Mental Status, (BIMS) score of nine, which indicated moderate cognitive impairment and used oxygen while and while not a resident. The Quarterly MDS, dated 07/09/21, assessed R38 with the same BIMS score and did not…

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 21 residents with six residents reviewed for unnecessary medications. Based on record review and interview, the facility failed to accurately administer medications when staff gave R21 medications intended for R4 in error. Findings included: - The undated Physician Order, revealed diagnoses which included diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin) with neuropathy (disease of one or more nerves causing numbness or weakness), chronic kidney disease, and hypertensive (high blood pressure) heart disease with heart failure. R21's Care Plan, dated 03/21/21, directed staff to give medications as ordered and monitor for effectiveness. A Nurses' Note, dated 05/09/21 at 01:22 AM, documented on 05/08/21, at approximately 10:45 PM, Certified Medication Aide (CMA) R administered the following medications to R 21: 1. Ferrous sulfate (iron supplement) 325 milligrams (mg) by mouth. 2. Pravastatin (medication for high cholesterol) 40 mg by mouth. 3.…

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.