Paramount Community Living And Rehab INC

The facility reported a census of 92 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the resident kitchenette, on 03/25/24 at 11:07 AM, the following areas of concern were noted in the kitchen of greenhouse 1202: 1. The inside of the toaster had a heavy build-up of crumbs. 2. The top of the stove had dried-on food debris. 3. A large plastic container of corn chips lacked a lid and there were corn chips on the floor. 4. The deep freeze had food debris on the bottom. 5. The silverware drawer contained wet silverware and food debris. 6. There were multiple greasy fingerprints on the hood of the range. During a tour of the kitchenette of the first floor, on 03/25/24 at 01:00 PM, the following areas of concern were noted: 1. The resident refrigerator contained a can of an opened energy drink which was unlabeled and undated. 2. The sink had a brownish substance…

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 92 residents with 22 included in the sample. Based on observation, interview, and record review, the facility failed to ensure infection control techniques for Resident (R)9, regarding oxygen (O2) tubing/cannula storage, for R60, related to urinary catheters and perineal care, R242, related to storage of soiled catheter collection device stored next to personal care items of toothbrush and toothpaste, and R78, related to incontinence cares, to prevent the spread of infections in the facility. Findings included: - R9's physician orders revealed the following diagnoses that included chronic obstructive pulmonary disease (COPD-progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Review of the Quarterly MDS dated [DATE], revealed a BIMS score of 15. R9 received oxygen (O2).…

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 - Review of Resident (R) 37's medical record revealed diagnoses that included Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear, chronic kidney disease, congestive heart failure (a condition with low heart output and the body becomes congested with fluid), and osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain). The admission Minimum Data Set (MDS), dated [DATE], assessed the resident with a Brief Interview for Mental Status (BIMS) score of five, which indicated severe cognitive impairment. The resident required extensive assistance of staff for dressing and personal hygiene. The Cognitive Loss Care Area Assessment (CAA), dated 07/25/23, assessed the resident's risk factors of skin breakdown, weight loss and fluid imbalance. The ADL (Activity of Daily Living) Functional/Rehabilitation CAA dated 07/25/23 did…

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 92 residents, which included 10 residents residing in one of the six Green Houses. Based on observation, record review, and interview, the facility failed to provide unstained towels and washcloths to the residents in one [NAME] House. Findings included: - Interview, on 03/27/24 at 02:45 PM, with Resident (R)43 revealed certified staff does the laundry, and supplies towels and washcloths to the resident, however the towels are often stained, rough and/or worn. Observation at that time revealed a hand towel with a large gray stain over 3 percent of the towel. Observation, on 03/28/24 at 09:06 AM, revealed eight hand towels and two washcloths with stains of varying sizes with rough coarse texture and several with areas of worn texture. Interview, on 03/28/24 at 09:06 AM, with Certified Medication Aide/Certified Nurse Aide (CMA/CNA) AA, revealed all staff on all shift's complete laundry tasks and stained linen should be thrown away, and when the supply is low, more can be ordered. Interview, on 03/28/24 at 10:45 AM, with 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 92 residents with 22 selected for review. Based on observation, interview, and record review, the facility failed to develop comprehensive care plans for four of the 22 residents reviewed. Resident (R)37 for use of support hose, R35 for fluid restriction, R78 for type of music, TV shows and religious preferences and R242 for shaving preferences. Findings included: - Review of Resident (R) 37's medical record revealed diagnoses that included Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear, chronic kidney disease, congestive heart failure (a condition with low heart output and the body becomes congested with fluid), and osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain). The admission Minimum Data Set (MDS), dated [DATE], assessed the resident with 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 92 residents with 22 residents selected for review which included six residents reviewed for activities. Based on observation, interview, and record review, the facility failed to ensure appropriate activities for five Residents (R)7, R20, R33, R37, and R78, of the six residents reviewed for activities. Findings included: - Review of Resident (R) 7's medical record, revealed diagnoses that included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) and major depressive disorder (major mood disorder). The admission Minimum Data Set (MDS), dated [DATE], assessed the resident with a Brief Interview for Mental Status (BIMS) score of 11, which indicated moderate cognitive impairment. The resident rated books, music, animals, and group activities as very…

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 92 residents. Based on observation, interview, and record review, the facility failed to complete an accurate Minimum Data Set (MDS) for two residents, that included Resident (R)31, regarding the failure to complete the Care Area Assessments (CAA) for nutrition and pressure ulcers (PU) and R 33, regarding the failure to complete CAAs for psychotropic drugs, pain and mood state. Findings included: - Review of Resident (R)31's electronic medical record (EMR) included the following diagnoses included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness) and dementia (progressive mental disorder characterized by failing memory, confusion). The Significant Change Minimum Data Set (MDS), dated 02/06/24, lacked documentation for cognition. The resident had a significant weight loss, without a prescribed weight loss regimen and was at risk for the development 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 census totaled 92 residents with 22 residents included in the sample. Based on observation, interview, and record review, the facility failed to revise care plans for two residents. Resident (R)9, related to the failure to care plan a fall with a fractured foot that required a special walking boot, and R9, related to skin care for a pressure ulcer (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). Findings included: - R9's physician orders revealed the following diagnoses: diabetes mellitus (when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin) and right great toe fracture (broken toe). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The resident was dependent on a walker or wheelchair for mobility. The resident had no recent falls. 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 The facility reported a census of 92 residents with 22 residents sampled, including five residents reviewed for Activity of Daily Living (ADL). Based on observation, interview and record review, the facility failed to provide appropriate care to one dependent Resident (R)241, regarding facial shaving. Findings included: - The Physician's Order Sheet (POS), dated 03/21/24, documented Resident (R)242 had a diagnosis of Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness). The Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed severe impairment. The resident was dependent on staff for all activities of daily living (ADL). The Functional Abilities Care Area Assessment (CAA), dated 01/15/24, did not trigger. The Medicare 5-day MDS, dated 03/16/24, documented the staff assessment for cognition revealed severe impairment. He was dependent on staff…

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 92 residents with 22 residents selected for review and included three residents reviewed for pressure ulcers. Based on observation, interview, and record review, the facility failed to ensure alternative methods of pressure relief provided for one Resident (R)20, of the three residents reviewed for pressure ulcers. Findings included: - Review of Resident (R)20's medical record revealed diagnoses that included deep vein thrombosis (DVT blood clots) in the right and left leg, heart disease, diabetes (when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin), dementia (progressive mental disorder characterized by failing memory, confusion), and unstageable pressure ulcer (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 and the wound is covered by a layer of dead tissue). The Quarterly Minimum Data Set (MDS), dated [DATE],…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

The facility reported a census of 92 residents with 22 selected for review, which included three residents reviewed for restorative services. Based on observation, interview and record review, the facility failed to ensure staff provided range of motion (ROM) services for one Resident (R)78, of the three residents reviewed for restorative. Findings included: - Review of Resident (R)78's electronic medical record (EMR) revealed diagnoses which included multiple sclerosis (MS- progressive disease of the nerve fibers of the brain and spinal cord) and quadriplegia (inability to move the arms, legs and trunk of the body below the level of an associated injury to the spinal cord). The Modification of admission Minimum Data Set (MDS), dated 08/06/23, documented the resident had a Brief Interview for Mental Status (BIMS) score of three, indicating severe cognitive impairment. She required extensive assistance of staff with all activities of daily living (ADL) and had impairment on both sides of her upper and lower extremities. She received restorative cares for two days of the assessment…

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 92 residents with 22 residents included in the sample, including four residents reviewed for indwelling urinary catheters (insertion of a catheter into the bladder to drain the urine into a collection bag). Based on observation, interview, and record review, the facility failed to utilize an anchoring device for one Resident (R)78 and failed to ensure catheter tubing was kept up off the floor for R 242. Findings included: - Review of Resident (R)78's electronic medical record (EMR) revealed a diagnosis of neuromuscular dysfunction of the bladder (the muscles that control the flow of urine out of the body do not relax and prevent the bladder from fully emptying). The Modification of admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of three, indicating severe cognitive impairment. She required extensive assistance of two staff for toileting and had an indwelling urinary catheter (insertion of a catheter…

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 census totaled 92 residents with 22 residents included in the sample. Based on observation, interview, and record review, the facility failed to monitor one Resident (R)35, for a physician ordered fluid restriction. Findings included: - R35's physician orders revealed the following diagnoses included orthostatic hypotension (blood pressure dropping with change of position), essential (primary) hypertension (elevated blood pressure), viral hepatitis C (inflammatory condition of the liver), chronic obstructive pulmonary disease (COPD, a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), chronic kidney disease, and fluid overload (increase in the volume of extracellular and/or intravascular fluids). The Annual Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 09, indicating moderate cognitive impairment. The resident used a wheelchair or walker for mobility. The quarterly 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 The facility reported a census of 92 residents with 22 residents selected for review, which included five residents reviewed for unnecessary medication use. Based on observation, interview, and record review, the facility failed to monitor one of the five Residents (R)7 for hypotension and bowel movements and one resident, R 41, regarding a failure to follow physician ordered blood pressure parameters. (instructions to hold medication for blood pressures below a threshold). Findings included: - Review of Resident (R) 7's medical record, revealed diagnoses that included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), major depressive disorder (major mood disorder), and hypertension (elevated blood pressure). The admission Minimum Data Set (MDS), dated [DATE], assessed the 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.

The facility reported a census of 87 residents. Based on record review and interview, the facility failed to ensure nursing staff followed the principles of antibiotic stewardship in a proactive manner to ensure residents received antibiotics in a safe and effective manner to prevent unnecessary side effects of antibiotics and antibiotic resistance. The facility failed to track and trend infections and causative microorganisms throughout the facility and failed to compile antibiotic use data for prescribing practitioners. Findings included: - Review of the Antibiotic Log, revealed the following areas of concerns: April 2021: One unsampled resident with a wound infection treated with an antibiotic for 14 days without location of wound or causative organism. May 2021: Three unsampled residents with urinary tract infections (UTIs) treated with antibiotics, all without indication of causative organisms. June 2021: One unsampled resident identified with MRSA(methicillin resistant streptococcus aureus) treated with Vancomycin (antibiotic) and lacked source of the MRSA or need 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 87 residents with 23 selected for review, including five reviewed for respiratory care. Based on observation, record review, and interview, the facility failed to change the oxygen tubing for Resident (R)73, failed to change the oxygen tubing for R18 and to clean the concentrator and filter, failed to change the oxygen tubing for R68, failed to date the oxygen tubing, humidifier bottle and tubing, nebulizer tubing and store those items in a sanitary manner when not in use as well as the nebulizer kit after cleansing and allowing to air dry for R335, and failed to date the oxygen tubing and nebulizer tubing and kit when changed and to store items in a sanitary manner when not in use for R72. These practices increased the risk of these five residents for developing a respiratory infection. Findings included: - The Discharge Summary, for Resident (R)72, included a diagnosis of chronic obstructive pulmonary disease (COPD- progressive and irreversible condition characterized by…

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 87 residents. The sample included 23 residents with one resident reviewed for choices. Based on observation, interview, and record review, the facility failed to provide choices for Resident, (R)30 related to food. Findings included: - Review of the Resident (R) 30's undated Physician Orders, revealed diagnoses included, dry mouth, gastroesophageal reflux (backflow of stomach contents to the esophagus), and type 2 diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin). The Annual Minimum Data Set (MDS) dated [DATE], documentation included the resident's Brief Interview for Mental Status (BIMS) score of 15, which indicated cognitively intact. She reported feeling down. The resident interview regarding preferences revealed she thought it was somewhat important to have snacks available between meals. She received a mechanically altered and therapeutic diet. The Communication Care Area Assessment (CAA), dated 03/10/22,…

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 - Review of Resident (R)68's Physician Order Sheet, dated 03/16/22, revealed diagnoses that included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness,) osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain,) and atrial fibrillation (rapid, irregular heartbeat.) The Significant Change Minimum Data Set (MDS), dated [DATE], assessed the resident with normal cognitive function and received oxygen therapy. The ADL (Activity of Daily Living) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 04/13/22, assessed the resident required assistance with ADLs due to generalized weakness and decreased functional ability. The Care Plan, revised 04/08/22, instructed staff the resident received hospice services, which provided equipment and supplies. The Care Plan, instructed staff to monitor for respiratory distress/decreased respirations due…

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 87 residents with 23 residents sampled, including one resident reviewed for restorative services. Based on observation, interview, and record review, the facility failed to provide restorative services for one sampled Resident (R)27 to maintain or prevent decline in range of motion (ROM) ability. Findings included: - Review of Resident (R)27's electronic medical record (EMR), under the Med Diag (Diagnosis) tab, included a diagnosis of muscle weakness. The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. She required extensive assistance of two staff for transfers, her balance was not steady, and she had impairment on one side of her lower extremities. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment, dated 02/28/22, documented the resident had impaired balance and transition during transfers. The care plan would be initiated…

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 87 residents with 23 selected for review including two residents reviewed for pain management. Based on interview and record review, the facility failed to order one resident's narcotic (class of medication used to treat moderate to severe pain) medication in a timely manner, resulting in four missed scheduled doses and an increased pain level, for Resident (R)63. Findings included: - The Order Summary Report, dated 04/07/22, for Resident (R)63, included diagnoses of neuralgia (nerve pain), pain in unspecified joint, pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) of sacral (area of the lower back near the spine region), and osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain). The admission Minimum Data Set (MDS), dated [DATE], assessed R63 with a Brief Interview of Mental Status (BIMS) score of 15,…

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 87 residents with five selected for review of unnecessary medications. Based on observation, interview and record review, the facility and consulting pharmacist failed to identify the need for baseline and subsequent assessment for extrapyramidal side effect of antipsychotic medications at the initiation of Seroquel (antipsychotic medication used to treat certain mental/ mood conditions)and periodically thereafter during therapy to ensure the resident did not experience adverse effects of this antipsychotic medication. Findings included: - Review of Resident (R)70's Physician Order Sheet, dated 03/16/22, revealed diagnoses included vascular dementia (a progressive mental disorder characterized by failing memory and confusion caused by a decreased blood flow to the brain) with behavioral disturbance. The quarterly Minimum Data Set (MDS), dated [DATE], assessed the resident with severe cognitive deficit and continuous inattention, disorganized thinking, and altered level 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 reported a census of 87 residents with five residents selected for review for unnecessary medications. Based on observation, interview and record review, the facility failed to assess for extrapyramidal (a group of symptoms that may occur due to antipsychotic medication) side effects for one of the five sampled residents (R)70 and failed to ensure as needed psychotropic medications did not exceed 14 day use without physician re-evaluation and specified duration for three of the five sampled residents (R) 70, 68 and 45. Findings included: - Review of Resident (R)70's Physician Order Sheet, dated 03/16/22, revealed diagnosis included vascular dementia (a progressive mental disorder characterized by failing memory and confusion caused by a decreased blood flow to the brain) with behavioral disturbance. The Significant Change Minimum Data Set (MDS), dated [DATE], assessed the resident with severe cognitive deficit and received seven days of antidepressant and antianxiety medications during the seven day…

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.