Spring Hill Care And Rehab

The facility identified a census of 36 residents. The sample included 12 residents, with five reviewed for care plan revisions. Based on observation, record review, and interviews, the facility failed to revise Resident (R) 20's Care Plan to remove his therapeutic diet. This deficient practice placed R20 at risk for uncommunicated care needs. Findings Included: - The Medical Diagnosis section within R20's Electronic Medical Records (EMR) included diagnoses of benign prostatic hyperplasia (BPH - non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary frequency, and urinary tract infections), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), dysphagia (difficulty swallowing), and dementia (a progressive mental disorder characterized by failing memory and confusion). R20's Quarterly Minimum Data Set (MDS) dated 04/15/25 noted a Brief Interview for Mental Status (BIMS) score of zero, indicating severe cognitive impairment. The MDS indicated he used a walker for mobility. The MDs…

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 identified a census of 36 residents. The sample included 12 residents, with five reviewed for care plan revisions. Based on observation, record review, and interviews, the facility failed to revise Resident (R) 20's Care Plan to remove his therapeutic diet. This deficient practice placed R20 at risk for uncommunicated care needs. Findings Included: - The Medical Diagnosis section within R20's Electronic Medical Records (EMR) included diagnoses of benign prostatic hyperplasia (BPH - non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary frequency, and urinary tract infections), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), dysphagia (difficulty swallowing), and dementia (a progressive mental disorder characterized by failing memory and confusion). R20's Quarterly Minimum Data Set (MDS) dated 04/15/25 noted a Brief Interview for Mental Status (BIMS) score of zero, indicating severe cognitive impairment. The MDS indicated he used a walker for mobility. The MDs…

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 36 residents. The sample included 12 residents, with one resident reviewed for activities of daily living (ADL) care. Based on observation, record review, and interviews, the facility failed to provide Resident (R) 9 with assistance with eating and further failed to ensure R9's call light was within his reach. This defiant practice placed R9 at risk of aspiration and unmet needs. Findings included: - R9's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of hemiparesis/hemiplegia (weakness and paralysis on one side of the body)following cerebrovascular accident (CVA-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) effecting left non-dominant side, pulmonary edema (accumulation of extravascular fluid in the lung tissues), pain, obesity (excessive calories), dementia (a progressive mental disorder characterized by failing memory and confusion),…

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 36 residents. The sample included 12 residents, with three reviewed for pressure ulcers (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). Based on interviews, observations, and record reviews, the facility failed to ensure Resident (R) 27's pressure-reducing low air-loss mattress (specialized air mattress used to reduce the pressure applied to the body) was utilized per her weight and manufacturer's safe use recommendations. The facility additionally failed to apply R9's pressure-reducing boots, which were used to off-load the heels of his feet per his care plan. These deficient practices placed both residents at risk for preventable wounds and impaired wound healing. Findings included: - The Medical Diagnosis section within R27's Electronic Medical Records (EMR) included diagnoses of major depressive disorder (major mood disorder), muscle failure, and kyphosis…

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 36 residents. The sample included 12 residents, with two residents reviewed for respiratory care. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 33's continuous positive airway pressure (CPAP - ventilation device that blows a gentle stream of air into the nose to keep the airway open during sleep) mask was stored in a sanitary manner. This placed R33 at an increased risk for respiratory infection and complications. Findings included: - R33's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of the acquired absence of right foot, 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 region, hematogenous osteomyelitis (a type of bone infection where bacteria travel through the bloodstream to the bones, causing inflammation and potentially bone destruction), 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 identified a census of 36 residents. The sample included 12 residents, with two residents reviewed for dementia (a progressive mental disorder characterized by failing memory and confusion) care. Based on observation, record review, and interviews, the facility failed to provide Resident (R) 17 with dementia services related to supervision and accidents. The defiant practice placed R17 at risk for preventable accidents. Findings Included: - R17's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of a history of falls, muscle weakness, hypothyroidism (a condition characterized by decreased activity of the thyroid gland), insomnia (inability to sleep), dementia (a progressive mental disorder characterized by failing memory and confusion), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), major depressive disorder (major mood disorder that causes persistent feelings of sadness), unsteadiness on feet, and peripheral vascular…

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 identified a census of 36 residents. The sample included 12 residents, with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities in Resident (R) 1's medication which lacked an indication for administration. The facility also failed to ensure the CP identified and reported the physician's order for monitoring the pulse for an antihypertensive (a class of medication used to treat high blood pressure) medication. This deficient practice placed R1 at risk for unnecessary medication use, side effects, and physical complications. Findings included: - R1's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of hypertension (HTN - elevated blood pressure), major depressive disorder (major mood disorder that causes persistent feelings of sadness), calculus (a hardened deposit, usually composed of mineral salts, that forms within the body) of the gallbladder, and diabetes mellitus (DM - when the body…

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 identified a census of 36 residents. The sample included 12 residents, with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure physician parameters were followed for a hypertensive medication (class of medication used to treat hypertension (high blood pressure) for Resident (R) 1. The facility also failed to ensure R1's medication had an indication for administration. These deficient practices placed R1 at risk for the potential of unnecessary medication administration thus leading to possible harmful side effects. Findings included: - R1's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of hypertension (HTN - elevated blood pressure), major depressive disorder (major mood disorder that causes persistent feelings of sadness), calculus (a hardened deposit, usually composed of mineral salts, that forms within the body) of the gallbladder, and diabetes mellitus (DM - when the body cannot use glucose, not enough insulin is made, or the body cannot respond to 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.

The facility identified a census of 36 residents. The sample included 12 residents, with two residents reviewed for hospice services. Based on observation, record review, and interviews, the facility failed to provide a description of the medication and equipment provided to Resident (R) 12 by hospice. This deficient practice created a risk for missed or delayed services, impaired physical, and psychosocial care for R12. Findings included: - R12's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), major depressive disorder (major mood disorder that causes persistent feelings of sadness), and cognitive communication deficit (an impairment in organization, sequencing, attention, memory, planning, problem-solving, and safety awareness). The Significant Change Minimum Data Set (MDS) dated 01/17/25 documented a Brief Interview of Mental Status (BIMS) score of six, which indicated severely impaired cognition. The MDS documented R12 was dependent on staff assistance 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 identified a census of 43 residents. Based on record review and interviews, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours, seven days a week. This placed all residents in the facility at risk for decreased quality of care. Findings included: - RN coverage documentation for 04/22/23 - 04/23/23 and 06/17/23 - 06/20/23 was requested from the facility. The facility provided documents Direct Care Staffing for Spring Hill Care and Rehab recorded the name of the nurse who provided RN coverage each day. The documents listed the following dates where RN coverage was recorded as provided by Administrative Nurse E (the former Director of Nursing): 04/23/23 and 06/19/23. Upon request, the facility was unable to provide verifiable times which demonstrated the eight consecutive hours as required for Administrative Nurse E on the above dates. On 10/03/23 at 11:08 AM Administrative Nurse D stated that Administrative Nurse F clocked in for work and her hours would be logged; however, she did not clock in as she worked in a salary position.…

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 43 residents. The sample included 12 residents and five Certified Nurse Aide's (CNA) reviewed for performance evaluations and required in-service training. Based on record review and interview, the facility failed to ensure four of the five CNA staff reviewed had the required yearly performance evaluations completed. This placed the residents at risk for inadequate care. Findings included: - Review of the facility's performance evaluation records revealed the following: CNA N, hired 11/09/18, last annual performance evaluation provided by the facility was dated for a review period of January 2019 to December 2019. No further yearly performance evaluations were provided by the facility for CNA N after 2019. CNA O, hired 07/08/22, no yearly performance evaluations were provided upon request. CNA P, hired 04/06/22, no yearly performance evaluations were provided upon request. CNA Q, hired 08/23/21, no yearly performance evaluations were provided upon request. On 10/04/23 at 01:44 PM Administrative Staff A stated Administrative Staff B would have provided…

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 identified a census of 43 residents. Based on record review, and interviews, the facility failed to provide a certified infection preventionist to oversee the facility's Infection Prevention and Control Program (IPCP). This deficient practice placed all residents at increased risk for infections related to lack of identification, tracking/trending, and treatment of infections. Findings included: - A review of the facility's infection control log indicated the facility infection control log for July, August, and September 2023 indicated the facility had 16 urinary tract infections and 15 upper respiratory infections. On 10/02/23 at 09:30AM, Administrative Nurse D reported that she assumed the responsibilities of infection preventionist (IP) after the previous IP nurse quit the facility. She stated that she was currently working on becoming certified. She reported the last IP quit in July of 2023. On 10/03/23 at 10:20AM, Administrative Staff A reported the facility recently had lost two IP's within the last year. He reported Administrative Nurse D was completing 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.

The facility identified a census of 43 residents. Based on interview and record review, the facility failed to conduct a criminal background check as required for two employees. The two employees were allowed access to residents without knowing if they had been found guilty of abuse, neglect, exploitation, misappropriation of property or mistreatment by a court of law. The deficient practice placed affected residents at risk for abuse, neglect, misappropriation, or mistreatment. Findings included: - Employee review of Certified Nurse Aide (CNA) M revealed a hire date of 04/06/20. The facility was unable to produce the results of CNA M's background check upon request. Employee review of Licensed Nurse (LN) H revealed a hire date of 03/12/19. The facility was unable to produce the results of LN H's background check upon request. On 10/03/23 at 03:52 PM Administrative Staff B stated that the facility did not have the background checks for CNA M or LN H. She stated that they ran the background check for CNA M but do not have the results. She further stated LN H was hired during…

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 43 residents. The sample included 12 residents with two reviewed for accommodation of needs. Based on record review, interviews, and observations, the facility failed to provide Resident (R)33's care planned adaptive equipment to support his dietary needs during meal service. The facility additionally failed to provide R27 wheelchair foot pedals during transport. This deficient practice placed both residents at risk for decreased quality of care. Findings Included: - R33's Electronic Medical Record (EMR) noted diagnoses of gastro-esophageal reflux disease (GERD- backflow of stomach contents to the esophagus), dysphagia (difficulty swallowing) dementia (progressive mental disorder characterized by failing memory, confusion), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), and delusional disorder (untrue persistent belief or perception held by a person although evidence shows it was untrue). R33's Quarterly 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 The facility identified a census of 43 residents. The sample included 12 residents with two residents reviewed for hospitalization. Based on observation, record review, and interviews, the facility failed to provide written notification of the reason and location for the facility-initiated transfer for Resident (R)35. This deficient practice placed the resident at risk of delayed care or uncommunicated care needs. Findings Included: - R35's Electronic Medical Record (EMR) noted diagnoses of morbid obesity (severely overweight), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), type two diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), heart failure, and chronic kidney disease. R35's EMR recorded a Discharge Assessment-Return Anticipated Minimum Data Set (MDS) which recorded R35 discharged to the acute hospital on [DATE]. R35's Entry Tracking Record MDS documented R35 returned 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 43 residents. The sample included 12 residents with one resident reviewed for hospitalization. Based on observation, interview and record review, the facility failed to provide a copy of the facility bed hold policy to Resident (R)35 and/or their representative, with a written notice specifying the duration and cost of the bed hold, at the time of the resident's two transfers to the hospital. This placed the resident at risk for impaired rights. Findings Included: - R35's Electronic Medical Record (EMR) noted diagnoses of morbid obesity (severely overweight), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), type two diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), heart failure, and chronic kidney disease. R35's EMR recorded a Discharge Assessment-Return Anticipated Minimum Data Set (MDS) which recorded R35 discharged to the acute hospital 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 identified a census of 43 residents. The sample included 12 residents. Based on observation, record review, and interviews, The facility failed to update/revise Residents (R)9 care plans to reflect post-fall interventions and changes in assistive care requirements. This deficient practice placed the resident at risk for preventable injuries and ineffective treatment due to uncommunicated care needs. Findings Included: - R9's Electronic Medical Record (EMR) noted a diagnose of overactive bladder, major depressive disorder (major mood disorder), abnormalities of gait and mobility, fracture of left femur (broken large bone), obesity (overweight), and history of falls. R9's Annual Minimum Data Set (MDS) completed 06/01/23 noted a Brief Interview for Mental Status (BIMS) score of nine indicating moderate cognitive impairment. The MDS indicated she required limited assistance from one staff for transfers, bed mobility, locomotion, and walking. The MDS indicated no previous falls. The MDS noted she used a walker for mobility. R9's Quarterly MDS completed 08/08/23 indicated her…

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 identified a census of 43. The sample included 12 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to ensure Resident (R)33 had an appropriate indication for use, or a documented physician rationale which included the multiple unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use of Zyprexa (antipsychotic-class of medications used to treat major mental conditions which cause a break from reality). This deficient practice placed R33 at risk of unnecessary medication administration and possible adverse side effects. Findings Included: - R33's Electronic Medical Record (EMR) noted a diagnose of dementia (progressive mental disorder characterized by failing memory, confusion), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), and delusional disorder (untrue persistent belief or perception held by a person although evidence shows it was untrue). R33's Quarterly 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 The facility identified a census of 41 residents. The sample included 13 residents with one resident reviewed for reasonable accommodations. Based on observations, record reviews, and interviews, the facility failed provide Resident (R)37 with access to his room's assigned telephone. This deficient practice placed the resident at risk for physical and psychosocial well-being. Findings Included: - The electronic medical records (EMR) documented the following diagnosis for R37: hemiplegia affecting right dominant side (paralysis of right side of the body), intracranial hemorrhage (loss of a large amount of blood in a short period of time), cerebral aneurysm (rupture of an artery to the brain), hypertension (high blood pressure), dysphagia (swallowing difficulty), gout (inflammation of the joints), constipation (difficulty passing stools), hyperlipidemia (condition of elevated blood lipid levels), cognitive communication deficit, muscle weakness, and major depressive disorder (major mood disorder). A review 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 had a census of 41 residents. The sample included 13 residents with three reviewed for Center for Medicare and Medicaid Services (CMS) Beneficiary Liability notices. Based on record review and interview, the facility failed to provide form CMS 10055, Advanced Beneficiary Notice (ABN), which included the estimated cost for continued services for skilled services to the resident or their representative for the two residents, Resident (R) 28, and R32. This deficient practice placed both residents at risk for uninformed decisions and unanticipated costs related to skilled services. Findings included: - The Medicare ABN form informed the beneficiaries that Medicare may not pay for future skilled therapy and did not provide an estimated cost to continue their services. The form included an option for the beneficiary to (1) receive specified services listed, and bill Medicare for an official decision on payment. I understand if Medicare does not pay, I will be responsible for payment, but can appeal to Medicare. (2) receive therapy listed, but do not bill Medicare, I am…

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 41 residents. The sample included 13 residents. Based on observations, record reviews, and interviews, the facility failed provide R37 with a comfortable home-like environment as evidenced by loud television noises in his room and uncomfortable water temperatures during showers. This deficient practice placed the resident at risk for impaired psychosocial well-being. -Findings Included: -The electronic medical records (EMR) documented the following diagnosis for R37: hemiplegia affecting right dominant side (paralysis of right side of the body), intracranial hemorrhage (loss of a large amount of blood in a short period of time), cerebral aneurysm (rupture of an artery to the brain), hypertension (high blood pressure), dysphagia (swallowing difficulty), gout (inflammation of the joints), constipation (difficulty passing stools), hyperlipidemia (condition of elevated blood lipid levels), cognitive communication deficit, muscle weakness, and major depressive disorder (major mood…

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 41 residents. The sample included 13 residents, five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed ensure the Consultant Pharmacist (CP) identified and reported irregularities for hypertensive medication (class of medication used to treat hypertension (high blood pressure) given outside the physician ordered parameters. which had the potential of unnecessary medication administration thus leading to possible harmful side effects. The CP had not reported irregularities related to physician notification and insulin (medication to regulate blood sugar) administered when blood sugar was outside the physician ordered parameters for Resident (R) 24. These failures placed the resident at risk for possible harmful side effects. Findings included: - R24's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of diabetes mellitus (- when the body cannot use glucose, not enough insulin made,…

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 41 residents. The sample included 13 residents, five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed ensure that hypertensive medication (class of medication used to treat hypertension (high blood pressure) given outside the physician ordered parameters. which had the potential of unnecessary medication administration thus leading to possible harmful side effects. The facility failed to ensure the physician was notified and insulin (medication to regulate blood sugar) administered when blood sugar was outside the physician ordered parameters for Resident (R) 24. These failures placed the resident at risk for possible harmful side effects. Findings included: - R24's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of diabetes mellitus (when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin), depression (abnormal emotional state…

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.