Maison Teche Nursing Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for 1 (#42) out of 2 (#8 and #42) residents investigated for respiratory care, by failing to label and properly store Oxygen tubing, and safely store Oxygen tanks. The total sample size was 36 residents. Findings: On 12/04/2024, a review of the facility's policy titled Oxygen Administration with a revision date of 06/01/2024, indicated Policy: Oxygen is administered to residents who need it, consistent with professional standards of practice .5. e. Keep delivery devices covered in a black IFP (infection prevention) bag when not in use. On 12/04/2024, a review of the facility's policy titled Oxygen Safety with a revision date of 06/01/2024, indicated Policy: It is the policy of this facility to provide a safe environment for residents, staff, and the public .Policy Explanation and Compliance guidelines: 4. Oxygen storage - a. Oxygen storage locations shall be in…

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

Based on observations, interviews and record reviews, the facility failed to ensure their medication error rate was less than five percent. Findings: Observations of morning med pass were conducted on 12/03/2024. S6LPN (Licensed Practical Nurse) administered Carafate Oral Tablet 1 GM (gram) and Ferrous Sulfate Oral Tablet 325 MG (milligram) to Resident #15 after the resident ate breakfast. Review of Resident #15's EHR (Electronic Health Record) revealed Physician Orders, for the month of December 2024, including the following orders dated 11/19/2024: 1. Carafate Oral Tablet 1 GM (gram) (Sucralfate). Give 1 tablet by mouth before meals . 2. Ferrous Sulfate Oral Tablet 325 (65 Fe) MG (milligram) (Ferrous Sulfate) Give 1 tablet by mouth before meals . During an interview on 12/03/2024 at 9:03 a.m., S6LPN stated that the resident had eaten breakfast in the dining room then came back to Hall W for medication administration. S6LPN checked the orders for Ferrous Sulfate and Sucralfate in the resident's EHR and confirmed that the orders were written to be given before meals and were 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.

Based on record review and interviews, the facility failed to initiate a grievance for 1 (Resident #1) of 3 (#1, #2, #3) sampled residents. Findings: Review of the facility policy and procedure titled, Resident and Family Grievances read in part .it is the policy of the facility to support each resident's family members right to voice grievances without discrimination reprisal or fear of discrimination or reprisal .Policy Explanation and Compliance Guidelines: 3. A resident or family member may voice grievances with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and other residents, and other concern regarding their facility stay. Review of Resident #1's Electronic Medical Record (EMR) record revealed an admit date of 08/14/2024 with diagnoses that included but not limited to Malignant neoplasm of colon, Hemiplegia affecting right dominant side, Type 2 diabetes mellitus with diabetic nephropathy, Paraplegia, Moderate protein calorie malnutrition, Pressure Ulcer Stage 2, and Physical debility. 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure as needed narcotic pain medication was documented as administered on the Medication Administration Record (MAR) for 1 (#1) of 3 (#1, #2, #3) residents reviewed for pain management. Findings: Review of facility policy and procedure with no revision date for Controlled Substance Administration and Accountability read in part .Policy Explanation and Compliance Guidelines: 1. General Protocols: g. In all cases, the dose noted on the usage form or entered into the automated dispensing system must match the dose recorded on the Medication Administration record (MAR). H. The controlled drug record (or other specified form) serves the dual purpose of recording both narcotic disposition and patient administration. I. The controlled drug record is a permanent medical record document and in conjunction with the MAR is the source for documenting any patient-specific narcotic dispensed from the pharmacy. Review of Resident #1's Electronic Medical Record…

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

Based on record review and interview, the facility failed to implement the comprehensive person-centered care plan for 1 (#1) of 3 ( #1, #2, #3) sampled residents as evidenced by staff failing to ensure a third person was available to observe a resident that was transferred back to the bed using a mechanical lift. The facility has a census of 92 residents. Findings: Resident #1: A review of Resident #1's record revealed an admission date of 07/23/2019 with diagnoses including but not limited to Metabolic encephalopathy, Muscle wasting, Peripheral vascular disease, Cognitive communication deficit, Dysphagia, Alzheimer's disease. and Aphasia. A review of her care plan revealed a problem: Self-care deficit, needs assistance with ADLs (Activities of Daily Living) r/t (related to), decreased mobility, lack of coordination, and muscle weakness. An intervention dated 09/3/2023 read .Transfer assistance: Resident is a 3 person assist using mechanical lift, (Third Person for Observation). A review of a facility incident report dated 10/10/2024 revealed Resident #3 was observed to have a…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to ensure that nursing aides possessed the competencies and skill sets necessary to provide nursing services to meet the residents' needs safely and attain or maintain the highest practicable physical well-being as evidenced by S3Transportation failing to demonstrate the correct procedure for securing a resident in the facility's transportation van. Findings: Review of facility training and in-service records revealed an attestation signed by S3Transportation on 03/17/2023, attesting that she had watched the training videos for the use of the Q-straint Restraint System and [NAME] Wheelchair Lifts. Further review of facility training and in-service records revealed a van wheelchair in-service was conducted with all transportation drivers on 04/10/2024. S3Transportation's signature was on the sign-in sheet. Review of the van wheelchair in-service read in part: When transporting resident via wheelchair/power chair in transport van, ensure all…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to maintain a system of accounting of each resident's personal funds entrusted to the facility on the resident's behalf by failing to provide quarterly statements for 1 (# 2) of 1 resident investigated for personal funds. The facility was entrusted with personal funds for 75 residents. Findings: A review of the facility's policy titled Resident's Account, read in part: Residents shall have the right to the following options regarding their personal financial affairs. 1. They shall be allowed to manage their personal financial affairs or to designate someone to assume this responsibility for them .3. The resident or his/her legal representative shall have access through quarterly statements . Resident #2 was admitted to the facility on [DATE]. The resident had a BIMS (Brief Interview of Mental Status) of 15, indicating that her cognition was intact. On 10/30/2023 at 09:38 a.m., an interview was conducted with Resident #2. The resident stated she had been…

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

Based on observations and interviews, the facility failed to provide a sanitary environment during a meal observation. This deficient practice was evident when the CNA (Certified Nurse Assistant) failed to perform appropriate hand hygiene while feeding residents. This deficient practice had the potential to affect the 10 residents who eat in the dining room that required assistance with feeding. Findings: On 10/30/2023 at 11:27 a.m. to 11:40 a.m., a meal observation was conducted. A hand sanitizer dispenser was noted on the wall next to the feeder table. S7CNA was observed at a feeder table in the dining room feeding four residents. During the observation, she cleaned one of the resident's mouth with his bib after he coughed then picked up a different resident's serving utensil without applying hand sanitizer. She was observed wiping another resident's mouth with his bib after the resident stated he was finished with his meal. Then she placed the resident's face mask on his face. She unlocked his wheelchair, grabbed the wheelchair handle, and pulled the resident's wheelchair away…

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

Based on observation, record review and interview, the facility failed to ensure the smoking policy included the use of e (electronic)-cigarettes for 1 (#44) out of a total of 11 smokers who resided in the facility. Findings: Review of the facility's policy and procedure titled Smoking Policy-Residents failed to include e-cigarettes. On 11/01/2023 at 3:05 p.m., Resident #44 was observed sitting in his wheelchair, outside in the designated smoking area, smoking his personal e-cigarette. On 11/01/2023 at 3:09 p.m., an interview was conducted with S2DON (Director of Nursing) who stated she was unsure if the facility had a policy on e-cigarettes. On 11/01/2023 at 5:00 p.m., S1ADM (Administrator) confirmed the facility failed to include the use of e-cigarettes in the smoking policy.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and observations, the facility failed to maintain a homelike environment for 2 (#8 and #58) out of 4 (#8, #37, #43, and #58) residents investigated for a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect all the residents residing in the facility. The facility's census was 83. Findings: Review of the facility's policy, Safe and Homelike Environment revealed, in part, the following: Policy Statement: In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment .This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility maximizes the resident independence and does not pose a safety risk . Policy Explanation and Compliance Guidelines: . 3. Housekeeping and maintenance services will be provided as necessary to maintain a sanitary, orderly and comfortable environment. Resident #58: Review of Resident #58's record revealed he…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the provider failed to electronically transmit a completed Minimum Data Set (MDS) Discharge assessment and Modification MDS Entry assessment to the CMS (Center for Medicare and Medicaid Services) system within 14 days after completion for 2 (#55 and #56) out of 2 (#55 and #56) resident's investigated for resident assessment submission activities. Findings: A review of Resident #55's electronic clinical record revealed an admission date of 05/11/2023. Further review of the record revealed an Entry MDS assessment dated [DATE], and in the assessment history revealed the assessment had been modified and was accepted on 10/27/2023. A review of Resident #56's electronic clinical record revealed an admission date of 06/05/2023. Further review of the record revealed a Discharge Return Not Anticipated MDS assessment dated [DATE] and accepted on 10/27/2023. On 11/01/2023 at 3:15 p.m. an interview and record review was conducted with S3MDS, who confirmed Resident #55's Entry 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 Based on observations, records reviewed and interviews the provider failed to ensure 2 (#49 and #50) out of 38 sampled residents received an accurate assessment as evidenced by failing to: 1. indicate Resident #49 required wander/elopement alarm and 2. indicate Resident #50 received hospice services Findings: Resident # 49 Review of Resident # 49's quarterly MDS (Minimum Data Set) assessment dated [DATE] revealed the resident was admitted to the facility on [DATE] and under section P, Restraints and Alarms, was coded as 0. Not used for wander/elopement alarm. Review of Resident #49's current orders revealed a start date of 04/03/2023 that resident is an elopement risk and must wear wander alert bracelet at all times. Review of Resident #49's current care plan revealed the resident was an elopement risk with interventions, in part, to check alert bracelet for proper function weekly and to place wander alert bracelet on person. On 11/01/2023 at 3:30 p.m., an interview was conducted with S3MDS. S3MDS confirmed…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure physician orders were implemented as ordered for weighing resident weekly for 1 (#17) of 38 sampled residents. Findings: Review of Resident #17's record revealed that he was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Vitamin D Deficiency, Muscle Weakness, Vascular Dementia, and Mild Protein-Calorie Malnutrition. Review of resident's comprehensive care plan revealed a focus of potential for fluid volume deficit, malnutrition or significant weight change with an intervention that included weight every month unless otherwise ordered, record weight. Review of the resident's October 2023 physician's orders revealed an order entry date 07/25/2023 for weekly weights until stable one time a day every 7 day(s) for weight loss. Review of the resident's weight summary revealed weights on the following dates: 08/20/2023, 09/19/2023, 10/25/2023 and 10/31/2023. On 11/01/2023 at 11:59 a.m., an interview was…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that a resident's care plan was accurately updated with the appropriate interventions to reflect the resident's current use of an anticoagulant, a blood thinner medication, for 1 (#32) out of 5 (#10, #31, #32, #47 and #49) sampled residents investigated for unnecessary medication review. Findings: Resident #32 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease, Major Depressive Disorder, Cognitive Communication Deficit, Generalized Anxiety Disorder, Muscle Wasting and Atrophy, Type 2 Diabetes Mellitus, and Schizoaffective Disorder. Review of Resident #32's October 2023 physician orders revealed an order for Eliquis (a blood thinner medication) oral tablet 2.5mg (milligram) take one tablet by mouth twice a day, for DVT (Deep Vein Thrombosis). Order date and start date 05/04/2023. Review of Resident #32's MAR (Medication Administration Record) failed to reveal that the resident was being monitored…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident who required assistance with activities of daily living received the necessary services to maintain good personal hygiene for 1 (#8) out of 3 residents (#5, #8, and #50) investigated for activities of daily living care out of a total sampled of 38. Findings: Resident #8 was admitted to the facility on [DATE] with diagnoses in part: Functional Quadriplegia, Spastic Hemiplegia Affecting Right Dominant Side, Muscle Wasting and Atrophy, Hx (History of) of Traumatic Brain Injury, Lack of Coordination, and Stiffness of right knee A review of section GG of Resident #8's quarterly MDS (Minimum Data Set) assessment with an ARD (Assessment Reference Date) of 09/08/2023 revealed that he scored a 3 in transfer, toilet hygiene, and shower/bathe self, indicating that the resident required help to lift or hold his trunk or limbs. A review of Resident #8's plan of care revealed that he required direct care and two people to assist him…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to ensure the resident's environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent avoidable accident hazards for 1 (#49), who was care planned for unsafe smoking, out of 1 (#49) residents investigated for safe smoking. Findings: Review of the facility's policy and procedure titled, 'Smoking Policy - Residents', revealed in part .This facility shall establish and maintain safe resident smoking practices .3. If the resident is a smoker it should be noted in the care plan. 4. The facility may impose smoking restrictions on residents at any time if it is determined that the resident cannot smoke safely with the available levels of support and supervision . The facility's policy and procedure titled, Smoking Policy - Residents, failed to include information on how the facility determined whether or not a resident that smokes was considered a safe or unsafe smoker, designated smoking…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to provide appropriate treatment and care, for 2 (#3 and #43) of 4 residents (#3, #32, #43, and #50) investigated for Urinary Catheter or UTI (Urinary Tract Infection) out of 38 sampled residents. Findings: Resident #3: Resident #3 was admitted to the facility on [DATE] with diagnoses in part: Urinary Tract Infection, Neuro Muscular Dysfunction of Bladder, Overactive Bladder, Complete Lesion of T2-T6 of Thoracic Spinal Cord, and Osteomyelitis of Vertebra. A review of Resident # 3's Annual MDS (Minimum Data Set) dated 09/19/2023 revealed that she had an indwelling catheter and was always incontinent of bowel. A review of the resident's physician's orders revealed an order written on 04/20/2023 to ensure Foley catheter is secure with leg band, and/or tape every day and night shift, and another on 04/21/2023 for urinary catheter care every day and night shift. A review of Resident #3's October 2023 TAR (Treatment Administration Record) revealed that there…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents who needed respiratory care were provided care consistent with professional standards of practice for 3 (#57, #58, #60) out of 3 (#57, #58, #60) residents investigated for respiratory care as evidenced by: 1. Failing to ensure oxygen equipment was stored appropriately when not in use for Resident #57 and Resident #60; 2. Failing to ensure oxygen equipment was changed for Resident #57 and Resident #60 ; 3. Failing to change infection prevention pouch for Resident #60 and; 4. Failing to label oxygen equipment for Resident #58. Findings: Review of the facility's policy titled Maintenance and Cleaning of Oxygen and Nebulizer Equipment read in part: a. Change and label oxygen tubing and mask/cannula weekly and as needed if it becomes soiled or contaminated. Review of the facility's policy titled Nursing (Infection Control) read in part: 1. The facility will utilize an infection prevention product (e.g. IP-Pouch) that will be…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that the licensed nurses and agency staff have specific competencies and skills sets necessary to care for residents' needs as evidenced by: 1. The nurse failing to demonstrate the correct method to administer the correct dosage of a topical cream medication and; 2. Failing to ensure that agency nurse aides had the required competencies to care for residents' needs. Findings: 1. Resident #48 was admitted to the facility on [DATE]. Her diagnoses included in part, Atherosclerosis of left leg, Type 2 Diabetes mellitus, Pain left shoulder, Acquired absence of right and left great toe and Muscle wasting and atrophy of right/left shoulder, right/left upper arm and Right/left lower leg. On 10/31/23 at 12:00 p.m., a medication administration observation was conducted with S6LPN. A medication cup with a white substance was observed in S6LPN's hand. She stated that this was a topical cream for Resident #48 to apply to her feet. The order for Declofenac…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that services were provided as outlined in the comprehensive plan of care by failing to follow physician orders for the administration of IV (Intravenous) fluids for 1 (#1) out of 3 (#1, #2,and #3) sampled residents. Finding Resident #1 was admitted to the facility on [DATE]. Her diagnoses include in part, Peripheral Vascular Disease, Dysphagia, Hypertension, Alzheimer's Disease, amd Aphasia. Review of the Resident #1's plan of care revealed the resident was care planned for dehydration or potential for fluid deficit related to poor intake. Further review revealed an intervention dated 09/08/2023 for IV (intravenous) fluids 1000 cc (cubic centimeter) to be given as ordered. Review of the blood test completed on 09/08/2023 revealed an elevated BUN (blood urea nitrogen) of 50.3 mg/dl (milligram per deciliter) and an elevated Creatinine of 1.78 mg/dl. The normal range for the BUN is 9.8-20.1 mg/dl and the normal range for the Creatinine is…

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.