Meadowview Health & Rehab Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure all allegations of injuries of unknown source with serious bodily injury was reported immediately, or within 2 hours of the allegation to the state agency for 1 (#2) of 2 (#1 and #2) residents sampled with facility incident reports. Findings: Review of the Abuse Prohibition Policy and Procedure with revision date of 05/17/2024 revealed the following, in part: Reporting/Response: 2.) The facility will report all allegations and substantiated occurrences of abuse, neglect or misappropriation of resident property to the state agency and to all other agencies as required by law and will take all necessary corrective actions depending on the results of the investigation. The Abuse Coordinator will report all allegations of abuse, neglect with serious bodily injury, mistreatment with serious bodily injury, exploitation with serious bodily injury, and injuries of unknown source with serious bodily injury immediately or within 2 hours of the allegation.…

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 develop and implement a comprehensive person-centered care plan for each resident, that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that are identified in the comprehensive assessment for 1 (#2) of 5 (#1, #2, #3, #4, and #5) sampled residents. Findings: Review of the record revealed resident #2 had an admission date of 10/13/2023 with diagnoses including other displaced fracture of second cervical vertebra, acute chronic systolic heart failure, chronic obstructive pulmonary disease, nontraumatic subarachnoid hemorrhage, contusion and laceration of cerebrum without loss of consciousness, traumatic subdural hemorrhage with loss of consciousness, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, degenerative disease of nervous system, muscle wasting and atrophy, spinal stenosis, syncope, chronic kidney disease, history of fractures, unspecified…

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 residents remained as free of accident hazards as possible for 1 (#2) of 3 (#2, #4, and #5) residents reviewed for accidents. The facility failed to ensure fall risk assessments were completed quarterly, specific interventions were implemented based on the results of the risk assessments, and careplan interventions were implemented on readmission on [DATE]. Findings: Review of the facility's Fall Prevention Program Policy and Procedure, last revision dated 06/10/2024, policy and procedure revealed in part the following: Policy: All residents will be assessed for the risk for falls at the time of admission, on a quarterly basis, and upon significant change in condition thereafter. Based on the results of this assessment, specific interventions will be implemented to minimize falls, avoid repeat falls, and minimize falls resulting in significant injury. A. Procedure 1. All residents will be screened for risk for falls utilizing the Fall Risk…

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 the nursing staff had appropriate competencies and skill sets to provide nursing care to assist resident safety and maintain the highest practical physical, mental, and psychological well-being of each resident for 1 (#2) of 3 (#2, #4, and #5) residents sampled for accidents. The facility`s failed practice was evidenced by a Certified Nurse Aide's (CNA) failure to follow the facility's Incident/Accident policy and procedure when resident #2 was found on the floor on 08/06/2024. Findings: Review of the Policy for Resident Incident and Visitor Accident Report, revised 07/23/2018, reviewed June 2024, revealed the following, in part: B. Resident Incidents/Accidents: 1. If you witness an incident/accident, you must: -Immediately summon help -DO NOT move the resident until he/she has been assessed by a licensed nurse Review of the record revealed resident#2 had an admission date of 10/13/2023 with diagnoses including other displaced fracture 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 Resident #98 Based on record review and interviews the facility failed ensure a discharge assessment was completed for 1 (Resident #98) of 4 (Residents #6, #98, #103, #106) residents reviewed for hospitalizations. Findings: Record review of Resident #98's progress notes from 04/24/2024 revealed the following: General Nurse's Note- Writer notified by Wound Care NP (Nurse Practitioner) that Resident #98 needs to go to ER (Emergency Room) to be evaluated at this time due to worsened wounds and abnormal vital signs . General Nurse's Note- Ambulance arrived and transported Resident #98 to acute hospital . Record review of Resident #98's MDS (Minimum Data Set) failed to reveal a discharge assessment was completed after Resident #98 was sent to an acute hospital on [DATE]. During an interview on 05/14/2024 at 4:30 p.m. S12 MDS RN (Registered Nurse) verified she did not do a discharge assessment for Resident # 98 when he was discharged to the hospital on [DATE]. During an interview on 05/14/2024 at 4:35 p.m. S2…

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 reviews, observations and interviews, the facility failed to ensure residents with limited range of motion receive appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 2 (#102,#118) of 3 (#10, #102,#118) residents reviewed for position and mobility. The facility failed to apply splints for Resident #102 and Resident #118 as ordered. Resident #102 Review of Resident #102's Medical Records revealed an admit date of 10/12/2023 with the following diagnoses, in part: anoxic brain damage/not elsewhere classified, muscle wasting and atrophy/right upper arm/left upper arm, contracture of muscle, and personal history of sudden cardiac arrest. Review of Resident #102's MDS (Minimum Data Set) assessment dated [DATE] revealed Section G Functional Status - total dependence/2 person - bed mobility, toilet use, eating, and transfer. Review of Resident #102's Physician's Orders revealed orders dated 05/03/2024 for resident to receive restorative…

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, observation, and interviews the facility failed to ensure appropriate treatment and services to prevent potential complications from enteral feeding by failing to change enteral feeding container at appropriate interval for 1 (#37) out of 3 (#37, #42, #67) residents reviewed for tube feedings. Findings: Review of medical diagnosis revealed the following: Cerebral infarction Facial weakness from cerebrovascular accident Dysphagia Lack of coordination Unspecified dementia Review of resident #37's physician's orders revealed an order for Enteral feeding: every night shift give Jevity 1.5 or equivalent formula at 60 cc (cubic centemeter) per peg tube (1080 calories, 46 grams protein and 1656 cc fluid) order dated 04/27/2023. An observation on 05/13/2024 at 8:30 a.m. revealed peg tube feeding tubing and enteral feeding Jevity 1.5 were dated 05/09/2024. During and interview on 05/13/2024 at 9:00 a.m., S4 LPN (Licensed Practical Nurse) acknowledged resident #37's enteral feeding was dated 05/09/2024 and should have been changed every 24 hours. During an interview 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.

Based on record review and interview, the facility failed to ensure a performance review had been completed at least every 12 months for 3 (S5CNA [Certified Nursing Assistant], S6CNA, S7CNA) of 5 (S5CNA, S6CNA, S7CNA, S8CNA, S10CNA) personnel records reviewed. Findings: Review of S5CNA's personnel records revealed a hire date of 08/09/2022. Further review of S5CNA's personnel records failed to reveal evidence that a performance review had been conducted every 12 months. Review of S6CNA's personnel records revealed a hire date of 02/23/2023. Further review of S6CNA's personnel records failed to reveal evidence that a performance review had been conducted every 12 months. Review of S7CNA's personnel records revealed a hire date of 02/28/2023. Further review of S7CNA's personnel records failed to reveal evidence that a performance review had been conducted every 12 months. During an interview on 05/15/2024 at 4:40 p.m. S1Administrator reported she could not find evidence that performance reviews had been conducted every 12 months for S5CNA, S6CNA, or S7CNA.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews the facility failed to accommodate the needs of 1 (#38) of 39 sampled residents. The facility failed to ensure Resident #38 had a call light within reach. Findings: Review of Resident #38's medical record revealed Resident #38 was admitted to the facility on [DATE] and had diagnoses that included, in part, Alzheimer's disease unspecified, essential (primary) hypertension, chronic atrial fibrillation, other seizures, non-traumatic intracerebral hemorrhage, cognitive communication deficit, major depressive disorder, and unspecified psychosis. Review of Resident #38's 02/06/2024 Annual MDS (Minimum Data Set) revealed Resident #38 had a BIMS (Brief Interview Mental Status) of 09 which indicated moderate cognitive impairment. Review of Resident #38's Care Plan revealed Resident #38 had an alteration in musculoskeletal status including interventions, in part, anticipate and meet needs and be sure call light is within reach and respond promptly. Observation 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.

Based on observation and interview the facility failed to ensure garbage was disposed properly. Findings: Observation on 05/13/2024 at 8:40 a.m. with S13 Maintenance Director revealed multiple trash bags and loose trash were scattered all around the perimeter of the dumpster outside of the facility. Lids to the dumpster were not closed. During an interview on 05/13/24 at 8:41 a.m. S13 Maintenance Director verified the trash should not be outside of the dumpster and dumpster lids should be closed.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews the facility failed to ensure 1 (#1) of 5 (#1, #2, #3, #4, and #5) residents out of a total sample of 5 received treatment and care in accordance with professional standards of practice by: 1. Failing to provide needed care and services when a resident's physical condition changed, and 2. Failing to notify the resident's attending physician of emergency transfer. Findings: Review of the facility's Transfer or Discharge, Emergency Policy revealed in part: Policy Statement: Emergency transfers or discharges may be necessary to protect the health and/or well-being of the resident(s). Policy Interpretation and Implementation 4. Should it become necessary to make an emergency transfer or discharge to a hospital or other related institution, our facility will implement the following procedures: a. Notify the resident's attending physician. During an interview on [DATE] at 6:14 p.m. resident #1's RP (responsible party) reported when she arrived to the facility [DATE] 2:00 between…

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 ensure adequate supervision and assistance was provided to prevent accidents. The facility failed to implement the plan of care for 1(#57) of 4(#27, #57, #102, #104) residents reviewed for accidents. Findings: Review of the facility's Incident Log revealed Resident #57 had an unwitnessed fall on 05/18/2023. Review of Resident #57's admission MDS (Minimum Data Set) dated 04/25/2023 revealed the functional status of the resident required support with two person physical assistance with transfers between surfaces including to or from the bed. Review of Resident #57's Care Plan dated 04/18/2023 revealed Resident #57 has an ADL (Activities of Daily Living) self-care performance deficit due to a cerebral vascular accident and hemiplegia. As of 04/25/2023, Resident #57 needs 2 persons assistance for bed mobility and transfers. Further review of Resident #57's care plan revealed Resident #57 was at risk for falls. Review of the Incident Description dated 05/18/2023 revealed S12 CNA (Certified Nursing Assistant) reported while…

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 and interviews, the facility failed to store, prepare, distribute, and serve food under sanitary condition by having a leak in the apple juice concentrate tubing of the drink station. This had the potential to affect 118 residents who received meals from the kitchen. Findings: On 06/05/2023 at 11:00 a.m., an observation of the drink station in the kitchen revealed there was old clear tape wrapped around the tubing about five inches below where it connects to the apple juice concentrate bag. The apple juice concentrate bag was inside the manufactures cardboard box that was sitting on a stainless steel shelf under the drink station. Further observation revealed apple juice concentrate had pooled on the stainless steel shelf and also on the tile floor in front of the stainless steel shelf. On 06/05/2023 at 12:35 p.m., interview with S3 Dietary Manager revealed she was aware of the leak in the apple juice concentrate tubing yesterday, but thought it had stopped leaking. S3 Dietary Manager confirmed that the apple juice concentrate tubing was still leaking and needed…

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 reviews and interviews, the facility failed to ensure alleged violations of abuse and misappropriation of resident property were reported no later than 24 hours to the State Survey Agency for 2 (#32 and #36) of 3 (#32, #36, #104) residents reviewed for abuse. Findings: Review of the facility's Abuse Prohibition Policy dated 03/2023, in part: Abuse means the willful infliction of injury, withholding or misappropriating property or money, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Physical abuse includes, hitting, slapping, kicking, shoving, pinching, and controlling behavior through corporal punishment. The facility will thoroughly investigate all alleged violations and take appropriate actions. The Abuse Coordinator will report such allegations to the state agency in accordance with state law. The Abuse Coordinator will report all allegations of abuse, neglect with serious bodily injury, mistreatment with serious bodily injury,…

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 reviews and interviews, the facility failed to thoroughly investigate an allegation of misappropriation of funds/exploitation for 1 (#36) of 3 (#32, #36, #104) sampled residents reviewed for abuse. Findings: Review of the facility's Abuse Prohibition Policy dated 03/2023 revealed, in part, the facility will thoroughly investigate all alleged violations and take appropriate actions. Procedure for the investigation will include, but is not limited to the following: interviews and or written statements from individuals, (residents, visitors or staff), who may have firsthand knowledge of the incident. Written statements should be in the handwriting of the witness, signed, and dated. Review of the medical record revealed the resident was admitted on [DATE] with diagnoses of non-traumatic intracerebral hemorrhage, acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, morbid obesity, psychosis, neuromuscular dysfunction of bladder, convulsions, incomplete C1 - C4…

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 review the facility failed to accommodate the needs and preferences for 2 (#67, #119) of 5 (#61, #67, #72, #119, #233) residents reviewed for accidents. The facility failed to ensure: 1. Resident #67's wheelchair had leg rests in place. 2. Resident #119's right hand assist rail was tightly secured to the bedframe and the left hand assist rail was not present. Findings: 1.) Review of Resident #67's diagnoses revealed the following, but not limited to, generalized muscle weakness, muscle wasting and atrophy, lack of coordination, and abnormal posture. Review of admission MDS (Minimum Data Set) dated 3/22/2022 revealed Resident #67 used a wheel chair for mobility. Observation on 5/16/2022 at 11:30 AM revealed Resident # 67 sitting up in wheel chair with feet not touching the floor. Further observation of Resident #67 sitting up in wheel chair failed to reveal leg rests on wheel chair. Observation on 5/18/2022 at 12:00 PM revealed Resident # 67 sitting up in wheel chair…

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, record review and interviews the facility failed to ensure the plan of care was followed for 2 (#51 and #101) of 3 (#51, #94, #101) residents reviewed for position and mobility. The facility failed to ensure residents #51 and #101 wore splint devices according to their plan of care. Findings: Resident #51 Review of resident #51's medical record revealed a diagnosis of, but not limited to, Cardiovascular Accident; Traumatic brain injury; protein calorie malnutrition, Dysphagia, Unspecified convulsions Review of resident #51's May 2005 Physicians Orders revealed an order for Occupational Therapy to treat 3 times a week for 4 weeks for range of motion, simple reaching with left upper extremity splinting and restorative nurse program education. Review of resident #51's Occupational Therapy's Evaluation and Plan of Treatment revealed the following; Current Referral: Occupational Therapy to address splinting needs on left upper extremity and right hand. Objective Progress/Short-Term Goal: Patient will tolerate 2 hours of wearing L extension splint with no redness,…

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 the plan of care was revised for 1 (#51) of 3 (#51, #94, #133) residents reviewed for hospitalizations. The facility failed to ensure resident #51's plan of care was revised to reflect new onset seizures. Findings: Review of resident #51's nurses notes dated 3/9/22 revealed resident #51 was transferred to a local hospital due to being found unresponsive with hands clinched and in an altered mental state. Review of resident #51's nurses notes dated 3/10/2022 revealed the facility was notified of resident #51's diagnosis of Recurrent Seizures via a phone call from a local hospital. Further review revealed resident #51 returned to the facility on 3/11/2022. Review of resident #51's hospital records from a local hospital revealed the following: [AGE] year old nursing home patient with .and new onset seizures continue Keppra for new onset seizures, to return to the nursing home on tomorrow. Review of resident #51's Comprehensive Plan of Care failed…

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, observation and interview the facility failed to ensure a resident who is unable to carry out activities of daily living (ADL) receives the necessary services to maintain good grooming, and personal hygiene for 3 (#95, #101, #234) of 3 (#95, #101, #234) residents observed for ADL care in a total sample of 49 residents. The facility failed to (1) ensure Resident # 101 and Resident #234's fingernails were trimmed and clean, and (2) Resident #95's face was clean. Findings: Resident #101 Review of resident #101's medical record revealed a diagnosis of but not limited to, Multiple Schlerosis. Observation on 5/16/2022 at 8:30 am revealed resident 101 had long dirty finger nails on his right hand with a dark brown substance underneath nail beds. Observation on 5/18/2022 at 8:50 am with S10 LPN revealed resident 101 had long dirty finger nails on his right hand with a dark brown substance underneath nail beds Review of resident #101's Minimum Data Set, dated [DATE] revealed resident #101 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 observations, interviews and record review the facility failed to ensure adequate supervision was provided for 1 (#72) of 5 (#61, #67, #72, #119, #233) residents reviewed for accidents. The facility failed to conduct an elopement assessment utilizing the Wander Data Collection Tool each quarter for Resident #72, as per facility policy. Findings: Review of the facility's Wanderer Management, Monitoring System & Resident Elopement Protocol revealed: Purpose -To monitor safety of residents at risk for elopement. -To provide a system to alert staff that a resident may be attempting to leave the facility. Policy -It is the policy of this facility that all residents are afforded adequate supervision to provide the safest environment possible. . Procedures Identification & Prevention of Elopement 1. Elopement risk is determined by use of the Wander Data collection tool. The assessment should also include review of the resident's medical and social history. The Wander Data collection tool is to be completed 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.

Based on observation, record review and interviews, the facility failed to ensure a resident being fed by enteral means received the appropriate treatment and services by failing to label a resident's feeding bag properly according to facility policy for 2 (#21, #55) of 2 (#21, #55) resident's reviewed for tube feeding. Findings: Review of Facility Policy Enteral tube feeding via continuous pump revealed in part: -Initiate Feeding: --5. ON the formula label document initials, date and time the formula was hung/administered, and initial that the label was checked against the order. Resident #21: Observation on 5/16/22 at 11:30 am revealed resident #21's Isosource enteral feeding infusing per pump at 60 milliliters per hour. Further observation of the Isosource feeding bag label failed to reveal documentation of the initials of the nurse that hung/administered the feeding. Resident #21's medical record revealed an admit date of 2/17/2022 with diagnoses that included, in part, cardiac arrest, acute and chronic respiratory failure with hypoxia, convulsions, cerebral edema, gastrostomy,…

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 review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety by: 1.) Having food items in the dry pantry that were not labeled with date when opened. 2.) Having food items in the dry pantry that contained insects. 3.) Failing to ensure dishwasher was in proper working order through temperature/chemical check. This had the potential to affect 89 resident who received trays out of the kitchen as per S11 Dietary Manager. Findings: 1.) Review of Food Receiving and Storage policy revealed: Foods shall be received and stored in a manner that complies with safe food handling practices. Policy and Interpretation . 7. Dry foods that are stored in bins will be removed from original packaging, labeled and dated (use by date). Such foods will be rotated using a first in -first out system. Observation of dry storage area on 5/16/2022 at 9:15am revealed the following items were open and not labeled with any date: -Large rolling metal bin filled approximately 1/4 full with…

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