Rehabilitation & Nursing Center At Everett (the)

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure the Minimum Data Set assessment (MDS) was accurately coded to reflect the status of two Residents (#71, #21) out of a total sample of 31 residents. Specifically: 1) For Resident #71, the MDS did not accurately assess Resident #71's functional ablities for self-care, specifically for eating and 2) For Resident #21, the facility failed to complete a discharge MDS Assessment when the Resident was discharged from the facility to the hospital. Findings include: 1) Resident #71 was admitted to the facility in February with diagnoses that include but are not limited to cerebral vascular accident, anemia, and malnutrition. Review of the most recent Minimum Data Set assessment dated [DATE] indicated Resident #71 scored a 7 out of 15 on the Brief Interview of Mental Status exam indicating he/she as having a severe cognitive impairment. Further review of the MDS indicated Resident #71 had the following nutritional approaches: feeding tube,…

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, policy review and interviews, the facility failed to ensure professional standards of practice were followed for one Resident (#131) out of a total sample of 31 residents. Specifically, the facility failed to ensure nursing staff did not leave medications with Resident #131 while unattended. Findings include: Review of the facility policy titled 'Administration of Medications -General' dated November 2023, indicated the following but not limited to: -Medication may not be left unattended. Keep medications secured in a locked area or in visible control at all times. -Medications are never to be left at resident bedside if a situation occurs which necessitates that nurse must step away from resident prior to administration of all medications, medications must be removed from room and secured in locked medication cart until medications can be administered to resident. -Administers medications to residents via correct route. Offers residents a full glass of beverage. Observes residents to ensure medication consumption. During a medication pass on 8/27/24 at 9:28…

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, record review and interview, the facility failed to provide activities of daily living for dependent residents for one Resident (#2) out of a total sample of 31 Residents. Specifically, for Resident #2, the facility failed to provide supervision with meals. Findings include: Review of the facility policy titled Activities of Daily Living, dated November 2023, indicated the following: - It is the facility's policy that based on the comprehensive assessment of a resident consistent with the resident's needs and choices, care and services will be provided to maintain their current ADL status. - Care and services for the following ADL's include: Dining - eating, including meals and snacks - Referrals to therapy can be made based on the interdisciplinary team's review of resident's status during scheduled Comprehensive Care Plan Meetings. - Care Plans - All Resident care plans MUST match the Resident Profile care, CNA assignment, Pocket Sheet and DC POC and CNA Accountability sheets with…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure standards of quality of care were implemented for one Resident (#2), out of a total sample of 31 residents. Specifically, the facility failed to identify a skin injury on the Resident's right forearm. Findings include: Review of the facility's policy subject: Managing Skin Integrity with an effective date of 1/3/2024, indicated the following: It is the policy of the facility to ensure that all residents receive the highest practicable level of quality of care. Nursing, in collaboration with the health care team, will assess and manage skin integrity for all residents throughout their residence in the facility. Focus is on a 'gentle hands' approach when providing care to all residents. Any deterioration in or development of an alteration in skin integrity will be promptly addressed and individualized approaches in accordance with the resident's needs and goals will be implemented. Resident #2 was admitted to the facility in July 2007…

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, record review and interview the facility failed to a) develop a care plan for the assessed risk for developing a pressure ulcer/injury and b) failed to implement the physician's order for prevalon boots (a heel protector) for one Resident (#79) out of a total sample of 31 residents. Findings include: Review of the facility's policy titled Subject: Pressure Ulcer Preventions and Management, with an effective date 1/3/2024 indicated the following: It is the policy of the facility to assess all resident for the risk of pressure injuries and to have an appropriate interdisciplinary preventive care plan implemented when indicated. Procedure: 3. When a resident is identified as at risk for development of a pressure injury, the licensed nurse/unit manager will initiate a care plan that recognizes the resident's needs and goals and addresses the same with individualized interventions that are consistent with recognized standards of practice. Resident #79 was admitted to the facility in November…

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, policy review, and record review, the facility failed to provide respiratory care services in accordance with professional standards of practice for one Resident (#48) out of a total sample of 31 residents. Specifically for Resident #48, the facility failed to ensure his/her oxygen concentrator air filter was in place. Findings include: Review of the facility policy titles Oxygen Therapy, dated 1/3/24, indicated Maintenance of Concentrator: - Filters will be washed in warm soapy water weekly. - Filters should be dried thoroughly before being reinstalled. Resident #48 was admitted to the facility in July 2024 with diagnoses that included sepsis, pneumonia, acute respiratory failure with hypoxia and chronic obstructive pulmonary disease. Review of Resident #48's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she scored 15 out of a possible 15 on the Brief Interview for Mental Status (BIMS) indicating the Resident is cognitively intact. Further review of 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.

Based on observations, record reviews, policy reviews and interviews, the facility failed to ensure it was free from a medication error rate of five percent or greater. One out of four nurses observed made two errors in 40 opportunities on one unit resulting in a medication error rate of 5%. These errors impacted one Resident (#53), out of four residents observed. Findings include: Review of the facility policy titled 'Administering of Medications-General' dated, November 2023, indicated the following but not limited to: -It is the facility's policy that medications will be administered to residents in a timely and accurate manner by a licensed nurse or physician. -Nurse compares the medication names, strength, and dosage schedule on the medication administration record against the prescription label. Always check three times prior to administration. -Review physician's orders and compares against medication administration record. 1. During a medication pass on 8/27/24 at 9:44 A.M., the surveyor observed Nurse #1 prepare and administer including the following medications for…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review and interview, the facility failed to ensure nursing staff stored all drugs and biologicals in accordance with accepted professional standards of practice. Specifically, 1. The facility failed to properly secure the medication cart on one of four units 2. The facility failed to properly secure the medication room on one of four units Findings include: Review of the facility policy titled Maintenance of Medications, dated 11/8/23, indicated Only authorized licensed personnel are to have access to the keys and the medications. Medication carts must be locked at all times when not in use, including during medication passes when the nurse steps away from the cart. 1. On 8/26/24 at 7:48 A.M. and 12:38 P.M., the surveyor observed the medication cart on the [NAME] 1 Unit unlocked and unsupervised. No staff were at the medication cart. During an interview on 8/28/24 at 7:30 A.M., Unit Manager #1 said the medication cart should be locked if a nurse is not present at it. During an…

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, record reviews and interviews, the facility failed to obtain dental services for one Resident (#87) out of a total sample of 31 Residents. Findings include: Review of the facility policy titled Dental Services/Dentures, dated November 2023, indicated the following: -Routine and emergency dental services are available to meet the resident's oral health services in accordance with the residents' assessment and plan of care. -Social services representatives with assist residents with appointments, transportation arrangements, and for reimbursement of dental services under the state plan, if eligible. -If dentures are damaged or lost, residents will be referred for dental services within 3 days. If the referral is not made within 3 days, documentation will be provided regarding what is being done to ensure that the resident is able to eat and drink adequately while awaiting dental services, and the reason for the delay. Resident #87 was admitted to the facility in March 2024 with diagnoses…

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 one Resident (#76) was free from a significant medication error, out of a total sample of 25 residents. Specifically, Resident #76 was administered insulin (medication used to treat elevated blood sugars) when his/her physician's order indicated for the insulin to be held. Findings include: Review of the facility policy titled, Administering Medications, dated April 2021, indicated medications are administered in a safe and timely manner, and as prescribed. 9. The following information is checked/ verified for each resident prior to administering medications: b. vital signs Resident #76 was admitted to the facility in January 2020 with diagnoses including dementia, anxiety and diabetes. Review of the Minimum Data Set (MDS) assessment, dated 8/11/23, indicated Resident #76 received insulin injections over the last 7 days. Review of the plan of care related to diabetes, dated as revised 11/9/21, indicated diabetes medication as ordered by doctor. Review of the physician's order, dated 10/12/21, indicated 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.

Based on record review, policy review and interviews, the facility failed to notify the physician of a refusal of a medication (an alteration in treatment plan) for one Resident (#60), out of a total sample of 25 residents. Specifically, on 8/28/23 Resident #60 refused his/her physician's ordered Haldol injection (antipsychotic medicine) and nursing failed to notify his/her physician of the Resident's refusal. Findings include: Review of the facility policy titled, Administering Medications, dated April 2021, indicated medications are administered in a safe and timely manner, and as prescribed. 17. If a drug is withheld, refused, or given at a time other than the scheduled, the individual administering the medication shall indicate this on the medication administration record space provided for that drug and dose and will inform the the provider [MD/NP]. Review of the facility policy titled, Change in Status Notification, dated as revised 2/2/23, indicated notification to the resident's attending physician will be made with a need to alter treatment significantly or to commence 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.

Based on observation, record review, and interview the facility failed to ensure the Minimum Data Set (MDS) assessment accurately assessed one Resident's (#13) speech clarity, out of a total sample of 25 residents. Specifically, the MDS assessment for two consecutive quarters indicated Resident #13 had clear speech, which conflicts with his/her actual status. Findings include: Resident #13 was admitted to the facility in March 2009 and has diagnoses that include cerebrovascular disease, polyneuropathy, and other speech disturbances. On 8/29/23 at 11:08 A.M., Resident #13 was observed in the dining room. When greeted by the surveyor, Resident #13 did not respond verbally. The Activity Assistant, who was present, alerted the surveyor to laminated cards used to communicate with Resident #13. Resident #13 when asked how he/she was today pointed to the word happy. Resident #13 did not use spoken communication. Review of the Minimum Data Set (MDS), assessment with an assessment reference date of 7/14/23 indicated Resident #13 had moderately impaired cognition and was dependent or required…

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, record review and interview, the facility failed to develop a person-centered communication care plan for one Resident (#116) out of a total sample of 25 residents. Specifically, the facility failed to develop a care plan to address the Resident's primary language. Findings include: Resident #116 was admitted to the facility in July 2023 with diagnoses including unspecified dementia and encephalopathy. Review of Resident #116's most recent Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #116's has a Brief Interview for Mental Status (BIMS) score of 99 indicating that he/she could not complete the BIMS exam indicating severe cognitive impairment. Further review of the MDS indicated that Resident #116's preferred language is Vietnamese. During an interview on 8/29/23 at 10:27 A.M., Resident #116 was unable to communicate with the surveyor. Resident #116's roommate said he/she does not speak English, only Vietnamese. Review of Resident #116's progress notes indicated 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.

Based on observations, record review, and interviews, the facility failed to ensure that services provided to one Resident (#475) met professional standards of quality, out of a total sample of 25 residents. Specifically, the facility failed to follow a physician's order for the head of bed (HOB) to be at 90 degrees when Resident #475 was eating. Findings include: Resident #475 was admitted in August 2023 with diagnoses including cerebral infarction, dysphagia (a swallowing disorder), and left sided hemiparesis. On 8/29/23 at 9:08 A.M., Resident #475 was in bed eating breakfast with the head of bed at approximately 45-degree angle. On 8/30/23 at 9:00 A.M., Resident #475 was in bed eating breakfast with the head of bed at approximately 60-degree angle. Review of physician's order dated 8/16/23 indicated an order for aspiration precautions and HOB at 90 degrees while eating and 45 degrees at all other times. Review of speech therapy evaluation, dated 8/18/23, indicated a recommendation for swallow strategies to prevent aspiration (choking) including that Resident #475 should be in an…

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, interview and record review, the facility failed to provide the necessary activities of daily living care for two dependent Residents (#114 and #37) out of a total sample of 25 residents. Specifically, the facility failed to provide supervision and assistance with eating meals for Resident #114 and #37. Findings include: 1) Resident #114 was admitted to the facility in April 2023 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left dominant side, dysphagia, and muscle weakness. Review of Resident #114's most recent Minimum Data Set (MDS) assessment dated [DATE] indicated that he/she has a Brief Interview for Mental Status score of 00 out of a possible 15 indicating he/she has severe cognitive impairment. Further review of the MDS indicated that Resident #114 is totally dependent on all Activities of Daily Living, specifically totally dependent requiring one-person physical assist with eating. The surveyor made the following observations: *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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interview, the facility failed to provide activities for 1 Resident (#475) out of a total sample of 25 residents. Findings include: Resident #475 was admitted to the facility in August 2023 with the following diagnoses: left sided hemiplegia, generalized anxiety disorder, and depressive disorder. Review of the Minimum Data Set (MDS), dated [DATE], for Resident #475 indicated that the Resident had a Brief Interview for Mental Status (BIMs) score of 13 out of a possible 15, indicating he/she had intact cognition. The MDS also indicated Resident #475 is unable to walk and is totally dependent on staff for transfers and wheelchair mobility. On 8/29/23 at 9:08 A.M., Resident #475 said he/she unable to go to activities because there is nobody to transport him/her to activities. Resident #475 said he/she is interested in Bingo, Karaoke, and many events noted on the activity calendar that is posted on the bulletin board in his/her room. Review of Resident #475's care plan last…

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 an orthotic device used for contracture management was implemented in accordance with the medical plan of care, for one Resident (#13) out of a total sample of 25 residents. Findings include: Review of the facility's policy, dated 2/1/23, entitled: subject: adaptive devices indicated the policy as: Residents at the Facility requiring adaptive devices will have the equipment available to them and used in accordance with the MD (medical doctor) order. Resident #13 was admitted to the facility in March 2008 and has diagnoses that include cerebrovascular disease, polyneuropathy, and other speech disturbances. Review of the Minimum Data Set (MDS), assessment with an assessment reference date of 7/14/23 indicated Resident #13 had moderately impaired cognition and was dependent or required extensive assistance from staff for daily care activities. Further, the MDS indicated Resident #13 had functional limitation on range of motion on one side (of his/her body.) On 8/29/23 at 11:08 A.M., Resident #13 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.

Based on observation, record review and interviews, the facility failed to ensure it provided a physician's ordered medication for one Resident (#60) out of a total sample of 25 residents. Specifically, on 8/29/23 Nurse #3 did not have Resident #60's physician's ordered metformin (antidiabetic agent that manages high blood sugar levels) and Nurse #3 failed to obtain the medication from the emergency medication supply. Findings include: Review of the facility policy titled, Administering Medications, dated April 2021, indicated medications are administered in a safe and timely manner, and as prescribed. 18. If a medication is unavailable, a temporary hold may be ordered by the MD/NP. A hold order for a medication must be accompanied by a restart date or time. Review of the facility policy titled, Emergency Pharmacy Service & Emergency Kits, dated as revised August 2020, indicated emergency pharmacy service is available 24 hours a day. Emergency needs for medication are met by using the facility's approved emergency medication supply. 6. The emergency supply along with a list 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 observations, interviews and record review, the facility failed to follow up with the dentist's recommendation for two Residents (#17 and #44) out of a total sample of 25 residents. Findings include: Review of the facility policy titled Availability of Dental Services dated 1/1/2022 indicated the following: *The Unit Manager will be responsible for making necessary dental appointments *All requests for routine and emergency dental services should be directed to the Unit Manager to assure that appointments can be made in a timely manner. *Upon conducting a dental examination, a resident needing dental services will be promptly referred to a dentist. 1.) Resident #17 was admitted in March 2022 with diagnoses which included hemiplegia and hemiparesis following cerebral infractions affecting left dominant side and depression. Review of the Minimum Data Set (MDS) assessment, dated 6/9/23, indicated the Resident was assessed to be alert and oriented with a Brief Interview for Mental Status (BIMS) score of 13…

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 maintain an accurate medical record for one Resident (#13), out of a total sample of 25 residents. Specifically, staff documented that an orthotic right hand palm protector for contracture management was administered when the palm protector was not placed on the Resident. Findings include: Review of the facility's policy, entitled: subject: adaptive devices, dated 2/1/23, indicated the policy as: Residents at the Facility requiring adaptive devices will have the equipment available to them and used in accordance with the MD (medical doctor) order. Resident #13 was admitted to the facility in March 2009 and has diagnoses that include cerebrovascular disease, polyneuropathy, and other speech disturbances. Review of the Minimum Data Set (MDS), assessment with an assessment reference date of 7/14/23 indicated Resident #13 had moderately impaired cognition and was dependent or required extensive assistance from staff for daily care activities. Further, the MDS indicated Resident #13 had functional limitation 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.

Based on observation, record review and interview the facility failed to ensure the call bell system for one Resident (#70), on one out of four resident care units was operable, resulting in the resident not having access to staff for potential unmet needs, out of a total sample of 25 residents. Findings include: Review of the facility's policy, entitled Resident Call System, dated 11/18/19, indicated the following: In accordance with 483.90 the facility must be adequately equipped to allow residents for staff assistance through a communication system which relays the call directly to a staff member or to a centralized work area from each resident's bedside and toilet and bathing facilities. 8. When the call system is activated - alarm sounds and light is on, the following should be done: answer the bell/light promptly. 11. In the event that a call light is not functioning properly, the resident will be provided with a hand bell, staff will notify maintenance verbally and log into the maintenance logs that are on the units. During an interview on 8/29/23 at 8:45 A.M., Resident #70…

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.