Hillcrest Commons Nursing & Rehabilitation Center

Based on interview, and record review, the facility failed to ensure written notification was provided for two Residents (#40 and #199) out of a total of 36 residents, who experienced room and/or roommates changes. Specifically, 1. For Resident #40, the facility failed to provide written notification when the Resident had several roommate changes after his/her roommate/ significant other (SO) passed away. 2. For Resident #199, the facility failed to notify and provide written notification to the Resident when two separate room changes occurred within a timeframe of less than one week. Findings include: Review of the facility policy titled Residents' Rights Policy, revised 10/4/23, indicated residents/resident representatives have rights and protections under federal law ensuring fair care and services are rendered without reprisals. The policy also included the following: -a facility must treat each resident with respect and dignity and care in a manner and in an environment, that promotes maintenance or enhancement of his or her quality of life and recognizing each resident's…

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 accurately code Minimum Data Set (MDS) Assessments for ten Residents (#132, #171, #53, #158, #229, #10, #155, #123, #226 and #47), out of a total sample of 36 residents. Specifically: 1) For Resident #132, the facility failed to accurately code the Resident as having a feeding tube in use. 2) For Resident #171, the facility failed to accurately code medication administration relative to the Resident receiving Insulin medication when the Resident was prescribed and administered a Diabetes medication that was non- Insulin. 3) For Resident #53, the facility failed to ensure that the most recent comprehensive MDS Assessments was coded accurately relative to upper extremity limited range of motion (ROM). 4) For Resident #158, the facility failed to ensure the most recent comprehensive MDS Assessment was coded accurately relative to a vision related diagnosis. 5) For Resident #229, the facility failed to ensure the discharge MDS Assessment 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, interview, and record review, the facility failed to provide Activities of Daily Living (ADL) care in accordance with assessed needs, goals for care, preferences, and recognized standards of practice for one Resident (#155) out of a total sample of 36 residents. Specifically, for Resident #155, the facility failed to: -provide consistent ADL assistance relative to dressing, nail and hand hygiene care when the Resident had bilateral hand contractures and was dependent on staff for bathing, dressing and personal hygiene increasing the risk for skin breakdown and resulting in development of a fungal infection in his/her left hand that required medical treatment. Findings include: Review of the facility policy titled ADLs: basic skills needed in regular daily life including ambulating, dressing, bathing, eating), dated 11/14/16, indicated: -Each Resident will receive the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial wellbeing, consistent with the Resident's comprehensive assessment and plan of care. >The…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that one Resident (#215) out of a total sample of 36 Residents received quality of care in accordance with professional standards of practice. Specifically, for Resident #215, the facility failed to: -apply ACE bandages on the day shift as ordered to the Resident's bilateral legs to manage swelling and treatment of bilateral leg edema. -provide care and services that reflected the Resident's preference for application of the ACE bandages when the Treatment Administration Record (TAR) indicated the ACE bandages were applied to the Resident's lower extremites and the Resident was observed without the ACE bandages in place. Findings include: Resident #215 was admitted to the facility in December 2024 with diagnoses including Hypertension, Hypothyroidism and lower extremity (leg) edema. Review of the facility policy titled Documentation -Clinical, revised on 10/31/23, indicated the following: -Medication and Treatment: >the Licensed…

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 provide appropriate treatment to prevent further decrease in range of motion (ROM) for one Resident (#123) with limited ROM, out of a total sample of 36 residents. Specifically, the facility failed to implement a passive ROM (PROM) program to Resident #123's lower extremities when the Resident had bilateral lower extremity contractures and was unable to perform his/her own lower extremity ROM, which increased the Resident's risk for progression of lower extremity contractures and pain. Findings include: Review of the American Stroke Association guidance titled Spasticity, https://www.stroke.org/en/about-stroke/effects-of-stroke/physical-effects/spasticity last reviewed 5/30/23, indicated the following: -Spasticity is a common post-stroke condition that causes stiff or rigid muscles. -When a muscle cannot complete its full ROM, the surrounding tendons and soft tissue can become tight. -This makes stretching the muscle much more difficult.…

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, interview, and record review, the facility failed to ensure one Resident (#40) received dialysis care in accordance with professional standards of practice for three applicable residents receiving dialysis, out of a total sample of 36 residents. Specifically, the facility failed to ensure nursing assessments, including assessment of the dialysis access site, vital signs and blood sugar levels, were performed when Resident #40 returned from dialysis. Findings include: Review of the facility policy titled Coordination of Care of Dialysis Residents, revised 11/19/18, indicated the nursing facility was responsible for the overall quality of care and services the resident receives and provides the services, consistent with professional standard of practices, to residents receiving dialysis as outlined by their comprehensive person-centered plan of care. The policy also included the following: -a comprehensive person-centered plan of care is developed and implemented based on comprehensive assessment in collaboration with the Dialysis Center, in accordance 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 interview, and record review, the facility failed to ensure that triggers relative to a past trauma were identified to create an individualized trauma care plan for one Resident (#199) out of a total sample of 36 residents. Specifically, for Resident #199, the facility failed to ensure that an individualized care plan addressed Resident #199's triggers so they could be reduced in his/her environment. Findings include: Review of the facility policy titled Trauma Informed Care, revised 6/17/24, indicated the following: -Social service department will develop a person-centered trauma-informed care plan that addresses the assessed emotional and psychosocial needs of the resident. -Interdisciplinary team (IDT) to provide ongoing assessment, evaluation, and revision of care plan. Resident #199 was admitted to the facility in June 2024 with diagnoses including Cerebral Infarction (stroke) with left sided hemiplegia and hemiparesis and Major Depressive Disorder. Review of the most recent Minimum Data Set (MDS)…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide appropriate medical care and supervision for one Resident (#224) out of a total sample of 36 Residents. Specifically, for Resident #224, the facility failed to ensure that the Provider was aware of the Resident's weight loss and oversaw his/her nutritional status. Findings include: Resident #224 was admitted to the facility in February 2025 with diagnoses including Anoxic Brain Damage, posterior reversible Encephalopathy, Aphasia and Gastrostomy Status. Review of Resident #224's Minimum Data Set (MDS) assessment dated [DATE]. indicated: -based on staff assessment the Resident had some difficulty with daily decision making in new situations only. -the Resident received 25 - 50% of his/her caloric intake from Tube Feeding. Review of Resident #224's weights indicated the following: -2/21/25: 196.6 pounds (lbs) -3/4/25: 189 lbs. -3/5/25: 186.6 lbs. (a 5% loss in less than 30 days) Review of Resident #224's medical record failed to…

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

Based on interview, and record review, the facility failed to ensure that appropriate competencies related to medication administration was completed for one Licensed Nurse (Nurse #9) out of 5 staff records reviewed. Specifically, the facility failed to provide documentation that Nurse #9 had completed the appropriate nursing competencies for medication administration and controlled substances (a drug or chemical that the government regulates for its manufacture, possession and use, that are classified into schedules based on their potential for abuse) documentation. Findings include: Review of the facility policy titled Management of Controlled Substance in Skilled Nursing Facilities, revised 10/19/2022, indicated: -It is the responsibility of staff to administer or otherwise manage medications to safeguard controlled substances in a manner consistent with Federal and State law, and organizational policy. Purpose: -To provide for proper ordering, storage, disposal, and security of controlled substances. -To minimize the opportunity for abuse or diversion of controlled substances.…

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 maintain accurate documentation of controlled substance (a drug or chemical that the government regulates for its manufacture, possession and use, that are classified into schedules based on their potential for abuse) for two units (Unit 2, side one and Unit 2, side two) out of five units reviewed. Specifically, the facility failed to maintain accurate documentation in the controlled substance register (Narcotic Book Documentation). Findings include: Review of the facility policy titled Management of Controlled Substance in Skilled Nursing Facilities, revised 10/19/22, indicated: -It is the responsibility of staff to administer or otherwise manage medications to safeguard controlled substances in a manner consistent with Federal and State law, and organizational policy. Purpose: -To provide for proper ordering, storage, disposal and security of controlled substances. -To minimize the opportunity for abuse or diversion of controlled substances. -To promote occupational and patient safety. -Medication information is logged…

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, interview, and observation, the facility failed to provide routine dental services for two Residents (#47 and #186) out of a total sample of 36 residents. Specifically, 1. For Resident #47, the facility staff failed to follow through on a Doctor of Medicine in Dentistry (DMD) recommendation to have the Resident seen by an Oral Surgeon for a tooth extraction resulting in delayed dental care and services. 2. For Resident #186, the facility failed to assist the Resident in making an appointment for recommended dental extractions in a timely manner which resulted in a delay in dental care and increased risk for oral pain and infection. Findings include: Review of the facility policy titled Consulting Services Podiatry/Dental/Optometry/Audiology, dated 11/22/16, included but was not limited to the following: -The facility has a contract with credentialed providers for inhouse services of podiatry, dental, optometry and audiology. -Facility will arrange appointments as requested by…

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

Based on observation, interview, and record review, the facility failed to ensure each resident received food and drink that was palatable and served at an appetizing temperature on two (Unit One and Unit Four) out of four units, where test trays were conducted. Specifically, the facility failed to ensure: 1. Pureed (food prepared as a smooth, pudding-like texture) asparagus was served consistent with pureed texture and at an appetizing temperature for Residents requiring pureed food on Unit One. 2. For Unit Four, the facility failed to serve palatable food at an appetizing temperature. Findings include: Review of the facility's Standard Guidance for Food and Liquid Textures for Individuals Requiring Modified Texture Diets, undated, indicated the following: -A pureed diet is food with a very smooth consistency or foods that have been well processed in a food processor or blender to a very smooth consistency or texture. -No solid pieces or parts can be noticed in the food. -Pureed food has no lumps and feels very soft and smooth in the mouth. During an interview on 3/18/25 at 8:25…

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 provide safety and awareness related to resident's food allergies for two Residents (#163 and #215) out of a total sample of 36 residents. Specifically, 1. For Resident #163, the facility failed to ensure that the Resident with a chocolate allergy was not provided with food that included the documented allergen. 2. For Resident #215, the facility failed to maintain Resident safety relative to a coconut allergy putting him/her at risk for anaphylaxis (a life-threatening allergic reaction). Findings include: 1. Resident#163 was admitted to the facility in December 2024 with diagnoses including Alzheimer's Disease. Review of the recent comprehensive Minimum Data Set (MDS) assessment dated [DATE], indicated Resident #163: -required substantial to max assist to eat his/her meals -long-term memory and short-term memory were impaired. Review of Resident #163's Nursing/Dietary Communication form dated 10/9/24, indicated the Resident was allergic…

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 provide a Pneumococcal Immunization to one Resident (#25) of five applicable residents, out of a total sample of 36 residents. Specifically, the facility failed to administer an updated Pneumococcal Immunization to Resident #25 within the appropriate timeframe as indicated by CDC (Centers for Disease Control and Prevention) guidelines placing Resident #25 at increased risk for complications associated with Pneumococcal infection. Findings include: Review of CDC guidelines for Pneumococcal immunization at www.cdc.gov indicated that adults who have received the Pneumococcal Polysaccharide Vaccine 23 (PPSV23) Immunization after age [AGE] years should have shared clinical decision making to decide whether to administer Pneumococcal 20-valent Conjugate Vaccine (PCV20) Immunization one year after the PPSV23 had been administered. Review of the facility policy titled Resident Pneumococcal Immunization, dated September 2011, revised 9/1/23, included but 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, interview, record and policy review, the facility failed to provide adequate nutritional care and services for two Residents (#193 and #60), out of a total sample of 36 residents. Specifically, the facility failed to: 1. Re-evaluate Resident #193's nutritional needs, identify a severe weight loss, monitor weights as ordered, and accurately monitor meal intake percentages when the Resident had been identified as having a poor appetite, being at nutritional risk, and had experienced a severe weight loss greater than 7.5 percent (%) in less than three months; and 2. For Resident #60, a) provide nutritional supplements as ordered, and b) maintain an accurate weight record in the Electronic Medical Record (EMR) in order to identify significant weight loss timely and monitor and assess meal intakes consistently when the Resident was identified at nutritional risk and experienced severe weight loss. Findings include: Review of the facility's policy, titled Nutrition Management, dated 12/5/08 and revised 6/6/22, indicated: -The purpose was to provide nutritional care…

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, record and policy review, the facility failed to ensure that one Resident (#156) out of a total sample of 36 residents was assessed to self-administer medication prior to allowing self-administration of his/her medications. Findings include: Review of the facility policy titled Self Administration of Medication, revised June 30, 2021, indicated the following: -If the resident wishes to self-administer, the Nurse will determine the interdisciplinary team (IDT) will determine the resident's ability to safely self-administer. {sic} -Upon admission the Self-Administration of Medications Informed Consent and Assessment Tool will be completed. Resident #156 was admitted to the facility in May 2022. Review of the Resident's most recent Minimum Data Set (MDS) assessment dated [DATE], indicated the Resident scored a 13 out of 15 on the Brief Interview of Mental Status (BIMS) indicating he/she was cognitively intact. During an observation and interview on 1/2/24 at 10:03 A.M., the surveyor…

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, interview, record and policy review, the facility failed to notify the Physician/Non-Physician Practitioner (NPP- Nurse Practitioner) and Dietitian of a severe weight loss of greater than 7.5 percent (%) in less than three months for one Resident (#193) out of a total sample of 36 residents. Specifically, the facility failed to notify the NPP and Dietitian of the Resident's severe weight loss when the Resident had been previously identified as being at nutritional risk. Findings include: Review of the facility's policy titled Nutrition Management, dated 12/5/08 and revised 6/6/22, indicated: -The purpose was to provide nutritional care and services to each resident, consistent with the resident's comprehensive assessment . to recognize, evaluate, and address the nutritional needs of every resident, including, but not limited to, the resident at risk or currently experiencing impaired nutrition . -Staff will consistently observe and monitor residents for changes . -Consult with the Dietitian when .unplanned weight loss or gain (greater than three pounds (lbs)…

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 interviews and record reviews the facility failed to provide or arrange for services that accepted standards of practice dictate should have been provided for two Residents (#6 and #193), out of a total sample of 36 residents. Specifically, 1. For Resident #6, the facility staff failed to document where subcutaneous (under the skin) injections of Insulin (medication used to treat Diabetes [chronic, metabolic disease characterized by high blood sugar levels]) was administered on the Resident's body, putting the Resident at risk for lipohypertrophy (a lump of fatty tissue under the skin caused by repeated injections in the same area) development. 2. For Resident #193, the facility staff failed to obtain a Pulmonology consult as ordered when the Resident had a history of malignant (potentially deadly condition that will likely worsen with time) breast cancer, was identified to have nodular (growth of abnormal tissue) lesions (area in an organ or tissue which has been damaged due to disease) in both lungs…

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 provide appropriate treatment and services for one Resident (#108) out of a total sample of 36 residents, with limited range of motion (ROM) to prevent further decrease in ROM. Specifically, for Resident #108, the facility staff failed to re-assess the Resident's condition relative to hand contractures upon return from a hospitalization, and resume Occupational Therapy (OT) when the Resident had known bilateral hand contractures (a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity, and rigidity of joints), increasing the risk for further decrease in ROM, impaired skin integrity, and infection. Findings include: Resident #108 was admitted to the facility in February 2023, with diagnoses including Quadriplegia (paralysis that affects all four limbs and body from the neck down) and Respiratory Failure (condition that develops when the lungs cannot get enough oxygen into the blood, and…

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 and policy review, the facility failed to notify and solicit the assistance of the appropriate authorities for one Resident (#283), out of four sampled residents, when the Resident left the facility, did not return as indicated, and was unable to be contacted by facility staff. Specifically, the facility staff failed to notify the Police Department when Resident #283 was considered missing for failing to return to the facility from a leave of absence (LOA), and the facility could not verify the Resident whereabouts, care, or safety. Findings include: Review of the facility policy titled, Elopement Prevention and Response revised April 24, 2023, included but was not limited to: -Elopement: when a resident leaves the premises or a safe area without knowledge (i.e., an order for discharge or leave of absence) -Elopement Response: >At first notice that the resident does not seem to be in his/her usual/immediate living space, the resident is considered missing. >If the…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record and policy review, the facility failed to ensure that the Oxygen flow rate (measurement of how much Oxygen is being administered) was set at the correct liters per minute (LPM - the amount of oxygen flow that is being received) for one Resident (#156), out of a total sample of 36 residents. Specifically, the facility staff failed to ensure that the Resident's oxygen flow rate was maintained at 2 LPM as prescribed by the Physician, putting him/her at risk for adverse outcomes like hypercapnia (failure of the body to remove carbon dioxide in the blood) and Respiratory Failure (condition that results when the blood does not have enough oxygen or too much carbon dioxide). Findings include: Review of the facility policy titled Oxygen Administration, Revised November 3, 2016, indicated the following: -Verify Physician's order of Oxygen administration . Updated AARC Clinical Practice Guidelines at https://www.aarc.org/wpcontent/uploads/2014/08/08.07.1063.pdf, titled Precautions…

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.