Sterling Village

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to provide care and services consistent with professional standards of practice for indwelling urinary catheters for three Residents (#15, #157 and #114), of six applicable residents, out of a total sample of 28 residents, increasing the Residents risk for indwelling urinary catheter complications.Specifically, the facility failed to:1. for Resident #15, replace the Resident's indwelling urinary catheter with the correct sized catheter as ordered by the Physician during the scheduled monthly catheter change, and secure the urinary drainage bag away from contaminated surfaces. 2. for Resident #157, maintain/secure the urinary drainage bag away from contaminated surfaces.3. for Resident #114, replace the Resident's indwelling urinary catheter with the correct sized balloon during the Resident's Physician ordered monthly indwelling urinary catheter change, increasing the Resident's risk for indwelling urinary catheter complications. Findings…

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

Based on observations, and interviews, the facility failed to maintain a clean and homelike environment for two Residents (#10 and #59) out of a total sample of 27 residents, and on one unit (Aspen Unit) out of three units observed.Specifically, the facility staff failed to ensure:-for Resident #10, that the Resident's enteral tube feeding (nutritional supplement provided through a tube to the stomach) equipment was maintained in a clean and sanitary manner.-for Resident #59, that the Resident's enteral tube feeding equipment pump and pole, and the Resident's upper left side bed rail located next to the feeding equipment was maintained in a clean manner. Findings includeReview of the facility policy titled Maintaining a Clean Environment, dated 9/1/04, indicated:-Items that collect dust or secretions may harbor microorganisms that can colonize and infect susceptible residents or be inhaled by employees performing cleaning tasks.-In certain areas, housekeeping will not be responsible for the care of specific fixtures and furnishings. These items may be the responsibility of Nursing…

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 provide Activity of Daily Living (ADL - basic care tasks that an individual requires on a day-to-day basis such as grooming, eating, bathing, and dressing) care to one Resident (#127), of three applicable residents, out a total sample of 27 residents. Specifically, for Resident #127, the facility failed to provide grooming services for facial hair removal when the Resident's preference was daily facial hair removal and he/she was dependent on staff for assistance, causing a decrease in the Resident's quality of life. Findings include: Review of the facility policy titled Residents Rights, dated 9/1/04 included but was not limited to the following: Purpose: to promote the safety, comfort and well-being of all residents in the facility: >As a nursing home/rest home resident you have the right to be treated with dignity. Review of the facility policy titled A.M. Care, dated 9/1/04 included but was not limited to: Purpose: To facilitate…

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 provide three Residents (#113, #20, and #92), out of a total sample of 25 residents, with an environment as free of accidental hazards as possible. Specifically, the facility staff failed to: 1. provide adequate supervision and food of the required texture to ensure Resident #113's safety while eating when the Resident had a diagnosis of Oropharyngeal Phase Dysphagia (disorder or impairment in the ability to swallow), required his/her food to be pureed (soft, smooth foods that require no chewing), and required supervision and verbal cues while eating, increasing the Resident's risk for aspiration (inhaling food/drink into one's airways or lungs, and can result in Pneumonia). 2a. appropriately review Resident #20's food allergy list, when the Resident with a documented allergy for green beans, was served green beans at mealtime, increasing the Resident's risk for adverse reactions to food consumption. 2b. provide adequate…

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 and policy review, and interview, the facility failed to ensure that one Resident (#52) out of a total sample of 25 residents was free from significant medications errors. Specifically, the facility staff failed to adhere to the Physician's orders to hold the dose of Losartan Potassium (a medication used to decrease blood pressure and decrease the incidence of Stroke in patients with Hypertension [HTN: high blood pressure. When the blood pressure measures consistently above 130/80 millimeters of mercury [mmHg]) for a Systolic Blood Pressure (SBP) of less that 110 mmHg. Findings include: Review of the facility policy titled Medication Pass Guideline, with a revision date of 2/12/15 indicated: >Physician's Orders: -Medications are administered in accordance with the written orders of the attending Physician. *If a dose seems excessive considering the resident's age and condition or a medication order seems to be unrelated to the resident's current diagnosis or condition, contact the Physician 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.

Based on interview and policy review, the facility failed to develop an infection prevention and control policy and procedure (IPCP) in accordance with current accepted national standards and guidelines relative to controlling COVID-19 infection. Specifically, the facility failed to indicate what measures would be implemented to identify and control the spread of COVID-19 infection for residents and staff in the facility in the event of a COVID-19 outbreak. Findings include: Review of the CDC guidance titled Infection Control Guidelines: SARS-CoV-2, dated 5/8/23, indicated: -Asymptomatic patients with close contact with someone with SARS-CoV-2 infection should have a series of three viral tests for SARS-CoV-2 infection. -Testing is recommended immediately (but not earlier than 24 hours after the exposure) and, if negative, again 48 hours after the first negative test and, if negative, again 48 hours after the second negative test. This will typically be at Day 1 (where day of exposure is Day 0), Day 3, and Day 5. -Employers should be aware that other local, . state, . requirements…

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 records reviewed and interviews, for one of three sampled residents (Resident #1), whose physician's orders included the administration of a narcotic medication as needed for pain, the Facility failed to ensure they maintained a complete and accurate medical record when nursing failed to transcribe into the Controlled Substance Log (a book used by nursing to keep an accurate count of all narcotics and to record administration of narcotics), a change in the directions for the use of the narcotic, and failed to document the administration of the narcotic in his/her Medication Administration Record. Findings include: Review of the Facility's policy, titled Medication Pass Guidelines, with a revision date of 02/12/2015, indicated the purpose was to assure the most complete and accurate implementation of physicians' medication orders for administration of drugs in an accurate manner. Further review of the Policy indicated the following: -Medications are administered in accordance with written orders of the attending physician. -Verify the medication label against the Medication…

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 provide peripherally inserted central catheter (PICC: flexible tube inserted through a vein in one's arm and passed through to the larger veins near the heart, used to deliver medications intravenously [IV]) care and services in accordance with professional standards of practice and plans of care for two Residents (#237 and #45), out of two residents receiving IV treatments via PICC, in a total sample of 26 residents. Specifically, facility staff failed to: 1. For Resident #237, obtain a baseline measurement for the external length of Resident #237's PICC from when it was placed to ensure the PICC had not migrated (moved from the heart to another area, which could have a significant impact on treatment, or cause serious harm) prior to administering antibiotic therapy to the Resident via PICC when he/she returned to the facility from the acute hospital. Facility staff also failed to accurately measure the external length of the PICC and the Resident's arm circumference, as ordered by the Physician, when…

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 accurately execute Advance Directives (written documents that tells your health care providers who should speak for you and what medical decisions should be made if you become unable to speak for yourself) for one Resident (#21) out of a total sample of 26 residents. Specifically, the facility failed to ensure that the MOLST (Massachusetts Medical Order for Life-Sustaining Treatment) decisions were made by the designated and invoked (activated) Health Care Proxy (HCP- a legal document that allows you to appoint someone you trust to make medical decisions on your behalf if you are unable to do so) for Resident #21, when the Resident was deemed as lacking the capacity for informed decision making by the facility's Physician. Review of the facility policy for Advance Directives, last revised 3/15/23, indicated that Advance Directives go into effect only after a person is declared incapable of making their own medical decisions. Findings include: Resident #21 admitted to the facility in February 2022. Review of the clinical…

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 one Resident (#337), out of a total sample of 26 residents, received care of a colostomy (a surgical procedure that creates an opening [stoma] from the large intestine through the abdomen allowing for stool to pass from the intestine to outside the body) system consistent with professional standards. Specifically, the facility staff failed to provide care and maintenance of the adhesive barrier/wafer pouching system per facility policy. Findings include: Review of the facility policy titled Colostomy and Ileostomy Care, dated 9/1/2004, indicated the following: - Most disposable pouching systems (used for the management of stool outside the body: consisting of a detachable bag to collect stool attached to an adhesive barrier/wafer that is affixed to the abdomen surrounding the colostomy opening) can be used from two to seven days. - Record the date and time of pouching system change in the treatment record. Resident #337 was admitted to the facility in June 2023 with a diagnosis of exploratory surgery with colostomy…

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 policy review, observation, record review and interview, the facility failed to ensure its staff maintained appropriate infection control measures related to the use of Personal Protective Equipment (PPE) for two Residents (#125 and #52) out of a total sample of 26 residents. Specifically, the facility failed to ensure staff wore gowns and gloves when providing care for Resident's #125 and Resident #52 who were both on Contact Precautions (intended to prevent transmission of infectious agents, including epidemiologically important microorganisms, which are spread by direct of indirect contact with the resident or the resident's environment). Findings include: Review of the facility's policy, titled Transmission Precautions: Contact, dated 9/1/04, indicated the following: -In addition to Standard Precautions, Contact Precautions are used for residents known or suspected to be, infected or colonized with important microorganisms that can be transmitted by direct contact with the resident, or indirect (touching) with environmental surfaces or resident care items in 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.