Future Care Pineview

Based on observations, record review, and staff interviews, the facility failed to provide oral hygiene care to residents with nothing by mouth (NPO) status. This was evident for 1 (Resident #34) out of 2 residents observed during the survey.On 8/01/2025 at 9:40 AM, while speaking with Resident #34, the surveyor noted the resident's breath smelled badly and their mouth was very dry, and their lips were cracked. On 8/04/2025 at 9:26 AM, the surveyor observed Resident #34 alert and smiling, and that Resident #34's lips were dry and cracked. After leaving the resident, the surveyor went to speak with the GNA who works with the resident. GNA #32 was asked if she does oral hygiene care for the residents who are NPO. GNA #32 responded that she does oral care when she does her ADLs in the morning with the resident and again in the afternoon before leaving for the day. The surveyor then went to speak with the nurse for the resident. The surveyor asked Staff #33 if they provide oral hygiene care for the resident, and he stated that they do it at least once a shift. On 8/04/2025 at 11:45 AM,…

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 with residents, the facility failed to prepare meals that were attractive, flavorful, and appetizing to the residents. This was evident for 2 (Resident #59 and #151) residents out of 5 interviewed for meals during survey. On 7/30/2025 at 11:31 AM, the surveyor spoke with Resident #151 about the food at the facility. Resident #151 stated that the food just isn't that good. I don't eat most of my meals. Resident #151 was unable to provide examples of what they meant. On 8/01/2025 at 1:45 PM, Resident #59 was interviewed about the food at the facility. Resident #59 complained that the food is terrible, with no taste. Resident #59 also stated that they (the facility) need someone better to cook the food. It's either not cooked enough or overcooked. On 8/05/2025 at 12:26 PM, the surveyor visited Resident #151 to find that they were not happy with their lunch. They stated that they always get the same stuff that they don't like. It doesn't look appetizing or taste good. I get the alternative lunch most times. A salad or a PBJ sandwich. 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 observations, record reviews, and interviews it was determined that the facility failed to ensure infection control and prevention policies and procedures were carried out by its employees. This was determined to be true for one (Resident #86) out of six residents reviewed for infection control and prevention during the survey. The findings include: On 07/31/2025 at 1:55 PM, Resident #8 and Resident #86 were observed lying in their beds. The surveyor observed during a tour of the 2nd floor clinical unit that Resident# 86's door was open and that an employee was engaged in conversation with Resident #86. The surveyor observed that there were two isolation signs posted on room door. The posted signs were contact isolation and enhanced barrier precautions. The surveyor observed that Staff #26, physical therapy assistant, was not wearing an isolation gown while speaking to Resident #86 and was observed touching the resident's linens during the conversation. Staff #26 came to the open doorway of the room and asked if she could assist the surveyor before returning to the bedside…

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 review of residents medical records, facility COVID-19 testing documentation, facility policy interview with facility staff, and interview with residents, it was determined that the facility failed to develop and follow a system of testing residents for COVID-19 according to the recommendations of the Centers for Disease Control (CDC) and the facility's own policies during an outbreak of COVID-19. This deficient practice had the potential to impact all residents. The findings include: A line listing is an infection prevention and control tool that is used to track individuals who may have actively infectious disease. It lists each potentially infectious individual and includes information such as date of symptom onset, a list of symptoms, results of testing, and treatments given to address the potentially infectious disease. It is common practice to maintain a distinct line listing for a specific infectious disease when an organization is experiencing an outbreak. The survey, which took place 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, interview, and review of pertinent facility documents and policies it was determined that the facility failed to take appropriate actions to thoroughly investigate and follow up on a reported allegation of abuse (Resident # 14). This was evident for 1 of 2 Facility Reported Incidents (FRI) reviewed. The findings include: On 10/06/22 at 09:30 AM, review of the Facility Reported Investigation (FRI) MD00173298 and complaint investigation report MD00173683 revealed the allegation that 2 Geriatric Nursing Assistants (GNA) were rough with Resident #14 while they were providing ADL care. In the report, on 10/19/21, Resident #14 reported that over the weekend while 2 GNA's were working with him/her, they were rough with her/him while providing Activities of Daily Living (ADL) care. Activities of daily living are activities related to personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating. Although the FRI was not specific to a day or shift, or the identity of the accused, 4 staff…

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, interview, and review of pertinent facility documents and policies it was determined that the facility failed to ensure that residents were free from abuse or create a safe environment by failing to implement the facility policy on abuse as evidenced by failing to complete in-services on all employees after alleged incidents of abuse occurred in the facility, failing to appropriately investigate an allegation of abuse, and failing to follow-up with a resident grievance. This was found to be true in 1 (Resident #14) of 2 residents reviewed for abuse investigations. The findings include: On 10/06/22 at 09:30 AM, surveyor reviewed the Facility Reported Investigation (FRI) MD00173298 and complaint investigation report MD00173683 regarding the allegation of 2 Geriatric Nursing Assistants (GNA) were rough with Resident #14 while they were providing ADL care. In the report, on 10/19/21, Resident #14 reported that over the weekend while 2 GNAs were working with him/her, they were rough with her/him while providing Activities of Daily Living (ADL) care. Activities 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 medical record review, facility policy and training record review and interview with facility staff, it was determined that the facility failed to implement their policy on abuse as evidenced by failing to complete in-services on all employees after alleged incidents of abuse occurred in the facility. This was evident during the review of 1 of 2 of 2 Facility Reported Incidents (FRI) on abuse. The findings include: On 10/06/2022 at 09:30 AM Surveyor reviewed an FRI MD00173298 that was reported on 10/19/21 regarding an allegation of abuse. After the facility completed their investigation, the allegation was unsubstantiated. Further review found 4 staff members (Staff#39, Staff #41, Staff #44, and Staff#55) were identified to be directly involved in the incident. During an interview with the Administrator, s/he indicated that the four staff members listed received abuse in-service related to the incident. However, a review of the abuse in-services attendance records related to the incident provided to the survey team failed to show Staff #41, Staff #44, and Staff #55 were…

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, interview, and review of pertinent facility documents and policies it was determined that the facility failed to thoroughly investigate an abuse allegation. This was evident for 2 of 9 Facility Reported Incidents (FRI) reviewed. The findings include: 1. On 10/06/22 at 09:30 AM, review of the facility reported investigation revealed the allegation of 2 Geriatric Nursing Assistants (GNA) were rough with Resident #14 while they were providing ADL care. In the report, on 10/19/21, Resident #14 reported that over the weekend while 2 GNA's were working with him/her, they were rough with her/him while providing Activities of Daily Living (ADL) care. Activities of daily living are activities related to personal care. They include bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating. Although the FRI was not specific to a day or shift, or the identity of the accused, 4 staff members; 3 from the day shift (Staff #39, Staff#41 and Staff #44) and 1 member from night shift (Staff #55) were the only staff interviewed.…

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 medical record review and staff interviews, it was determined the facility failed to have a system in place to ensure residents or their responsible party and the local Ombudsman, received written notification of a transfer to the hospital. This was evident for 2 (Resident #58 and Resident #105) of 2 residents reviewed for hospitalization during the investigative stage of the survey. The findings include: Review of Resident #58's medical record on 10/11/2022 7:21 AM revealed the resident was admitted to the facility on 7/2022 with several medical diagnoses. Further review of the medical record revealed Resident #58 was transferred to the hospital on two occasions, 9/8/2022 and on 10/1/2022. The resident was transferred to the hospital on 9/8/2022 due to a dislodged jejunal tube. The second transfer occurred on 10/1/2022 due to Altered Mental Status. During review of Resident #58's transfer documentation for both transfers, written notification of the resident transfers to the Resident #58's responsible party and the local Ombudsman were not located. Review of Resident…

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 reviews and interviews it was determined the facility failed to ensure care plans were revised as required. This was found to be evident for 2 (Resident #28 and Resident #64) out of 33 residents reviewed for care plans during the Annual Survey. The findings include: 1. According to the World Health Organization (WHO) diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood glucose. Hyperglycemia, also called raised blood glucose or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels. During an interview with Resident #28 on 10/02/2022 at approximately 9:29 AM, the resident stated s/he received insulin for the treatment of diabetes. A review of resident #28's medical record confirmed the resident was diagnosed with Diabetes Mellitus. A review of resident #28's physician orders conducted on 10/06/2022 at…

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 with staff, and record review, it was determined that the facility failed to implement an intervention, determined to be necessary, for a resident who was identified as a fall risk. This was evident of 1 of 2 residents (Resident #18) reviewed for accidents during the annual survey. The findings include: The surveyor reviewed Resident #18's medical record on 10/7/22 at 8:30 AM. This review revealed that resident #18 was admitted to the facility in early 2022 with diagnoses that include hyperlipidemia, cerebral infarction, hemiplegia and hemiparesis following cerebrovascular disease, and dysphagia. Review of Section B of the resident's most recent Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident did not speak, was rarely or never understood, and rarely/never understood others. Further review of Resident #18's medical record revealed a progress note dated 9/23/22 that described an unwitnessed fall that the resident had sustained. The surveyor reviewed 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 interview with staff and review of medical records and the facility's policies, it was determined that the facility failed to: 1) maintain acceptable parameters of nutrition for a resident by failing to implement nutritional recommendations and, 2) effectively address significant weight loss. This was evident of 1 of 11 residents (Resident #62) reviewed for nutrition during the annual survey. This deficient practice affected a resident who had consistent weight loss throughout a two-month stay. The findings include: Significant weight change is defined as a gain or loss of 5% of a person's weight within 30 days, 7.5% within 90 days or 10% within 180 days. Significant weight change requires clinical evaluation and, if the change is not beneficial, intervention. 1. On 10/12/22 at 11:22 AM, review of Resident #62's medical record revealed Resident #62 was admitted to the facility in August 2022, and resided in the facility for approximately 2 months. Further review of Resident #62's medical record revealed that Resident #62 had the following weights recorded: 8/5/22: admission…

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 with staff and review of residents' medical records, it was determined that the facility failed to provide appropriate treatments to prevent complications for a resident who required enteral nutrition. This was evident by the facility replacing a resident's gastrostomy tube without appropriate physician's orders and failing to document that gastrostomy tube placement. This was evident for 1 of 2 residents (Resident #18) reviewed for tube feeding during the annual survey. The findings include: Enteral nutrition, also known as tube feeding, is a way to deliver dietary needs directly to the stomach or small intestine. A gastrostomy tube or (g-tube) is used when nutrition is delivered to your stomach. A common g-tube placed is called a percutaneous endoscopic gastrostomy (PEG) tube. This is done by a surgical procedure. The tract of the tube can take a month to form and in some people this process can take longer. If the tube is removed or accidentally dislodged before the heeling process is finished, the medical professional should replace the tube to prevent…

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 with facility staff it was determined that the facility failed to complete a risk assessment prior to the use of the siderails. This was evident of 1 of 2 Residents (Resident #18) reviewed for accidents during an annual survey. The findings include: Bedrails also known as side rails are adjustable bars that attach to the bed. They vary in size, including full, half, and quarter lengths depending on their intended purpose. They can be used to prevent falls, help assist residents with movement, and provide a feeling of security. Bed rails also have potential risks associated with them, such as suffocation, entrapment, and psychological risks. A risk assessment is required to evaluate the resident's risk of entrapment before the use of bedrails. Review of Resident #18's medical record on 10/7/22 at 8:30AM revealed that Resident #18 was admitted to the facility in early 2022 with diagnoses that include but not were not limited to hyperlipidemia, cerebra infarction, hemiplegia and hemiparesis following cerebrovascular disease, 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.

Based on observation and interview it was determined that the facility failed to ensure food was properly prepared for residents with a diet order for pureed food. This deficient practice has the potential to affect all residents who received pureed food. The findings include: Pureed foods are a type of texture of food that helps with problems related to difficulty in chewing and swallowing. A pureed diet consists of foods that are blended, whipped, or mashed until they are a pudding-like texture. During an observation conducted on 10/04/2022 at approximately 11:30 AM of the steam table and tray line, the Surveyor requested a test sample of the pureed roast beef served for lunch. During an interview conducted on 10/04/2022 approximately 11:45 AM, the Dietary Manger #9 confirmed the kitchen prepared the pureed food. On 10/04/2022 at approximately 12:10 PM the pureed roast beef was tasted by a surveyor who determined the pureed roast beef was not completely pureed, it had concerning sizable pieces of meat mixed in with the pureed meat. During an interview conducted on 10/04/2022 at…

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 with Resident #76 the facility failed to deliver low carbohydrate diet recommended for a Resident #76 with diabetes. This was evident for 2 of 3 (Resident #76) residents reviewed for preferences during the survey. Findings include: On 10/02/22 09:58 AM, an interview has held with Resident #76 who had food sitting on the tray table in front of him/her. Resident #76 stated the food was cold and inedible. Resident #76 also stated the carts with the trays sit outside the rooms because there were not enough staff to distribute trays and the kitchen does not serve enough green leafy vegetables and too many starches for a diabetic resident. In addition, Resident #76 indicated he/she cannot read the menu as his/her eyes are bad and he/she cannot write what she wants to eat and does not receive assistance from the staff. Interview with the facility Dietician on 10/2/22 at 9:58 AM confirmed the resident was to receive a low carbohydrate diet. The Dietician stated she would check with the kitchen to make sure Resident #76 was receiving the proper diet.

Based on resident interview and observation it was determined the facility failed to provide food at a safe and appetizing temperature. This deficient practice has the potential to affect all residents. The findings include: On 10/03/2022 the survey team requested a breakfast test tray for 10/05/2022 based on random complaints from about the taste and flavoring of the food provided by the facility. A breakfast tray was presented to the survey team on 10/04/2022 at approximately 8:50 AM. The breakfast tray consisted of an unshelled boiled egg, 2 breakfast sausage links, oatmeal, orange juice, cranberry juice and a carton of milk. The temperature of the breakfast sausage link temperature was observed at 100 degrees Fahrenheit, the oatmeal temperature was observed at 122 degrees Fahrenheit, the boiled egg temperature was observed at 98 degrees Fahrenheit, orange juice temperature was observed at 44 degrees Fahrenheit, cranberry temperature was observed at 52 degrees Fahrenheit, and milk temperature was observed at 44 degrees Fahrenheit. During an interview conducted on 10/04/2022 at…

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 with facility staff, it was determined that the facility failed to store and prepare food in a manner that maintains professional standards of food service safety. This practice had the potential to affect all residents eating food prepared by the facility's kitchen. The findings include: During the initial tour of the kitchen conducted on 10/03/2022 at approximately 7:30 AM, the Surveyor and Dietary Manager # 9 observed 2 Quaker Grits containers opened and undated, 1 box of Belgium waffle mix opened and undated, and 1 box of Hungry [NAME] complete pancake mix opened and undated in the walk-in refrigerator. An interview conducted on 10/03/2022 at approximately 7:32 AM, the Dietary Manager # 9 confirmed the facility's policy was to securely close packages/bags once opened, write an open date, use by date, and use a date format of month, day and year. During the continued tour of the kitchen, the Surveyor and Dietary Manager #9 observed 3 bags of unopened Raviolis laying without an expiration date on the bottom right shelf of the walk-in freezer. 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 observation and interview with facility staff, it was determined that the facility failed to ensure that facility staff wore face masks, respirators, and face shields in an appropriate manner during a COVID-19 outbreak. This was evident on 3 of 18 days of the annual survey. The findings include: The annual survey was conducted from 10/2/22 to 10/26/22, during an outbreak of COVID-19 at the facility among staff and residents. On 10/3/22 at 7:30 AM, the surveyor observed two kitchen staff working the tray line in the kitchen. They were transferring food from containers in a steam table onto resident plates. They were noted to be wearing surgical masks but, although the masks covered the staff members' mouths, the masks were below both of their noses. On 10/3/22 at 1:30 PM, the surveyor interviewed the Infection Preventionist (IP, Staff #10). During the interview, the IP stated that all staff were currently expected to wear at least a surgical mask at all times while in the facility. The IP indicated that staff who were working on nursing units with residents who recently…

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 it was determined that the facility failed to maintain an effective pest control program as evidenced by the presence of insects. This was found to be evident for the kitchen. The findings include: During the initial tour of the kitchen on 10/04/2022 at approximately 7:30 AM, the Surveyor and Dietary Manager #9 observed a cockroach crawling up the wall above the sink in the dishwasher room. Several gnats were observed flying around all of the meal carts located in an area with puddles of standing water. The food traps observed during the tour were observed with vegetables and macaroni noodles. During an interview conducted on 10/04/2022 at approximately 7:32 AM the Dietary Manger # 9 stated the kitchen is routinely exterminated for pest, the standing puddles of water in the area where the meal carts are kept was from the staff that rinsed the floors, and the food traps should have been cleaned. The Dietary Manager #9 stated he understood standing water and unclean food traps has the potential to attract pest such as gnats and cockroaches. On 10/04/2022 at…

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, resident and staff interviews it was determined that the facility failed to provide a safe, sanitary and comfortable environment. This was evident in 3 out of 40 resident's rooms with spa shower room on the 3rd floor nursing unit during the survey process. The findings include: On 01/08/19 at 9:30 A.M. the surveyor observed on the 3rd floor nursing unit within the resident's spa shower room, broken tiles with the exposed steel support panel on the interior corner wall. On that same day at 9: 40 A.M., the surveyor was accompanied by staff member #2 who measured the missing wall guard tile. It measured to 14 inches with broken off plaster on the wall corner. The guard edge separated the bathroom to the resident showers. On 01/08/19 at 10:17 A.M. during observations in room [ROOM NUMBER] the surveyor observed in the personal bathroom that the shower floor had visible red, black, and brown dirt stains covering the entire shower floor. The resident stated that the facility had not cleaned 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 and interview with resident and responsible party, the facility failed to provide a water cup for Resident # 11 or refill his water cup consistently. This was evident for 1 out of 40 residents observed during the interview and observational part of the survey process. The findings include: On 1/8/19 at 10 A.M., this surveyor met with Resident # 11 and conducted an interview. The resident was able to answer all questions. The resident stated at that time, that he wanted a glass of water to drink. The surveyor noticed there was no water cup in the room and asked the unit secretary to get him a glass of water. The resident has a history of Chronic Kidney disease among other diagnoses. A Basic Metabolic panel was done on 12/1/18 and was abnormal. The Bun (Blood Urea Nitrogen) was high at 55 and creatine was high at 2.51. The physician was aware, and no new orders were given. The resident is total care and must be fed during all meals and liquids. All ADLs (Activities of Daily Living) are done for the resident. On 1/9/18 at 3P.M., again there was no water cup 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.

Based on observation and staff interview it was determined the facility failed to ensure that a bathroom faucet mechanism used in the room of Resident #74 was in proper working condition. This was evident in 1 of 4 rooms where handwashing was observed. The findings include: On 1/11/19 at 2:49 PM while observing staff #1 washing her hands in the room of Resident #74, it was noted the water was not shutting off properly. Staff #1 was observed pressing down on the double faucet handles and then putting her hands under the faucet to begin the handwashing process. The water ran for a few seconds and then shut itself off. Staff #1 repeatedly touched the faucets handles with her hands to turn the water back on, but the water always went off after a few seconds. On 1/16/19 at about 1:30 PM during an interview with the Director of Environmental Services, he stated the type of mechanism used on this sink was a metering sink faucet. Per Law Insider Contract database and search engine at https://www.lawinsider.com, a metering sink faucet is defined as: .a fitting that when turned on, will…

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.