Aspire Senior Living Moberly

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility facility failed to provide documentation of a medical diagnosis that warranted the use of a restraint prior to initiation, assessment and monitoring for the use of physical restraints, including a wheelchair locked when placed up to the dining room table, a pommel cushion (a cushion with an upward-projecting protuberance at its front part that prevents a wheelchair dependent resident from sliding down and possibly falling out of a wheelchair), to prevent rising from a wheelchair, and a recliner positioned with he legs elevated (Resident #50 and #22), in a review of 24 sampled residents, who were in chairs to prevent them from rising. The residents could not easily and intentionally rise from their wheelchairs or a recliner. The facility did not document other interventions attempted or the consent of the resident or his/her representative. The facility census was 64. Review of the facility policy Use of Restraints, dated 01/30/24, showed 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 interview and record review, the facility failed to develop a person-centered comprehensive care plan specific to the resident, for two residents (Resident #42 and #36), in a review of 24 sampled residents. The facility census was 64. Review of the facility policy, Care Plans, Comprehensive Person-Centered, revised March 2022, showed the following: -The interdisciplinary team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident; -The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment; -The comprehensive, person-centered care plan: a. Includes measurable objectives and timeframes; b. Describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being; c. Includes the resident's stated goals upon admission and desired outcomes; d.…

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 staff provided two residents (Resident #42 and #36), who required assistance to complete their own activities of daily living (ADL), in a review of 24 sampled residents, the necessary care and services to maintain good oral hygiene. The facility census was 64. Review of the facility policy, Dental/Oral Care of the Resident, dated 01/30/24, showed the following: -Purpose: to clean and freshen the resident's mouth, prevent infections of the mouth, maintain the teeth and gums in a healthy condition, stimulate the gums and remove food particles from between the teeth; -Assist the resident with brushing their teeth based on individual needs; -Teeth should be brushed every morning and evening; -Flossing of the teeth should be done at least once a day to promote healthy gums; -Inspect the gums for any paleness, discoloration, bleeding sores or irritation; -Inspect the teeth for decay or looseness; -Report and document any issues with 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 interview and record review, the facility failed to ensure an approved indication for use of psychotropic medications for one resident (Resident #21), in a review of five residents sampled for unnecessary medications. Resident #21 had an order for risperidone (an antipsychotic medication) which is contraindicated for use in residents with dementia related psychosis. The resident's dosage of risperidone (an antipsychotic medication) was increased after the resident presented with one day of behaviors on 01/19/24 after the medication was decreased on 01/16/24. The resident's medical record did not contain documentation the facility assessed the root cause of the resident's behaviors or attempted non-pharmacological interventions to address the behaviors prior to increasing and adding medications to the resident's medication regimen. The facility census was 64. Review of Drugs.com on 9/18/24, showed the following: -Risperidone is an antipsychotic medicine that works by changing the effects of chemicals in…

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

Based on observation and interview, the facility failed to implement sanitary practices and conditions within the dietary department to prevent the potential for contamination of food during storage, preparation, and distribution. The facility census was 69. 1. Observation on 03/13/23 between 9:32 A.M. and 12:27 P.M., of the preparation and service of the noon meal, showed the following: -At 9:32 A.M., Dietary [NAME] P prepared the noon meal in the kitchen. He/She did not have the front of his/her hair covered with a hair net. Dietary Aide A washed dishes and did not have the front of his/her hair covered with a hairnet; -At 10:25 A.M., Dietary Aide B rolled silverware into napkins for the residents' meal and did not wear a beard restraint to cover his/her beard; -At 11:05 A.M., Dietary Aide A stacked three wet skillets and put them away on a shelf; -At 11:34 A.M., Dietary [NAME] P wore gloves during the meal service. He/She picked up pieces of chicken with his/her gloved hands, rather than using a serving utensil, then touched plates, serving utensils, and meal cards. He/She did…

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 staff spoke to one resident (Resident #4), in a review of 18 sampled residents, and one additional resident (Resident #45), in a dignified manner. The facility census was 69. Review of the facility policy Dignity, revised February 2021, showed the following: -Each resident shall be cared for in a manner that promotes and enhances his/her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem; -Residents are treated with dignity and respect at all times; -Staff speak respectfully to residents at all times, including addressing the resident by his/her name of choice and not labeling or referring to the resident by his/her room number, diagnosis or care needs; -Demeaning practices and standards of care that compromise dignity are prohibited. 1. Review of Resident #45's quarterly Minimum Data Set (MDS), a federally mandated assessment instrument, completed by facility staff, dated 12/22/22,…

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 review the Certified Nurse Aide (CNA) Registry for a Federal Indicator (which would disquality an individual from working in the facility) for eight employees in a review of ten newly hired employees. The facility also failed to develop a policy and procedure to address reviewing the CNA Registry for a Federal indicator for all potential new hires. The facility census was 69. Review of the undated facility policy titled CNA Registry Check for Skilled Nursing Facilities, showed the following: Purpose: -The purpose of this policy is to ensure resident safety by requiring all skilled nursing facilities to conduct a CNA Registry Check before hiring CNAs. This policy aims to ensure that all CNAs employed by the facility are properly trained, qualified, and have no history of abuse or neglect in the provision of care for residents; Policy Statement: -All skilled nursing facilities shall conduct a CNA Registry Check on all applicants for CNA positions. The registry check must be conducted prior to extending an offer of employment…

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 staff provided the necessary care and services to maintain good personal hygiene and prevent body odor for seven residents (Residents #4, #35, #37, #41, #50, #116, and #317), who required assistance to perform their activities of daily living (ADLs), in a review of 18 sampled residents. The facility census was 69. Review of the facility's undated Shower/Tub Bath policy shower no evidence of how frequently residents should receive a shower/bath. Review of the facility's undated policy, Dental/Oral Care of the Resident, showed the following: -Assist the resident with brushing his/her teeth based on individual needs; -Teeth should be brushed every morning and evening. 1. Review of Resident #41's quarterly Minimum Data Set (MDS), a federally mandated assessment instrument, dated 1/28/23, showed the following: -Severely impaired cognition; -No behaviors or rejections of care; -Total dependence of one staff member for personal hygiene…

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 safety during transfers and/or repositioning for four residents (Residents #6, #20, #22 and #27), in a review of 18 sampled residents. Staff failed to properly transfer three residents (Residents #20, #22, and #27) with a gait belt (a device put around a resident's waist prior to a transfer or position change to aid in the safe movement from one surface to another), and failed to safely reposition one resident (Resident #6) while in bed. The facility census was 69. Review of the undated facility policy, Gait Belt Use, Mechanical Lift, and Manual Transfer, showed the following: -Purpose: The purpose of this policy and procedure is to ensure the safe and proper use of gait belts, mechanical lifts, and manual transfer in our skilled nursing facility; these devices are used to assist residents with mobility assistance within the skilled nursing facility; -Policy: Our skilled nursing facility is committed to ensuring the safety 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, interview, and record review, the facility failed to ensure staff prepared and served food at a safe and appetizing temperature. The facility census was 69. During interview on 3/13/23 at 9:54 A.M., Resident #33 said the food served at the facility was mediocre in taste and temperature. During an interview on 3/13/23 at 10:18 A.M., Resident #10 said the following: -Sometimes the food was not hot; -The food was bland; -Sometimes the meat was not tender. Record review of the menu for the noon meal on 03/13/23 showed the menu items included fried chicken and creamed corn. During interview on 3/13/23 at 12:14 P.M., Resident #20 said the following: -The fried chicken for lunch was cold, hard, and he/she couldn't chew it. (Observation showed the resident consumed less than 10% of the fried chicken on his/her plate); -A lot of times the foods that were supposed to be hot were not hot. Observation on 03/13/23 at 12:27 P.M., of the test tray received after the last resident was served, showed the fried chicken was 100 degrees Fahrenheit, the ground chicken was 101…

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 use appropriate infection control practices when staff rinsed out a graduated cylinder that contained urine in the sink in one resident's (Resident #37) shared room, in a review of 18 sampled residents, and rinsed a fecal soiled incontinence pad in the sink in one additional resident's (Resident #29's) shared room. The facility also failed to ensure all procedures were implemented to address prevention, development, and transmission of Tuberculosis (TB) as directed by facility policy. The facility failed to ensure Tuberculin Skin Tests (TST; an injection into the top layer of skin in the forearm that contains purified protein derivative, PPD) were completed and documented as directed by facility policy for eight of ten sampled employees reviewed. The facility census was 69. 1. Review of the undated facility policy, Disinfection of Contaminated Medical Equipment in a Skilled Nursing Facility, showed the following: -The policy applied 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify the physician timely after a change in condition for one additional resident (Resident #117) and one discharged resident (Resident #64). The facility census was 69. Review of the facility's Notification of Changes policy, undated, showed the following: -The facility must immediately inform the resident, consult with the resident's physician, and notify, consistent with his/her authority, the resident representative(s) when there is: a. A significant change in the resident's physical, mental or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications); b. A need to alter treatment significantly (that is, a need to discontinue an existing from a treatment due to adverse consequences, or to commence a new form of treatment). 1. Review of Resident #64's face sheet, showed the following: -admitted on [DATE]; -Diagnoses: acute neurologic symptoms (caused 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 provide proper care to a suprapubic urinary catheter (a tube inserted into the bladder through a small cut in the low abdomen) for one resident (Resident #37), in a review of 18 sampled residents. Four residents had a urinary catheter. The facility census was 69. Review of the facility's undated policy, Catheter Care, showed catheter bags must be kept below the level of the bladder to prevent backflow of urine. Review of Resident #37's significant change Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, dated 1/4/23, showed the following: -The resident had moderate cognitive impairment; -He/She required extensive assistance from two staff for toilet use and personal hygiene; -He/She was dependent on two staff for transfers; -He/She was dependent on one staff for mobility in a wheelchair; -He/She had an indwelling urinary catheter. Review of the resident's physician orders, dated March 2023, showed catheter care every shift and as needed. Review of the 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.

Based on observation and interview, the facility failed to follow proper sanitation and food handling practices in the kitchen. The facility census was 47. 1. Review of the Dietary Personnel Guidelines policy dated May 2015 showed hairnets should be worn at all times and should cover the entire head of hair. Hands should be washed any time deemed necessary. 2. Review of the dietitian consultation report dated 08/07/19 showed the dietitian did a complete walk through of the kitchen area with the dietary manager. They discussed employee behaviors including food handling and the standards for food protection. 3. Observation on 08/12/19 between 9:36 A.M. and 12:31 A.M. showed the following: -Kitchen staff in the kitchen preparing the noon meal; -A male employee walked through the kitchen with no hair net or beard net (employee had facial hair); -Dietary Aide F had facial hair and wore no beard net; -The dietary manager did not have the front of her hair covered with her hairnet; -Dietary Aide F dished up pears for the noon meal and did not wear a beard net; -Dietary Aide F pureed pears…

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 staff failed to design and provide an activity program to meet the needs, interests, physical, mental, and psychosocial well-being for six residents (Residents #9, #12, #17, #20, #39, and #45) in a review of 12 sampled residents. The facility census was 47. 1. Review of the Long-Term Care Facility Resident Assessment Instrument User's Manual, dated October 2013, showed the following: -Most residents capable of communicating can answer questions about what they like; -Obtaining information about preferences directly from the resident, sometimes called hearing the resident's voice, is the most reliable and accurate way of identifying preferences; -If a resident cannot communicate, then family or significant other who knows the resident well may be able to provide useful information about preferences; -Quality of life can be greatly enhanced when care respects the resident's choice regarding anything that is important to the resident; -Interviews…

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 staff served bread as directed by the spreadsheet to residents on regular, mechanical soft and pureed diets. The facility census was 47. Review of the facility's spreadsheet menu for 8/12/19 showed staff were to serve meatballs with gravy, mashed potatoes, seasoned carrots, dinner roll, and chilled pears to residents at the noon meal. The meal was to be served to all residents on regular, mechanical soft and pureed diets. The modified diets were to be of appropriate consistency for the resident's diet. Observation on 08/12/19 between 11:53 A.M. and 12:31 P.M. of the noon meal, showed staff did not serve a dinner roll or bread to the residents as directed by the spreadsheet menu. During an interview on 8/12/19 at 2:27 P.M., Resident #20 said he/she did not get a dinner roll for the lunch meal. He/She would have eaten the roll if he/she had been served a roll. Residents do not usually get bread with their meals. During interview on 08/12/19 at 2:45 P.M., the administrator said she expected staff to follow…

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

Based on observation and interview, the facility failed to serve food that was palatable and at a safe and appetizing temperature. The facility census was 47. 1. Review of the facility's policy, Food Temperatures, dated May 2015, showed hot food should be at least 120 degrees Fahrenheit when served to the resident. 2. Record review of the facility menu for 08/12/19 showed the lunch meal included meatballs with gravy, mashed potatoes, and seasoned carrots. During observation and interview on 8/12/19 at 12:30 P.M. Resident #42 sat on the bed in his/her room. The resident was eating his/her lunch tray of meatballs, mashed potatoes and gravy, carrots, and pears. The resident said the food was barely warm. The food didn't taste too bad but it would be much better if it was warm. The resident would prefer the food to be warmer. During interview on 8/12/19 at 2:27 P.M., Resident #20 said his/her food was usually cold when he/she received it. Observation on 08/12/19 at 12:31 P.M. of the noon meal test tray, received after the last resident was served showed the following food temperatures:…

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 report allegations of resident-to-resident abuse to the state agency within two hours. The facility census was 47. 1. Review of the facility's Abuse Policy, undated, showed the following: -The facility will adhere to reporting time frames as outlined for the reporting to the State Survey agency for reporting to law enforcement. When there is a reasonable suspicion that a crime has occurred, to include but not limited to: abuse or the crime results in serious bodily injury, the crime must be reported within two hours. If the crime is not abuse or result in serious bodily injury, the report must be made within 24 hours; -The nursing home administrator or designee will report abuse to the state agency per State and Federal requirements. 2. Review of Resident #34's nursing progress notes, dated 8/13/19 at 7:06 P.M., showed the resident was in another resident's room this evening. A staff member observed the resident hit and shake the other resident by the arm. Registered Nurse (RN) O notified the assistant director 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 observation, interview, and record review, the facility failed to provide appropriate treatment and services consistent with professional standards of practice to increase range of motion and/or prevent further decrease in range of motion for two residents (Residents #12, and #45), in a review of 12 sampled residents. The facility census was 47. 1. Review of the facility's policy on Range of Motion, dated May 2006, showed the following: -Range of motion (ROM) may be defined as the extent of movement within a given joint which is normally achieved through the action of a muscle or group of muscles; -Objectives of ROM are to prevent contractures (fibrotic changes which begin to occur in the muscles and other joint tissues within three to four days if immobility); -To maintain normal range of motion (different normal ranges of motion may be fund in different individuals); -To increase joint motion to the maximum possible range; -To maintain and build muscle strength; -To stimulate circulation; -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, interview, and record review, the facility failed to evaluate and implement interventions to prevent further choking episodes after one additional resident (Resident #39), who had a history of dysphagia (difficulty swallowing), choked and required the Heimlich maneuver (a first-aid procedure for dislodging an obstruction from a person's windpipe in which a sudden strong pressure is applied on the abdomen) to dislodge the food. The facility also failed to ensure an electric range in the activity area, accessible to residents, was inoperable when not in use. The facility census was 47. 1. Review Resident #39's care plan, dated 10/18/18, showed the following: -History of dysphagia (difficulty swallowing) and at risk for aspiration (breathe foreign objects into the airway); -Monitor for signs and symptoms of aspiration, coughing, wheezing, fever, etc. and notify the resident's physician. Review of the resident's physician orders, dated 7/1/19 - 7/31/19, showed an order for a regular diet with regular liquids. Review of the resident's quarterly Minimum Data Set…

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 appropriate services to attain the highest practical well-being for one resident (Resident #34), with a diagnosis of dementia, in a review of 12 sampled residents. Facility staff identified the resident had behaviors affecting the resident and other residents, however, did not evaluate and implement further approaches to address the resident's care needs related to his/her diagnosis of dementia. The facility census was 47. 1. Review of the facility's policy on the philosophy and mission statement of the Special Care Unit (SCU), dated April 2006, showed the following: -The overall objective of the SCU was to provide a therapeutic, homelike, environment that maximizes the resident's independent functioning for as long as possible; -The purpose of the SCU was to provide each resident with individualized care that enhances their quality of life by meeting physical and psychosocial needs; -The mission of the SCU was to provide activity focused, holistic, healthcare in a comfortable, safe, structured,…

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 administer insulin according to the manufacturer's recommendations for two different types of insulin pens, for one resident (Resident #45), in a review of 12 sampled residents and one additional resident (Resident #6). Facility staff also failed to ensure an insulin vial had not exceeded its recommended storage date prior to administration for one sampled resident (Resident #45). The failure had the potential to result in residents not receiving their full dose of ordered insulin. The facility census was 47. 1. Review of the manufacturer's instructions for use for the Novolog (insulin) FlexPen (injection cartridge device) showed the following: -Before each injection, small amounts of air may collect in the cartridge during normal use; -To avoid injection air and to ensure proper dosing, turn the dose selector to two units; -Hold the Novolog FlexPen with the needle pointing up; -Tap the cartridge gently with your finger a few times to make any air bubbles collect at the top of the cartridge; -Keep the needle…

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 staff washed their hands when indicated by professional standards of practice during personal care for one resident (Resident #17), in a review of 12 sampled residents and failed to ensure infection control measures were appropriately followed when staff failed to promptly disinfect surfaces that came into contact with body substances for one sampled resident and one additional resident (Residents #17 and #19). The facility census was 47. 1. Review of the Infection Control Guidelines for Long Term Care Facilities, January 2005 edition, Section 3.0, Body Substance Precautions, Subsection 3.2 Implementing the Body Substance Precautions System, provided by the facility, showed the following regarding gloves and handwashing: -Instructions should be followed by ALL personnel at all times regardless of the resident's diagnosis; -Gloves: Wear gloves when it can be reasonably anticipated that hands will be in contact with mucous membranes, non-intact skin, any moist body substances (blood, urine, feces, wound…

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.