Diversicare Of Eupora

Based on resident and staff interviews, record review, and facility policy review, the facility failed to identify and provide needed care and services that were resident centered, in accordance with the resident's preferences, goals for care, and professional standards of practice to meet resident's physical needs for one (1) of five (5) residents reviewed for quality of care. Resident #3 Findings include: Record review of facility policy titled, Notification of Change in Patient/Resident Health Status dated June 2017, revealed, Purpose: to ensure all interested parties are informed of the patient's/resident's change in health status so that a treatment plan can be developed which is in the best interest of the patient/resident . C. A need to alter treatment significantly (i.e. a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment). Depending on the nursing assessment appropriate notification may be immediate to 48 hours . Record review of facility policy titled, Skin Care Guidelines, dated July 2018, revealed,…

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, staff and resident interviews, record review, and facility policy review, the facility failed to ensure that a resident's rights were honored when a staff member refused to assist a resident with toileting for one (1) of four (4) survey days. Resident #2 Findings include: Review of the facility policy titled, Resident Rights & Quality of Life, with an effective date of March 13, 2020, revealed, .It is the policy that all residents and patients have the right to a dignified existence, self-determination, and communication with access to people and services inside and outside the center . An observation and interview on 8/27/24 at 12:00 PM, revealed Resident #2 sitting in her wheelchair in her room. Resident #2 stated My bladder is about to bust. I've got to go to the bathroom so bad. I just returned from an appointment and haven't been to the bathroom since leaving the facility this morning. The resident was observed using her call light to ask for help. The resident stated they won't do it right now. They always say they can't while they are passing out trays.…

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 resident and staff interviews, record review, and facility policy review, the facility failed to resolve grievances related to food concerns and bed linens not being changed for five (5) of seven (7) residents with grievances. Resident #3, #19, #26, #88, and #108. Findings Include: Review of the Facility policy titled Customer Concern (Grievance) Policy dated 7/2018, revealed Purpose: Support each customer's (patient's/resident's) right to voice concerns (grievances) and to ensure after receiving a concern, the center actively seeks a resolution and keeps the customer appropriately apprised of its progress toward resolution .Process . The Administrator will ensure a thorough investigation is conducted and will respond to the customer (patient/resident) The Administrator shall follow up on the correction of the problem and finalize the Customer Concern Form validating the resolution of the concern including who did what, when, and where It is best practice for the Administrator to follow up with the customer after a period of time to ensure the customer remains satisfied…

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 resident and staff interviews, record view, facility policy review, the facility failed to implement a care plan for nail care for Resident #41 and failed to develop a care plan for the application of leg braces for Resident #51 and failed to develop a behavior monitoring care plan for Resident #113 for three (3) of 26 resident care plans reviewed. Resident #41, #51 and #113 Findings include: Record review of facility policy titled, Care Plans dated October 2021, revealed, Care plans will be developed for all patients and residents based upon the RAI (Resident Assessment Instrument) manual guidelines. Care plans are developed by the interdisciplinary team and revised as needed according to resident and patient status or change. Resident #41 Review of the Care Plan undated for Resident #41 revealed, Self Care Deficit related to: decreased functional abilities, weakness. Also revealed, Nail, hair, and oral care daily and as needed. On 8/26/2024 at 11:36 AM, an observation of Resident #41 revealed,…

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, resident and staff interviews, and facility policy review, the facility failed to provide personal hygiene as evidenced by failure to provide nail care for one (1) of 24 sampled residents. Resident #41 Findings Include: Review of the facility policy titled ADL's dated 8/2021 revealed Policy: Ensure ADL's (Activities of Daily Living) are provided in accordance with accepted standards of practice, the care plan, and reasonable accommodation of the resident's choices and preferences . An observation and interview with Resident #41 on 8/26/2024 at 11:36 AM, revealed, she was sitting in her wheelchair in her room. She held up her hands and stated, I need my nails cut. I keep scratching myself. The resident revealed her nails had not been cut in a long time and stated she was a diabetic. The nails on both hands were long and measured approximately one-half (1/2) inch in length. An interview with Licensed Practical Nurse (LPN) #5 on 8/27/2024 at 10:58 AM, confirmed Resident #41's nails were long. She revealed that nail care had to be completed by a nurse since 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 staff interview, record review and facility behavior monitoring document review, the facility failed to ensure a resident with a new diagnosis of Binge Eating Disorder received appropriate behavioral monitoring and interventions to address the disorder for (1) one of (3) residents reviewed with behaviors. (Resident #113) Findings include: Review of a statement on facility letter head titled, Behavior Monitoring undated, revealed Specific behaviors are identified based on resident assessments. Behaviors are monitored by the nurses and quantitatively recorded in the medical record. Record review of the admission Record revealed the facility admitted Resident # 113 on 7/19/24 with a diagnoses that included Type 2 Diabetes with Hyperglycemia and Schizophrenia. Resident #113 was re-admitted on [DATE] with a new diagnosis of Binge Eating Disorder. In an interview with Certified Nurse Assistant (CNA) #2 on 8/27/24 at 2:00 PM, she revealed that Resident #113 was always wanting and looking for snacks and has…

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, resident and staff interviews, record review and facility policy review the facility failed to ensure foods were palatable, attractive and at a safe and appetizing temperature, for seven (7) of 12 residents sampled for dining. Resident #19, #41, #52, #88, #101, #102, and #108. Findings include: Review of the facility policy titled Food: Quality and Palatability with a revision date of 9/2017 revealed Policy Statement: Food will be prepared by methods that conserve nutritive value, flavor and appearance. Food will be palatable, attractive and served at a safe and appetizing temperature. Food and liquids are prepared and served in a manner, form, and texture to meet resident's needs . Resident #19 During the resident council meeting on 8/27/24 at 3:05 PM, Resident #19 revealed the cornbread was so flat and hard there was no way to chew and swallow it. Resident #19 confirmed he had received foods that were not cooked thoroughly before. Review of the admission Record revealed the facility admitted Resident #19 on 12/23/2023 with a medical diagnosis of Mixed…

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 staff interviews, record review, and facility policy review, the facility failed to accurately complete Section N of the Minimum Data Set (MDS) assessment for two (2) of twenty-six MDS reviewed. Resident #46 and Resident #96. Findings include: Record review of the facility policy titled, RAI Process Guideline dated September 2020, revealed, . All items in the MDS are to be coded per the instructions of the CMS Long-Term Care Facility Assessment User's Manual MDS 3.0 . Resident #46 Record review of the MDS with an Assessment Reference Date (ARD) of 07/24/24, revealed under section N, Resident #46 received seven (7) days of Anticoagulant medication for the observation look back period of 7/18/24 through 7/24/24. Record review of the Electronic Medication Administration Record (eMAR) for the MDS 7-day observation look-back period for anticoagulant medication revealed Resident #46 did not receive anticoagulant medication between 7/18/24 and 7/24/24. Record review of the admission Record for Resident #46…

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, staff and resident interview, record review, and facility policy review, the facility failed to ensure a resident with limited mobility received appropriate services, equipment, and assistance to maintain or improve mobility for one (1) of three (3) residents reviewed for range of motion. Resident #51 Findings include: Record review of facility policy titled, Splinting and Orthotics dated 9/5/17, revealed, It is the policy of (proper name of rehabilitation service) that therapist recommend, within their scope of practice, appropriate splinting and orthotics for patients currently receiving therapy services, as the need arises. For splinting/orthotic needs that the therapist deems outside their scope of practice or expertise, therapist will notify the facility and make appropriate referrals to outside sources Therapy personnel will work with the facility, patient and caregivers to recommend appropriate materials for fabrication/modification and/or to recommend prefabricated splinting/orthotic options. Once trained by therapy, the facility is responsible 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 staff interview, record review, and facility policy review the facility failed to address dietary recommendations to change and/or increase a peg (percutaneous gastrostomy) tube feedings and water flushes to meet the nutritional needs for one (1) of three (3) residents reviewed who received enteral nutrition. (Resident #112) Findings include: A review of the policy titled Queuing RD (Registered Dietician) Recommendations & Follow-up, with an effective date of 7/1/21 revealed .Recommendations for changes to enteral feedings, enteral flush orders . is reviewed to ensure that the supervising physician is in agreement with nutrition therapy orders. The order is then signed, acknowledged and activated in the electronic medical record by a licensed nurse . Record review of a Progress Note for Resident #112 by the RD dated 8/5/24 at 9:57 AM, revealed: Note Text: Consult for tube feeding (TF) caloric intake: CBW (Current body weight) 148.9. EEN (exclusive enteral nutrition) 1692-2030 kcal (kilocalorie).Glucerna 1.2 237 cc (cubic centimeters) bolus with 200 ml (milliliters) water…

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, resident and staff interviews, record review, and facility medication checklist review, the facility failed to store an inhalant medication in a locked storage compartment as evidenced by medication being left at the resident's bedside for one (1) of seven (7) medication observations. Resident #21 Findings include: Record review of Performance Checklist Skill 21-1 Administering Oral Medications, dated 2014, revealed, . Implementation . l. Returned stock containers or unused medication to shelf or drawer, labeled cups and poured medications before leaving preparation area, did not leave drugs unattended.2. Administered medications . p. Stayed until patient/resident completely took all medication by the prescribed route . Record review of facility's letterhead, undated, revealed, (Proper name of facility) uses the Medication Administration Competency Checklist from [NAME] and [NAME] as a guideline for medication administration. During an interview with Resident #21 and an observation 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 resident and staff interviews and snack program document review, the facility failed to provide residents with a bedtime snack for six (6) of six (6) residents interviewed during the resident council meeting. Resident #3, #13, #19, #88, #94, and #108 Findings Include: Review of the H.S. (Bedtime) Basic Snack Program: Evening undated, revealed, Basic snack program items delivered between 7:30 pm -8:00 pm. Bulk snack cart should include (2-3) basic choices for the residents. A resident council meeting was held on 8/27/2024 at 3:05 PM, in which Resident #3, #13, #19, #88, #94, and #108 revealed they were not receiving a bedtime snack. Resident #88 revealed the kitchen did bring snacks out at night, but they left them at the desk and they were not passed out to the residents. He revealed the residents that were able to go to the desk had been getting their snacks. He stated, So it's first come, first served. He revealed if a resident was not mobile, they would not get a snack because they do not bring them to the rooms. Residents #3, #88, and #108 confirmed they were diabetics…

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 review and facility policy review the facility failed to ensure that one (1) of three (3) residents reviewed were protected from physical abuse. Resident #1. Based on the facility's implementation of corrective actions taken on 08/01/23, this was determined to be Past Non-Compliance. Findings include: Review of the facility's policy titled Abuse, Neglect, Misappropriation, Exploitation Policy dated January 2019, revealed, Purpose: To prohibit and prevent abuse, neglect, exploitation, misappropriation of resident property and to ensure reporting and investigation of alleged violations .in accordance with Federal and State Laws .Definitions: . Physical Abuse: Includes, but not limited to, hitting, slapping, punching, biting, and kicking . Record review revealed an investigation dated 08/01/23 of an alleged physical abuse conducted by the facility involving Certified Nursing Assistant (CNA) #1 and Resident #1. At approximately 2:45 PM on 08/01/23, CNA #1 was assisting CNA #2…

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, resident and staff interviews, record review and facility policy review the facility failed to honor a resident's privacy as evidenced by a sign posted over the resident's bed that read two (2) stool samples needed with the resident's name and date, for one (1) of 111 residents reviewed for dignity. Resident #99 Findings include: Review of the facility policy titled, Resident's Rights and Quality of Life with a revision date 5/1/12 revealed under, Policy Statement . It is the policy of (Proper Name) that all residents have the right to a dignified existence, self-determination, and communication with access to people and services inside and outside the facility. This review revealed A resident has the right .To personal privacy and confidentiality of personal and clinical records. An interview and observation on 04/25/23 at 10:35 AM, with Resident #99 revealed a handwritten sign posted on the wall above the resident's bed that read, Resident #99's name and the need to collect two (2) stool…

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 staff interviews, record review, and facility policy review, the facility failed to reevaluate the Advance Directive information for a resident and to provide the information to the resident directly once she was able to cognitively receive the information for one (1) of 32 residents' Advance Directives reviewed. Resident #65 Findings include: Record review of the facility policy titled, Advance Directives, dated 11/1/16, revealed, (Proper name of facility) recognizes the dignity and value of each Resident's right to make health care decisions and to be fully informed of his or her complete health status. Furthermore, (Proper name of facility) recognizes the right of each Resident to issue Advance Directives regarding his or her health care. The policy also revealed, The center will provide residents with information regarding Advance Directives at admission . If a resident is incapacitated at the time of admission so that he/she is unable to receive information about Advance Directives or articulate…

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 resident representative and staff interview, record review and facility policy review the facility failed to resolve a grievance as evidenced by the resident representative not being reimbursed for missing clothing for one (1) of 23 residents sampled. Resident # 62 Findings include: Record review of the facility policy titled, Customer Concern (Grievance) Policy with a revision date of July 2018 revealed under Purpose .Support each customer's (patient's/resident's) right to voice concerns (grievances) and to ensure after receiving a concern, the center actively seeks a resolution and keeps the customer appropriately apprised of its progress toward resolution. The goal is to encourage open communication of customer concerns in an environment free from reprisal, retaliation, or discrimination. We have a commitment to customer service and have systems in place to address concerns, Our Grievance Official is the center Administrator. The Grievance Official's contact information, including phone number 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 resident and staff interview, record review and facility policy review the facility failed to develop a person-centered care plan for a resident who smokes for one (1) of 23 resident care plans reviewed. Resident #58 Findings include: Review of the facility policy titled, Comprehensive Care Plan revealed under, Practice Guidelines: #1. The interdisciplinary care plan is implemented to guide health care center staff in the provision of necessary care and services to obtain and maintain the highest practicable physical, mental, and psychosocial well-being of the resident and promotion of the resident and family in planning care .#3. Interdisciplinary team communicates mental and psychosocial problems, needs, and concerns to the care planning team for inclusion in the overall plan of care. Resident #58 Record review of the facilities list of smokers confirmed that Resident # 58 was a smoker. Record review of Resident #58's care plans revealed that there was no care plan related to smoking. An interview…

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, staff interview, record review and facility policy review the facility failed to provide services to maintain hygiene for a resident who was dependent on the staff as evidenced by long nails with a brown substance under each nail and 1/4-inch-long gray hair on the resident's chin for one (1) of 111 resident's reviewed. Resident #1 Findings include: Review of the facility policy titled, Nail Care with no revision date revealed under, Policy .The purpose of this procedure is to provide guidelines for the provision of care to a resident's nails for good grooming and health. Also revealed under, Policy Explanation and Compliance Guidelines: #3. Routine cleaning and inspection of nails will be provided during ADL care on an ongoing basis. #4. Routine nail care, to include trimming and filing, will be provided on a regular schedule (such as weekly on Wednesday 3-11 shift). Nail care will be provided between scheduled occasions as the need arises . Review of the facility policy titled, Grooming a…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interview, record review and facility policy review the facility failed to perform a safe smoking assessment for one (1) of five (5) residents reviewed for smoking. Resident #58 Findings include: Review of the facility policy titled, Smoking Policy, with an effective date of May 1, 2021, revealed under Purpose 1. To maximize our ability to provide a safe environment for all residents, visitors, and staff. 2. To perform assessments, which determine a resident's ability to smoke safely and determine what, if any, additional measures are needed to protect residents from possible self-inflicted injury due to smoking habits .Procedure 1. Upon admission, quarterly, and with any change in condition, it is to be determined by the nurse if the resident requires supervision while smoking. Utilize the Safe Smoking Assessment . An interview with Resident #58 on 4/26/23 at 3:00 PM, verified that she was a smoker but was unsure when she began smoking again. An interview with the Director of Nurses…

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, record review and facility policy review, the facility failed to develop a person centered care plan for Post Traumatic Stress Disorder (PTSD) for one (1) of 23 care plans reviewed, Resident # 66. Findings include: Review of the facility policy titled, Comprehensive Care Plan revealed under, Practice Guidelines: #1. The interdisciplinary care plan is implemented to guide health care center staff in the provision of necessary care and services to obtain and maintain the highest practicable physical, mental, and psychosocial well-being of the resident and promotion of the resident and family in planning care .#3. Interdisciplinary team communicates mental and psychosocial problems, needs, and concerns to the care planning team for inclusion in the overall plan of care. Resident #66 Review of Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/24/23 revealed in section I a diagnoses of Post-Traumatic Stress Disorder (PTSD) and in section C a Brief Interview for Mental Status…

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, staff interviews, and facility policy review the facility failed to prevent the possible spread of infection as evidenced by staff failed to sanitize a multi-use resident blood pressure cuff after each use, sanitize a multi-use stethoscope prior to use, to sanitize hands after administering eye drops and prior to administering percutaneous endoscopic gastrostomy (PEG) medication, and failed to rinse and dry a PEG tube syringe after use to prevent the growth of bacteria for two (2) of five (5) residents reviewed during medication and treatment administration. Resident #65 and Resident #91. Findings include: Review of the facility's policy titled, Infection Control, with an effective date of 11/1/2017, revealed under Policy Statement . This Center's infection control policies and practices are intended to facilitate maintaining a safe sanitary environment and to help prevent and manage transmission of diseases and infections .Interpretation and Implementation: . 2.) Objectives: a.) Establish…

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.