Highland Manor Of Elko Rehabilitation LLC

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on document review and interview, the facility failed to ensure tracking and trending of infections and antibiotic use was accurately monitored and completed for July 2024 for 2 of 2 residents on an antibiotic and diagnosed with an infection (Resident #13 and #8). The deficient practice had the potential to affect the facility's entire resident census of 79. Findings include: Resident #13 Resident #13 was admitted to the facility on [DATE], with diagnoses including unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing. A physician order dated 07/01/2024, documented Ciprofloxacin Hydrochloride (HCI) oral tablet 750 milligrams (mg), give 750 mg by mouth two times a day for arm infection related to unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing. Resident #8 Resident #8 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including acute and chronic respiratory failure…

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, clinical record review and document review the facility failed to ensure 1) the Director of Nursing (DON) had the knowledge necessary to correctly implement contact precautions for a resident with known infection with a Multi-Drug Resistant Organism (MDRO), and 2) the DON had the knowledge and skills necessary to access resident records and navigate the Electronic Medical Record (EMR) after the facility underwent a change of ownership with a new EMR program. This lack of knowledge had the potential to effect the entire census of 79. Findings include: On 07/15/2024 at 1:12 PM, room [ROOM NUMBER] had a Centers for Disease Control (CDC) sign on the door indicating contact precautions were in place. The sign stated everyone must perform hand hygiene before entering and when leaving the room, providers/staff must put on gloves and a gown before entering the room. A Personal Protective Equipment (PPE) cart was located outside the door, in the hallway. The placard on the wall outside…

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, clinical record review, and document review, the facility failed to 1) ensure the Infection Preventionist (IP) had the education and competency to demonstrate the tracking and trending of infections was accurately completed and monitored with the potential to affect the facility's entire resident census of 79, 2) retain education and training when the Infection Preventionist did not demonstrate competency in the implementation of the Antibiotic Stewardship Program (ASP) and infection surveillance (lack of competency in medication differentiation, inaccurate infection control log, lack of infection surveillance), and 3) demonstrate understanding of contact precautions and following of the Center for Disease Control (CDC) guidance related to the implementation of contact precautions for 1 of 18 sampled residents (Resident #40). Findings include: Education/Competency On 07/16/2024 at 1:58 PM, the Antibiotic Stewardship binder did not include infections, antibiotic use, tracking,…

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 document review the facility failed to ensure a resident's call light was not draped over an oxygen concentrator and out of reach of the resident for 1 of 18 sampled residents (Resident #53). Findings include: Resident #53 Resident #53 was admitted to the facility on [DATE], with diagnoses including unspecified dementia, unspecified severity, with agitation, muscle weakness, generalized, and anxiety disorder. Resident #53's Care Plan initiated on 04/18/2024, and revised on 07/15/2024, documented the resident was at risk for falls related to generalized muscle weakness, history of falls, incontinence, and dementia. Interventions included to encourage the resident to call for assistance before getting out of bed or transferring and was an extensive one person assist with stand pivot transfers. On 07/15/2024 at 1:25 PM, Resident #53 was in bed trying to straighten the bed blankets over the resident's legs with the call light draped over the running oxygen…

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, clinical record review, and document review, the facility failed to ensure a resident's fall with major injury, resulting in a fracture and incurred at the facility, was reported to the State Agency (Resident #132). The deficient practice could allow a fall with major injury to not be investigated for potential abuse or neglect and not be reported to the State Agency (SA). Findings include: Resident #132 Resident #132 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including nondisplaced oblique fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing, muscle weakness (generalized), stiffness of unspecified joint, not elsewhere classified, and repeated falls. The facility Resident Matrix (identified care areas), printed on 07/15/2024, documented Resident #132 had a fall with major injury. A Nursing Progress Note dated 07/03/2024, documented a Certified Nursing Assistant (CNA) heard a loud noise from Resident #132's room.…

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 document review, the facility failed to ensure 1) a comprehensive care plan was updated to reflect the assessed wound staging for a Stage III pressure ulcer (Resident #69) and 2) a comprehensive care plan for a resident with a history of falls was updated when new interventions were implemented (Resident #31) for 2 of 18 sampled residents. Findings include: Pressure Ulcer Resident #69 Resident #69 was admitted to the facility on [DATE], with diagnoses including cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery, apraxia, dysarthria and anarthria, and pressure ulcer of sacral region, Stage III. An Orders Administration Note dated 06/24/2024, documented the wound care nurse performed wound care to the resident's coccyx wound. A Nursing Progress Note dated 06/24/2024, documented the coccyx dressing was clean, dry, and intact (CDI). A physician order dated 06/24/2024, documented cleanse coccyx with wound cleaner, pat dry, apply anacept and…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, interview, and document review, the facility failed to ensure the catheter drainage bag for a resident with a Foley catheter was placed below the level of the resident's bladder to prevent the potential for urine in the tubing and draining bag from flowing back into the bladder for 1 of 18 sampled residents (Resident #58). Findings include: Resident #58 Resident #58 was admitted to the facility on [DATE], with a diagnosis of neuromuscular dysfunction of bladder, unspecified. A physician's order dated 09/13/2023, documented, 16 French, 10 cubic centimeters, Foley catheter as needed related to neuromuscular dysfunction of bladder, unspecified. On 07/17/2024 at 2:36 PM, Resident #58 was sitting in a wheelchair in the resident's room facing the door. An opened walker was in front of the resident. The resident's catheter drainage bag was hanging from the top rung of the walker in front of the resident. The catheter drainage bag was suspended higher than 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, clinical record review, and document review, the facility failed to ensure a resident with an ostomy received care consistent with professional standards of practice when a Certified Nursing Assistant (CNA) changed the resident's colostomy wafer for 1 of 18 sampled residents (Resident #21). Findings include: Resident #21 Resident #21 was admitted to the facility on [DATE], with diagnoses including chronic obstructive pulmonary disease, unspecified and colostomy status. On 07/15/2024 at 1:28 PM, Resident #21 verbalized the resident was recently moved from the 300 hall to the 400 hall. Resident #21 verbalized Resident #21 preferred being in the 300 hall because the CNAs knew how to provide care for the resident's colostomy. Resident #21 explained a CNA performed the changing of the ostomy bag and the wafer (the portion which sticks to the resident's skin). A physician order dated 07/16/2024, with a start date of 07/17/2024, documented change colostomy every shower day or as needed (PRN).…

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, clinical record review, and document review the facility failed to ensure oxygen was administered as ordered for 1 of 19 sampled residents (Resident #25). Findings include: Resident #25 Resident #25 was admitted to the facility on [DATE], with diagnoses including acute and chronic respiratory failure with hypoxia and pneumonia, unspecified organism. On 07/15/2024 at 2:10 PM, Resident #25 was resting in bed with an oxygen concentrator running next to the bed. The oxygen concentrator was set at one liter per minute (lpm). A physician's order dated 06/16/2024, documented oxygen at four lpm, via nasal cannula/mask continuous. Resident #25's Care Plan, initiated on 06/18/2024, documented the resident had altered respiratory status/difficulty breathing related to acute/chronic respiratory failure with hypoxia, cough, and active pneumonia infection. Interventions included to administer oxygen as ordered. On 07/16/2024 at 3:24 PM, the resident was lying in bed with the nasal cannula…

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, clinical record review, interview, and document review the facility failed to ensure Dialysis Communication forms were completed and maintained for 1 of 18 sampled residents (Resident #24) and a resident with a hemodialysis catheter did not share a room with a resident who had a wound infected with a multi-drug resistant organism (MDRO) for 1 of 18 sampled residents (Resident #26). Findings include: Resident #24 Resident #24 was admitted to the facility on [DATE], with diagnoses including end stage renal disease, diabetes mellitus type II, and dependence on renal dialysis. Resident #24's physician order dated 04/23/2024, documented dialysis at 11:00 AM every day shift Tuesday, Thursday, and Saturday. Resident #24's Care Plan initiated on 04/24/2024, documented the resident had dialysis at 11:00 AM on Tuesday, Thursday, and Saturday. Interventions included monitor arteriovenous (AV) fistula to left upper arm for bruit and thrill as ordered and monitor for shortness of breath and edema;…

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 document review the facility failed to ensure expired medications were not kept in a medication cart for 1 of 2 medication carts reviewed for medication storage. Findings include: On 07/17/2024 at 12:36 PM, during a review of a medication cart in the 600 hall and in the presence of a Registered Nurse (RN), the following items were found: -A bottle containing Fish Oil 1200 milligrams (mg) (360 mg Omega-3) capsules. The expiration date on the bottle was January 2024. -A bubble pack containing 25 tablets of Tramadol 50 mg. The expiration date on the bubble pack was 05/14/2024. On 07/17/2024 at 12:41 PM, the RN explained facility staff did a monthly check of the medication cart for expired medications. The RN explained the importance of removing expired medications from a medication cart was residents could get sick if an expired medication was administered. On 07/17/2024 at 2:22 PM, the Director of Nursing (DON) explained failure to remove expired medications from a medication cart could result in a medication error and expired medications, if…

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, document review, and clinical record review, the facility failed to ensure treatment administered, side effect monitoring, pain monitoring, COVID-19 symptom monitoring, and behavior monitoring was documented for 1 of 18 sampled residents (Resident #20). Findings include: Resident #20 Resident #20 was admitted to the facility on [DATE], with diagnoses including unspecified dementia unspecified severity with mood disturbance, Alzheimer's Disease with late onset, anxiety disorder unspecified, and major depressive disorder recurrent unspecified. Treatment A physician's order dated 04/17/2024, documented to apply lotion on shower days every day shift on Wednesdays and Saturdays. Resident #20's June 2024 Treatment Administration Record (TAR) lotion administration had blank spaces on Saturday 06/15/2024. Resident #20's progress notes lacked documented evidence lotion was administered on 06/15/2024. Side Effect Monitoring Resident #20's physician's orders dated 04/17/2024, documented the following:…

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 clinical record review, interview, and document review the facility failed to ensure a resident was screened for eligibility to receive the influenza and pneumococcal vaccinations for 1 of 5 residents sampled for vaccinations (Resident #26). Findings include: Resident #26 Resident #26 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnoses including chronic kidney disease, Stage IV, type II diabetes mellitus with diabetic chronic kidney disease, dependence on renal dialysis, and acute and chronic respiratory failure with hypoxia. A facility document titled Influenza Vaccine Immunization Assessment/Consent, signed 05/02/2023, documented the following: -Risk Assessment: blank -Assessment for contraindications to pneumococcal vaccine: blank -Consent for immunization: signed by resident and documented the influenza vaccine was administered on 05/02/2023. A facility document titled Pneumococcal Vaccine Immunization Assessment/Consent, signed 05/02/2023, documented the following:…

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 document review, the facility failed to ensure allegations of abuse were reported to the State agency for 1 of 16 sampled residents (Resident #18). Findings include: Resident #18 Resident #18 was admitted to the facility on [DATE], with diagnoses including unspecified dementia, unspecified severity, with other behavioral disturbance; restlessness and agitation; anxiety disorder, unspecified; insomnia; and dysphagia, unspecified. On 05/15/23 at 2:58 PM, Resident #18's represenative verbalized Resident #18 got belligerent sometimes. Resident #18's spouse could not recall specific incidences but was informed by staff Resident #18 had verbal outbursts with other residents almost daily. A nursing progress note dated 08/09/22 at 4:05 PM, documented a Certified Nursing Assistant (CNA) had observed Resident #18 being verbal towards another resident following breakfast. Resident #18 called another resident stupid (profanity) as the other resident was having a normal, pleasant…

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 clinical record review , interview, and document review the facility failed to ensure care plans were completed and up to date for 2 of 15 sampled residents (Resident # 22 and #30). The failure had the potential to delay implementation of appropriate resident care interventions. Findings include: Resident #22 Resident #22 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including quadriplegia, C5-C7 incomplete (primary), cellulitis of right lower limb, and pressure ulcer of right buttock, stage IV. Bedrails On 05/16/23, at 7:53 AM, Resident #22 was resting in bed and bilateral upper quarter bedrails were present on the resident's bed. A physician's order dated 12/31/20, documented bilateral bed mobility aids to increase participation with bed mobility and decrease feelings of anxiety. Resident #22's Comprehensive Care Plan included a care plan for falls. The fall care plan included an intervention related to bed mobility and instructed to encourage the resident to use the…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to secure sharp items in the locked unit for 1 of 16 sampled residents (Resident #32). Findings include: Resident #32 Resident #32 was admitted to the facility on [DATE] with diagnoses including cerebral infarction, unspecified (Primary); Alzheimer's disease, unspecified; unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety; anxiety disorder, unspecified; insomnia, unspecified; depression, unspecified; visual hallucinations; and delusional disorders. A care plan dated 06/06/22, documented Resident #32 enjoyed crocheting and cross stitch. The care plan specified staff would assess for current tactile ability and assist with supplies as needed to continue pursuit of this activity. On 05/15/23 at 2:38 PM, Resident #32's room was located in a secured memory care unit. A sewing needle was on the bed and a cup with earrings and lapel pins in it was on a table. Yarn 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 interview and document review, the facility failed to ensure drug regimen reviews were completed monthly for 1 of 5 residents reviewed for unnecessary medications. (Resident #36) Findings include: Resident #36 Resident #36 was admitted to the facility on [DATE], and readmitted on [DATE] with diagnoses to include unspecified dementia, unspecified severity, with anxiety, anxiety disorder, unspecified, and fracture of unspecified part of neck of left femur. Resident #36's clinical record lacked documentation of a pharmacist medication review for the month of August 2022. The facility monthly pharmacy review dated 08/01/22 to 08/31/22 lacked documentation of a pharmacist medication review. On 05/17/23 at 7:32 AM, the Administrator confirmed the facility lacked documented evidence a pharmacist medication review was completed for the month of August 2022 for Resident #36. The facility policy titled Pharmaceutical Procedures, revised 01/05/23, documented the consultant pharmacist would review the medical…

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 document review, the facility failed to ensure food was labeled appropriately and discarded by expiration date for food brought to residents by visitors, with the potential to effect all residents located on the 400 hall. Findings include: On 05/15/23 at 1:48 PM, the 400 hall nourishment room fridge, there was one carton of almond milk labeled with a use by date of 04/25/23. On 05/15/23 at 1:49 PM, the 400 hall nourishment room fridge, there was one box of strawberries labeled with a use by date of 04/18/23. On 05/15/23 at 1:50 PM, the 400 hall nourishment room fridge contained a zip lock bag of collard greens, chicken drumstick, garlic toast, and a small plastic container of soup without labeled dates. On 05/15/23 at 1:53 PM, the Dietary Manager (DM) explained food brought in from visitors was to be labeled with the resident's name, date and the contents by a Certified Nursing Assistant. The DM confirmed the food was to be disposed of within seven days and the nourishment room fridge was part of the dietary aid's job duties to go through twice 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 clinical record review, interview, and document review the facility failed to ensure 1 of 5 residents sampled for vaccinations (Resident #11) was screened for eligibility to receive an influenza vaccination, education regarding the vaccine was provided to the resident and/or the Resident Representative, and the vaccine was offered and either administered or declined. Findings include: Resident #11 Resident #11 was admitted to the facility on [DATE], with a diagnosis of unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Resident #11's clinical record lacked documented evidence the resident was screened for eligibility to receive an influenza vaccine, education regarding the vaccine was provided to the resident and/or the Resident Representative, and the vaccine was offered and either administered or declined during influenza season in 2022/2023. On 05/18/23 at 1:05 PM, the Infection Preventionist confirmed the facility lacked…

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 clinical record review, interview, and document review the facility failed to ensure 3 of 5 residents sampled for immunizations (Resident #49, #42, and #57) were screened for eligibility to receive a COVID-19 (COVID) vaccine, education regarding the vaccine was provided to the resident and/or the Resident Representative, and the vaccine was offered and either administered or declined. Findings include: Resident #49 Resident #49 was admitted to the facility on [DATE], with a diagnosis of amyotrophic lateral sclerosis. Resident #42 Resident #42 was admitted to the facility on [DATE], with a diagnosis of chronic obstructive pulmonary disease. Resident #57 Resident #57 was admitted to the facility on [DATE], with a diagnosis of unspecified dementia, severe, with agitation. Resident #49, #42, and #57's clincial record lacked documented evidence the resident was screened for eligibility to receive a COVID-19 (COVID) vaccine, education regarding the vaccine was provided to the resident and/or the 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.