Carthage Center For Rehabilitation And Nursing

Based on observation, record review, and interviews during the recertification survey conducted 9/23/2024-9/26/2024, the facility did not ensure that residents who required dialysis services (filtration of blood when the kidneys do not work) received such services consistent with professional standards of practice for 1 of 1 resident (Resident #17) reviewed. Specifically, Resident #17 received hemodialysis treatments at a community-based dialysis center and did not have on-going assessments and oversight before and after dialysis treatments. Additionally, staff documented the resident had an arteriovenous fistula (surgical connection between an artery and a vein often used for dialysis access) which the resident did not have. Findings include: The facility policy, Dialysis Access Care, revised 5/2019, documented the central catheter (a tube inserted into a large, central vein) site was kept clean and dry at all times and bathing and showering were not permitted with this device. Catheter lumens (outside ends of the catheter) were capped and clamped when not in use. The general…

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

Based on observation, record review, and interviews during the recertification survey conducted 9/23/2024-9/26/2024, the facility did not ensure each resident received and the facility provided food prepared in a form designed to meet individual needs for 1 of 1 resident (Resident #383) reviewed. Specifically, Resident #383 had a physician order for a nectar thick consistency for all liquids and was served thin liquids. Findings include: The facility policy, Modified Food Consistency Policy, reviewed 2/2023, documented diets were individualized with modifications made by the speech/language pathologist and physician in conjunction with the registered dietitian or designee and Director of Food Services. A written order was required. The food and nutritional services department was responsible for preparing and serving the diet texture and fluid consistency as ordered. The facility diet manual documented nectar thick liquids consistency was syrup like and coated a spoon. Resident #383 had diagnosis of Parkinson's disease (a progressive neurological disease) and dysphagia (difficulty…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the abbreviated survey (NY00312672), the facility did not provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility for 1 of 6 residents (Resident #6) reviewed. Specifically, Resident #6 was discharged without a documented discharge plan. Additionally, there were recommendations for equipment and post-discharge services there were not established by the facility prior to discharge. Findings include: The Discharge Planning policy revised 12/2019 documented the facility will develop a comprehensive discharge plan for all residents being discharged . The social worker will be responsible for the duties of discharge coordinator including: - participate in an interdisciplinary team discharge meeting with the resident and/or their representative. - Initiate all necessary referrals for all necessary post-discharge care and needs, including primary care physician, medical equipment, in-home…

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

Based on record review and interview during the abbreviated survey (NY00328705) the facility did not provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 1 of 2 nursing units (South Unit) reviewed. Specifically, the heat stopped working on the South Unit on 11/22/2023 and was not restored until 11/24/2023. During the time the heat was not functional, there was no documented evidence the facility routinely monitored and addressed cold air temperatures and no documented evidence a consistent plan was implemented to ensure resident comfort was maintained. Findings include: On 11/24/2023, a call was received to the nursing home complaint hotline from Resident #1 who reported the heat had been off in their wing for 3 days and they overheard staff say the heat would not be fixed until Monday (11/27/2023). During an interview on 11/26/2023 at 6:45 PM, the Administrator stated the heat stopped working during the evening of 11/23/2023. Maintenance staff tried to fix it and could not so a vendor came onsite and fixed it by mid-afternoon on…

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

Based on record review and interview during the abbreviated survey (NY00328705) the facility did not operate and provide services in compliance with Federal, State, and Local Laws and Professional Standards for 1 of 2 nursing units (South Unit) reviewed. Specifically, the heat stopped working on the South Unit on 11/22/2023 and was not restored until 11/24/2023 and the facility did not report the outage to the New York State Department of Health (NYS DOH) as required. Findings include: On 11/24/2023, a call was received to the nursing home complaint hotline from Resident #1 who reported the heat had been off in their wing for 3 days and they overheard staff say the heat would not be fixed until Monday (11/27/2023). During an interview on 11/26/2023 at 6:45 PM, the Administrator stated the heat stopped working during the evening of 11/23/2023 and it was fixed by mid-afternoon on 11/24/2023 on the South Unit. The facility's TimeLine of Event completed by the Administrator documented the date of the event was 11/24/2023 and type of event was a Heating Issue - Problem with Boiler - Cold…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview during the recertification survey conducted 3/12/23-3/16/23, the facility failed to provide a safe, clean, comfortable, and homelike environment for 33 of 50 resident rooms (rooms 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 208, 209, 211, 215, 216, 218, 219, 221, 222, 223, and 228) and for 3 resident common areas (north unit shower room, smoke door near resident room [ROOM NUMBER], and the corridor between the main kitchen access door and the dining room). Specifically, there were unclean and/or damaged floors and walls in 33 resident rooms, and in 3 common areas. Findings include: The following observations were made on 3/12/23: - at 12:00 PM the north unit shower room door frame was damaged and was not secured to the wall. There was a 2 foot x 6 inch damaged area at the bottom of the wall near the shower room. - at 12:39 PM, both windows in resident room [ROOM NUMBER] had a blanket taped over…

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, record review and interview during the recertification and abbreviated (NY00271814, NY00301775, and NY00288954) surveys conducted 3/12/23-3/16/23, the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 of 18 residents (Residents #6 and 73) reviewed and an additional 7 residents (Residents #14, 18, 19, 25, 29, 37, and 58) observed. Specifically, Resident #73 was not assisted with incontinence care, was not provided oral care, and was not provided a shower as scheduled; Resident #6 was not assisted with placement of their dentures for eating; and Residents #14, 18, 19, 25, 29, 37, and 58 were observed in bed wearing hospital gowns during the lunch meal. Findings include: The facility policy, ADL Support revised 10/2019 documented appropriate care and services would be provided to residents who were unable to carry out activities of daily…

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

Based on observation, record review, and interview during the recertification and abbreviated (NY00288954) surveys conducted 3/12/23-3/16/23 the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 3 of 10 residents (Residents #6, 19, and 73) reviewed for activities of daily living (ADLs). Specifically, Residents #6, 19, and 73 did not have their ADL needs addressed timely. During a confidential group meeting (resident council) residents stated they had to wait 3-4 hours in the morning for assistance with ADLs. This was a result of insufficient staff to care for all 88 residents in the facility. Findings include: Cross reference to citation F 677 (Activities of Daily Living) The facility policy Staffing Hours revised on 4/2019 documented the facility provided adequate staffing to meet the needed care and services for their resident population. Certified Nurse Assistants (CNAs) were available on each shift to provide the needed care and services to each…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview during the recertification survey conducted 3/12/23-3/16/23, the facility failed to ensure each resident received and the facility provided food and drink that was palatable, attractive, and at a safe and appetizing temperature for 3 of 3 meals reviewed (3/13/23, 3/14/23, and 3/15/23 lunch meal trays). Specifically, lunch meals test trays on 3/13/23, 3/14/23, and 3/15/23 were not served at palatable and appetizing temperatures. Findings include: The facility policy Food Temperatures reviewed 1/2023, documented that all hot food was required to be served at 140 degrees Fahrenheit (F) or higher. During an observation on 3/13/23 at 12:28 PM, a meal tray arrived to resident room [ROOM NUMBER]. The tray was tested and a replacement tray for the resident was requested. At 12:30 PM the food temperatures were measured and included: French fries 115 F and corn 117 F. The French fries and corn were not served at palatable temperatures. The French fries were soft 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, record review and interview during the recertification survey conducted 3/12/23-3/16/23, the facility failed to ensure they were adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member for 16 of 50 resident rooms (rooms 101, 105, 106, 108, 110, 113, 119, 121, 207, 214, 221, 223, 224, 225, 226, and 227); and for 13 of 28 residents (Resident #11, 14, 17, 19, 25, 30, 36, 37, 41, 58, 69, 236, and 387) reviewed. Specifically, resident rooms 101, 105, 106, 108, 110, 113, 119, 121, 207, 214, 221, 223, 224, 225, 226, and 227 call bells were not properly installed and/or not long enough for resident use; and Residents #11, 14, 17, 19, 25, 30, 36, 37, 41, 58, 69, 236, and 387 were observed with call bells that were not in reach. Findings include: The facility policy Call Bells revised 8/2019 documented providing timely response to residents in need was essential to ensuring high quality resident outcomes.…

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 during the recertification survey conducted 3/12/23-3/16/23, the facility failed to ensure the right to reside and receive services with reasonable accommodation of resident needs and preferences for 1 of 1 resident (Resident #385) reviewed. Specifically, Resident #385 was observed on multiple occasions lying in a bed that was too short for their height with both of their heels pressed up against the footboard of the bed. Findings include: The facility policy Assistive Devices revised 8/2019 documented requests or the need for special equipment should be referred to the appropriate department to obtain equipment for the resident. Resident #385 was admitted to the facility with diagnoses including unstageable (full thickness tissue loss in which the base of the ulcer is unable to be visualized) pressure ulcers of the left and right heels and diabetes mellitus (DM). The 3/2/23 Minimum Data Set (MDS) assessment documented the resident had moderately impaired cognition, required total assistance of 2 for bed mobility and transfers, and…

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

Based on observation and interview during the recertification survey conducted 3/12/23-3/16/23, the facility failed to post in a place readily accessible to residents, family members, and to legal representatives of residents, the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction with respect to the facility. Specifically, the survey results and plan of correction for the most recent Life Safety Code Federal survey conducted on 6/24/21 were not available for examination. Findings include: During an observation on 3/14/23 at 9:15 AM, the survey result binder located in the main lobby included the results from the 6/24/21 Federal Health Recertification Survey. The results from the 6/24/21 federal Life Safety Code Survey and the corresponding plan of correction were not included in the binder. During an interview on 3/14/23 at 9:15 PM, the Administrator stated the plan of corrections for the Health Recertification Survey and the Life Safety Code Survey from the last federal survey in 2021 were required to be publicly…

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, record review, and interview during the recertification and abbreviated surveys (NY00283545 and NY00271814) conducted 3/12/23-3/16/23, the facility failed to ensure the resident environment remained as free of accident hazards as possible and residents received adequate supervision to prevent accidents for 2 of 5 residents (Residents #11 and 25) reviewed. Specifically, Resident #11 had a physician order for nectar thick liquids and aspiration (inhaling food/fluid into lungs) precautions and was observed with thin liquids at their bedside and was not supervised during meals; Resident #29 was on aspiration precautions with altered diet consistency and was observed eating unsupervised in bed in their room and required assistance of 2 for transfers and was observed being transferred by one. Findings include: The facility policy Aspiration Precautions revised 2/2019, documented residents must be supervised for all intake, solid or liquid. The facility policy Modified Food Consistency updated…

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

Based on observation, record review, and interview during the recertification survey conducted 3/12/23 - 3/16/23 the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that meets their daily nutritional and special dietary needs for 2 of 2 meals observed. Specifically, Resident #19 was not provided with a nutritional supplement for 2 lunch meals as planned. Findings include: Resident #19 was admitted to the facility with diagnoses including dementia, anemia, and depression. The 1/6/23 Minimum Data Set (MDS) assessment documented the resident had severely impaired cognition and required limited assistance at meals. The comprehensive care plan (CCP) initiated 11/11/20 documented the resident had a nutritional problem related to malnutrition and a low BMI (body mass index, a measure of weight compared to height). Interventions added on 3/15/21 included Magic Cup at lunch and ice cream at dinner (Magic Cup at dinner was not documented). A progress note by registered dietitian (RD) #26 dated 1/9/23 documented the resident was to receive a Magic Cup…

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, record review, and interview during the recertification and abbreviated surveys (NY00275626, NY00275702, and NY00276385) conducted on 6/22/21-6/24/21, the facility did not ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good grooming for 3 of 8 residents (Residents #7, 39, and 329) reviewed. Specifically, Resident #7 was not assisted with dressing, oral hygiene, and eye wear cleaning. Resident #329 was not assisted with nail care and Resident #39 was not provided with facial grooming or nail care. Findings include: The activity of daily living (ADL)/Personal Hygiene Policy, updated 10/2019, documented the purpose of the procedure is to direct nursing staff and meet the resident's individual needs per the plan of care and [NAME] (care instructions) on a daily basis. 1) Resident #7 had diagnoses of multiple sclerosis, adult failure to thrive, and dysphagia (difficulty swallowing). The 5/27/21 Minimum Data Set (MDS)…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the recertification and abbreviated surveys (NY00276793) conducted on 6/22/21-6/24/21, the facility did not ensure physician orders for the resident's immediate care were in place on admission for 1 of 7 (Resident #279) residents reviewed. Specifically, Resident #279 arrived to the facility from the hospital and did not have admission orders, including medication and dietary orders, obtained and implemented timely after admission. Findings include: The 8/2019 Admission/readmission Policy documents prior to or at the time of admission, the facility must be provided with the following information for the immediate care of the resident, including orders covering at least: diet, medications, including a medical condition or problem associated with each medication, and routine care orders to maintain or improve the resident's function until the physician and the IDT (Interdisciplinary Team) Care Planning team can conduct a comprehensive assessment and develop a more…

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

Based on observation, record review and interview during the recertification survey conducted on 6/22/21-6/24/21, the facility did not develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical nursing, mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 3 residents (Resident #329) reviewed. Specifically, Resident #329 was at low risk for skin impairments, developed a reddened area, was not reassessed, and pressure injury prevention interventions were not re-evaluated. Findings include: The 4/2019 Wound Ulcer policy documented all caregivers were responsible for preventing, caring for, and providing treatment for skin alterations. Staff will institute a plan for any resident who has potential for skin breakdown or whose condition is deteriorating. This may include floating areas of concern such as heels when appropriate. Nurse aides will compete body audits at least weekly, but preferable with every bathing opportunity. The facility's 10/2019…

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

Based on observation, record review and interview during the recertification survey conducted on 6/22-6/24/21, the facility did not ensure a resident with limited range of motion (ROM) received appropriate services, equipment, and assistance to maintain or improve mobility with the maximum practicable independence unless a reduction in mobility was demonstrably unavoidable for 1 of 2 residents (Resident #52) reviewed. Specifically, Resident #52 was provided rehabilitation and gained the ability to walk, and the facility did not ensure a plan was implemented to maintain the resident's mobility. Findings include: The 10/2015 Assistive Devices policy documented devices and equipment that assist with resident mobility, safety and independence are provided for residents. These include, but are not limited to: wheelchairs, walkers and canes. Recommendations for the use of the equipment are based on comprehensive assessment and documented in the resident's plan of care. Resident #52 had diagnoses including stroke, right sided hemiplegia (paralysis), and bone infection of the right ankle…

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

Based on observation, record review and interview during the recertification and abbreviated surveys (NY00275702) conducted on 6/22/21-6/24/21, the facility did not ensure a resident with an indwelling catheter received the necessary services and treatment for catheter use for 1 of 2 (Resident #63) residents reviewed. Specifically, Resident #63 did not have an order in place for a catheter, the resident's catheter leaked frequently and the leaking was not addressed timely by the facility. Findings include: The Catheter Care policy, updated 5/2019, documented it was in place to prevent catheter associated urinary tract infections and provided required care of residents who have an indwelling Foley catheter. The 8/2019 Catheter Guidelines policy documents if breaks in aseptic technique, disconnection, or leakage occur replace the catheter and collecting system using aseptic technique and sterile equipment as ordered. The facility's policy does not document restrictions on types of catheters used by residents in the facility nor the facility's inability to change certain catheters.…

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

Based on observation, record review, and interview during the recertification survey conducted on 6/22/21-6/24/21, the facility did not provide special eating equipment and utensils for residents who need them and appropriate assistance to ensure that the resident can use the assistive devices when consuming meals and snacks for 1 of 2 residents (Resident #329) reviewed. Specifically, Resident #329's adaptive cup(s) were not provided at meals. Findings include: The facility's 8/2019Assistive Devices policy documented the facility provides, maintains, trains and supervises the use of assistive devices and equipment for the residents. Resident #329 had diagnoses including stroke, reduced mobility, and dysphagia (difficulty swallowing). The 6/18/21 Minimum Data Set (MDS) assessment documented the resident was mildly impaired cognitively and did not lose fluids from their mouth when eating but held food in mouth/cheeks after meals and complained of difficult or painful swallowing. The 6/14/21 physician's order documented speech language pathology (SLP) for 3-5 days a week for up to 4…

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

Based on observation, record review and interview during the recertification survey conducted on 6/22/21-6/24/21, the facility did not maintain medical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 1 of 23 residents (Resident #39) reviewed. Specifically, Resident #39's plan of care documented to provide an edema glove to the resident's left hand, the glove was no longer required, was not removed from the plan of care, and staff continued to document the glove was provided when it was unavailable for use. Findings include: The facility's 10/2019 Charting and Documentation policy documented all services provided to the resident, progress toward the care plan goals, or any changes in the resident's condition shall be documented in the resident's medical record. The medical record should facilitate communication between the interdisciplinary team regarding the resident's condition and response to care. Resident #39 had diagnoses including cerebral infarct (stroke), aphasia (loss of ability 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.