Laurels Of Worthington, The

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, record review, and review of policies, the facility failed to provide timely incontinence care for a resident dependent on staff for care. This affected one (#72) of one resident reviewed for incontinence care. The facility census was 91. Findings include: Review of medical record revealed Resident #72 was admit date [DATE]. Diagnoses included Alzheimer's disease, overactive bladder, and major depressive disorder. Review of Minimum Data Set, dated [DATE] revealed Resident #72 indicated th resident was severely cognitively impaired. Resident #72 required dependent during meals, oral care, toileting hygiene, bathing, putting on and off shoes, and personal hygiene. Review of plan of care dated 10/16/24 revealed Resident #72 was at risk for impaired skin integrity/pressure injury related to non-ambulatory, frequent bowel and bladder incontinence, confusion to skin needs, poor bed mobility, performance, and weight loss. Interventions included conduct weekly head to toe skin…

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, medical record review, resident interview, and staff interview, the facility failed to ensure a resident had colostomy supplies available for self care. This affected one (#147) of one resident reviewed for colostomy care. The faciliy census was 91. Findings include: Review of Resident #147's medical record revealed an admission date of 10/17/24, with diagnoses including: surgical aftercare following surgery on the digestive system, acute gastric ulcer with hemorrhage, iron deficiency anemia secondary to blood loss (chronic), chronic diastolic (congestive) heart failure, hypertension (HTN), primary pulmonary hypertension, paroxysmal atrial fibrillation (AFIB), atherosclerotic heart disease of native coronary artery without angina pectoris without angina, ischemic cardiomyopathy, chronic kidney disease stage 3, primary general osteoarthritis, osteoporosis, disorders of bone density and structure multiple sites, attention to colostomy, personal history of malignant neoplasm, and rectal prolapse. Review of the care plan for Resident #172 revealed At risk 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to ensure daily weights were obtained and post dialysis communication forms were returned to the facility following dialysis. This affected one (#18) of one resident reviewed for dialysis. The facility census was 91. Findings include: Review of the medical record for Resident #18 revealed an initial admission date of 04/04/24, with the diagnoses including: surgical aftercare following surgery on the skin and subcutaneous tissue, peripheral venous insufficiency, end stage renal failure (ESRD), dependence on renal dialysis, hypertension, diabetes mellitus, hyperlipidemia, anemia, polyneuropathy, hyperparathyroidism, and depressive disorder. Review of the plan of care dated 04/04/24 revealed the resident was at risk for hypovolemia related to dialysis related to ESRD and calls dialysis center and cancels appointments two to three times a month. Inventions included check bruit/thrill per facility policy, notify physician if not…

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 interview, staff interview and record review, the facility failed to ensure residents who are trauma survivors receive culturally competent, trauma-informed care that accounts for the resident's experiences and preferences in order to eliminate or lessen the severity of triggers that lead to retraumatization for the resident. This affected one (#41) of one resident reviewed for trauma-informed care. The facility census was 91. Finding include: Review of Resident #41's medical record revealed an admission date of 07/25/24, with diagnoses including: post traumatic stress disorder (PTSD), type two diabetes mellitus (DM), peripheral vascular disease (PVD), focal traumatic brain injury without loss of consciousness, history of falling, diabetic foot ulcer, non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle, venous insufficiency, chronic kidney disease (CKD), obesity, hyperlipidemia, anemia, hypothyroidism, adjustment disorder with mixed anxiety and depressed…

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 staff interview, the facility failed to ensure monitoring for adverse reactions/side effects related to the use of anticoagulants, diuretics, and/or insulin. This affected two (#36 and #82) of two residents reviewed for unnecessary medication use. The facility census was 91. Findings include: 1. Review of Resident #36's medical record revealed an admission date of 11/13/20, with diagnoses including: Cerebral vascular accident (CVA), hemiplegia/hemiparesis right dominant side, dysphagia, aortic stenosis, hypertension (HTN), atrial fibrillation (AFIB), type two diabetes mellitus (DM), congestive heart failure (CHF), hyperlipidemia, contracture left ankle, generalized anxiety disorder (GAD), moderate intellectual disabilities, gastroesophageal reflux disease (GERD), recurrent depressive disorder, and contracture of right ankle/foot. Review of the monthly physician's orders for Resident #36 dated October 2024 revealed orders for: apixaban tablet five milligrams (mg), give one tablet by mouth two times a day for CVA; aspirin (ASA) tablet, chewable, 81 mg, give…

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 staff interview, the facility failed to monitor for potential side effects of antipsychotic medication use. This affected two (#1 and #36) of five residents reviewed for unnecessary medications. The facility census was 91. Findings include: 1. Review of the medical record for Resident #1 revealed an initial admission date of 04/28/22, with the latest readmission of 10/28/23, with the diagnoses including: cerebrovascular accident with right sided hemiplegia, dysarthria, aphasia, dysphagia, vascular dementia, hypertension, chronic kidney disease, hyperlipidemia, diabetes mellitus, anemia, depression, gastro-esophageal reflux disease, adult failure to thrive, atopic dermatitis and schizoaffective disorder. Review of the resident's plan of care dated 07/01/24 revealed the resident was at risk for adverse reactions and side effects related to psychotropic medication used for schizoaffective disorder and antidepressant used for depression. Interventions included administer antidepressant…

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 medical record review, and staff interview, the facility failed to obtain a resident's laboratory tests as physician ordered. This affected one (#18) of five residents reviewed for unnecessary medications. The facility census was 91. Findings include: Review of the medical record for Resident #18 revealed an initial admission date of 04/04/24, with the diagnoses including but not limited to surgical aftercare following surgery on the skin and subcutaneous tissue, peripheral venous insufficiency, end stage renal failure, dependence on renal dialysis, hypertension, diabetes mellitus, hyperlipidemia, anemia, polyneuropathy, hyperparathyroidism, and depressive disorder. Review of the resident's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had no cognitive deficit. The assessment indicated the resident received dialysis. Review of the resident's monthly physician orders for October 2024 identified an order dated 04/05/24 Albumin and Pre-albumin level every other week. Review…

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, record review, interview, and policy review, the facility failed to ensure a medication error rate of less than five percent. Three medication errors out of 30 opportunities for error resulted in a medication error rate of ten percent. This affected two (Residents #38 and #66) of five residents observed for medication administration. The census was 92. Findings include: 1. Review of physician orders revealed Resident #38 had Diclofenac sodium external gel (Non-steroidal anti-inflammatory) one percent topical, apply 0.5 grams to bilateral knees two times a day for pain. During observation of medication pass for Resident #38 on 05/30/24 at 8:10 A.M., Licensed Practical Nurse (LPN) #100 revealed there was no Diclofenac sodium external gel available in the medication cart for Resident #38. During an interview on 05/30/24 at 11:07 A.M., LPN #100 confirmed the resident did not receive his Diclofenac sodium external gel to his knees as the medication was not available. 2. Resident #66 had…

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, interview and policy review the facility failed to ensure timed released medications were not crushed, resulting in a significant medication error. This affected one (Resident #66) of five residents reviewed for medication administration. The census was 92. Findings include: Resident #66 had physician orders for Divalproex sodium tablet delayed release tablets (anti-seizure medication used as a mood stabilizer) 125 milligrams (mg), give three tablets by mouth twice daily for psychosis and enteric coated aspirin, delayed release 81 mg daily for heart health. During observation of medication pass for Resident #66 on 05/30/24 at 8:35 A.M., LPN #100 crushed the Divalproex sodium delayed release tablets, and the Aspirin EC pill and administered the medication to the resident. During an interview on 05/30/24 at 8:48 A.M. LPN #100 stated she crushes medications which are allowed to be crushed. LPN #100 stated she knows what medications can be crushed or it is written on the…

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

Based on record review, observations, staff interview, and facility policy review, the facility failed to store/date food appropriately and failed to serve food in a sanitary manner. This had the potential to affect 88 of 89 residents who eat food from the kitchen (Resident #4 eats no food by mouth). The facility census was 89. Findings include: 1. Observations of the dry storage room in the facility's kitchen on 03/14/22 between 8:14 A.M. to 8:35 A.M. revealed there were the following observations: six cans of sauerkraut with handwritten date of 07/13 (no year) on the top of each can, four cans of sauerkraut with handwritten date of 05/18 (no year) on the top of each can, one can of potatoes with the handwritten date of 07/16 (no year) on top of the can, and three cans of olives with the handwritten date of 08/30/21 on top of each can. Each of the three olive cans also had the expiration date of 02/14/22 on them. Interview with Dietary Manager #353 on 03/16/22 at 11:25 A.M. confirmed she contacted the food supplier. Food supplier confirmed there should have been an expiration date…

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, medical record review, and staff interview, the facility failed to ensure residents were without unneeded restrictive devices/physical restraints. This affected six (Residents #7, #25, #27, #29, #44, and #65) of nine residents reviewed for physical restraints. The facility census was 89. Findings include: 1. Review of Resident #7's medical record revealed Resident #7 was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease. Review of the quarterly Minimum Data Set (MDS) assessment, dated 03/03/22, revealed Resident #7 had no behaviors exhibited, not deemed a wanderer, and had a wanderguard placed. Review of the current physician orders dated 03/2022, revealed Resident #7 had an order for a wanderguard for wandering. Review of the Nursing Comprehensive Evaluation (section J), dated 12/27/21, revealed Resident #7 had a total score of eight, which indicated she was not a risk for elopement. 2. Review of Resident #25's medical record revealed Resident #25 was admitted to…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and policy review, the facility failed to timely notify the resident's physician and responsible party of changes in a resident's status. This affected one (#76) of five residents reviewed for notification of change. The facility census was 89. Findings include: Review of Resident #76 's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including dementia, heart failure, chronic kidney disease, hypertensive heart disease, and chronic obstructive pulmonary disease. Review of the progress notes dated 03/09/22 revealed Resident #76 was seen by Nurse Practitioner #500 and noted to have two pitting edema in the lower extremities. The plan would be to increase the Lasix (diuretic medication) 40 milligrams (mg) to twice daily from the current once daily dose of Lasix 40 mg. Resident #76 would now be receiving a total of 80 mg of Lasix daily. Review of the medical record revealed it was silent to the responsible party being notified of…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and resident and staff interviews, the facility failed to timely provide hygiene care for a resident who required assistance with activities of daily living (ADL). This affected one (Resident #13) of six residents reviewed for ADLs. The facility identified 87 residents who required assistance with one or more ADLs. The facility census was 89. Findings include: Review of Resident #13's medical record revealed Resident #13 was admitted to the facility on [DATE]. Diagnoses included senile degeneration of the brain, diabetes type II, glaucoma, and history of transient ischemic attack. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #13 had cognitive impairment. The resident required extensive assistance of one person for personal hygiene and one person assist for bathing. Review of the care plan dated 01/22/22 revealed Resident #13 had self care performance deficit related to ADL. Resident #13 required assistance with ADLs and mobility…

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, medical record reviews, and staff interviews, the facility failed to ensure geri-sleeves (a cloth covering used to help protect thin skin from tears, abrasions, and light bruising) were in place for three (#29, 36, and #59) of seven residents identified as using geri sleeves. The facility census was 89. Findings include: 1. Review of Resident #29's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, Parkinson's disease, cerebral infarction, and muscle wasting. Review of the physician's orders dated 09/10/20 revealed Resident #29 has an order for geri-sleeves daily. Review of Resident #29's Treatment Administration Record (TAR) revealed the staff were initialing the treatment administration record daily indicating geri-sleeves were in place daily. The TAR and medical record were reviewed and silent to Resident #29 refusing to wear the geri sleeves. Observation of Resident #29 on 03/15/22 at 12:05 P.M. in the dining 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 staff interview, record review, and facility policy review, revealed the facility failed to ensure Resident #53 and #85 received non-pharmacological interventions for pain prior to administering as needed narcotic pain medication. This affected two (#53 and #85) of two residents reviewed for pain management. The facility identified 26 residents on a pain management program. The facility census was 89. Findings include: 1. Review of the medical record for Resident #53 revealed an admission date of 08/19/22. Diagnoses included type two diabetes mellitus, chronic kidney disease stage four, and neuromuscular dysfunction of the bladder. Review of the pain management plan of care updated 11/16/21 for Resident #53 revealed no interventions for non-pharmacological interventions. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #53 was alert and oriented. Resident #53 had frequent pain rated as six on a zero to ten scale (zero indicated no pain and ten was the most…

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, staff interview, and policy review, the facility failed to administer medication as physician ordered to one (#76) of five residents reviewed for unnecessary medications. This had the potential to affect all 89 residents at the facility who were identified to receive medications from the facility staff. Findings include: Review of Resident #76's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including dementia, heart failure, chronic kidney disease, hypertensive heart disease, and chronic obstructive pulmonary disease. Review of Resident #76's care plan dated 06/19/20 revealed the resident had a care plan in place for cardiac complications related to multiple cardiovascular diseases hypertension, hyperlipidemia, and heart failure. Interventions included to administer medications per order. Review of the progress notes dated 03/09/22 revealed Resident #76 was seen by Nurse Practitioner #500 and noted to have two pitting edema in the lower…

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 staff interview, the facility failed to provide the proper food texture to a resident. This affected one (Resident #62) of six residents reviewed for food/nutrition. The facility identified 29 residents who receive a mechanically altered diet. The facility census was 89. Findings include: Review of Resident #62's medical record revealed Resident #62 was admitted to the facility on [DATE]. Diagnoses included dysphagia and dementia. Review of the Minimum Data Set (MDS) assessment, dated 02/24/22, revealed Resident #62 had a severe cognitive impairment. Review of Resident #62's physician orders, dated 03/10/22, revealed a dietary order for mechanical soft diet texture with pureed fruits and vegetables. Observations on 03/16/22 from 11:49 A.M. to 11:51 A.M. revealed the kitchen staff were preparing Resident #62's lunch meal. The tray had a grilled cheese (which was cut into very small pieces by a knife), pureed green beans, and cubed/cooked potatoes. This was placed onto 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, record review, interview and review of facility policy, the facility failed to ensure care plans were revised to reflect the current status and interventions for residents. This affected four (Residents #13, #28, #30 and #34) of 22 residents reviewed for care plans. The facility census was 92. Findings include: 1. Record review for Resident #13 revealed an admission date of 07/20/15. Diagnoses included nontraumatic subarachnoid hemorrhage, tracheostomy status, cerebral infarction, chronic respirator failure with hypoxia, pneumonia, anemia, diabetes, quadriplegia, ischemic cardiomyopathy and bacteremia. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #13 to have a severe cognitive deficit. She was also assessed to have disorganized thinking and periods of inattention. Review of Resident #13's plan of care dated 06/05/19, revealed the resident to be documented as comatose throughout the care plan. Interview on 08/21/19 at 11:55 A.M. with the Director…

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, interview and policy review, the facility failed to ensure accurate documentation related to an indwelling urinary catheter. This affected one (Resident #38) of one resident reviewed for indwelling urinary catheters. The facility census was 92. Findings include: Record review revealed Resident 338 was admitted on [DATE]. Diagnoses included cervical-four spinal injury, tetraplegia, urinary tract infections, acute cystitis, anxiety, neurogenic bladder, hyponatremia, insomnia and muscle spasms. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #38 had a slight cognitive deficit. He was also assessed to required extensive to total assistance from staff for his daily care. He was assessed to have an indwelling urinary catheter and his continence could not be rated due to the indwelling catheter. Review of the current physician's orders identified an order for a 16 French urinary indwelling catheter, dated 07/03/19. No orders were noted 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 observation, interview and policy review, the facility failed to ensure medication carts were free of expired medications. This affected two medication storage carts and one medication storage room. The facility census was 92. Findings include: On 08/22/19 at 8:48 A.M. one unopened bottle of Fer-in-Sol liquid iron supplement, located in the East One medication cart, was observed to have an expiration date of 09/01/18. A bottle of Pro-Stat sugar free liquid protein was observed with an expiration date of 03/13/19 and one bottle of Uti-Stat urinary tract protection complex with an expiration date of July 2019. Interview on 08/22/19 at 8:58 A.M. with Licensed Practical Nurse (LPN) #144, confirmed the three mediations were expired. She also confirmed Resident #50 received the pro-stat and Resident #80 received the Uti-Stat complex. Observation on 08/22/19 at 9:00 A.M. of the South medication cart revealed one bottle of Uti-Stat urinary tract protection complex with an expiration date of July 2019. Interview on 08/22/19 at 9:10 A.M. with LPN #101 confirmed the medication was…

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, the facility failed to ensure an occupational therapy recommendation for restorative care was provided for a resident. This affected one (Resident #34) of two residents reviewed for range of motion. The facility identified 30 residents receiving rehabilitative services. Record review for Resident #34 revealed an admission date of 05/05/14. Medical diagnoses included Parkinson's Disease, seizure disorder, and traumatic brain injury. Review of quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #34 was rarely or never understood. Her functional status was extensive assistance for bed mobility, transfers, toilet use and eating was total dependence. Review of discharge records from Occupational Therapy (OT) dated 06/16/19 revealed recommendations were for splints to bilateral upper extremities (arms) and passive range of motion to protect joint integrity. PROM to BUE was to be completed 15 repetitions one time a day and the splint was to be…

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.