Corn Heritage Village and Rehab

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure allegations of abuse were reported to the OSDH no later than 24 hours of the alleged abuse for 2 (#1 and #2) of 2 sampled residents reviewed for abuse.The administrator identified 54 residents resided in the facility.Findings:Findings:On 10/22/25 at 2:45 p.m., during facility tour, Resident #1 was observed to have 1:1 supervision with staff.An undated facility policy titled Reporting Resident Neglect, Mistreatment, Exploitation, Abuse or Misappropriation of a Resident's Property read in part, It is the responsibility of Corn Heritage Village to accept reports of incidents or suspected incidents .from any source. Any alleged violations involving abuse must be reported immediately to the administrator and Director of Nursing. This notification shall apply to any time of day or night. The Administrator or Director of Nursing is responsible for reporting any allegations of abuse to officials in accordance with state law.An initial…

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 the facility failed to administer physician ordered medications for one (#14) of five sampled residents reviewed for medications. The administrator reported 52 residents resided in the facility. Findings: A Medication Administration and General Guidelines policy, dated 07/10/23, read in part, Medications are administered in accordance with written orders of the attending physician. If a dose seems excessive considering the resident's age and condition, or a medication seems to be unrelated to the resident's current diagnosis or condition, the physician is contacted for clarification prior to the administration of the medication. Resident #14 had diagnoses which included senile degeneration of brain, anxiety disorder, and polyarthritis. Resident #14's physician order, dated 11/06/24, read in part, Give 0.5 mg PLO gel q 4 hours. A drug label for Resident #14, dated 11/06/24, documented, apply 0.5 ml (0.5 mg) to the inside of one wrist and rub in well with the other wrist every four hours. lorazepam (benzodiazepine) 1 mg/1 ml-PLO.…

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, it was determined the facility failed to implement an antibiotic stewardship program for three (#17, 39. and #44) of five residents sampled for medication review. The DON identified 52 residents resided in the facility. Findings: 1. Resident #17 had diagnoses which included chronic systolic congestive heart failure, permanent A-Fib, and recurrent depressive disorders. Resident #17's care plan, dated 07/31/24, documented frequently incontinent of bowel and occasional incontinent of urine. A Culture Urine for resident #17, dated 08/17/24, read in part, Culture Colony count > 100,000 CFU/ml Escherichia Coli (Abnormal). Resident #17's physician order, dated 08/19/24, documented to give Macrobid oral capsule 100 mg (Nitrofurantoin), 100 mg by mouth, two times a day for five days, related to urinary tract infection. 2. Resident #39 had diagnoses which included chronic obstructive pulmonary disease, acute kidney disease, and senile degeneration of the brain. Resident #39's care plan, dated 01/02/24, documented the resident was frequently incontinent 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 record review and interview, the facilty failed to ensure new mental illness diagnoses were reported to the OHCA for one (#6) of one sampled resident reviewed for PASARR. The administrator reported 52 residents resided in the facility. Findings: A Preadmission Screening and Annual Resident Review policy, revised 06/25/21, read in part, [Name withheld] will refer all level II residents and all residents with newly evident or possible serious mental disorder, intellectual disability, or related or possible serious mental disorder, intellectual disability, or related condition for a level II review upon a significant change in status assessment to the State PASARR representative. Resident #6 was admitted to the facility on [DATE]. A level I PASARR screen, dated 08/22/23, documented primary diagnoses of chronic obstructive pulmonary disease and secondary of acute on chronic systolic heart failure. The level I PASARR screen documented no level II screening was required. Resident #6's face sheet documented…

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, the facility failed to include hospice services on a care plan for one (#9) of one sampled resident reviewed for hospice. The administrator reported 52 residents resided in the facility. Findings: A Care Plans policy, dated 10/12/17, read in part, Comprehensive care plans will be revised and updated upon any new changes in a resident's condition within 7 days .Care Plans will address all areas pertinent to providing care to that resident. Resident #9 had diagnoses which included congestive heart failure and chronic obstructive pulmonary disease. A physician order for Resident #9, dated 06/27/24, documented the resident was admitted to hospice with the diagnosis of hypertensive heart disease with heart failure. A comprehensive assessment for Resident #9, dated 10/02/24, documented the resident's cognition was intact. The assessment documented the resident received hospice services. A care plan for Resident #9, dated 10/02/24, did not address hospice or document the resident received hospice services. On 11/20/24 at 12:33 p.m., MDS coordinator #1…

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

Based on observation and interview, the facility failed to ensure incontinent care was provided to dependent residents at least every two hours for three (#2, 3, and #4) of three dependent residents observed for receiving incontinent care. The DON identified 61 residents resided in the facility. RN #1 identified 27 residents that were totally dependent on staff for incontinent care. Findings: 1. A 'Functional Abilities & Goals' assessment for Resident #2, dated 05/16/24, documented they had impaired ROM to both upper and both lower extremities, was incontinent of bowel and bladder, and was dependent on staff for all ADL's. 2. A 'Functional Abilities & Goals' assessment for Resident #3, dated 07/02/24, documented they had impaired ROM to both upper and both lower extremities, was incontinent of bowel and bladder, and was dependent on staff for all ADL's. 3. A 'Functional Abilities & Goals' assessment for Resident #4, dated 07/29/24, documented they had impaired ROM to both upper and both lower extremities, was incontinent of bowel and bladder, and was dependent on staff for all…

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, the facility failed to ensure dietary staff received training in safe food handling practices for the prevention of foodborne illness for eight (Cook #1, [NAME] #2, [NAME] #3, [NAME] #4, Dietary Aide #1, Dietary Aide #2, Dietary Aide #3, Dietary Aide #4) of nineteen dietary staff. The DON identified 61 residents resided in the facility. All residents received meals prepared in the facility dietary department. Findings: On 08/01/24 at 9:00 a.m., the Administrator was asked for verification of Food Handlers training for all dietary staff. On 08/01/24 at 9:08 a.m., the Administrator submitted a copy of in-service training for eleven of nineteen dietary staff and acknowledged [NAME] #1, [NAME] #2, [NAME] #3, [NAME] #4, Dietary Aide #1, Dietary Aide #2, Dietary Aide #3, and Dietary Aide #4 had not received the required training.

Based on record review, observation, and interview, the facility failed to adhere to the facility's policy and procedure to label and date oxygen tubing for three (#49, 48, and #71) of three residents sampled for oxygen therapy. The Resident Census and Condition of Residents, report, dated 09/19/22, documented 80 residents resided in the facility. Findings: The Oxygen System Change Out Policy, revised on 10/11/17, read in parts, .It is the policy of Corn Heritage Village and Rehab that the oxygen setups including the nasal cannula, any extension tubing, and humidifier bottle will be changed out every 2 weeks for infection control purposes. Each new oxygen set will be labeled with the date of change and the nurses initials . 1. Resident #49 was admitted to the facility with a diagnosis of chronic obstructive pulmonary disease. Physician Orders, dated 07/30/20, read in parts, . may have oxygen 2 L. Do NOT increase oxygen without discussing with PCP first. as needed for shortness of breath related to DYSPNEA [Shortness of breath] .May have NC PRN for SHOB. May keep at bedside. Do 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.

Based on observation, record review, and interview, the facility failed to ensure emergency call lights were accessible and/or in working order for eight (#1, 3, 5, 6, 7, 10, 11, and #54) of eight residents reviewed for an emergency call light system. The Administrator reported 80 residents resided in the facility. Findings: On 09/19/22 at 10:00 a.m., a tour of the facility was conducted. Resident bathrooms on the E Unit, for residents #1, 3, 5, 6, 7, 10, and #11, were observed to have missing pull cords, short pull cords, or cords wrapped around the hand bar. On 09/19/22 at 10:10 a.m., resident #54 reported utilizing the bathroom during the daytime. The resident's bathroom call light was observed to be missing a cord. The maintenance log was reviewed and documented no reported issues with bathroom call light repairs. The facility reported no policy and procedure related to the call light system. On 09/22/22 at 10:14 a.m., an interview with the DON was conducted. She was asked to review the September 2022 work log for maintenance issues. The DON stated there had been no reports 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.