Life Care Center Of Jefferson City

Based on review of the facility policy, review of kitchen equipment cleaning documentation, observation, and interview, the facility failed to ensure kitchen equipment was maintained in a clean and sanitary condition. The findings include: Review of the facility's policy titled, Sanitation and Maintenance, dated 4/26/2023, revealed .cleaning fixed equipment .cleaned with detergent and hot water, rinsed, air-dried, and sprayed with a sanitizing solution . During an observation of the kitchen with the Dietary Manager (DM) and Registered Dietitian (RD) on 6/16/2025 from 11:05 AM-11:55 AM, revealed the following: - The 6-burner gas stove had dried dark brown food debris present on the handles to the oven compartments. - The steamer had light brown food debris present on the bottom front of the door and the operational control panel of the unit. - The deep fryer had copious amounts of granular food debris present on the top drip tray of the unit. The sides of the deep fryer had food debris granules present with a dried tan fluid streaked on both sides of the unit. - An electrical box…

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 facility policy review, observation and interview, the facility failed to provide a clean and sanitary environment to ensure cleanliness of a stand-up personal fan for 1 resident (Resident #46) of 89 residents reviewed for a clean and sanitary environment. The findings include: Review of the facility's policy titled, Daily Room Cleaning, reviewed 5/16/2025, revealed .The cleanliness of each resident's room is maintained on a daily basis by the housekeeping staff to provide a fresh, clean, and sanitary environment and reduce the potential for nosocomial infections . Review of the medical record revealed Resident #46 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, Diabetes Mellitus, Acquired Absence of Left Leg Above Knee, and Peripheral Vascular Disease. During observations on 6/16/2025 at 3:03 PM and on 6/17/2025 at 3:15 PM, Resident #46's room revealed a portable stand-up fan between resident's bed and window area. The fan blades had a large amount of gray dust 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 review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 2 Residents (Resident #50 and #75) of 9 residents reviewed for anticoagulant use. The findings include: Review of the facility's policy titled, Certification of Accuracy of the MDS, revised 4/22/2025, revealed .each person completing a portion of the MDS is required to sign attestation certifying they have used the Centers for Medicare and Medicaid Long-Term Care Facility Resident Assessment Instrument User's Manual to complete the MDS .Definition-Accuracy of Assessment-means that the appropriate health professionals correctly document the resident's medical, functional, and psychosocial problems .using the appropriate Resident Assessment Instrument (RAI) . Review of the RAI Version 3.0 Manual, Chapter 3, dated 10/2024, revealed instructions .High-Risk Drug Classes: Use 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 facility policy review, medical record review, observation, and interview, the facility failed to provide appropriate treatment to restore continence of bowel and bladder for 1 resident (Resident #50) of 4 residents reviewed for bowel and bladder. The findings include: Review of the facility's policy titled, Urinary Incontinence Management, reviewed 9/10/2024, revealed .each resident who is incontinent of urine is identified, assessed and provided appropriate treatment and services to achieve or maintain as much normal bladder function as possible .Procedure: This facility will utilize the [NAME] [renowned medical and nursing journal] procedures . Review of the facility's policy titled, Bowel and Bladder Program, dated 9/24/2024, revealed .the facility will ensure that a resident who is admitted with incontinence of bladder receives appropriate treatment and services .to restore as much normal bladder function as possible .Procedure: This facility will utilize the Lippincott procedures . Review of 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 facility policy review, medical record review, observation and interview, the facility failed to ensure oxygen therapy was administered as ordered for 1 Resident (Resident #50) of 6 residents reviewed for oxygen therapy. The findings include: Review of the facility's policy titled, Oxygen Administration (Infection Control, Safety, & Storage), revised 10/11/2024, revealed .the facility must ensure that a resident who needs respiratory care .is provided such care, consistent with professional standards of practice . Review of the medical record revealed Resident #50 was admitted to the facility on [DATE] with diagnoses including Cerebral Palsy, Epilepsy, Congestive Heart Failure, Muscle Weakness, and Diabetes Mellitus. Review of the Comprehensive Care Plan dated 3/28/2025, revealed Resident #50's Care Plan included .the resident has oxygen therapy r/t [related to] CHF [Congestive Heart Failure] .The resident will have no s/sx [signs/symptoms] of poor oxygen absorption .oxygen settings: O2 [oxygen] via…

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 facility policy review, manufacturer guidelines review, observation, and interview, the facility failed to discard an expired multi-dose vial of Tuberculin (TB) purified protein derivative (ppd) (an injectable medication used to detect the bacteria that causes Mycobacterium tuberculosis) and failed to date an opened multi-dose vial of TB ppd stored in 1 of 2 medication refrigerators observed. The findings include: Review of the facility policy titled, Storage and Expiration Dating of Medications and Biologicals, dated [DATE], revealed .Once any medication or biological package is opened, facility should follow manufacturer/supplier guidelines with respect to expiration dates for opened medications. Facility staff should record the date opened on the primary medication container .vial, bottle .If a multi-dose vial of an injectable medication has been opened or accessed .needle-punctured .the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or…

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 facility policy review, observation, and interview the facility failed to maintain sanitary kitchen equipment which had the potential to effect 97 residents in the facility. The findings include: Review of the facility policy titled, Sanitation and Maintenance revised 4/26/2023, showed .when cleaning fixed equipment .the non-removable parts .cleaned with detergent and hot water, rinsed and air dried .Procedures for cleaning equipment are readily available .All equipment is .cleaned and sanitized according to manufacturer's instructions .Fixed .equipment in the foodservice area will be .sanitary .Physical facilities are cleaned as often as necessary to keep them clean . During the initial kitchen observation on 3/24/2024 at 10:10 AM, with the Food Service Manager (FSM) showed the outside of the left dishwasher door was 1/3 covered with a dried light brown film from the bottom of door up to the handle. The burners of the gas stove were observed to have dried brown/black food debris present on all; the stove's drip pans had multiple blackened pieces of pasta and other food…

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 facility policy review, record review, observation, and interview, the facility failed to create person-centered care plans for 2 residents (Resident #23 and #25) of 26 residents reviewed for care plans. The finding include: Review of the facility's policy titled Comprehensive Care Plans and Revisions, dated 8/22/2023, showed .the facility will ensure the timeliness of each resident's person-centered, comprehensive care plan, and to ensure that the comprehensive care plan is reviewed and revised by an interdisciplinary team .facility should monitor the resident over time to help identify changes in the resident condition that may warrant and update to the person-centered plan of care . Resident #23 was admitted to the facility on [DATE], with diagnoses including Heart Failure, Respiratory Failure, Alzheimer's Disease, and Obstructive Sleep Apnea. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #23 was cognitively intact. Review of Resident #23's care plan dated…

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 facility policy review, medical record review, observation, and interviews, the facility failed to ensure tube feeding formula was appropriately labeled for 1 resident (Resident #43) of 1 resident sampled for tube feeding. The findings include: Review of the undated [fiber-fortified tube feeding formula] manufacturers' guidelines, showed .hang no longer than 24 hours . Resident #43 was admitted to the facility on [DATE] with diagnoses including Protein-Calorie Malnutrition, Gastrostomy (tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medications), and Dysphasia (difficulty swallowing). Review of an admission Minimum Data Set (MDS) assessment dated [DATE], showed Resident #43 had moderate cognitive impairment, had a feeding tube, and received 51% or more calories through tube feeding. Review of a physician order dated 3/14/2024, showed .Enteral Feed .off at 5 am, on at 9 am [fiber-fortified tube feeding formula] at 60 ml/hr…

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 facility policy review, medical record review, observations, and interviews, the facility failed to ensure a nasal cannula was stored in a sanitary manner for 1 resident (Resident #78) of 10 residents observed for oxygen use and the facility failed to follow infection control practices for 1 resident (Resident #59) of 4 residents reviewed for medication administration. The findings include: Review of the facility's policy titled, Administration of Medications, dated 8/24/2023, showed .the facility will ensure medications are administered safely and appropriately . Review of the facility policy titled Oxygen Administration (Safety, Storage, Maintenance), dated 2/27/2024, showed .Store oxygen and respiratory supplies in a bag labeled with resident's name when not in use . Resident #78 was admitted to the facility on [DATE], with diagnoses including Aftercare for Joint Replacement and Chronic Obstructive Pulmonary Disease (COPD). Review of the medical record, showed Resident #78 did not have any recent…

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 review of the facility policy, observations, and interviews, the facility failed to maintain hand hygiene practices for 4 of 6 rooms on 1 hallway (Covid-19/Quarantine hallway) of 3 hallways observed, having the potential to affect 4 of 6 residents on the Covid-19/Quarantine hallway. The findings include: The Covid-19/Quarantine hallway had 6 residents being observed for 14 days due to new admissions from hospitals or readmissions. They had tested negative for Covid-19 prior to admission and were unvaccinated. The facility had no positive Covid-19 cases in the facility. Review of the facility policy, Hand Hygiene, dated 12/4/2020 showed .Handwashing/hand hygiene is .considered the most important single procedure for preventing .infections .hand hygiene is performed .between residents .during care . During an observation on 7/12/2021 at 12:36 PM, Certified Nursing Assistant (CNA #1) donned (put on) an isolation gown, delivered the food tray to room [ROOM NUMBER], touched the door handle, entered the 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 medical record review and interview, the facility failed to maintain an accurate medical record for 1 resident (#174) of 29 residents reviewed for medical records. The findings include: Medical record review showed Resident #174 was admitted to the facility on [DATE] with diagnoses including Surgical wound, Collapsed Vertebra, Multiple Sclerosis, Protein-Calorie Malnutrition, Colostomy, Gastrostomy, Anxiety, Major Depressive Disorder, and Gastroesophageal Disease. Review of the Tennessee Physicians Orders for Scope of Treatment (POST) form dated [DATE] showed .Do Not Attempt Resuscitation (DNR/no CPR) [cardiopulmonary resuscitation] .Comfort Measures .No artificial nutrition by tube . Review of the Physician Orders dated [DATE], showed .Enteral Feed Order every shift .via pump .Full Code with Full Treatment . During an interview on [DATE] at 3:55 PM, the Director of Nursing confirmed the physician order did not match the POST form and the medical records were inaccurate.