Vanayer Senior Living And Rehabilitation

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 that resident medication was administered as ordered when 1 of 1 (Resident #70) random residents observed self-administered a nebulizer treatment without staff present. The findings include: Review of the facility policy titled, Self Administration of Medications, dated 1/2025, revealed . maintain the safety and accuracy of medication administration.interdisciplinary team will assess and periodically re-evaluate the resident based on change in resident status.resident candidate for self-administration of medications will be indicated in the chart. Review of the facility policy titled, Administration of Drugs, dated 1/2025, revealed .medications shall be administered as prescribed by the attending physician.Medication must be administered in accordance with the written orders of the attending physician. Review of the medical record revealed Resident #70 was admitted to the facility on [DATE], with…

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 policy review, medical record review, observation, and interview, the facility failed to implement care plan interventions for 1 of 2 (Resident #3) sampled residents reviewed for falls. The findings include: 1. Review of the facility policy titled, Comprehensive Person-Centered Care Planning, dated 1/2025, revealed .The facility IDT [Interdisciplinary Team] will develop and implement a comprehensive person-centered .care plan .The resident's comprehensive plan of care will be reviewed and/or revised by the IDT after each assessment .The care plan process will be .ongoing to meet the residents' needs . 2. Review of the medical record revealed Resident #3 was admitted to the facility on [DATE], with diagnoses including Cerebral Infarction, Dementia, and Osteoarthritis. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 3, which indicated Resident #3 was severely cognitively impaired, used a wheelchair for mobility, 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 policy review, medical record review, and interview, the facility failed to ensure care and services were provided when the use of a Percutaneous Endoscopic Gastrostomy (PEG) tube (a tube inserted into the stomach to administer medications and food supplements) was documented inaccurately in the medical record for 1 of 1 sampled resident (Resident #6) reviewed for enteral feedings. The findings include: 1. Review of the facility policy titled, .Enteral Feeding Administration ., dated 7/2025, revealed .Document any necessary information .placement check done .residual .any difficulties and resident's tolerance to the procedure on the progress notes . 2. Review of the medical record revealed Resident #6 was admitted to the facility on [DATE], with diagnoses including Dementia, Dysphasia, and Gastrostomy. Review of the quarterly Minimum Data Set assessment dated [DATE], revealed a Brief Interview for Mental Status score of 4, which indicated Resident #6 was severely cognitively impaired and had a feeding…

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 practices to prevent the potential spread of infection were maintained when 1 of 2 Nurses (Licensed Practical Nurse (LPN) A ) failed to perform hand hygiene during wound care for 1 of 2 sampled residents (Resident #2) were reviewed for wounds, and when 1 of 11 staff members (Certified Nursing Assistant (CNA) B) failed to wear gloves when handling food for 1 of 58 sampled residents (Resident #15) reviewed during dining. The findings include: 1. Review of the facility policy titled, Hand Hygiene, dated 1/2025, revealed .Hand hygiene is one of the most effective measures to prevent the spread of infection .Procedure .Use an alcohol-based hand rub .or soap and water for the following situations .Before handling clean or soiled dressings, gauze pads .After handling used dressings .After removing gloves . Review of the facility policy titled, General Food Handling, dated 11/2019, revealed .Food will…

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 policy review, medical record review, observation, and interview, the facility failed to ensure medications were stored appropriately when an unsecured medication was observed in 1 of 38 resident rooms (Resident #4's room) which could have potentially affected the 4 identified wandering residents (Resident #11, #12, #13, and #14) in the facility. The findings include: Review of the facility's policy titled, Medication Storage, dated 1/2025, revealed .It is the policy of this facility to ensure the proper and safe storage of drugs and biologicals .Drugs and/or biologicals should not be left unsecured/unattended . Review of the medical record revealed Resident #4 was admitted to the facility on [DATE], with diagnoses of Chronic Ischemic Heart Disease, Anemia, Cardiomegaly, Bipolar Disorder, Major Depressive Disorder, Allergic Rhinitis, Generalized Anxiety Disorder, and Polyosteoarthritis. Review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #4 scored a 15 on the Brief Interview…

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 policy review, observation, and interview, the facility failed to ensure food was stored under sanitary conditions as evidenced by carbon build-up on pots and pans, expired food items in the Kitchen, open and undated food items in the Kitchen, dirty equipment in the Kitchen, staff failed to clean the thermometer during tray line temperature checks, and 5 of 10 staff members (Certified Nursing Assistant (CNA) #1, #2, #3, #4, and #5) placed contaminated cups back onto a clean dining cart, entered a droplet isolation room without the proper Personal Protective Equipment (PPE), and failed to perform hand hygiene during dining observations. The facility had a census of 59 with 59 of those residents receiving a meal tray from the kitchen. The findings include: Review of the facility's policy titled, Dietary: Food Service, revised 7/12/2021, revealed .Leftover foods are stored in appropriate containers .Leftovers should be used within three (3) days .All stored items should have an expiration date or a…

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

Based on medical record review, observation, and interview, the facility failed to properly store respiratory equipment and failed to follow physician's orders for changing oxygen tubing and humidifier bottles for 3 of 5 sampled residents (Resident #25, #35, and #163) reviewed for Respiratory Care. The findings include: Review of medical record, revealed Resident #25 had diagnoses of Aphasia, Epilepsy, Diabetes, Hypertension, Acute Respiratory Failure, Obesity, and Dysphagia. Review of Physician's Orders dated 7/25/2021, revealed .albuterol sulfate 2.5 mg [milligram]/3 ml [milliliter] solution for nebulization .Nebulization Every 6 Hours . Observation in the resident's room on 7/26/2021 at 9:56 AM, 11:29 AM and 3:15 PM, and on 7/27/2021 at 8:05 AM, revealed the Resident #25's nebulizer mask and nebulizer were sitting on the back of the oxygen concentrator with the mask lying against the wall uncovered. Review of medical record, revealed Resident #163 had diagnoses of Heart Failure, Atrial Fibrillation, Gastroesophageal Reflux Disease, Cardiomegaly, Obesity, and Obstructive Sleep…

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, observation, and interview, the facility failed to implement fall interventions for 1 of 1 (Resident #17) sampled residents reviewed for falls. The findings include: Medical record review revealed Resident #17 was admitted to the facility on [DATE] with diagnoses of Fracture of Right Radius, Osteoarthritis, Intervertebral Disc Degeneration, Other Disorders of Bone Density, and Cerebrovascular Disease. The Interdisciplinary Team Occurrence Investigation Worksheet form documented, .Putting Pants on without Assistanc [Assistance] .Intervention .put in place .Cue Cards in Room to alert staff before Transferring .Date of Incident 10-4-19 .Fall to floor . Observations on 12/9/19 at 9:32 AM and 12/10/19 at 1:22 PM revealed no cue cards in Resident #17's room. Interview with the Director of Nursing (DON) on 12/10/19 at 2:10 PM in the DON Office, the DON was asked what intervention had been put in place after the fall. The DON stated, .cue cards . Interview with the DON on 12/10/19 at 2:19…

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.