Union City Health And Rehabilitation

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the policy review, medical record review, observation, and interview, the facility failed to provide an environment free from accident hazards for 3 of 72 (Resident #42, #51 and #60) residents when razors and a bottle of rubbing alcohol were left unsecured and unattended in in Resident's rooms. There were 7 residents with wandering behaviors in the facility. The findings include: 1. Review of the facility policy titled .Personal Property, Resident's, dated 01/2025, revealed .Facility to provide space and safety for resident's personal property.The right to retain and use personal possessions.unless to do so would infringe upon the rights or health and safety of other residents. Review of the facility policy titled, Quality of Life, dated 8/2025, revealed .It is the policy of this facility to create a safe environment for the resident.Ensure all.chemicals.and any other hazardous material are kept locked/secured. 2. Review of the medical record revealed Resident #42 was admitted to the facility on [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.

Based on policy review, Licensed Practical Nurse (LPN) Job Description review, Medication Administration Observation review, observations and interviews, the facility failed to ensure all licensed nurses independently demonstrated competency while providing care and services for 1of 3 Nurses (Licensed Practical Nurse (LPN) A) observed, when 2 of 6 residents (Resident #48 and #6) observed for medication administration, and when 28 of 32 nurses (LPN A, LPN B, RN C, LPN D, RN E, RN F, LPN G, LPN H, RN I, LPN J, LPN K, LPN L, LPN M, LPN N, LPN O, RN P, LPN Q, LPN R, RN S, LPN T, LPN U, RN V, LPN W, LPN X, RN Y, LPN AA, RN BB, and the DON) reviewed did not have completed competency audits for medication pass. The findings include: 1.Review of the facility policy titled, Sufficient/Competent Staff, dated 10/2023, revealed .It is the policy of this facility to provide.nursing care in a manner and in an environment which promotes each resident's physical, mental, and psychosocial well- being.The facility will ensure that licensed nurses.have the competencies and skill sets necessary to care…

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 revise the comprehensive care plan for 2 of 18 sampled residents (Resident #21 and #51) to reflect the residents ' status related to the use of oxygen and urinary tract infection. The findings include: 1. Review of the facility's policy titled, Comprehensive Care plan, dated 10/24/2022, revealed .It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident .that includes measurable objectives and time frames to meet the resident ' s medical .needs that are identified in the resident ' s comprehensive assessment .The comprehensive care plan shall describe, at a minimum, the following .any specialized services .The comprehensive care plan shall be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS (Minimum Data Set) assessment . 2. Review of the medial record revealed Resident #21 was admitted to the facility on [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 policy review, medical record review, and interview, the facility failed to accurately assess the nutritional status and to follow the Registered Dietician's (RD) recommendations to provide nutritional interventions for 1 of 6 sampled residents (Resident #24) reviewed for nutrition. The findings include: Review of the facility's policy titled, .Dietary: Weight Monitoring, dated 11/09/2023, revealed .The facility shall utilize a systemic approach to optimize a resident's nutritional status .Identifying and assessing each resident's nutritional status and risk factors .Evaluating/analyzing the assessment information .Developing and consistently implementing pertinent approaches .Monitoring the effectiveness of interventions and revising them as necessary .The Registered Dietitian or Dietary Manager shall be consulted to assist with interventions .actions are recorded in the nutrition progress notes .Observations pertinent to the resident's weight status shall be recorded in the medical record as…

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 policy review, observation, and interview, the facility failed to ensure medications were labeled and stored appropriately for 2 of 6 medication storage areas (200 Hall Medication Cart and the East Nurses Station) when a schedule II-V medication was open, unlabeled, and not properly secured and when an unidentified, unsecured pill was observed lying on the floor reviewed. The findings include: 1. Review of the facility's policy titled, Medication Administration, dated 8/4/2023, revealed .If medication is a controlled substance, record removal of medication and sign the Narcotic Control Record .Report and document any .refusals .Document med administrations immediately after each patient .Document refusals . Review of the facility's policy titled, Medication Administration: Medication, Controlled and Biological Storage, Night/Emergency Box and Backup Pharmacy, dated 9/5/2023, revealed .It is the policy of this facility to ensure all medications housed on our premises shall be stored in the pharmacy and/or medication rooms .All drugs and biologicals will be stored in locked…

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 promote a resident's dignity during dining for 1 of 18 (Resident #48) residents reviewed for dignity. The findings include: The facility's .Promoting/Maintaining Resident Dignity revised 11/2017 documented, .It is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality .Compliance Guidelines .When interacting with a resident, pay attention to the resident as an individual .Groom and dress residents according to resident preference . Medical record review revealed Resident #48 was admitted to the facility on [DATE] with diagnoses of Chronic Kidney Disease, Anemia, Diabetes, Hypertension, and Osteoarthritis. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #48 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 medical record review, observation, and interview, the facility failed to provide reasonable accommodations for toilet use as ordered by the physician for 1 of 18 (Resident #72) sampled residents reviewed. The findings include: Medical record review revealed Resident #72 was admitted to the facility on [DATE] with diagnoses of Metabolic Encephalopathy, Psychotic Disorder with Delusions, Dementia, and Delirium. The PHYSICIAN'S ORDER SHEET AND PROGRESS NOTES dated 9/25/19 documented, .Bedside Commode . Review of the admission Minimum Data Set (MDS) with an assessment reference date of 9/26/19 revealed Resident #72 required extensive two person assistance for toileting, was frequently incontinent of bladder, and occasionally incontinent of bowel. Observations in Resident #72's room on 9/30/19 at 3:45 PM, on 10/1/19 at 7:56 AM, 12:54 PM, and 4:27 PM, on 10/2/19 at 7:50 AM, 10:00 AM, and 3:45 PM, and on 10/3/19 at 7:37 AM and 4:27 PM, revealed there was n o bedside commode. Interview with Certified Nursing…

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 National Pressure Ulcer Advisory Panel (NPUAP) Prevention and Treatment of Pressure Ulcers: Quick Reference Guide 2014, medical record review, observation, and interview, the facility failed to assess and implement interventions as ordered for pressure ulcers for 1 of 4 (Resident #72) sampled residents reviewed for pressure ulcers. The findings include: 1. The NPUAP Prevention and Treatment of Pressure Ulcers: Quick Reference Guide dated 2014 documented, .Comprehensive assessment of the individual and his or her pressure ulcer informs development of the most appropriate management plan and ongoing monitoring of wound healing. Effective assessment and monitoring of wound healing is based on scientific principles, as described in this section of the guideline .1. Complete a comprehensive initial assessment of the individual with a pressure ulcer .Document the results of all wound assessments .Address signs of deterioration immediately .Assess and document physical characteristics including:…

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 GERIATRIC MEDICATION HANDBOOK, thirteenth edition, provided by the American Society of Consultant Pharmacists, medical record review, and interview, the facility failed to ensure accurate documentation of diagnoses for prescribed medications for 3 of 5 (Resident #31, #57, and #76) sampled residents reviewed for unnecessary medications. The findings include: 1. The GERIATRIC MEDICATION HANDBOOK, thirteenth edition, beginning on page 7, documented, .Medication Class [Classification] .Analgesics: Opioids . Hydrocodone . Antidepressants .Mirtazipine [Remeron] .Anxiolytic: Benzodiazepines [Xanax] .Gastrointestinal (GI) Agents: Laxative .Magnesium Hydroxide [Milk of Magnesia] .GI Agents: Proton Pump Inhibitor .Pantoprazole .GI Agents: Stool Softener .Docusate [Colace] .Respiratory Agents: Steroids (Nasal) .Fluticasone . 2. Medical record review revealed Resident #31 was admitted to the facility on [DATE] with diagnoses of Venous Insufficiency, Cerebral Infarction, Hypertension, Peripheral…

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.