Life Care Center Of Morgan County

Based on observations and interviews the facility failed to maintain cleaniness and sanitary conditions for 2 of 2 microwaves available for patient use in 2 of 2 Nourishment Rooms potentially affecting 76 of 80 residents. The findings include: During an observation and interview on 11/16/2022 at 1:12 PM, of the B Wing Nourishment Room with the Registered Dietician (RD) and the Executive Director (ED) showed splattered and crusty dried debris with a white film covering the whole inside of the microwave. The RD and the ED stated nursing staff were responsible for cleaning the microwaves and the microwave were to be cleaned after each use. The ED confirmed the microwave was dirty and available for patient use. During an observation and interview on 11/16/2022 at 1:30 PM, of the Secure Unit Nourishment Room with the RD and the ED showed splattered and crusty dried debris covering the whole inside of the microwave. The RD and the ED stated nursing staff were responsible for cleaning the microwaves and the microwave were to be cleaned after each use. The ED confirmed the microwave 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 facility policy review, record review, observation and interview, the facility failed to provide privacy of personal care information for 1 resident (Resident #28) of 80 residents reviewed. The findings include: Review of the facility's policy titled, Dignity, dated 9/30/2022, showed .Each resident has the right to be treated with dignity and respect .Facility must treat each resident with respect and dignity .recognizing each resident's individuality .promote the rights of the resident .Staff should not .document .records where others can see a resident's information . Resident #28 was admitted to the facility on [DATE] with diagnoses including, Contracture of Left Knee and Atherosclerosis of Native Arteries of Left L with Ulceration of Lower Leg. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #28 had a Brief Mental Status Score (BIMS) of 15, which indicated the resident was cognitively intact, and required extensive assistance of 2 staff members with bed 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 facility policy review, medical record review, and interview, the facility failed to protect 1 resident (Resident #16) from verbal abuse of 24 residents reviewed for abuse. The findings include: Review of the facility policy titled, Protection of Residents: Reducing the Threat of Abuse & Neglect, revised 8/2021, showed .Each resident has the right to be free from abuse .It is the policy and practice of this facility that all residents will be protected from all types of abuse .It is the policy of the facility to maintain an environment where residents are free from abuse .Residents must not be subjected to abuse by anyone .includes but is not limited to: staff, other residents . Resident #16 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Dementia, Mild Intellectual Disabilities, Cognition Communication Deficit, and Chronic Kidney Disease. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #16 had a Brief Interview for Mental…

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, and interview, the facility failed to report allegations of abuse for two residents (Resident #73 and Resident #16) of 24 residents reviewed. The findings include: Review of the facility policy titled, Protection of Residents: Reducing the Threat of Abuse & Neglect, revised 8/2021, showed .Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment .are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency . Resident #73 was admitted to the facility on [DATE] and readmitted [DATE] with Diagnoses including Major Depressive Disorder, Cerebrovascular Disease, Hyperlipidemia, and Adult Failure…

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, and interview, the facility failed to investigate allegations of abuse for 2 residents (Resident #73 and Resident #16) of 24 residents reviewed. The findings include: Review of the facility policy titled, Protection of Residents: Reducing the Threat of Abuse & Neglect, revised 8/2021, showed .In response to allegations of abuse, neglect, exploitation, or mistreatment, the facility must .Have evidence that all alleged violations are thoroughly investigated . Resident #73 was admitted to the facility on [DATE] and readmitted [DATE] with Diagnoses including Major Depressive Disorder, Cerebrovascular Disease, Hyperlipidemia, and Adult Failure to Thrive. Review of an admission Minimum Data Set (MDS) dated [DATE], showed Resident #73 had a Brief Interview for Mental Status (BIMS) score of 15 indicating the resident was cognitively intact. During an interview on 11/14/2022 at 10:32 AM, Resident #73 stated he has had some problems with staff.Two nights ago my…

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 provide restorative therapy services for 1 resident (Resident #42) of 12 residents reviewed for limited range of motion (ROM). The findings include: Review of the facility's policy titled, Restorative Nursing, dated 9/19/2022, showed .To promote the resident's optimum function .Restorative programs may be initiated by .therapy .resident is given the appropriate treatment and services to .improve his or her ability to carry out the activities of daily living [ADLs] .Restorative Nursing does not require a physician order . Resident #42 was admitted to the facility on [DATE] with diagnoses including Hemiplegia (paralysis on 1 side of the body) and Hemiparesis (muscle weakness on 1 side of the body) and Left Above the Knee Amputation (AKA). Review of the annual Minimum Data Set (MDS) assessment dated [DATE], showed Resident #42 required extensive assistance of 2 staff for bed mobility and transfers and extensive…

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 implement an intervention after a fall for 1 resident (Resident #9) of 3 residents reviewed for accidents. The findings include: Review of the facility policy titled, Fall Management, undated showed .promote patient safety .reduce .falls by .care planning and monitoring .fall indicators .with any fall event .fall risks .will identify appropriate interventions to minimize the risk of injury related to falls . Resident #9 was admitted to the facility on [DATE], readmitted on [DATE] with diagnoses including Right Femur Fracture, Contusion of Eyeball, Osteopenia, Atrial Fibrillation, Congestive Heart Failure, Osteoarthritis, Repeated Falls, and Open-Angle Glaucoma. Review of the of the comprehensive care plan initiated 5/26/2022 and revised 10/28/2022, showed Resident #9 was at risk for falls related to weakness and impaired mobility. Interventions included assistance with activities of daily living and soft touch call…

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 verify a medical justification or diagnosis for the use of an indwelling urinary catheter for 1 resident (Resident #79) of 6 residents reviewed for indwelling urinary catheter. The findings include: Review of the facility policy titled, Indwelling Urinary Catheter (Foley) [type of catheter] Management, reviewed 8/22/2022, showed .The facility will ensure that residents admitted with a urinary catheter, or determined to need a urinary catheter for a medical indication will have the following areas addressed .Timely and appropriate assessments related to the indication for use of an indwelling catheter .Identification and documentation of clinical indications for the use of a catheter; as well as criteria for the discontinuance of the catheter when the indication for use is no longer present .A resident who enters the facility with an indwelling catheter or subsequently receives one is assessed for removal 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 facility policy review, medical record review, observation, and interviews, the facility failed to maintain an accurate medical record for 2 residents (Resident #23 and Resident #68) of 24 medical records reviewed. The findings include: Review of a facility policy titled, Advance Directives and Advance Care Planning, reviewed [DATE], .it is the policy of this facility to support and facilitate a resident's right to request, refuse and/or discontinue medical treatment .and to formulate an advanced directive .the resident's choices will be documented in the resident's medical record . Resident #23 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, Delusional Disorders, Major Depressive Disorder, and Dementia. Review of an Order Summary Report for Resident #23 showed, .Full code . with a start date of [DATE] and no end date indicated. Review of Resident #23's comprehensive care plan revised [DATE], showed .Full Code . Review of a Tennessee Physician Orders for Scope 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 review of facility policy, review of facility protocol, medical record review, observation and interview the facility failed to maintain a medication error rate less than 5 percent as evidenced by 2 medication errors out of 32 medication administration observations resulting in a medication error rate of 6.25 percent. The findings include: Review of the facility policy, Administration of Medications, dated 4/24/19 revealed .All medications are administered safely and appropriately per physician order . Review of a facility protocol revealed, .Common Oral Dosage Forms That Should Not Be Crushed .DR .delayed-release .ER .extended-release .Pantoprazole sodium .Delayed release . Medical record review revealed Resident #63 was admitted to the facility on [DATE] with diagnoses including Encephalopathy, Diabetes, Anemia, Dysphagia, and Chronic Kidney Disease. Medical record review of a Physicians Recapitulation Order dated 6/7/19 revealed Pantoprazole Sodium (medication to treat high levels of stomach acid) 20…

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, observation, and interview, the facility failed to remove expired food supplies readily available for resident use, potentially affecting 70 of 72 residents. The findings include: Review of facility policy Food Safety last revised 11/28/17 revealed .Food is stored and maintained in a clean, safe and sanitary manner . Observation and interview with the Dietary Manager on 9/17/18 at 9:50 AM, at the reach in cooler located in the kitchen, revealed 6 strawberry banana yogurts available for resident use dated 8/23/18. Continued interview confirmed the facility failed to discard the expired yogurts.

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 routine dental services were provided for 1 resident (#15) of 4 residents reviewed for dental services of 31 sampled residents. The findings include: Review of the facility policy revised 7/2017 revealed .facility is responsible for assisting the patient in obtaining needed dental services, including routine dental services .arrangements will be made promptly for routine .dental services . Medical record review revealed Resident #15 was admitted to the facility on [DATE] with diagnoses including Huntington's Disease, Muscle Spasms, Encephalopathy, Anxiety, and Depression. Medical record review revealed the Consent for Dental Treatment, signed by the family, dated 4/10/17. Observation and interview of Resident #15 on 9/17/18 at 10:20 AM, in the resident's room, revealed the resident complained of tooth pain and pointed to the upper teeth. Continued interview revealed the resident had not been seen by…

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.