Avir at Caldwell

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure a resident who is fed by enteral means received appropriate treatment and services for 1 of 1 resident reviewed for feeding tubes. (Resident #53) The facility failed to ensure Resident #53 had physician's orders for care of his gastrostomy tube site treatment, tube placement checks, or water flushes. The facility further failed to have a plan of care in place for Resident #53's gastrostomy tube. This failure placed residents with tube feedings at risk of injury, pain, and/or significant changes in condition.Findings Include: Review of Resident #53's face sheet dated 01/08/2026 reflected a [AGE] year-old male admitted on [DATE] with the following diagnoses cerebral infarction (the pathologic process that results in an area of necrotic tissue in the brain.), diabetes mellitus type 2, and dysphagia (swallowing problems). Review of Resident #53's admission assessment dated [DATE] reflected Resident #53 was assessed to be oriented to…

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 observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 25 residents (Resident #56 and Resident #27) reviewed for infection control practices during medication pass. MA B failed to sanitize the blood pressure cuff during medication pass before and after using it on Resident #56 and Resident #27. These failures could place residents at risk for cross-contamination and infections.Findings include: Review of Resident #56's face sheet dated 01/07/2026 reflected a [AGE] year old male admitted to the facility on [DATE] with the following diagnoses congestive heart failure (long-term condition in which your heart can't pump blood well enough to meet your body's needs.), diabetes mellitus type II (A condition results from insufficient production of insulin, causing high…

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 observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. 1. The facility failed to ensure sanitation practices (cleaning the ice machine, cleaning the ice machine scoop receptacle, storing, and stacking wet dishes on top of each other, ensure dish machine sanitizer levels are within the required range, utilization of an ice scoop receptacle with a lid, cleaning the walk-in cooler floor of food debris) for facility annual survey 10/14/2024-10/16/2024. 2. The facility failed to ensure temperature logs were being completed for nourishment refrigerators for the facility annual survey 10/14/2024-10/16/2024. 3. The facility failed to ensure all items were covered and stored properly for the facility annual survey on 10/14/2024-10/16/2024. 4. The facility failed to label and date all food items in the kitchen for facility annual survey on 10/14/2024-10/16/2024. 5. The facility failed to discard expired food product…

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 observations, interviews, and record review, the facility failed to ensure the meals served reflected the nutritional needs of residents in accordance with established national guidelines for all residents when the facility failed to ensure menus were followed for all residents for 2 of 2 meals observed. The facility failed to follow the posted menus for two lunch services served at the facility on Monday, 10/14/2024 and Tuesday, 10/15/2024. These failures could place residents that eat food from the kitchen at risk of poor intake, chemical imbalance, and/or weight loss. Findings included: Observation of posted menus on 10/14/2024 at 9:30 AM revealed menu items for lunch meal service to be chicken fried chicken, cream gravy, mashed potatoes, parslied carrots, dinner roll, and bread pudding. Observation of lunch meal service on 10/14/2024 at 12:08 PM revealed resident meal trays being served with chicken fried steak, cream gravy, mashed potatoes, parslied carrots, dinner roll, and bread pudding. Observation of posted lunch menus on 10/15/2024 at 10:40 AM revealed menu items…

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 observations, interviews, and record review, the facility failed to serve foods that were palatable and attractive and prepare food by methods that conserve nutritive value, flavor, and appearance for 1 of 1 kitchen observed. 1. The kitchen test tray of the lunch meal on 10/15/2024, the foods were bland, unappealing, and inedible. The kitchen test tray beverages of iced tea and iced water lacked ice. The kitchen test tray's cornbread and cake were both very dry and crumbly. 2. The facility failed to follow the puree diet recipe. The pureed garlic bread, pureed vanilla cake, pureed meat sauce and pureed pasta were all mixed with water during the puree process for the lunch meal on 10/15/24 and 10/16/2024 instead of something with nutritive value such as broth, milk, or juice. These failures could place residents at risk of decreased food intake, hunger, unwanted weight loss, and diminished quality of life. Findings included: Observation on 10/15/2024 at 10:43 AM of DA F revealed DA F pureed the vanilla cake with water instead of milk or something of nutritive value. DA F did…

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 interviews, record review, and facility policy review the facility failed to ensure a quarterly trust fund statement was provided to the resident for 1 (Resident # 6) of 3 residents reviewed for personal funds. The facility failed to provide quarterly statements to the resident receiving insurance funds. The failed practice had the potential to affect any resident who had a trust fund account managed by the facility. Findings included: Review of Resident # 6's face sheet dated 10/14/2024 reflected an [AGE] year-old female with an admit date of 12/31/2020 and a re-admittance date of 10/02/2024. Resident # 6 had diagnoses of chronic obstructive pulmonary disease, immunodeficiency (impairment of the immune system function) due to drugs, morbid obesity, acute respiratory failure, hemiplegia and hemiparesis(muscle weakness or partial paralysis) affecting right dominant side following cerebral infarction, muscle weakness, lack of coordination, hypothyroidism (underactive thyroid), hyperlipidemia (high levels…

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 interviews and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 10 residents (Residents #41) reviewed for comprehensive care plans. Resident #41's comprehensive care plan did not reflect Resident #41's ADL care requirements listed in their baseline care plan. This deficient practice could place residents at risk for not receiving proper care and services due to inaccurate care plans. Findings included: Review of Resident # 41's face sheet dated 10/16/2024 reflected a [AGE] year-old female who was admitted to the facility on [DATE]. Resident # 41's diagnoses included cerebral infarction, type 2 diabetes, major depressive disorder, anemia, hyperlipidemia, bipolar disorder, epilepsy, obstructive sleep apnea,…

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 observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan with resident rights, that included measurable objectives and time frames to meet the resident's mental and psychosocial needs for 1 of 10 residents (Resident #3) reviewed for care plans. The facility failed to update Resident #3's care plan to reflect current needs for meal assistance and refusal of meal assistance. This failure placed residents at risk of not receiving the appropriate care and services to maintain the highest practical well-being. Findings included: Review of Resident # 3's face sheet dated 10/14/2024 reflected a [AGE] year-old female admitted to the facility on [DATE]. Resident # 3's diagnoses were Parkinson's disease, anxiety disorder, hypercholesterolemia, type 2 diabetes, depressive disorders, insomnia, essential tremor, hypertension, muscle wasting and atrophy, muscle weakness, lack of coordination, history of falling, dementia, and personal history…

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 observations, interviews, and record review the facility failed to ensure pain management was provided to residents who required such services consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 of 6 (Resident is #7, and Residents #32) residents reviewed for pain management. The facility failed to ensure Resident #7, and Resident #32 had effective pain management by not evaluating effectiveness of current pain medications. This failure could place resident at risk for increased pain causing undo suffering. Findings included: 1) Record review of Resident #7's face sheet, dated 10/14/24, reflected he was a [AGE] year-old male, admitted to the facility on [DATE]. His diagnoses included osteoarthritis (a chronic disease-causing cartilage to break down over time), restless leg syndrome, and post laminectomy syndrome (a condition where a patient continues to experience pain after spinal surgery). Record review of the facility Pain…

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 interviews and record review, the facility failed to ensure residents who use psychotropic drugs received gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs for 1 of 4 residents (Resident #38) reviewed for unnecessary medications. The facility failed to ensure Resident #38's GDR recommended by the pharmacist consultant was followed up on for 6 months for Resident #38's antipsychotic, antianxiety, and antidepressant medications. This failure could place residents receiving antipsychotic medications at risk for adverse health consequences. Findings included: Review of Resident #38's face sheet dated 10/16/2024 reflected a [AGE] year-old male admitted to the facility on [DATE] with the following diagnoses Huntington's disease (is a rare, inherited disease that causes the progressive breakdown (degeneration) of nerve cells in the brain) and Major depressive disorder recurrent severe without psychotic features (a mental condition…

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 observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 2 of 6 (Resident #11, and Residents #15) residents reviewed for infection control. LVN B failed to properly sanitize blood pressure cuff when moving from one resident to another resident when administering medications and obtaining blood pressure for Residents #11 and #15. This failure could place residents at-risk of cross contamination which could result in infections or illness. Findings included: 1) Record review of Resident #11's face sheet, dated 10/16/24, reflected she was a [AGE] year-old female, admitted to the facility on [DATE]. Her diagnoses included paranoid personality disorder, type 2 diabetes mellitus (too much sugar in the blood), and major depressive disorder. Record review of Resident #11's Quarterly MDS…

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 observations, interviews, and record review, the facility failed to ensure all drugs and biologicals, were in locked compartments and inaccessible to unauthorized staff, visitors , and residents for 1 of 2 medication carts (Medication Cart #1) reviewed for medication storage. The facility failed to prevent Medication Cart #1 from 8:30 AM to 8:40 AM being unattended and unlocked on the 400 hall on 08/24/2024. This failure could allow residents unsupervised access to prescription and over-the-counter medications. Findings included: Observation on 08/24/2024 at 8:30 AM of Medication Cart #1, it was in front of Resident # 1's room. The medication cart was unlocked. Med-Aide A was in Resident #1's room with her back toward the door entering into Resident #1's room. Surveyor B opened and closed the top drawer of Medication Cart #1. Med-Aide A did not turn around to check on Medication Cart #1. Surveyor B opened the second drawer of Medication Cart #1 and Med-Aide A turned around and walked toward Medication Cart #1. Did not observe any residents in the hall. In an interview on…

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 observation, interview, and record review, the facility failed to honor the residents right to choose his or her attending physician for 4 of 4 residents (Resident #1, Resident #2, Resident #3, and Resident #4) and the entire facility reviewed for resident rights. The facility did not honor any residents right to choose his/her primary care physician as his/her attending physician after the facility terminated their Medical Director agreement and changed the attending physician without notice to the residents or their representatives effective 07/04/24. This deficient practice could place residents at risk of decreased quality of care and treatment due to their lack of free choice for their attending physician care while in the facility. Findings included: Resident #1 Record review of Resident #1's face sheet dated 07/19/24 revealed a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of unspecified dementia-unspecified severity-without behavioral disturbance- psychotic…

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, interview, and record review the facility failed to ensure that medications were stored in a locked compartment for 2 (300 Hallway) of 4 medication carts reviewed for medication storage in the facility. The facility failed to ensure that both medication carts for the 300-hallway remained locked at all times when not in use and direct view of staff. This failure could result in harm due to unauthorized access to medications by residents and visitors. Findings included: Observation on 06/12/2024 at 9:02 AM, revealed a multi-drawer, rollable medication cart that was left unlocked in front of the nurse's station in the 300 hallway. LVN A was seated in a chair behind the nurses' station working at a computer and RN C was present viewing paperwork. Two residents were seated in a common area watching television approximately twenty feet from the cart. Observation on 06/12/2024 at 9:39 AM, revealed that the cart observed at 9:02 AM was still in the same location unlocked and now a second multi-drawer, rollable medication cart was next to it in front of the nurses'…

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 interview and record review, the facility failed to develop a comprehensive care plan within seven days after the comprehensive MDS assessment was completed for one (Resident #1) of five residents reviewed for comprehensive care plans. The facility failed to complete a comprehensive person-centered care plan to address Resident #1's needs within seven days after the comprehensive MDS assessment was completed. This failure could place residents at risk of not having their individual care needs met in a timely manner or diminished quality of life. Findings included: Review of Resident #1's Face Sheet dated 06/12/2024 reflected an [AGE] year-old female admitted to the facility on [DATE] with the following diagnoses: Intertrochanteric Fracture of Right Femur (type of hip fracture in which the femur is fractured), Malignant Neoplasm of Unspecified Ovary (primary or metastatic malignant tumor involving the ovary), and Chronic Kidney Disease (long-term condition where the kidneys do not work as well as they…

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 observation, interview, and record review the facility failed to ensure residents received services in the facility with reasonable accommodation of each resident's needs for 3 of 9 residents (Resident #21, Resident #31, and Resident # 41) reviewed for call lights in that: Resident #21's, and Resident #31's call lights were on the floor and Resident #41's call light was in drawer and not in reach. This failure could affect all residents who needed assistance with activities of daily living and could result in needs not being met. Findings included: 1. Record review of Resident #21's face sheet, dated 08/17/2023, reflected a [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included heart failure (leads to serious and life-threatening complications), altered mental status ( a change in mental function that stems from illnesses, disorders and injuries affecting your brain), and chronic obstructive pulmonary disease ( a group of diseases that cause airflow blockage 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.

Based on observation , interview, and record review the facility failed to ensure residents had the right to personal privacy of his or her personal male and right to send and promptly receive unopened mail and other letters, packages, materials delivery to the facility for residents for one of one facility. The facility failed to implemet a system for delivering mail received on Saturdays to residents the date of receipt and instead of distributed mail received Saturday on Mondays. This failure could place the residents in facility at risk of not receiving mail in a prompt manner and could result in a decline in the residents' psychosocial well-being and cause them to feel disconnected from family, friends, and current events. Findings included: In a group confidential interview on 08/16/2023 at 2:40 PM, all eight resident attendees stated they do not receive mail on Saturdays at the facility because there was no one in the office on Saturdays. Residents stated that mail was provided to them by the AD Monday through Friday. In an interview on 08/18/2023 at 9:23 AM, the AD stated…

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 observation, interview, and record review the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene for four of fifteen residents (Resident # 21, Resident #18, Resident #31 and Resident #13) reviewed for quality of life. The facility failed to ensure Resident#21s, Resident #18's, Resident #31's, and Resident #13's fingernails were trimmed and cleaned. These failures could place residents at risk for poor hygiene, dignity issues and decreased quality of life. Findings included: 1. Record review of Resident #21's face sheet, dated 08/17/2023, reflected an [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included hemiplegia and hemiparesis following cerebral infarction affecting right dominant side (paralysis of partial or total body function on one side of the body, whereas hemiparesis was characterized by one-sided weakness, but without complete paralysis), altered…

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, interview, and record review, the facility failed to ensure that menus were developed and followed to meet resident nutritional, religious, cultural, or ethnic needs, and resident choices in accordance with the national guidelines for one of one facility. The facility failed to provide residents in the facility with a varied menu, having utilized the same menu for the facility for over a year. This failure could place the residents in the facility at risk of reduced appetite resulting in their nutritional needs not being met and / or weight loss. Findings included: Observation on 08/16/2023 at 9:01 AM, revealed the menu board outside the dining area contained no information as to kitchen menus for the day, week, or month. In a confidential group interview on 08/16/2023 at 2:40 PM, all eight resident attendees stated they were tired of the same menu being served in the facility every week. Residents stated that they were given a copy of the menu and that one has not been posted outside the dining area for over a year. Residents stated they were told they would…

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 observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs for three of fifteen residents reviewed for care plans. (Resident #20, #22, and #30) A) The facility failed to ensure Resident #20's Comprehensive Care Plan reflected a revision of decline in cognitive abilities that impact a person's ability to do everyday activities. B) The facility failed to ensure Resident #22's Comprehensive Care Plan reflected a revision of Resident #22 had shortness of breath. C) The facility failed to ensure Resident #30's Comprehensive Care Plan reflected a revision of his plan of care to reflect Resident #30's current skin condition. This failure could place residents at risk of not having their individualized needs met in a timely manner and communicated to providers 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 observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice for 2 of 2 Residents (Resident #20 and #29) reviewed for respiratory care. The facility failed to ensure that Resident #29's suction equipment was properly cleaned and dated. 1. Failed to date suction tubing and canister. 2. Failed to bag yaunker. 3. Failed to clean suction tubing. The facility failed to replace Resident #20's oxygen tubing. These failures could place residents at risk for respiratory compromise and infection. Findings included: Review of Resident #29's Face Sheet dated 08/17/2023 revealed that he was a [AGE] year old male, with an initial admit date of 10/15/2018 and secondary admission date of 10/20/2022. His diagnoses included Cerebral Infarction (occurs as a result of disrupted blood flow to the brain due to problems with the blood vessels that supply it. A lack of adequate blood supply to brain…

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, interview, and record review the facility failed to ensure storage of medications used in the facility in accordance with currently accepted professional principles and include the appropriate expiration dates 2 of 3 medication carts reviewed for medication storage. -The facility failed to date a multi-use product (eye drops) when the product was first opened according to manufacture and professional standards. -The facility failed to ensure expired medications were removed from the medication carts. These failures could place residents at risk of not receiving the intended therapeutic effect of the medications or a contaminated medication. Findings Included: Observation on 08/16/2023 at 2:31 PM revealed the facility Unit 2 Medication cart with a bottle of Ferrous Gluconate 324mg capsules with the expiration date of 06/30/2023. Observation on 08/16/2023 at 2:45 PM revealed the Unit 2 LVN medication cart with a bottle of Refresh eye drops and a bottle of Systane eye drops without open dates. In an interview on 08/16/2023 at 2:47 PM, LVN A stated the bottle 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.