Longmeadow Healthcare Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 2 residents (Resident #85 and Resident #7) of 3 residents observed for infection control. The facility failed to ensure:CNA B changed her gloves and completed hand hygiene during incontinent care for Resident #85 on 6/29/26.LVN E wore proper PPE while preforming wound care for Resident#7 who was on enhanced barrier precautions for a wound on 07/01/26. These failures could place residents at risk for infection and cross contamination of pathogens and illness.1- Record review of Resident #85's Quarterly MDS assessment dated [DATE] reflected Resident #85 was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses included dementia (a decline in cognitive abilities such as memory, thinking, and reasoning, severe enough to interfere with daily life), elevated blood pressure, and diabetes mellitus (elevated blood sugar) .…

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 provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 4 residents (Resident #1, Resident #54, Resident #71, Resident #91) of 8 residents reviewed for ADLs. The facility failed to ensure: 1- Resident #1 had her fingernails cleaned and trimmed on 05/04/25. 2- Resident #54 had his fingernails cleaned and trimmed on both hands on 5/04/25. 3- Resident #71 had her fingernails cleaned and trimmed on both hands on 5/04/25. 4- Resident #91 had his fingernails cleaned and trimmed on 5/04/25. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life. Findings include: 1-Review of Resident #1's Quarterly MDS dated [DATE] reflected Resident #1 was a [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses of hemiplegia…

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 the facility's only kitchen. 1. The facility failed to ensure food item in the facility reach in refrigerator were dated, labeled, and covered. 2. The facility failed to ensure hot food was held above 135 Fahrenheit (F) or higher on the steam table during lunch service on 5/5/25. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination. Findings included: Observation on 5/4/25 at 9:06 AM in the facility reach-in refrigerator revealed: One cup of cut mixed fruit was not dated. Three plates of cut salad that included cucumber, cheese, ham slices, lettuce, tomato were not dated. Six small plastic cups of some kind of white dressing were not labeled or dated. 8-10 Cheese slices were left uncovered, loosely wrapped in plastic wrap, exposing them to air, and not dated. A brown snack bag that…

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 residents (Resident #28 and Resident #57) of 5 residents observed for infection control. The facility failed to ensure: 1- LVN F and CNA G changed their gloves and performed hand hygiene while providing incontinence care to Resident #28 on 04/04/25. 2- CNA A changed his gloves, performed hand hygiene, and donned appropriate PPE when providing incontinent care for Resident #57 who supposed to be on EBP on 05/05/25. These failures could place residents at risk of cross-contamination and development of infections. Findings included: 1-Record review of Resident #28's Quarterly MDS assessment dated [DATE] reflected Resident #28 was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses included…

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 resident rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for two (Shower room hall 100 and 200 hall) of three shower rooms reviewed for resident call system 1. The facility failed to ensure the call light in shower room area of 100 hall shower room had cord so it can be reached. 2. The facility failed to ensure the call light in shower room area of 200 hall shower room was working. These failures placed resident at risk of a delay in receiving assistance from facility staff and being unable to obtain assistance in the event of an emergency. Findings included: Confidential Group Interview on 05/05/25 at 9:38 AM with 8 of 8 residents revealed one of the residents stated he or she had been complaining about the 100-hall shower room not having a call light cord in the shower room area long…

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 a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one (Resident #28) of three residents reviewed for incontinence care. The facility failed to ensure LVN F provided appropriate perineal care for Resident #28 after an incontinent episode when she failed to clean the resident's scrotum and penis on 05/04/25. This failure could place residents at risk for the development and/or worsening of urinary tract infections. Findings included: Record review of Resident #28's Quarterly MDS assessment dated [DATE] reflected Resident #28 was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses included anoxic brain damage (brain injury resulting from a complete lack of oxygen supply to the brain) and need for assistance with personal care. Resident #28's BIMS score not assessed; Resident #28 was unable to complete the interview. The MDS assessment…

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 residents were free from abuse for 1 (Resident #1) of 6 residents reviewed for abuse and neglect. The facility failed to notify Resident #1's attending physician and representative after Resident #2 reported CNA B raised her voice and used inappropriate language while caring for Resident #1 who was on Hospice. CNA B was in the room getting Resident #1 ready for bed. Resident #2 stated she heard CNA B say loudly shut the fuck up to Resident #1 on 03/13/2025. This failure could affect residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome. The findings included: Record review of Resident #1's face sheet, dated 04/17/2025, reflected the resident was a [AGE] year old female who admitted to the facility on [DATE]. Resident #1 had diagnoses which included senile degeneration of the brain (decline in…

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 review and revise the comprehensive person-centered care plan for each resident consistent with the residents rights' that included measurable objectives and time frames to meet the medical, physical, and psychosocial needs identified in the comprehensive assessment for 1 (Resident #1) of 6 residents reviewed for care plan reassessment and revision. The facility failed to review and revise Resident #1's comprehensive care plan after her roommate (Resident #2) reported CNA B raised her voice and used inappropriate language while caring for Resident #1 who was on Hospice. CNA B was in the room getting Resident #1 ready for bed. Resident #2 stated she heard CNA B say loudly shut the fuck up to Resident #1 on 03/13/2025. This failure could affect residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome. 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 observation, interview and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 4 of 8 (Residents #15, #68, #58 and #30) residents reviewed for respiratory care, in that: 1- The facility failed to ensure Resident #15, and Resident #68 nasal cannula tubing and humidity bottle were labeled or dated. 2- The facility failed to ensure Resident #58, and Resident #30 nasal cannula was properly stored. These failures could place the residents at risk for respiratory infection and not having their respiratory needs met. The findings were: Review of Resident # 15's Quarterly MDS assessment dated [DATE] reflected resident was a [AGE] year-old male admitted to the facility on [DATE]. Relevant diagnoses included stroke (blood supply to brain is interrupted), hypertension (high blood pressure), Peripheral vascular disease (circulation disorder caused by narrowing of blood vessels), Diabetes Mellitus (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 observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food storage, labeling, dating, and kitchen sanitation. The facility failed to properly store scoops for the ice machine. The facility failed to ensure that food stored in the dry goods pantry as dated and closed/sealed properly. The facility failed to ensure that only non-expired foods were stored in the dry goods panty. These failures could place residents at risk for cross contamination, other air-borne illnesses, and food-borne illnesses. Findings included: Observations on 03/26/24 from 09:40 AM to 10:21 AM in the facility's only kitchen reflected: o One of two scoops used for the ice machine was lying inside the ice machine and the other one was lying on top of plastic wrap on a shelf next to the ice machine. o Two bags of opened potato chips, of which one was not dated. Neither bag was dated with an opened date. They were stored on 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 observation, interview, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for one (Resident #76) of six residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Residents #76's rooms was in a position that was accessible to the resident. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency. Findings included: Review of Resident #76's Face Sheet dated 03/27/2024 reflected that resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included muscle wasting and atrophy (decrease in size of a body part), unsteadiness of feet, and abnormalities of gait and mobility. Review of Resident #76's Quarterly MDS assessment dated [DATE] reflected that Resident #76 had a moderate cognitive impairment with a BIMS score of 11. Resident #76…

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 ensure the resident had a right to manage his or her financial affairs for one (Resident#87) of three residents reviewed for trust funds. The facility failed to provide Resident #87 with money from her trust fund when she requested. Resident #87 was required to provide receipts for items purchased with her own money. This failure could place residents whose personal funds were managed by the facility at risk for not receiving their funds when they request. Findings included: Review of Resident #87's quarterly MDS assessment, dated 02/28/24, revealed she was a [AGE] year-old female admitted to the facility on [DATE]. The resident was cognitively intact. Her diagnoses included diabetes and cerebral ischemia (brain injury related to impaired blood flow to the brain) An interview on 03/27/24 at 10:00 AM with Resident #87 revealed there were times when she had to wait for days at a time to obtain money from her trust fund. She said if she asked for more…

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 each resident had a right to a safe, clean, comfortable and homelike environment for 2 (Resident #40 and Resident #14) of 8 residents reviewed for safe and homelike environment. 1. The facility failed to ensure Resident #14 who resided on the secure unit had a homelike environment in her room. 2. The facility failed to ensure Resident #40 who resided on the secure unit had a homelike environment in her room. This failure could place residents at risk of living in an unsafe, unsanitary, and uncomfortable environment. Findings included: 1. Record Review of Resident #14's quarterly MDS assessment dated [DATE], reflected she was a [AGE] year-old female admitted to the facility 02/02/18. Her cognitive status was severely impaired. Her diagnoses included non-Alzheimer's dementia. 2. Record Review of Resident #40's quarterly MDS assessment dated [DATE], reflected she was a [AGE] year-old female admitted to the facility 10/21/16. Her…

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, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for 3 of (Resident #100, Resident #30 and Resident #49) 7 residents reviewed for Care Plans. 1. The facility failed to ensure Resident #100 was care planned for oxygen administration. 2. The facility failed to ensure Resident #30 was care planned for dialysis. 3. The facility failed to ensure Resident #49 was care planned for his behavior concerns towards female residents. These failures could place residents at risk of not receiving necessary care and services. Findings included: 1. Review of Resident #100's Face Sheet dated 03/27/2024 reflected that resident was a [AGE] year-old male admitted on [DATE]. Relevant…

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 provide appropriate treatment and services to prevent complications of enteral feeding for one (Resident #100) of one resident reviewed for feeding tubes. The facility failed to ensure Resident #100's medications were administered one by one via G-tube (a tube inserted through the abdomen that delivers nutrition directly to the stomach) as per policy. The facility failed to ensure Resident #100's feeding formula tubing was capped when detached from the G-tube port. The facility failed to ensure Resident #100's medications were fully dissolved before administering the medications. The facility failed to ensure Resident #100's syringe used for medication administration via G-tube was cleaned after use. These failures could place residents with G-tubes at risk of infection, at risk for medication-to-medication interaction, and at risk of not receiving the full benefit of the medications administered. Findings included: Review of Resident…

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 who required dialysis received such services, consistent with professional standards of practice for one (Resident #30) of one resident undergoing dialysis. The facility failed to ensure Resident #30 had orders pertaining to dialysis. This failure could place the residents undergoing dialysis not receiving proper care and treatment to meet their dialysis needs and place them at risk for complications. Findings included: Review of Resident #30's Face Sheet dated 03/27/2024 reflected that resident was a [AGE] year-old male admitted on [DATE]. Relevant diagnoses included end stage renal disease (kidneys permanently failed to work) and acute kidney failure (loss of function of the kidneys). Resident #30 was also dependent on dialysis (treatment that helps the body remove extra fluid and waste products). Review of Resident #30's Quarterly MDS assessment dated [DATE] reflected that Resident #30 was cognitively intact with 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to ensure that an account of all controlled drugs were maintained and reconciled for one (Resident #16) for three residents reviewed for controlled drug records. The facility failed to account for Resident #16's Fentanyl patches (pain medication) on 11/30/23. This failure placed residents at risk for decreased quality of life, unrelieved pain, and misappropriation of property. Findings included: Record review of Resident #16's face sheet dated 01/13/2023, reflected Resident #16 was a [AGE] year-old male who admitted to the facility on [DATE]. His diagnoses included neurocognitive disorder with Lewy Bodies, hydrocephalus, Parkinson's disease with dyskinesia, hyperlipidemia, opioid dependence, unspecified dementia, lack of coordination, muscle weakness, abnormal gait and mobility, prediabetes, and chronic pain. Record review of Resident…

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, based on the comprehensive assessment of a resident, residents who had not used psychotropic drugs were not given these drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents (Resident #84) reviewed for unnecessary psychotropic medications. The facility failed to provide an appropriate diagnosis for Resident #84's use of Paliperidone ER (Antipsychotic used to treat schizophrenia and schizoaffective disorder). These failures could put residents at risk of receiving unnecessary psychotropic medications. Findings included: 1. Record review of Resident #84's admission MDS assessment, dated 01/26/24, revealed the resident was a [AGE] year-old male who admitted to the facility on [DATE]. The resident's cognition was severely impaired. The resident had diagnoses including bipolar disorder and non-Alzheimer's disease. The MDS indicate the resident…

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 observation, interview, and record review, the facility failed to 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 (Resident #6 and Resident #32) of 6 residents observed for infection control. 1. The facility failed to ensure that CNA F changed her gloves and performed hand hygiene while providing incontinence care to Resident #6. 2. The facility failed to ensure CNA W changed his gloves and performed hand hygiene while providing incontinence care to Resident #32. These failures could place the residents at risk of cross-contamination and the development of infection. Findings included: Resident #6 Review of Resident #6's Face Sheet dated 03/28/2024 reflected resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included chronic lymphocytic leukemia (a type of cancer of the blood and bone marrow) and need for…

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 an assessment accurately reflected a resident's status for 4 of 9 residents (Resident #3 #6, #17, and #21), reviewed for accuracy of MDS assessments). 1. The Quarterly MDS assessment of Resident #3 indicated that the resident did not have any behaviors. 2. The Quarterly MDS assessment of Resident #6 indicated that the resident did not have any, mood disorder, behaviors. 3. The Quarterly MDS assess for Resident # 17 did not document behaviors and oxygen use. 4. The Quarterly MDS assess for Resident # 21 did not document psychiatric conditions, medication use and oxygen use. This failure did not ensure accurate assessments that could affect the residents by placing them at risk of inaccurate and incomplete assessments which could result in residents not receiving care to meet their highest level of functioning and psychosocial wellbeing. Findings included: Resident #3 Record review of Resident #3's face sheet, dated 09/14/23,…

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 the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Residents #21) of 6 residents reviewed for comprehensive care plans. The facility failed to document Resident #21's oxygen use and interventions were addressed on her comprehensive care plan. These failures could place residents at risk for possible adverse side effects, adverse consequences, and decreased quality of life and care and worsening of contractures. Findings included: A record review of resident #21 face sheet dated 09/13/2023 r revealed a [AGE] year-old female admitted on [DATE] with primary Diagnosis: secondary and unspecified malignant neoplasm of axilla and upper 05/11/2021 primary admitting dx limb lymph nodes malignant neoplasm of unspecified site of unspecified breast other seizures. Acute embolism and thrombosis of superficial…

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 who needed respiratory care were provided such care, consistent with professional standards of practice for 2 of 9 residents (Resident #17 and Resident #21) reviewed for respiratory care in that: The facility failed to ensure Resident #17, and 21's oxygen tubing was labeled and dated. These deficient practices could affect residents who received oxygen therapy and could result in residents receiving incorrect or inadequate oxygen support and could result in a decline in health. Resident #17 A record Review of Resident #17 face sheet dated 09/13/2023 revealed a [AGE] year-old male that was admitted initially on 06/03/21 and again on and 09/07/23: His primary diagnosis included: Acute Chronic Diastolic (Congestive) Heart Failure (Heart failure), Acute Respiratory Failure with Hypercapnia (a condition of abnormally elevation of carbon dioxide levels in blood), Chronic Pain, and symbolic dysfunction (problems in communication…

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.