Trucare Living Centers

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 1 of 4 residents (Resident #58) reviewed for care plans.The facility failed to ensure Resident #58's care plan reflected intervention of prophylaxis antibiotic indefinitely for prevention of urinary tract infection.This failure could place residents at risk of not receiving appropriate care to meet their current needs. The findings included: Record review of a face sheet dated 12/16/2025 for Resident #58 indicated she originally admitted on [DATE] and readmitted to the facility on [DATE] and was [AGE] year-old female with diagnoses of atrial fibrillation (rapid heart rate) malnutrition, lack of coordination. Record review of a Quarterly MDS assessment dated [DATE] for Resident #58 indicated she had moderate impairment in thinking with a BIMS score of 9. Resident #58 was dependent on personal hygiene including toileting. Section N - Medications indicated Resident #58 was taking 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 provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 12 residents and 1 of 1 medication rooms (Resident #26 and medication room B) reviewed for pharmacy services. 1. The facility failed to remove Resident #26's insulin that had expired on [DATE] from the nurse medication cart. 2. The facility failed to date when tuberculin PPD was opened. These failures could place residents who receive medications at risk of not receiving the intended therapeutic benefit of the medications, decreased quality of life, and hospitalization. Findings: 1. Record review of Resident #26's facility face sheet revealed Resident #26 was a [AGE] year-old female that was admitted on [DATE] with a diagnosis of senile degeneration of the brain (impaired memory). Record review of Resident #26's comprehensive care plan…

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 reviews, 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 8 residents (Residents #49 and #53) reviewed for infection control. 1. The facility failed to ensure CNA C performed hand hygiene between glove changes during peri-care on 12/15/25 with Resident #49. 2. The facility failed to ensure CNA A and LVN B followed enhanced barrier precautions and wore a gown and gloves when providing direct care to Resident #53 on 12/15/2025. These failures could place residents at risk for cross contamination and infection. Findings: 1. Record review of a facility face sheet dated 12/16/25 for Resident #49 indicated he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses including dementia and arthritis. Record review of a Quarterly MDS dated [DATE] 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 observations, interviews and record reviews, the facility failed to ensure an accurate MDS was completed for 6 of 15 residents (Residents #40, #53, #70, #74, #17, and #7) reviewed for MDS assessment accuracy. 1.The facility incorrectly coded Resident #40 as having received Insulin in previous 14 days while a resident on his MDS Assessment. 2.The facility failed to accurately code on the MDS assessments for Resident's #53 on 8/10/2024, #70 on 7/20/2024, #74 on 8/29/2024 and #7 on 8/7/2024 who had side rails on their bed. This failure could place residents at risk for not receiving the appropriate care and services to maintain the highest level of well-being. Findings included: 1. Record review of the facility face sheet dated 9/17/2024 for Resident #40 reflected that he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses including: Type 2 diabetes mellitus (insufficient production of insulin, causing high blood sugar), reduced mobility and muscle weakness. Record review of 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 observations, interviews and record reviews the facility failed to develop and implement comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident medical and nursing needs to be furnished to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being for 5 of 18 residents (Residents #53, #70, #13, #74, and #130) reviewed for care plans in that: The facility failed to develop a comprehensive care plan for the use of enabler bars for Resident #13 that were put into use on 4/3/21. The facility failed to develop a comprehensive care plan for the use of side rails for Resident #74 that were put into use on 5/29/24. The facility failed to develop a comprehensive care plan for the use of a side rails for Resident #130 that was put into use on 7/30/24. The facility failed to develop a comprehensive care plan for the use of side rails for Resident #53 that was put into use on 12/7/2023. The facility failed to develop 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 ensure the residents' environment remains as free of accident hazards as possible for 2 of 11 residents reviewed for quality of care, (Resident #6 and #281) in that: The facility failed to remove worn, damaged and bleached mechanical lift slings from service for Residents #6 and #281. The facility failed to obtain physician orders for mechanical lift transfers for Resident #6. This deficient practice could result in a loss of quality of life due to injuries. Findings included: Record review of a facility's face sheet dated 5/21/24 for Resident #6 indicated that she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses including: Lack of co-ordination, osteoarthritis (degeneration of the bones) and muscle weakness. Record review of a Quarterly MDS assessment dated [DATE] for Resident #6 indicated that she was rarely/never understood, and that Resident #6 was severely cognitively impaired. Assessment also indicated…

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 attempt to use appropriate alternatives prior to installing a side or bed rail, assess the resident for risk of entrapment from bed rails prior to installation, and review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation for 4 of 24 residents (Resident #53, #70, #74,and #16) reviewed for bed rails. 1.The facility failed to attempt to use an alternative for the use of bedrails and complete quarterly side rail assessments for Resident #53 who re-admitted to the facility on [DATE] and a order with a start date of 12/7/2023 for use of enabler bars to turn and reposition in bed. 2.The facility failed to attempt to use an alternative for the use of bedrails and complete quarterly side rail assessments for Resident #70 who admitted to the facility on [DATE] and an order for Resident #70 that reflected the use of enable bars to turn and reposition in bed that started…

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 refer all residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II resident review upon a significant change of condition for 1 of 6 Residents (Resident #53) reviewed for PASSAR (Preadmission Screening and Resident Review Services). The facility failed to ensure Resident #53 had a new level 1 PASSAR completed with a diagnosis of bipolar disorder on admission [DATE]. These failures could place residents at risk of not receiving the needed PASSAR services to meet their individual needs and could result in a decreased quality of life. The findings included: Record review of a face sheet for Resident #53 dated 9/17/2024 for Resident #53 indicated she admitted to the facility 2/21/2024 and was [AGE] years old with diagnosis of acute and chronic respiratory failure (a condition that makes it difficult to breathe on your own), type 2 diabetes, COPD (a lung disease causing restricted…

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 maintain and ensure safe and sanitary storage of residents' food items, per facility policy, for 1 of 11 resident's (Resident #54) personal refrigerators reviewed for food and nutrition services. The facility failed to ensure a personal refrigerator on 09/16/2024 for Resident #54 did not contain a jar of mayonnaise with an expiration date of 8/25/2024. These failures could place residents at risk for food borne illnesses. Findings include: Record review of a face sheet for Resident #54 dated 9/17/2024 indicated he admitted to the facility on [DATE] and was [AGE] years old with diagnoses of venous insufficiency (occurs when the veins in the legs have difficulty returning blood to the heart), malignant neoplasm of prostate (prostate cancer) and dementia. Record review of a resident/patient refrigerator log dated September 2024 indicated on 9/16/2024 the refrigerator was checked as indicated by the initials of RNA. Record review of an…

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 pharmaceutical services, including procedures that assures the accurate acquiring, receiving, dispensing, and administering of medications for 1 of 4 residents (Resident #39) reviewed for pharmacy services. The facility did not ensure medications were properly administered to Resident #39. This failure could place residents at risk for the unsafe administration of medications and not receiving prescribed doses of ordered medications. Findings: Record review of facility face sheet dated 8/15/2023 indicated Resident #39 was admitted on [DATE] with diagnoses of respiratory failure with hypoxia (low oxygen level) and end stage renal disease. Record review of quarterly MDS dated [DATE] revealed Resident #39 had a BIMS of 12 indicating mild cognitively impairment. Record review of comprehensive care plan dated 06/28/2023 did not indicate Resident # 39 could safely self-administer medications. Record review of physician order dated…

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.