Abundant Christian Living Community Rehabilitation

In the surveyor’s words

From the most serious findings on record at Abundant Christian Living Community Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 14, 2022

  Based on review of facility policy, medical record review, review of video footage, review of facility investigation, and interviews, the facility failed to prevent abuse for 1 resident (#1) of 5 residents reviewed for abuse. Resident #1's family moved the resident from the facility out of fear of the psychosocial consequences from the facility's treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] The findings included: Review of a facility policy Abuse Protocol revised date 8/2021 revealed .Verbal Abuse: the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability . […]

• No harm, potential for more than minimal, isolatedF584Jul 9, 2024

  Based on facility policy review, medical record review, observations, and interviews the facility failed to provide a clean and homelike environment for 1 resident (Resident #41) of 94 residents reviewed for a homelike environment. The findings include: Review of the facility's policy titled, Cleaning Assignments, dated 4/2024, revealed .maintain a neat, clean .homelike environment . Medical record review revealed Resident #41 was admitted to the facility on [DATE] Diabetes Mellitus, Need for Assistance with Personal Care, and Muscle Weakness. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #41 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF604Jul 9, 2024

  Based on facility policy review, medical record review, observations, and interviews the facility failed to follow the policy for restraint usage for 1 resident (Resident #65) of 5 residents reviewed for restraints. The findings include: Review of the facility's policy titled, Restraints, dated 7/2023, revealed .It is the policy of this facility that restraints only be used for the safety and well-being of the Resident(s) .Before placing a Resident in a restraint, a pre-restraining assessment must be done to determine the need .a physician's order must be obtained indicating the specific reason, type, and medical reason for restraint . Medical record review revealed Resident #65 was admitted to the facility on [DATE] with diagnoses including Dementia, Hypertension, and Muscle Weakness. […]

• No harm, potential for more than minimal, isolatedF880Jun 14, 2022

  Based on review of facility policy, medical record review, review of video footage, review of facility investigation and interview the facility failed to ensure a sanitary environment to prevent transmission of infection or disease for 1 resident (#1) of 5 sampled residents. The findings included: Review of the facility policy General Policies revised 1/2021 revealed .b. Maintain a sanitary environment for personnel, Residents, visitors, and the general public . Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 8, indicating Resident #1 was moderately cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF561Oct 6, 2021

  Based on facility policy review, medical record review, observation, and interview, the facility failed to honor the right to self-determination related to resident choices for food preferences for 1 resident (Resident #25) of 12 residents reviewed for choices. The findings include: Review of the facility policy titled, Menu Substitutions and Alternatives, dated 2/14/2019, showed .Resident .who express a refusal of the food served are offered a substitute of similar nutritive value .Nursing Services offers the substitute in a timely manner when a resident refuses a menu item . Medical record review showed Resident #25 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]