Accord Care Community Orrville LLC

In the surveyor’s words

From the most serious findings on record at Accord Care Community Orrville LLC, in the surveyor’s own words.

• Actual harm, isolatedF887Feb 11, 2025

  Based on open and closed medical record review, hospital record review, facility policy review, review of Centers for Disease Control (CDC) guidance and interview, the facility failed to ensure residents were administered the Coronavirus (COVID-19) vaccination after receiving education and consenting to the vaccine. This affected four residents (#6, #29, #30, #43) and had the potential to affect 16 additional residents (#3, #4, #8, #12, #13, #16, #17, #24, #28, #32, #34, #35, #40, #42, #52 and #53) who after receiving education and consented to the COVID-19 vaccine, had not yet received the vaccine. The facility census was 53. […]

• Actual harm, isolatedF686Jan 6, 2022

  Based on closed and open medical record review, facility policy and procedure review and interview the facility failed to implement effective and individualized pressure ulcer care and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to timely implement a pressure ulcer treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Actual Harm occurred on 11/17/21 when Resident #80, who was cognitively impaired and required extensive assistance from staff for bed mobility, transfers and toileting was identified to have skin impairment to the spine and right heel per documentation on a bathing sheet. However, no comprehensive assessments of the areas were completed at that time and no treatments were initiated. […]

• Actual harm, isolatedF697Aug 26, 2021

  Based on record review and interview, the facility failed to administer pain medications in a timely manner. This resulted in actual harm for one (Resident #200) of five residents review for medication administration. Resident #200 experienced severe pain when pain medication was not provided for approximately 23 hours after admission. The census was 52. Findings include: Review of Resident #200's medical record revealed an admitted [DATE] at 1:15 A.M. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the hospital discharge orders dated 08/19/21 revealed Resident #200 was ordered oxycodone (opioid pain medication) 5 milligram (mg) every six hours as needed for pain. Review of the Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] .M. on 08/19/21. […]

• No harm, potential for more than minimal, widespreadF725Feb 11, 2025

  Based on observation, interview, review of employee time punch details, review of staffing schedules, policy review, and review of the facility assessment, the facility failed to ensure there was sufficient staff to provide residents with timely care. This had the potential to affect all 53 residents residing in the facility. Findings include: Review of the staffing schedule for 02/03/25 revealed the facility had three Certified Nursing Assistants (CNA) and two Licensed Practical Nurses (LPN) scheduled for the 6:00 A.M. to 6:00 P.M. day shift, with one additional Registered Nurse (RN) scheduled in training. Prior to the shift beginning, one LPN and two CNAs called off, leaving the facility staffed with only one LPN, one RN in training, and one CNA to provide care to 53 residents. […]

• No harm, potential for more than minimal, widespreadF804Oct 24, 2024

  Based on record review, observation, and interview, the facility did not ensure food was served at palatable temperatures. This had the potential to affect 54 residents that received meals from the facility. One resident (Resident #46) out of 55 residents received nothing by mouth. The facility census was 55. Findings include: Interviews during phase one of the annual survey on 10/21/24 from 8:15 A.M. through 5:00 P.M. with Residents #2, #3, #14, #25, #40, and #159 revealed each had complaints the food was cold and/or not palatable. Observation of tray line on 10/22/24 from 11:00 A.M. trough 11:54 A.M. revealed food was above 165 degrees Fahrenheit (F). A test tray was requested as the last resident's food was plated. The food truck left the kitchen at 11:55 A.M. […]