Accura Healthcare of Milford

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Milford, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657May 18, 2023

  Based on clinical record review and staff interview the facility failed to revise and update care plans to include and address high risk medications and side effects to watch for in 4 out of 13 sampled residents reviewed for comprehensive care plans (Resident #9, #18, #25 and #32). The facility reported a census of 38 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #9 documented diagnoses of anxiety disorder, depression and Alzheimer ' s Disease.The MDS showed a Brief Interview for Mental Status (BIMS) score of 4 indicating severe cognitive impairment. Review of the May 2023 Medication Administration Record (MAR) revealed the following orders: Remeron (antidepressant medication) daily with an order date of 10/25/22. […]

• No harm, potential for more than minimal, patternF880May 18, 2023

  Based on observation, facility policy, and staff interview, the facility failed to transport linen in a manner to prevent contamination. The facility reported a census of 38 residents. Findings include: Observation on 5/17/23 at 11:53 AM of a cart in the 100 hall with resident clothing hanging on it, a staff person was delivering clothing from this cart into resident rooms. There was no cover on the cart or near the cart. Observation on 5/17/23 at 12:16 PM of a cart in the 200 hall with resident clothing hanging on it, a staff person was delivering clothing from this cart into resident rooms. […]

• No harm, potential for more than minimal, patternF812Feb 3, 2022

  Based on observation, facility policy, and staff interview, the facility failed to store dishware, utensils, and cooking equipment in a sanitary manner; store canned food off of the storage room floor; maintain and clean the range and oven unit including hood and vents; store a scoop outside the container. The facility reported a census of 37 residents. Findings include: Observation on 1/31/22 at 10:57 AM revealed the majority of the dishware, silverware, and cooking equipment stored on open shelves throughout the kitchen stored with the serving side up, cooking equipment (pots and pans) not stored upside down, and silverware or utensils without coverings or lids. […]

• No harm, potential for more than minimal, patternF880Feb 3, 2022

  Based on observations, facility policy review, resident interviews, and staff interviews the facility failed to prevent the possible spread of infection by not performing hand hygiene for 5 out 5 residents reviewed, (Residents #3, #15, #16, #19, #20). The facility reported a census of 37 residents. Findings: 1.) The Minimum Data Set (MDS) assessment dated [DATE] for Resident #19 identified the presence of short and long-term memory impairment. The resident depended on staff for bed mobility, transfer, dressing, toilet use and personal hygiene. The resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Care Plan revised 12/9/21 identified Resident #19 had an activity of daily living (ADL) deficit. […]

• No harm, potential for more than minimal, isolatedF607Aug 15, 2024

  Based on employee file review, staff interview, and policy review, the facility failed to complete a criminal record check and dependent adult/child abuse registry check prior to an employee's hire date for 1 of 5 employee. The facility reported a census of 43. Findings include: Employee record review of Staff A, dietary aide, showed a hire date of 3/6/24. A Parental Consent for a Minor was signed by Staff A's mother on 3/7/24, which gave the facility permission to complete a criminal and abuse background check. Staff A's Single Contact License and Background Check was completed on 3/19/24 at 3:38 PM. Review of Staff A's time card revealed a total of five shifts worked prior to the completion of the background check (3/6/24, 3/10/24, 3/11/24, 3/13/24, and 3/16/24). […]