Accura Healthcare of Pleasantville, LLC

In the surveyor’s words

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

• Immediate jeopardy, patternF880Sep 30, 2024

  Based on record review, staff interviews, observations, and policy review the facility failed to provide a safe environment to prevent the development and transmission of communicable diseases and infections by not appropriately wearing Personal Protective Equipment (PPE) and the facility not making PPE available to wear while caring for all Covid 19 residents at the facility leading to Resident #16 becoming positive for Covid 19. Resident #16 was transferred to the hospital related to shortness of breath with oxygen levels of 89 percent on 6 liters (L) of oxygen requesting to be sent to the ED. Resident #16 tested positive for Covid 19 on 9/6/24. Resident #16 had a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) as well as Congestive Heart Failure (CHF). […]

• Immediate jeopardy, isolatedF689Aug 1, 2023

  Based on observation, record review, facility records, resident, family and staff interviews which determined, the facility failed to identify Resident #1 had a risk of elopement and proceeded to exit the facility on 7/10/2023. The front door alarm system failed to engage and the resident left unwitnessed. The resident attempted to leave the facility on 6/26/2023 by exiting the north door of the facility and on 7/3/2023 was exhibiting behaviors of wanting to leave. The facility identified 7 residents with Wanderguards and are at risk for elopement. This circumstance posed Immediate Jeopardy to the resident health and safety. The facility reported a census of 47 residents. The facility was notified of the Immediate Jeopardy (IJ) on July 26, 2023 at 1:00 p.m. […]

• Immediate jeopardy, isolatedF686May 17, 2022

  Based on observation, record review and interviews, the facility failed to provide care and services to prevent the development of a pressure sore for 1 of 5 residents at risk for pressure ulcer development (Resident#4). The facility lacked assessments from 3/22/22 to 4/5/22 of a pressure sore on Resident #4's coccyx (tailbone). The area began as a purple, unopened, nickel to quarter-sized unopened area on 3/22/22. Facility staff assessed the area on 4/6/22, and by 4/13/22 the facility transferred Resident #4 to the hospital where the resident was diagnosed with [CONDITION(S)] secondary to an infected, unstageable, full thickness pressure sore that measured approximately 6 centimeters by 4 centimeters. […]

• Immediate jeopardy, isolatedF689Jan 6, 2022

  Based on observations, record review and interviews, the facility failed to provide adequate supervision to prevent accidents for 4 of 4 residents reviewed for smoking, falls and elopement (Residents #9, #22, #26 and #29). The facility failed to assess resident for Resident #9 and #22 for safe smoking, allowed Resident #9 to carry smoking material on her person, allowed Resident #9 to smoke unsupervised, and allowed resident #9 and #22 to smoke in an unsafe environment. The facility failed to utilize a gait belt and front wheeled walker during ambulation for 1 of 3 residents reviewed for falls (Resident #26) which resulted in a femur fracture. The facility failed to provide adequate door alarm system to mitigate Resident #29's elopement. […]

• Actual harm, isolatedF725Sep 30, 2024

  Based on electronic health records (EHR), resident interview, staff interviews, and policy review the facility failed to provide nursing staff to assure residents safety by not completing visual observations, providing cares, or offering assistance to a resident that required assistance for 1 of 6 residents reviewed (Resident #9). The facility reported a census of 45 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] documented Resident #9 had a Brief Interview for Mental Status (BIMS) of 9 which indicated moderate cognitive impairment. MDS also documented maximal assistance with dressing and moderate assistance with toileting. […]