Adviniacare Newburyport

In the surveyor’s words

From the most serious findings on record at Adviniacare Newburyport, in the surveyor’s own words.

• Immediate jeopardy, patternF689Nov 7, 2023

  Based on observations, interviews and policy review the facility failed to provide adequate supervision and follow the plan of care to prevent accidents for 5 Residents (#62, #53, #50 #48 #31, and #63) out of a total sample of 34 residents. Specifically: 1a. For Resident #62, who has a known history of choking twice at the facility, requiring the Heimlich maneuver, the facility failed to provide supervision and cueing for safe swallowing strategies with meals and failed to provide with the appropriate diet consistency, as recommended by the Speech Language Pathologist (SLP), placing Resident #62 at high risk for a repeated choking incident, injury and/or death. […]

• Immediate jeopardy, patternF940Nov 7, 2023

  Based on document review and staff interviews, the facility failed to ensure that they implemented and maintained an effective training program for all new hires, consistent with their expected roles, and failed to determine the amount and type of training necessary based on the facility assessment. Specifically, 22 out of 22 new staff hired in 2023 to date, were not provided training, therefore, failing to ensure competent, safe, and effective resident care. Findings include: Review of the Facility Assessment indicated the following: -3.4 Every new hire must meet the minimum education and training requirements to hold and maintain their professional licensures and certifications. All new hires go through general orientation. […]

• Immediate jeopardy, isolatedF803Nov 7, 2023

  Based on observations, interviews and policy review the facility failed to follow the correct therapeutic menu (mechanical soft) for four Residents (#62, #53, #50 and #4) out of a total sample of 34 residents. Specifically, 1. Resident #62, who has a known history of choking twice at the facility, requiring the Heimlich maneuver and emergent transfer to the hosital, was observed to be served the incorrect diet, placing the Resident at serious risk of a repeated choking incident and/or death, 2. Resident #53 who has a long-standing history of dysphagia (difficulty chewing and swallowing), was served food not on his/her recommended diet, and 3. two Residents (#50 and #4) were provided a meal not in accordance with the physician's order. Findings include: 1. […]

• Immediate jeopardy, isolatedF835Nov 7, 2023

  Based on observations and interviews the facility failed to ensure it was administered in a manner that enabled the facility to use its resources effectively to attain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the facility administration failed to ensure orientation, education and training was provided to all staff to provide competent, safe, and effective resident care as well as ensuring the governance and leadership members sustain a sufficient Quality Assurance Performance Improvement (QAPI) program during transitions in leadership and staffing. […]

• Immediate jeopardy, isolatedF837Nov 7, 2023

  Based on interview and record review including the Facility Assessment and facility policies, the facility failed to ensure that the governing body provided oversight and accountability for: 1. ensuring education and competencies were completed per Facility Assessment on hire for 22 out of 22 employees hired since January 2023; 2. ensuring quality of care related to the safety and hazards in the facility was maintained for one Resident (#62) out of a total sample of 34; and 3. ensuring the governance and leadership members sustain a sufficient QAPI program during transitions in leadership and staffing. […]