Alta Skilled Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Alta Skilled Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF610Apr 5, 2024

  Based on interview, record review, and document review, the facility failed to investigate a resident's allegation of abuse for 1 of 18 sampled residents (Resident #2). Resident #2 alleged a Certified Nursing Assistant (CNA) slapped the resident and handled the resident roughly when providing care. The CNA named in the abuse allegation was scheduled to work with the resident of concern and throughout the facility from the time the facility was made aware of the allegation on [DATE], until [DATE]. The facility did not report the incident to the State Survey Agency or law enforcement. […]

• Immediate jeopardy, isolatedF584Jul 24, 2023

  Based on interview, observation, clinical record review, and document review, the facility failed to ensure 2 of 153 total residents (Resident #124 and #29) were not exposed to bodily fluids (urine and feces) from 07/09/23-07/11/23, when a shared bathroom commode overflowed and remnants of the urine and feces were left soaking overnight in towels on the floor, tracked remnants were in the residents' room where Resident #124 always dined and Resident #29 snacked, Resident #124 rested with a soiled sock on linens in resident's bed, and household Lysol wipes were used as disinfectant by placing under the Certified Nursing Assistant's (CNA) foot and dragged around the floor of the bathroom on 07/10/23, leaving the residents' room floor uncleaned and not disinfected. […]

• Immediate jeopardy, isolatedF684Nov 23, 2022

  Based on clinical record review, interview, and document review the facility failed to assess and monitor a resident after the resident began vomiting and had a change in baseline vitals, resulting in acute pain, altered mental status, and death within 26 hours of onset of symptoms for 1 of 14 sampled residents (Resident #10), with failure to identify and prevent further such incidents to residents resulting in immediate jeopardy. Findings include: Resident #10 Resident #10, [AGE] years old, was admitted to the facility on [DATE], with diagnoses including multiple sclerosis, adult failure to thrive, muscle weakness, and repeated falls. A Nursing Note dated [DATE] at 5:52 AM, documented Resident #10 verbalized Resident #10 was not feeling good and had been vomiting. […]

• Actual harm, isolatedF600Jun 13, 2024

  Based on interview, clinical record review, and document review, the facility failed to 1) ensure a resident with a deep vein thrombosis (DVT) (a blood clot in one or more of the deep veins in the body) received the necessary care to prevent the resident from developing gangrene in a lower extremity and requiring hospitalization for 1 of 3 residents reviewed for closed records (Resident #305). This deficient practice resulted in a resident suffering the actual harm of loss of blood flow to the resident's lower extremity and caused the resident's representative to have to choose between an above the knee amputation of the resident's lower extremity or having the resident receive end of life care, and 2) ensure a resident was not physically abused by another resident for 2 of 2 residents… […]

• Actual harm, isolatedF689Jul 24, 2023

  Based on observation, interview, and record review, the facility failed to prevent a resident from drinking hand sanitizer causing the resident to admit to an acute care hospital for alcohol intoxication, create and implement care plans for alcohol withdrawal and suicidal ideation, and complete daily alert charting for behaviors related to alcohol use, alcohol intoxication, and suicidal ideation for 1 of 30 sampled residents (Resident #112). Findings include: Resident #112 Resident #112 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses including major depressive disorder, recurrent, moderate, post-traumatic stress disorder, unspecified, and alcohol dependence with withdrawal, unspecified. […]