Alta Vista Healthcare & Wellness Centre

In the surveyor’s words

From the most serious findings on record at Alta Vista Healthcare & Wellness Centre, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641May 23, 2024

  Based on record review, interviews, and the Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) user's manual, the facility failed to accurately code the Minimum Data Set (MDS) (a comprehensive assessment used to develop a resident's care plan) to reflect a Preadmission Screening and Resident Review (PASRR) Level II for 4 (Residents #14, #55, #62, and #80) of 6 sampled residents reviewed for MDS accuracy. Findings included: During an interview on 05/22/2024 at 9:00 AM, the Director of Nursing (DON) revealed that the facility did not have a policy on MDS accuracy and stated they followed the RAI manual. […]

• No harm, potential for more than minimal, patternF684Oct 5, 2023

  Based on interview and record review, the facility failed to assess the need for duplicated medication (Depakote-medication for seizure and mood stabilizer for behavior management) to manage behavior for one of five sampled residents (Resident 1). This failure had resulted for Resident 1 to receive two different forms of Depakote for 11 days which could potentially cause drug adverse reaction, complication, and hospitalization . Findings: On August 7, 2023, at 10:25 a.m., an unannounced visit was conducted to investigate quality care issues. On August 7, 2023, Resident 1 ' s record was reviewed. […]

• No harm, potential for more than minimal, patternF645Jul 23, 2021

  Based on interview and record review, the facility failed to ensure, for three of five residents reviewed for PASRR (a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care): a. The evaluation for PASRR level II (identifies the specialized services required by the resident) was cooordinated with State-Designated Authority (SDA), for Resident 75. This failure may result to the facility's inability to incorporate PASRR Level II evaluation in the resident's care plan. In addition, Resident 75 specialized services were not met, and b. […]

• No harm, potential for more than minimal, patternF684Jul 23, 2021

  Based on interview and record review, the facility failed to provide treatment and care in accordance with the professional standards of practice for two of 18 residents reviewed (Residents 67 and 88) when: 1a. The licensed nurse did not clarify the dose of the medication [MEDICATION(S)] ([MEDICATION(S)]: opioid medicine used to treat moderate to severe pain) with the physician for Resident 88. This failure had the potential for Resident 88 to receive the wrong dose of [MEDICATION(S)]; 1b. The intake and output was not monitored as ordered by the physician for Resident 88. This failure had the potential to result in fluid overload. 2. […]

• No harm, potential for more than minimal, patternF688Jul 23, 2021

  Based on observation, interview and record review, the facility failed to provide restorative nursing services (nursing interventions that promote quality of life by increasing the resident level of strength and mobility and maintain his or her maximum functional capacity) as ordered by the physician for three of five residents reviewed for limited range of motion (ROM-the full movement potential of joint) (Residents 19, 52, and 67). This failure had the potential to result in the resident's decline in ROM and deterioration in their ability to perform activities of daily living (ADL). Findings: 1. […]