Altercare Zanesville Inc.

In the surveyor’s words

From the most serious findings on record at Altercare Zanesville Inc., in the surveyor’s own words.

• Immediate jeopardy, isolatedF690Mar 20, 2025

  Based on closed medical record review, review of a resident communication log, review of visiting healthcare service orders, review of a customer alert form, hospital notes, policy review, medication instructions, and death certificate, and interview with family and facility staff the facility failed to ensure comprehensive monitoring and timely identification of a change in condition for Resident #94, who was incontinent of bladder with a diagnosis of Stage 3 chronic kidney disease. In addition, the facility failed to ensure Resident #94 received timely, necessary and appropriate treatment and services of a urinary tract infection (UTI). […]

• Actual harm, isolatedF697Jan 21, 2025

  Based on observation, medical record review, policy review and interview, the facility failed to ensure Resident #74 and #87 were provided an individualized and comprehensive pain management program to adequately control pain. This affected two residents (#74 and #87) of three residents reviewed for pain management. The census was 94. Actual Harm occurred on [DATE] when Resident #87, who had an order for scheduled narcotic pain medication twice a day, was observed lying in bed, turning his head side to side, moaning and he verbalized his pain was a 10 out of 10 (a ,d+[DATE] pain scale is a way to measure pain intensity, where 0 represents no pain and 10 represents the worst possible pain imagined). […]

• Actual harm, isolatedF684Feb 5, 2024

  Based on closed record review, review of a fall investigation, review of hospital records, facility policy review and interview, the facility failed to ensure timely identification of changes in resident condition status post fall. Actual Harm occurred on 01/25/24 at 12:15 A.M. when Resident #288, who had confusion/ dementia and was admitted status-post left hip replacement sustained an unwitnessed fall in her bathroom/shower room with complaints of pain and signs of injury to the right hip that were not timely addressed. Following the fall, facility staff failed to complete a timely and appropriate assessment of the resident and failed to implement effective interventions. The resident was transported to the emergency room (per family request) on 01/24/25 at 2:58 P.M. […]

• Actual harm, isolatedF686Jun 16, 2023

  Based on closed medical record review, facility policy review, hospital record review, and interview, the facility failed to provide comprehensive wound assessment and wound care. Actual Harm occurred on 05/16/23 when the facility failed to provide adequate care/interventions and notify the physician of Resident #93's newly identified open areas to both heels and again on 05/29/23 when a skin alteration was identified to the resident's right buttock. In addition, the facility failed to ensure appropriate pressure ulcer treatments were provided, failed to implement additional pressure relieving interventions to promote healing, failed to obtain weekly wound measurements and complete comprehensive assessments to ensure the resident received optimal care. […]

• No harm, potential for more than minimal, widespreadF880Feb 5, 2024

  Based on interview, record review, and review of the infection control logs the facility failed to maintain a comprehensive infection control log to include antibiotic use. This had the potential to affect all residents in the facility. The facility census was 84. Findings include: a. Review of Resident #27 medical record revealed an admitted [DATE]. Diagnoses included cerebral infarction, muscle weakness, need for assistance with personal care, and emphysema. Continued review of the medical record revealed the resident was prescribed antibiotics in August and September 2023. Review of the Infection Control Logs for August 2023 revealed on 08/31/23 Resident #27 had a wound infection with redness, swelling, and drainage. […]