Ansley Park Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Ansley Park Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF923Apr 11, 2024

  Based on observations, staff interviews, record review, and the document titled, Logbook Documentation, the facility failed to ensure the dryer lint trap and the vent located in the ceiling that circulates hot air from the dryer were not clean. This deficient practice has the potential to cause adverse consequences, including fire, for all residents residing in the facility. The census was 65. Findings include: Review of the Logbook Documentation dated 1/30/2024, 2/14/2024, and 3/7/2024 indicated the vent in the Laundry Room passed review. There was not a review for April 2024. […]

• No harm, potential for more than minimal, isolatedF695Apr 11, 2024

  Based on observations, staff interviews, and record review, the facility failed to ensure oxygen (O2) administered by nasal cannula (NC) was set at the prescribed rate for one of 19 residents (R) (R49) receiving O2 therapy. The deficient practice has the potential to cause respiratory distress for R49. Findings include: Review of the electronic medical record (EMR) for R49 in the Minimum Data Set (MDS) under Section C-Cognitive Patterns revealed a Brief Interview for Mental Status (BIMS) score of 3, indicating severe cognitive impairment. Under the MDS Section J-Health Conditions revealed R49 has a condition or chronic disease that may result in a life expectancy of less than 6 months. […]

• No harm, potential for more than minimal, isolatedF761Apr 28, 2022

  Based on observation, interview, and facility policy review, the facility failed to ensure one of three medication carts were locked when not under the direct control of a licensed nurse. The failure could have led to residents or unauthorized staff having access to medications stored in the medication cart. Findings include: Observation of the 100-hall on 04/28/22 at 8:43 AM revealed an unlocked medication cart pushed against the wall with the drawers facing the hallway. The cart was against the wall to the right of Resident (R) 36's room with no nurse or medication aide in the area. Licensed Practical Nurse (LPN) 1 was observed down the hall entering R138's room with medications. […]

• No harm, potential for more than minimal, isolatedF880Apr 28, 2022

  Based on observation, interview. and record review, the facility failed to have all personal protective equipment (PPE) readily available for staff use for one of one resident (Resident (R) 137) reviewed for transmission-based precautions. Additionally, PPE that was readily available was stored for use in the patient room where it could become contaminated. R137 was in quarantine due to being a new admission and unvaccinated for coronavirus disease 2019 (COVID-19). This failure had the potential to allow spread of infections, including COVID-19, to 22 residents on the first floor who were cared for by the same staff as R137. Findings include: During an observation on 04/25/22 at 10:30 AM, one resident (R137) was located in the COVID-19 quarantine unit. […]