Aperion Care Summerfield

In the surveyor’s words

From the most serious findings on record at Aperion Care Summerfield, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF727Apr 30, 2024

  Based on interview and record review, the facility failed to provide Registered Nurse (RN) coverage 8 hours per day 7 days per week for 7 of 28 days reviewed for staffing. This had the potential to affect 40 of 40 residents who resided in the facility. Findings include: On 4/30/24 at 11:00 a.m., review of RN staffing schedules for 4/1/24 to 4/27/24 indicated the Director of Nursing was scheduled as the RN Monday through Friday. An RN was not scheduled for the weekends of 4/6/24, 4/7/24, 4/12/24, 4/13/24, 4/19/24, 4/20/24, or 4/28/24. The Administrator indicated the Director of Nursing was available for calls during the weekends. […]

• No harm, potential for more than minimal, patternF584Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to ensure the laminate flooring (a multi-layer synthetic flooring product) in the facility was safe in good repair, for 5 of 5 days the facility environment was observed. Findings include: During a random observation, on 2/6/23 at 2:28 p.m., a mat on top of the laminate flooring at the entrance to the television (TV) lounge next to the nurse's station, appeared to move when stepped on. Upon request, the Administrator (ADM) lifted the rug and exposed a large area where the laminate flooring was broken and no longer stable on the subfloor (a rough floor laid as a base for a finished floor) and was sliding back and forth in place. The entire piece of a single laminate floor plank was loose and broken. […]

• No harm, potential for more than minimal, patternF758Feb 10, 2023

  Based on observation, record review and interview, the facility failed to ensure psychotropic medications (drugs that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behavior) had been documented as administered for 4 of 11 residents medications reviewed (Residents 30, 9, 40, and 35). Findings include: 1. Resident 30's record was reviewed on 2/7/23 at 1:15 p.m. The profile indicated the resident's diagnoses included, but were not limited to, Huntington's disease (an inherited disease that causes the progressive breakdown [degeneration] of nerve cells in the brain and has a wide impact on a person's functional abilities and usually results in movement, thinking and psychiatric disorders), mood affective disorder (mental disorders that primarily… […]

• No harm, potential for more than minimal, patternF812Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to ensure safe food temperatures as evidenced by inadequate external and internal temperatures for 1 of 4 reach in refrigerators and the facility failed to dispose of expired food for 2 of 2 kitchen observations. This had the potential to effect 40 of 40 residents who received food from the kitchen. Findings Include: During an initial tour observation of the kitchen with Dietary Supervisor (DS), on [DATE] at 09:50 a.m., the inside thermometer temperature was reading 48 degrees Fahrenheit (F) on reach in refrigerator # 3. No internal temperature of food was taken at that time. […]

• No harm, potential for more than minimal, patternF758Dec 10, 2021

  Based on record review and interview, the facility failed to ensure potential side effects of [CONDITION(S)] medications (any medication that affects behavior, mood, thoughts, or perception) were monitored for 4 of 5 residents reviewed for unnecessary medications (Residents 11, 6, 17, and 21). Findings include: 1. Resident 11's record was reviewed on 12/8/21 at 9:40 a.m. The profile indicated the resident's diagnoses included, but were not limited to, [CONDITION(S)] (a hereditary disease marked by degeneration of the brain cells and causing chorea [jerky involuntary movements affecting especially the shoulders, hips, and face] and progressive dementia), [CONDITION(S)] with delusions due to a known physiological condition (refers to symptoms such as delusions, hallucinations, disorganized… […]