Ararat Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Ararat Convalescent Hospital, in the surveyor’s own words.

• Immediate jeopardy, isolatedF604Nov 15, 2024

  During an observation, interview and record reviews, the facility failed to ensure one of three sampled residents (Resident 1) was free from the use of physical restraints (a manual method or device that limits a person's ability to move freely), in accordance with the facility ' s policy and procedure titled Restraints by failing to: 1. Identify a situation that constitutes abuse when Certified Nurse Assistant [CNA] 1 had knowledge that Resident 1 was tied to the wheelchair with a white sheet, on 11/9/24, during the 3 PM to 11 PM shift, as evidenced by a videoclip . CNA 1 did not untie (remove) the white sheet from Resident 1 and did not report the observation to the licensed vocational nurse (LVN 1) immediately. 2. […]

• No harm, potential for more than minimal, patternF812Nov 19, 2025

  Based on observation and interview and record review the facility failed to implement the policy and procedure on food storage, in accordance with professional standards for food service safety by failing to label a used by date for the following food items: -ground meat in a plastic container -three pieces of Armenian pizza -five croissants in a clear plastic bag -five glasses of milk This deficient practice had the potential to result in food contamination, growth of microorganisms (disease causing organism) that could cause foodborne illness (food poisoning or food illness due to pathogens (harmful organism that cause illness such as bacteria, viruses, or parasites) and toxins that contaminate food and negatively affect the health of the residents who consumed it. […]

• No harm, potential for more than minimal, patternF880Nov 14, 2024

  Based on observation, interview, and record review, the facility failed to ensure to maintain an infection control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease by failing to: 1. Ensure Certified Nurse Assistant (CNA) 1 removed her personal protective equipment (PPE, specialized equipment such as gown, gloves, and mask that minimize exposure to hazards that may cause illness) before leaving a designated isolation room. 2. Ensure CNA 2 used proper hand hygiene in between Resident 8 and Resident 3 ' s room. 3. Ensure Kitchen Assistant [KA] wore gloves when handling and preparing food/drink in the kitchen. 4. […]

• No harm, potential for more than minimal, patternF641Oct 6, 2024

  Based on observation, interview, and record review the facility failed to ensure the Minimum Data Set (MDS, a federal mandated resident assessment tool) was accurate for one of two sampled residents (Resident 20): These deficient practices had the potential to result in Resident 20 not receiving appropriate treatment and/or services. Findings: 1. A review of Resident 20 ' s Face Sheet (front page of the chart that contains a summary of basic information about the resident) indicated the resident was admitted to the facility on [DATE] with diagnoses that included Depression, chronic obstructive pulmonary disease (COPD- a chronic lung disease causing difficulty in breathing) with acute (sudden ) exacerbation and chronic congestive heart failure (a condition where the heart has difficulty… […]

• No harm, potential for more than minimal, patternF695Oct 6, 2024

  Based on observation, interview, and record review, the facility failed to administer oxygen therapy (treatment that provides supplemental, or extra, oxygen) according to accepted standards of clinical practice and accordance with the facility's policy and procedure for two of two sampled residents (Resident 4 and 20) by failing to ensure: 1. Resident 4 oxygen nasal cannula tubing (a small plastic tube, which fits into the person ' s nostrils for providing supplemental oxygen) was not touching the floor. 2. Resident 20 oxygen nasal cannula and oxygen tubing was not touching the floor. This deficient practice placed Resident 4 to develop infection and 20 at risk for shortness of breath and/or hypoxia (low levels of oxygen in the body tissues) which can lead into serious injury or death. […]