Aria Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Aria Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Nov 9, 2022

  This citation pertains to intake numbers MI 437 and MI 342. Based on interview and record review the facility failed to ensure one out of five residents (Resident #5) was free of significant medication errors, resulting in Immediate Jeopardy when Resident #6 received another resident's eight medications, which resulted in Resident #6 receiving Cardiopulmonary Resuscitation (CPR), subsequently being transferred to the hospital, and placing all 91 residents who resided in the facility at risk for serious harm, injury, and/or death. Findings Included: Resident #6 no longer resided at the facility at the time of the investigation. Per the facility face sheet Resident #6 (R6) was admitted to the facility on [DATE], and readmitted on [DATE]. […]

• Actual harm, isolatedF686Jul 16, 2024

  This citation pertains to intake #: MI00145322 and MI00144471 Based on observation, interview, and record review, the facility failed to ensure residents with pressure injuries received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection for 2 of 5 residents (Resident #1 and #6) reviewed for pressure injuries, resulting in the worsening of R1's wound and subsequent hospitalization . Findings: Resident #1 (R1) Review of an Admission Record revealed R1 was a [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: Type II Diabetes, muscle weakness, need for assistance with personal care, and heart disease. […]

• Actual harm, isolatedF684Apr 10, 2024

  Based on observation, interview, and record review the facility failed to provide prompt medical attention after a fall with multiple fractures for 1 of 3 sampled residents (R61) reviewed for falls, resulting in delay in treatment (21 hours wait prior to hospital transfer for right shoulder fractures), prolonged pain, and suffering. Findings include: Resident #61(R61) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R61 was a [AGE] year old female admitted to the facility on [DATE], with recent hospital readmission post facility fall resulting in two left humerus(upper arm) fractures. […]

• Actual harm, isolatedF692Apr 10, 2024

  This citation pertains to intake # MI00143255 Based on observation, interview and record review, the facility failed to 1) ensure enteral feedings were provided as ordered to meet hydration and nutritional needs for one (Resident #86); 2) ensure fluids were freely accessible and provided to three (Resident #41, #43, and #86) and 3) prevent significant weight loss for one (Resident #68) of five reviewed for nutrition and hydration, resulting in weight loss, not receiving the ordered tube feeding formula, not receiving the total tube feeding volume ordered, feelings of distress, hospitalization , and the potential for unmet nutritional needs and continued weight loss. […]

• Actual harm, isolatedF689Feb 2, 2024

  This citation pertains to intake MI00140401. Based on observation, interview and record review, the facility failed to maintain professional standards of practice in ensuring activities of daily living care met resident needs in two of three residents reviewed for falls (Resident #2 & #6), resulting in a serious head injury (Resident #2) and the potential for accidents/injuries (Resident #6). Findings include: Resident #2 (R2) Incident Report dated 1/26/24 at 10:09 AM indicated Licensed Practical Nurse (LPN) H responded to a resident scream and Certified Nurse Assistant (CNA) G calling for help. R2 was found lying on the floor, on the right side of her bed, was bleeding from the right side of her face and had sustained head trauma. R2 fell from bed during perineum care provided by CNA G. […]