Aspire at Ridge Haven

In the surveyor’s words

From the most serious findings on record at Aspire at Ridge Haven, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF645Jan 11, 2024

  Based on observations, interviews, and record review, the facility failed to confirm the accuracy and make corrections to the Pre-Admission Screening and Resident Review (PASRR) for seven residents (#6, #26, #44, #55, #68, #50, and #28) out of thirty-five residents sampled when mental illness or suspected mental illness diagnoses were identified and/or added to the resident's medical diagnoses. Findings included: 1) Review of Resident #6's Admission Record revealed the resident was originally admitted on [DATE] and readmitted on [DATE]. Review of Resident #6's PASRR, dated 7/8/22, revealed a diagnosis of depressive disorder and a Level II PASRR was not required. […]

• No harm, potential for more than minimal, patternF684Jan 11, 2024

  Based on observations, interviews, and record review, the facility 1) failed to change the dressings and maintain midline catheters for two residents (#198 and #17) out of three sampled residents with intravenous access, 2) failed to provide wound care for two residents (#44 and #196) out of five sampled residents for wound care as ordered by the physician. Findings included: 1) An observation was conducted on 1/8/24 of Resident #198's intravenous catheter in the resident's upper left arm. The dressing was dated 12/30/23. Immediately following the observation, Staff V, Licensed Practical Nurse (LPN) observed Resident #198's catheter dressing and revealed the resident was admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF759Jan 11, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure the medication error rate was less than 5.00%. Thirty-two medication administration opportunities were observed and eleven errors were identified for three residents (#3, #42, and #76) of seven residents observed. These errors constituted a 34.38% medication error rate. Findings included: 1) On 1/9/24 at 10:31 a.m., an observation of medication administration with Staff D, Registered Nurse (RN), was conducted with Resident #3. […]

• No harm, potential for more than minimal, patternF880Jul 12, 2023

  Based on observation, record review, staff interview, and policy review, the facility failed to ensure staff followed appropriate isolation precautions during the provision of resident care for one (Resident #12) of three sampled residents on transmission-based precautions. Findings included: On 7/11/23 at approximately 10:55 AM., an observation was made of the speech therapist performing a swallowing evaluation with resident #12. The resident was in her room and there was a three drawer isolation cart noted at the entrance to the room with a sign that had two red STOP signs that stated Enhanced Barrier Precaution's. EVERYONE MUST: Clean their hands, including before entering and when leaving the room. […]

• No harm, potential for more than minimal, patternF698Sep 23, 2021

  Based on observation, interview, and record review, the facility failed to ensure [CONDITION(S)] services were provided consistent professional standards of practice for one (Resident #75) of one resident receiving [CONDITION(S)]. Findings Included: During an interview with the Staff C, LPN on 9/22/21, she confirmed the [CONDITION(S)] book was at the nurse's station and she had one [Resident #75] that received [CONDITION(S)] three days a week on Tuesday, Thursday, and Saturday. She opened the [CONDITION(S)] book which was empty and stated that she completed the [CONDITION(S)] form yesterday morning prior to Resident #75 going to [CONDITION(S)]. She said the unit manager took the book last night before she left and Staff C was unaware of where the forms were located. […]