Avantara Long Grove

In the surveyor’s words

From the most serious findings on record at Avantara Long Grove, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 3, 2022

  Based on interview and record review, the facility failed to safely transfer 1 of 7 residents (R1) in the sample of 7 reviewed for safety. This failure resulted in R1 sustaining a distal right femur fracture. On 11/3/22 at 9:49 AM, V4, Licensed Practical Nurse (LPN), said on Sunday, 10/23/22 around 3:20 PM, she was doing her charting and R1 was sitting in the dining room. V4 said she noticed R1's leg was not even with her other leg and R1's right leg was also swollen. V4 said she endorsed the findings to the oncoming nurse, V5, Registered Nurse. V4 said R1 is not able to get up by herself, R1 is a two person assist and she does not try getting up by herself and she is not restless. […]

• No harm, potential for more than minimal, widespreadF812Jun 28, 2023

  Based on observation, interview and record review the facility failed to ensure cookware was handled in a sanitary manner. This applies to all 163 residents residing at the facility. The findings include: The Resident Census and Conditions of Residents Form (CMS-672) dated 6/26/23 shows there were 163 residents residing at the facility. On 6/26/23 at 11:52 AM, V9 (Cook) loaded soiled pans into a tray and ran them through the dishwasher. With the same gloves on, V9 took the cleaned pans from the dishwasher rack and placed them on the storage shelf. On 6/27/23 at 2:00 PM, V8 (Dietary Manager) said that gloves should be removed, and hands should be washed after loading dirty dishes and before touching the clean dishes. […]

• No harm, potential for more than minimal, patternF689Aug 8, 2024

  Based on observation, interview, and record review the facility failed to ensure residents were free of accidental hazards by not removing razors from the room of residents with dementia and within reach of residents that have dementia that wander. This applies to 2 of 2 residents (R49 & R120) reviewed for safety in the sample of 32 and 8 residents (R79, R96, R103, R109, R119, R127, R142, & R149) outside of the sample. The findings include: On 8/6/24 at 12:51 PM, in the bathroom of room [ROOM NUMBER] there was a disposable razor in a clear plastic bag on the mirror ledge. The safety cover was off of the dry razor. R49 was one of two residents that resided in room [ROOM NUMBER]. […]

• No harm, potential for more than minimal, patternF809Aug 8, 2024

  Based on interview and record review the facility failed to ensure bedtime snacks were offered to residents for 3 of 3 residents (R58, R112, and R526) reviewed for bedtime snacks in the sample of 32 and one resident (R1) outside of the sample. The findings include: R58's face sheet showed he was admitted to the facility on [DATE] with diagnoses to include generalized osteoarthritis, anemia in other chronic diseases, hypothyroidism, hyperlipidemia, and depression. R58's August 2024 Physician Order Sheet showed, 8/5/23 Offer Bedtime Snack. […]

• No harm, potential for more than minimal, patternF880Aug 8, 2024

  Based on observation, interview, and record review, the facility failed to implement contact isolation precautions for a resident (R95) with methicillin-resistant Staphylococcus aureus (MRSA), failed to wear the appropriate personal protective equipment (PPE) for 3 residents (R31, R11, R154) on enhanced barrier precautions, and failed to perform glove changes during incontinence care for 1 resident (R154). These failures apply to 4 of 9 residents reviewed for infection control in the sample of 32. The findings include: 1. […]