Avenue at Macedonia

In the surveyor’s words

From the most serious findings on record at Avenue at Macedonia, in the surveyor’s own words.

• Actual harm, isolatedF684Nov 14, 2024

  Based on record review, facility policy review and interview, the facility failed to provide timely and necessary care/treatment for Resident #100 and Resident #102 following identified changes in condition. Actual Harm occurred beginning on 10/09/24 when Resident #100, who was severely cognitively impaired was noted by direct care staff (Certified Nursing Assistant 3249) to be favoring her right side, had bruising noted and wasn't right without evidence a licensed nurse assessed the resident or provided necessary intervention. On 10/11/24 licensed staff documented Resident #100 was sitting awkwardly in her chair and guarding her upper right side thigh area. […]

• Actual harm, isolatedF686Oct 24, 2022

  Based on observation, interview, record review and review of facility policy the facility failed to ensure one resident (Resident #54) did not develop an unstageable pressure ulcer of the sacrum. Actual Harm occurred when Resident #54 who was readmitted to the facility on [DATE] for rehabilitation following surgery for [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected one resident (Resident #54) out of three residents reviewed for pressure ulcers. The facility census was 57. Findings include: Review of Resident #54's medical record revealed an admitted [DATE] and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #54's physician orders dated, 03/16/18, revealed turn and reposition frequently while in bed as tolerated every shift. […]

• No harm, potential for more than minimal, widespreadF814Oct 24, 2022

  Based on observation and interview the facility failed to ensure garbage was disposed of properly. This had the potential to affect all residents in the building. Facility census was 57. Finding include: During initial tour of the kitchen on 10/17/22 at 10:58 A.M. with Dietary Manager #904 observation revealed the garbage dumpster had an open door. There was a pile of boxes beside dumpster on a cart and bag of mixed garbage beside the dumpster. Interview on 10/17/22 at 11:05 A.M. with Dietary Manager #904 verified the garbage was not disposed of properly.

• No harm, potential for more than minimal, patternF880Feb 27, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to implement and follow transmissions based precautions (TBP) and enhanced barrier precautions (EBP) as required. This affected three residents (Residents #5, #73 and #195) of five reviewed for TBP. The facility identified four residents (Residents #52, #60, #64 and #72) on droplet TBP and 14 residents (Residents #2, #3, #5, #6, #12, #14, #30, #39, #41, #46, #56, #69, #80 and #89) on EBP. The facility census was 88. Findings include: 1. Review of the medical record for Resident #73 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, patternF887Feb 27, 2025

  Based on record review and interview the facility failed to maintain documentation the COVID-19 vaccine was offered to residents and residents were provided education regarding the benefits and risks associated with the COVID-19 vaccine annually. This affected four Residents (Residents #1, #31 #42 and #76) of five reviewed for immunizations. The census was 88. Findings include: Review of the medical record for Resident #1 revealed an admitted [DATE]. There was no evidence Resident #1 had been offered or educated regarding the COVID-19 vaccination within the past year. Review of the medical record for Resident #31 revealed an admitted [DATE]. […]