Badger Prairie HCC

In the surveyor’s words

From the most serious findings on record at Badger Prairie HCC, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 8, 2023

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from physical abuse by a resident (R1.) This affected 3 (R2, R3, and R11) of 6 residents reviewed for abuse. R1 was observed hitting 3 residents (R2, R3, and R11) on 3 separate occasions; R1 struck R11 in the head 4 times with a pillow, R1 struck R3 in the back with his shoe, and R1 struck R2 across her face with the insole of his shoe. The facility failed to protect residents from physical abuse. […]

• No harm, potential for more than minimal, widespreadF812May 18, 2023

  Based on observation and interview the facility did not ensure food was prepared in a clean and sanitary environment in accordance with professional standards for food service safety. This has the potential to affect all 110 residents. -Floor stand mixer was found to have dried food particles on the undercarriage and splatter guard. -Medium stand mixer was found to have dried food particles on the undercarriage and splatter guard. -Countertop stand mixer was found to have dried food particles on the undercarriage. -Pans were stacked while wet following dishwashing and placed into storage. This is evidenced by Example 1 FDA (U.S. […]

• No harm, potential for more than minimal, patternF550Aug 8, 2023

  Based on observation, interview, and record review, the facility did not ensure that every resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, and did not ensure that the resident can exercise his or her rights without interference. This has the potential to affect a pattern of residents residing in the facility. R4 voiced concern of not having her own phone to make and receive calls without interference. Staff report screening incoming phone calls to residents. Staff report screening visitors prior to visiting the residents. This is evidenced by: The facility admission form entitled, [NAME] of Rights, revision date of 3/7/19, states in part: . […]

• No harm, potential for more than minimal, patternF578May 18, 2023

  Based on interview and record review the facility failed to ensure that all residents were able to formulate an advance directive, specifically related to code status, for 3 of 25 residents (R65, R7, and R8) reviewed for code status of total sample of 32 and 1 of 1 supplemental resident (R97). R65's code status preference form documents CPR (Cardiopulmonary Resuscitation, Full Code status) and his code status order is DNR (Do Not Resuscitate), these do not match. R7's code status does not match in the medical record and DNR form is not signed by legal representative. R8's code status preference form is not signed by the resident or legal representative. R97's code status preference form documents No CPR, and his code status order is Full code, these do not match. […]

• No harm, potential for more than minimal, patternF880May 18, 2023

  Based on observation, interview and record review, the facility did not ensure it maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 21 hand hygiene opportunities (R96 and R64). R96 and R64 was observed during wound care, where the RN (Registered Nurse) did not consistently follow professional standards of practice for hand hygiene. Staff did not complete hand hygiene per professional standard of practice. This is evidenced by: The facility policy entitled, Hand Hygiene, Employees, undated, states in part: . […]