Baker-Katz Skilled Nursing and Rehabilitation CTR

In the surveyor’s words

From the most serious findings on record at Baker-Katz Skilled Nursing and Rehabilitation CTR, in the surveyor’s own words.

• Actual harm, isolatedF656Feb 11, 2022

  Based on observation, record review and interview, the facility 1). failed to develop and implement a care plan addressing malnutrition and assess and provide interventions for 1 Resident (#44) with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . 2). failed to provide continuous supervision during meals for 1 Resident (#8), 3). failed to ensure weekly skin checks were completed as ordered for 1 Resident (#14) and 4). failed to ensure weekly weights were obtained for 1 Resident (#43) out of a total sample of 13 residents. […]

• Actual harm, isolatedF689Feb 11, 2022

  Based on observation, record review, and interview, the facility failed to ensure residents identified as high risk for falls received adequate supervision and revision of care plan interventions as needed to prevent falls, resulting in falls with injury for two Residents (#35 and #44), out of a total of 13 sampled residents. Findings include: Review of the facility's Fall Prevention and Follow Up Program, undated, indicated: *Purpose: To identify residents at risk for falling. To minimize the incidence of falls among residents identified to be at risk. To prevent reoccurrence of falls by conducting fall analysis. *Post Fall Interventions: The interdisciplinary team reviews/devices the plan of care and evaluates its effectiveness. 1. […]

• Actual harm, isolatedF656Dec 14, 2021

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was totally dependent and required two staff members for bed mobility and extensive assistance of two staff members for personal hygiene, the Facility failed to ensure staff implemented and followed interventions from his/her plan of care, when on 12/01/21 during the evening shift, Certified Nurse Aide (CNA) #6 provided incontinence care and personal hygiene, which required repositioning the resident, without another staff person present to assist. […]

• Actual harm, isolatedF689Dec 14, 2021

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) who was totally dependent and required two staff members for bed mobility, and extensive assistance of two staff members for personal hygiene, the Facility failed to ensure Resident #1 was provided with the necessary level of assistance to maintain safety and prevent incidents or accidents resulting in an injury. On 12/01/21, a Certified Nurse Aide (CNA) #6 provided incontinence care to Resident #1, which included repositioning him/her, without the assistance of another staff member. […]

• No harm, potential for more than minimal, patternF880Jan 11, 2021

  Based on observations, interviews and facility policy review, the facility failed to implement infection control procedures to reduce the possible transmission of communicable diseases including COVID-19 by failing to (1.) properly wear eye protection and (2.) perform hand hygiene when indicated on 2 of 2 resident wings. Findings include: Review of the Centers for Disease Control guidance titled Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated Dec. […]