Every finding on record at Baron House of Hueytown

Based on observations, interviews, record review, and review of facility policy titled Medication Administration, the facility failed to ensure Resident Identifier (RI) #29 did not self-administer a nebulizer treatment on 03/10/2024 without authorization to do so by the attending physician. This affected RI #29, one of one resident sampled for self-administration of medications. Findings include: A review of the facility's policy titled Medication Administration with a reviewed date of 04/2022 revealed the following: POLICY: Medications are administered as prescribed, in accordance with good nursing principles and practices only by persons legally authorized to do so. PROCEDURE: . Residents may be allowed to self- administer medications only when specifically authorized by the attending physician and in accordance with procedures for Self-Administration of Medications. RI #29 was readmitted to the facility on [DATE] with diagnoses to include Chronic Obstructive Pulmonary Disease With (Acute) Exacerbation. RI #29's Order Summary Report documented . Ipratropium-Albuterol Inhalation Aerosol Solution 20-100 . 1 vial inhale orally every 6 hours related to CHRONIC OBSTRUCTIVE PULMONARY DISEASE . On 03/10/2024 at 2:53 PM, surveyor observed RI #29 receiving a nebulizer treatment with no nurse in the room. An interview was conducted with RI #29 on 03/10/2024 at 4:30 PM. RI #29 stated, he/she puts the medication in the nebulizer and gives himself/herself the nebulizer treatments. RI #29 stated, he/she keeps the medication in the room with him/her. An interview was conducted with Registered Nurse (RN) #5 on 03/12/2024 at 8:59 AM. RN #5 stated, the concern of RI #29 administering his/her nebulizer treatment was someone should be in the room monitoring RI #29 during the treatment. An interview was conducted with Director of Nursing (DON) on 03/12/2024 at 10:17 AM. The DON stated, the concern of RI #29 administering his/her own nebulizer treatment was RI #29 was not supposed to be self-administering his/her medication. An interview was conducted with the Medical Director on 03/12/2024 at 2:52 PM. The Medical Director stated, the concern of RI #29 administering his/her nebulizer treatment on 03/10/2024 was he/she did not have an order to self-administer.

Based on resident record review and interview, the facility failed to ensure Resident Identifier (RI) #24's medical record was complete and accurate to include documented evidence of daily wound treatment provided on 03/01/2024 through 03/08/2024 as ordered by physician for RI #24's sacral pressure ulcer. This had the potential to affect RI #24, one of 14 residents for whom records were reviewed. Findings include: RI #24 was readmitted to the facility 12/11/2023 with a diagnosis of End Stage Renal Disease. RI #24's Order Summary Report for active physician orders as of 03/10/2024 documented an order dated 12/26/2023 for a daily wound care treatment to the sacrum that included cleaning the wound and applying skin preparation; covering the wound bed with leptospermum honey and bordered gauze. RI #24's March 2024 Treatment Administration Record (TAR) documented a treatment for daily wound care to the sacrum that included cleaning the wound and applying skin preparation; covering the wound bed with leptospermum honey and bordered gauze. The TAR had spaces for daily documentation by the nurses to sign off as treatments were performed. The spaces for this treatment for 03/01/2024 through 03/08/2024 were blank and had not been signed or documented as provided. On 03/12/2024 at 9:11 AM during an interview with the Director of Nursing (DON), he said, he and the nurses were responsible for doing the treatment for RI #24. The DON was asked to review the March 2024 TAR for RI #24, then was asked who was responsible for signing off the treatment for RI #24 on 03/01/2024 through 03/08/2024. The DON said, Registered Nurse (RN) #3 was the RN that worked 03/02/2024 and 03/03/2024, and he was the nurse that did the treatment 03/04/2024 through 03/08/2024. The DON said, the treatment was to be done daily and he or the nurse working the weekend should have signed the treatment off as being done. The DON said, he did not sign the treatments as done. The DON said, the concern in the treatment not being signed as completed was, it could be looked at as not done, and there could be declines. The DON said, not signing the treatments as completed was an oversight as he would complete the treatments then go to something else and forget to sign it off as done.

Based on interview and review of the Payroll Based Journal (PBJ) Report, the facility failed to report accurate staffing data from October 1, 2023 - December 31, 2023, to Centers for Medicare & Medicaid Services (CMS). This affected one quarter of data reviewed during the survey. Findings include: The PBJ report generated for the quarter of 10/01/2023 through 12/31/2023 documented: . This Staffing Data Report identifies areas of concern that will be triggered . Excessively Low Weekend Staffing . Triggered . Failed to have Licensed Nursing Coverage 24 Hours/Day . Triggered . On 03/12/2024 at 3:49 PM, an interview was conducted with the Director of Clinical Operations. She reported she was informed by her corporate office that the PBJ was submitted in a timely manner, however it was discovered that because the Director of Nursing (DON) and Registered Nurses (RN) were salary positions, they had not been clocking in, and their hours would not be reflected on the PBJ. She stated, it had the potential to affect resident care.

Based on observations, interviews, review of the Maintenance Supervisor Job Description, a facility document titled, Life Safety Checklist, and an anonymous complaint received by the State Survey Agency, the facility failed to ensure: 1) water temperatures in the clean utility sink and in the residents' shower rooms were consistently maintained at safe, comfortable levels. The facility's water pipe froze and burst on 12/24/2022, causing inconsistent water temperatures; and 2) room temperatures for Resident Identifier (RI) #4 and RI #6 were not below 71 degrees Fahrenheit (F) on 02/10/2023 at 8:32 AM. This deficient practice had the potential to affect all 35 residents residing in the facility. Findings include: Cross reference F835 and F867. On 02/07/2023, the State Survey Agency received an anonymous complaint alleging the facility had no hot water and that some of the heaters in residents' rooms were not working. The undated Maintenance Supervisor Job Description documented: Position Description, revealed: . Maintenance Functions: . Repair/replace HVAC (Heating, ventilation, and air-conditioning) systems (ducts, equipment, thermostats) . Repair/replace major and minor plumbing systems, i.e., drainage and supply systems, . Report all hazardous conditions to the Administrator . Maintain an equipment and tool log . 1) On 02/08/2023 at 2:47 PM the water temperature in the clean utility sink where Certified Nursing Assistants (CNAs) reportedly obtained water for bed baths was checked and measured 71 degrees F. One bathroom sink closest to the dietary office in the residents' hallway measured 74 degrees F at 2:49 PM and a bathroom sink past the nurse's station on the opposite end of the residents' hallway measured 72 degrees F at 2:53 PM. On 02/09/2023 at 12:13 PM, Employee Identifier (EI) #1, Administrator, checked the water temperature in the clean utility room sink and reported a temperature of 70 degrees F. EI #1 also measured the water temperatures in Shower room [ROOM NUMBER] and Shower room [ROOM NUMBER] (two of two shower rooms), which measured 70 degrees F and 99 degrees F respectively. The following interviews were conducted with residents regarding water temperature concerns at the facility: - An interview was conducted with RI #2 on 02/08/2023 at 2:29 PM. RI #2 indicated the facility did not have enough hot water for the residents to go to the shower, so they were getting bed baths instead. - An interview was conducted with RI #7 on 02/08/2023 at 2:45 PM. RI #7 reported the facility's hot water had been messed up since the pipes burst a month or so prior, so they had been getting bed baths instead of going to the shower. - An interview was conducted with RI #6 on 02/08/2023 at 3:01 PM. RI #6 reported to the surveyor that the facility's hot water had been out for a while, but he/she was of the impression the facility was working on it. RI #6 was unable to provide any other details. - An interview was conducted with RI #5 on 02/08/2023 at 3:17 PM. RI #5 said he/she had been getting bed baths at times due to some problems with the facility's hot water. RI #5 said the facility was working to address it. No other details were provided by RI #5. The following interviews were conducted with the direct care staff regarding water temperature concerns at the facility: - An interview was conducted with EI #14, a CNA, on 02/09/2023 at 1:51 PM. EI #14 said he had been employed at the facility for approximately two weeks and there had been a problem with the hot water for the duration of that time. - An interview was conducted with EI #11, CNA, on 02/09/2023 at 1:59 PM. EI #11 said they had a pipe burst on Christmas weekend, and did not have hot water afterwards. - An interview was conducted with EI #12, CNA, on 02/09/2023 at 2:21 PM. EI #12 said a pipe burst Christmas weekend, and the facility did not have any hot water. EI #12 further stated someone came and fixed it, but it still did not work for more than a minute and then there would be no more hot water. - An interview was conducted with EI #13, CNA, on 02/09/2023 at 3:04 PM. EI #13 said that the hot water was working before she went on vacation in December, and was not when she returned sometime in January. - An interview was conducted with EI #10, CNA, on 02/09/2023 at 3:16 PM. EI #10 said the facility had been having trouble with the availability of warm water, even before the pipe burst in December. EI #10 said the water would be warm for a little bit, then it would get cold again. EI #10 estimated this problem went back to October or the first of November 2022. On 02/09/2023 at 5:29 PM an interview was conducted with EI #8, Registered Nurse (RN). EI #8 confirmed the CNAs had reported the concern of no hot water to her. She further stated the issue had been going on for at least a couple of weeks, and was told they were working on it. On 02/10/2023 at 12:21 PM an interview was conducted with EI #6, RN/Assistant Director of Nursing (ADON). EI #6 said the concern with no hot water had been an on again, off again problem. EI #6 further stated the most recent issue had been going on for at least a week or two, to her knowledge. On 02/10/2023 at 3:10 PM EI #1, the Administrator, said they had a pipe burst on Christmas Eve (2022) and the water was off for eight hours. He stated the fire department had come and turned the water off. After that, EI #1 said he called the plumbers to fix the busted pipe. However, per EI #1, when they turned the water back on, it was cold. EI #1 said that they were told that it would take five to seven days for the pipes to defrost, so it would be cold for a while. EI #1 said that after seven days the water was still cold, so he called corporate, who contacted the Director of Maintenance at another facility to check on the problem. EI #1 said their facility had not had a maintenance director in the facility since 04/26/2022. EI #1 said even though the Director of Maintenance from the other facility came out to check on it, the water was still not fixed. EI #1 said he then contacted the Maintenance Director to inform him, and he did not show back up to check on it again for another week. When asked what temperature their water should be to ensure the comfort and safety of their residents, EI #1 said between 105 to 110 degrees F. EI #1 said that a homelike environment was not being totally provided if there was not enough hot water for the residents to go to the shower. EI #1 said the hot water problem had not been fully resolved since the pipe burst on 12/24/2022, but the plumbers would be out to the facility on Monday (02/13/2023) to hopefully resolve the issue completely. A Life Safety Checklist, dated January 2023, provided by the facility documented: . Water Temperature Logs - Weekly take water temperatures throughout the center and log. Check to ensure that they are within the regulated temperature range. However, the facility was unable to provide any documented water temperature logs. During a follow-up interview on 02/11/2023 at 10:32 AM, EI #1, Administrator, said he had not been recording the water temperatures in the facility's log because he had so many things going on that he did not get to it. He further stated that the Maintenance Director from the other facility had not logged any water temperatures either. 2) On 02/09/2023 at 1:59 PM an interview was conducted with EI #11, CNA. EI #11 said that the heat in RI #4 and RI #6's room (roommates) did not work sometimes. On 02/09/2023 at 3:16 PM an interview was conducted with EI #10, CNA. EI #10 said that RI #4 and RI #6 had complained that it was cold in their room, so she got two blankets to keep them warm. RI #4 was admitted to the facility on [DATE] with diagnoses of Anemia, Hypothyroidism, and Type Two Diabetes Mellitus. RI #6 was admitted to the facility on [DATE] with diagnoses of Iron Deficiency Anemia and Vitamin B12 Anemia. During an interview with RI #6 on 02/10/2023 at 8:05 AM, RI #6 stated the temperature of the room currently felt fine to him/her, but RI #4 often said he/she was cold. On 02/10/2023 at 8:05 AM, RI #4 was observed lying in bed with the sheet/blanket pulled up. He/she said that he/she was cold. EI #1, Administrator, brought RI #4 another blanket and stated that the maintenance man was on his way from another facility to check on the in-room heating unit. On 02/10/2023 at 8:32 AM, the Director of Maintenance from another facility checked the room temperature in RI #4 and RI #6's room. EI #4 showed the surveyor the readings obtained throughout their room: 63 degrees F, 64.8 degrees F, and 67 degrees F. On 02/10/2023 at 11:47 AM, an interview was conducted with the Maintenance Director from the other facility. He stated a wire had arced in RI #4 and RI #6's room, so he replaced/repaired it that morning. The Maintenance Director said the room temperatures in long term care facilities should be between 71 to 81 degrees F. He confirmed RI #4 and RI #6's room measured below that. On 02/10/2023 at 3:10 PM, EI #1, the Administrator, said according to regulations the temperature in the residents' rooms should be 71 to 81 degrees F when measured three feet from the floor. EI #1 said the concern with the temperature in RI #4 and RI #6's room being less than 71 degrees on 02/10/2023 was that the residents may not be comfortable with the temperature of the room. EI #1 further stated a homelike environment was not being provided at the time the temperature was too low. This deficiency was cited as a result of the investigation of complaint/report number AL00043306.

Based on interviews, review of the Administrator's job description, and review of a facility document titled, Life Safety Checklist, Employee Identifier (EI) #1, the facility's Administrator, who is responsible for directing and overseeing the day to day operations of the facility, failed to ensure that adequate repairs were made in order to consistently maintain comfortable water temperatures after a water pipe burst on 12/24/2022. In addition, the Administrator was not performing and/or was not ensuring that weekly routine checks of facility water temperatures were being performed and logged after concerns were identified. This deficient practice had the potential to affect all 35 residents residing in the facility. Findings include: Cross reference F584 and F867. A review of an undated facility document titled, POSITION DESCRIPTION . Administrator , documented: . Accountability Objective Directs, oversees and manages the 24/7 day to day operations of the . post-acute care center. Key Responsibilities . Ensure compliance with State and Federal Regulations; . A review of a facility document titled, Life Safety Checklist, page 4, dated January 2023, documented: . Water Temperature Logs - Weekly take water temperatures throughout the center and log. Check to ensure that they are within the regulated temperature range. On 02/10/2023 at 3:10 PM, an interview was conducted with EI #1, Administrator. EI #1 said the facility has been experiencing the issue of not having enough hot water since the water pipe burst on Christmas Eve. EI #1 also said the hot water issue had never been fully resolved after the pipe burst on Christmas Eve. On 02/11/2023 at 10:32 AM, a follow-up interview was conducted with EI #1, Administrator. EI #1 said he had not been checking the water temperatures and logging them per the facility's policy. EI #1 said he had not had enough time and had so many things going on that he had not gotten to it. On 02/11/2023 at 1:18 PM, a telephone interview was conducted with EI #5, Regional Plant Operations Manager. EI #5 said that the facility should check water temperatures and log them weekly. EI #5 said it was EI #1, the Administrator's, responsibility for checking and logging the water temperatures weekly. EI #5 said the facility should maintain water temperatures between 105 to 110 degrees Fahrenheit (F). This deficiency was cited as a result of the investigation of complaint/report number AL00043306.

Based on observations, interviews, and review of a facility policy titled, Quality Assurance and Performance Improvement (QAPI), the facility's Quality Assessment and Assurance Committee failed to develop a corrective action plan after identifying that the facility did not have sufficient hot water after a water pipe burst on 12/24/2022. This deficient practice had the potential to affect all 35 residents residing in the facility. Findings include: Cross reference F584 and F835. A review of a facility policy titled, Quality Assurance and Performance Improvement (QAPI), dated February 2017, revealed: Purpose QAPI is a data driven, proactive approach to improving the quality of life, care and services in our centers. The activities of QAPI involve team members at all levels of the organization to identify opportunities for improvement; address gaps in systems or processes; develop and implement an improvement or corrective plan; and continuously monitor the effectiveness of our interventions. On 01/24/2023 the facility held a Quality Assurance and Performance Improvement (QAPI) Meeting to discuss data for December 2022. The Committee Members absent from the meeting included the maintenance position. There was no four-point corrective action plan provided for substandard water temperatures during this survey. On 02/08/2023 at 2:47 PM the water temperature in the clean utility sink where Certified Nursing Assistants (CNAs) reportedly obtained water for bed baths was checked and measured 71 degrees Farenheit (F). One bathroom sink closest to the dietary office in the residents' hallway measured 74 degrees F at 2:49 PM and a bathroom sink past the nurse's station on the opposite end of the residents' hallway measured 72 degrees F at 2:53 PM. On 02/09/2023 at 12:13 PM, Employee Identifier (EI) #1, Administrator, checked the water temperature in the clean utility room sink and reported a temperature of 70 degrees F. EI #1 also measured the water temperatures in Shower room [ROOM NUMBER] and Shower room [ROOM NUMBER] (two of two shower rooms), which measured 70 degrees F and 99 degrees F respectively. On 02/11/2023 at 10:32 AM, an interview was conducted with Employee Identifier (EI) #1, Administrator. EI #1 said that they discussed the water pipe that burst on Christmas Eve during QAPI on 01/24/2023, but did not develop a corrective action plan or implement interventions for the continuous monitoring of water temperatures. This deficiency was cited as a result of the investigation of complaint/report number AL00043306.

Based on interviews, review of Resident Identifier (RI) #1's medical record, and a facility document titled, Medication Error, the facility failed to ensure RI #1, an immunocompromised resident, had his/her prescribed medication Abacavir available at scheduled medication times during his/her stay. This deficient practice affected RI #1, one of three sampled residents reviewed for medications being given as ordered. Findings include: On 11/08/2022 the Alabama State Survey Agency received a complaint which alleged the facility did not administer Abacavir medication as ordered to RI #1, an immunocompromised resident. RI #1, an immunocompromised resident, was admitted to the facility on [DATE]. Review of RI #1's Order Review Report revealed an order dated 09/12/2022, for Abacavir Sulfate Tablet 300 mg (milligrams) by mouth two times a day. Review of RI #1's Medication Administration Records (MARs) for September 2022, revealed that RI #1 missed doses of Abacavir on 9/16 and 9/17/2022. Review of RI #1's MARs for October 2022, revealed that RI #1 missed doses of Abacavir on 10/17, 10/24, 10/27, 10/29, and 10/30/2022. Review of RI #1's MARs for November 2022, revealed that RI #1 missed doses of Abacavir on 11/01, 11/02, 11/03, 11/06, 11/07, 11/08, 11/09 and 11/10/2022. Review of a facility document titled Medication Error, dated 11/09/2022, documented: Incident Description Nursing Description: . informed that patient out of Abacavir Resident Description: Resident stated (he/she) has not received (his/her) medication . Other Info Resident on a program through infectious disease . Family is to pick up medication and bring medication to the facility, this has not occurred and resident went without medication . On 02/10/2023 at 2:12 PM an interview was conducted with Employee Identifier (EI) #3, Registered Nurse (RN)/Previous Interim Director of Nursing. EI #3 was asked when she was made aware that RI #1 had not received his/her ordered Abacavir. EI #3 said she did not recall what all medications RI #1 was taking, but after she researched it, she found out that the family was supposed to be bringing the medication because of a program that RI #1 was enrolled in that supplied the Abacavir, but the family had failed to bring the medication. She said that she called and made arrangements to get the medication in the facility and they did a four-point plan to ensure that all medications were available. On 02/10/2023 at 2:33 PM an interview was conducted with EI #9, RI #1's physician. EI #9 said he was notified that RI #1 did not receive ordered Abacavir at times during his/her stay in the facility. EI #9 stated that he did not recall the exact circumstances, but the facility addressed it and corrected the problem. He further stated that there was no indication of any adverse consequences to RI #1 due to missing doses of the medication. On 02/10/2023 at 3:10 PM an interview was conducted with EI #1, the Administrator. EI #1 said he was made aware by a family member that the resident was not receiving his/her medication Abacavir and he told them that he would make sure that the medication was ordered and available. He further stated that the past Director of Nursing worked with the pharmacy and got the medication ordered and they did a four-point plan to ensure that all medications were available. ************************* Once the facility became aware of the incident involving RI # 1's medication not being available on 11/08/2022, the following corrective action plan was developed and implemented: *Calling the pharmacy to get the medication filled. Vital signs and monitoring signs of the resident. MD notified. Resident notified of medications being out and the infectious disease was notified. No ill-effects identified as a result of the omission of medication not being provided. *Medication audit completed on all current residents to ensure medications on-hand. *Any missing medications would be acquired, and medication error investigation would be initiated. All meds available for every resident. No other incident identified. *On hire, annually and periodically education on medication administration to include what to do if medications are missing at the time of administration will be provided to nurses and medication aides. *Monitoring of medication omissions will be conducted during clinical start-up to ensure medication availability. *Education to nurses and medication aides on medication administration and medication availability procedures. * Weekly monitoring of three random residents will be conducted to ensure all medication is available times four weeks, any concerns identified will be brought to QAPI for further review and updates of plan as required. *After four weeks, if no issues arise, monitoring will continue for three months to ensure substantial compliance, any concerns identified will be brought to QAPI for further review and updates of plan as required. ************************* After review of the information provided in the facility's corrective action plan, in-service/education records, as well as observations and staff interviews, the survey team determined the facility implemented corrective actions from 11/08/2022-12/31/2022; thus, past noncompliance was cited. This deficiency was cited as a result of the investigation of complaint/report number AL00042214.

Based on observations, interviews, review of a facility document titled, Blood Glucose Monitoring Audit and review of a facility policy titled, Injectable Medication Administration, the facility failed to ensure that Employee Identifier (EI) #8, a Registered Nurse (RN): 1) washed her hands and donned gloves prior to obtaining Resident Identifier (RI) # 7's Fingerstick Blood Sugar (FSBS), 2) washed her hands and donned gloves prior to administering RI #7's insulin injections, and 3) washed her hands after administering RI #7's insulin injections prior to returning to the medication cart and placing the insulin pens back in a plastic bag and into the medication cart drawer. These deficient practices affected RI #7, one of four residents, and one of two nurses observed during medication pass observations. Findings include: A review of a facility document titled, Blood Glucose Monitoring Audit, dated February 2023, documented: . 5. Washes hands and don gloves. 11. Removes gloves and washes hands. A review of a facility policy titled, Injectable Medication Administration, reviewed/updated on 04/2022, revealed: . 1. Perform hand hygiene before preparing medication and before and after administration . 12. Apply gloves . RI #7 was readmitted to the facility on [DATE] with diagnoses including Type 2 Diabetes Mellitus Without Complications. On 02/09/2023 at 4:06 PM, EI #8, a RN, was observed administering a PO (by mouth) medication to RI #7 without washing or sanitizing her hands and without donning gloves. EI #8 was observed obtaining RI #7's FSBS and administering 36 U (units) of Lantus insulin in RI #7's left arm without washing or sanitizing her hands. EI #8 also did not don gloves. Next, EI #8 walked around to the other side of RI #7's bed and administered 12 U of Humalog insulin in his/her right arm without washing or sanitizing her hands and without donning gloves. Then, EI #8 left RI #7's room, returned to the medication cart, placed the lancet and needles in the sharp container, recapped both insulin pens and placed them in a plastic bag and returned them to a drawer in the medication cart before washing or sanitizing her hands and without applying gloves. On 02/09/2023 at 5:29 PM, an interview was conducted with EI #8, RN. EI #8 said that she knew she should have worn gloves when she obtained RI #7's FSBS and when she administered his/her insulin injections, but she did not because she was nervous. EI #8 stated she should have worn gloves to prevent cross contamination. EI #8 said she should wash her hands any time she comes into contact with blood, drainage, or anything like that. She further stated that she failed to wash or sanitize her hands after obtaining RI #7's FSBS and administering his/her insulin, which created concerns for cross contamination and infection control. On 02/10/2023 at 5:00 PM a telephone interview was conducted with EI #2, RN/Director of Nursing/Infection Control Preventionist. EI #2 stated the nurse should wash or sanitize her hands during medication administration before, after and then during, depending on the type of medications they were giving. EI #2 said a nurse should wear gloves when giving insulin, obtaining a FSBS, or when touching a resident. EI #2 stated that there could be exposure to the unknown and cross contamination if gloves were not worn during tasks involving blood products. This deficiency was cited as a result of the investigation of complaint/report number AL00042214.

Based on interviews, review of medical records, the facility's policy titled COVID-19 Education, Prevention & Response Guide, the facility's testing logs, and the facility's agreements (contracts) with Transportation Company #1 and Transportation Company #2, the facility failed to ensure the contracted transportation company employees that provided non-emergent transportation to Resident Identifier (RI) #1, RI #2, RI #3, and RI #4, were tested for COVID-19 in accordance with the facility's staff testing requirements. This deficient practice affected RI #1, RI #2, RI #3 and RI #4, four of four residents who are routinely transported non-emergently to [MEDICAL TREATMENT]. Findings include: The facility's policy titled COVID-19 Education, Prevention & Response Guide, dated 9/14/2020, documented Appendix J. COVID-19 Testing Regulations The following guidance is in compliance with CMS (Centers for Medicare & Medicaid Services) QSO (Quality, Safety & Oversight) memo 20-38 . Staff includes team members, consultants, contractors, volunteers, and caregivers who provide care and services to residents on behalf of the center . Testing Frequency . Routine Testing: . Test all team members based on the extent of [MEDICAL CONDITION] in the community, using CMS' published county positivity rate in the prior week as the trigger for team member testing frequency . Important notes on the criteria established above: . Center staff can be tested elsewhere (e.g. by another employer) if it is completed in the same timeframe and the results are documented by the center . Results of tests for team members should be given to the team members and also records on the test result log . The (name of Transportation Company #1) Transportation Service Agreement for Diversicare of Hueytown (Baron House of Hueytown) signed 10/19/2019 indicated they provide ambulatory/wheelchair/geri chair non-emergency medical transportation for the residents of the facility. The facility's AGREEMENT FOR AMBULANCE AND MEDICAL TRANSPORT SERVICES documented THIS AGREEMENT is made this 1st day of January, 2018, by and between (name of Transportation Company #2) (hereinafter referred to as Ambulance Service) and, Baron House of Hueytown, LLC, (hereinafter referred to as Facility:) . indicated the facility has an agreement with Transport Company #2 to provide non-emergency medical transportation for the residents of the facility. RI #1 was readmitted to the facility on [DATE]. RI #1 has a medical history to include [DIAGNOSES REDACTED]. RI #1's physician orders [REDACTED]. An undated, typed document provided by the facility titled (RI #1), revealed RI #1 was transported by Transportation Company #1 to [MEDICAL TREATMENT] on: 9/15/2020, 9/17/2020, 9/19/2020, 9/22/2020, 9/24/2020, 10/6/2020, 10/8/2020, 10/10/2020 and 10/13/2020. RI #1 was transported by Transportation Company #2 to [MEDICAL TREATMENT] on: 9/26/2020, 9/29/2020, 10/1/2020 and 10/3/2020. RI #2 was admitted to the facility on [DATE]. RI #2 was transferred and admitted to a local hospital on [DATE] and then readmitted to the nursing facility on 10/7/2020. RI #2 has a medical history to include [DIAGNOSES REDACTED]. RI #2's physician orders [REDACTED]. An undated, typed document provided by the facility titled (RI #2) revealed the resident was transported to [MEDICAL TREATMENT] on: 8/27/2020, 8/29/2020, 9/1/2020, 9/3/2020, 9/5/2020, 9/8/2020, 9/10/2020, 9/12/2020, 9/15/2020, 9/17/2020, 9/19/2020, 9/22/2020, 9/24/2020, 9/26/2020, 9/29/2020, 10/8/2020, 10/10/2020 and 10/15/2020. RI #3 was admitted to the facility on [DATE] with an admitting [DIAGNOSES REDACTED]. RI #3's physician orders [REDACTED]. An unsigned, undated document provided by the facility indicated RI #3 was transported to [MEDICAL TREATMENT] by a contracted transportation company on 10/12/2020, 10/14/2020 and 10/16/2020. RI #4 was admitted to the facility on [DATE] with an admitting [DIAGNOSES REDACTED]. RI #4 was transferred and admitted to a local hospital on [DATE] and then readmitted to the nursing facility on 6/9/2020. RI #4's physician's orders [REDACTED]. An undated, typed document provided by the facility titled (RI #4) revealed the resident was transported to [MEDICAL TREATMENT] on: 8/27/2020, 8/29/2020, 9/1/2020, 9/3/2020, 9/5/2020, 9/8/2020, 9/10/2020, 9/12/2020, 9/15/2020, 9/17/2020, 9/19/2020, 9/22/2020, 9/24/2020, 9/29/2020, 10/1/2020, 10/3/2020, 10/6/2020, 10/8/2020, 10/10/2020, 10/13/2020 and 10/15/2020. In an interview on 10/15/2020 at 6:25 PM, Employee Identifier (EI) #1, the facility's Administrator was asked what company the facility used to provide transportation to the residents. EI #1 replied, the name of Transportation Company #1 and stated they provide transport to physician appointments and [MEDICAL TREATMENT] as needed. When asked if the facility had a contract with Transportation Company #1, EI #1 said yes, it was signed on 10/19/2019. EI #1 was asked if the facility required the transport drivers to be tested and he said no. When asked why not, EI #1 replied because they were not direct caregivers and they didn't come inside the building. When asked if the transport drivers have direct contact with the residents, EI #1 said yes. EI #1 was asked if he felt the transport drivers needed to be tested and he replied, that he never thought of it because they didn't come inside the building. When asked if the facility was testing the transport drivers on a weekly basis, EI #1 replied no. During a follow-up interview on 10/16/2020 at 12:00 PM, EI #1, the facility's Administrator stated Transportation Company #1 provides transportation services to the facility's residents and Transportation Company #2 provides transportation to the residents of the facility who are COVID-19 positive. EI #1 stated he didn't deem Transportation Company #1 or Transportation Company #2 as facility staff when asked if they met the definition of facility staff. According to QSO-20-38-NH (Nursing Home) dated 8/26/2020, published by the Centers for Medicare & Medicaid Services . Facility staff includes employees, consultants, contractors, volunteers, and caregivers who provide care and services to residents on behalf of the facility, and students in the facility's nurse aide training programs or from affiliated academic institutions . On 10/16/2020 at 1:15 PM an interview was conducted with EI #2, the Regional Director of Clinical Operations and EI #1, the facility's Administrator. EI #2 was asked would the transport companies that provide non-emergency transportation to the facility's residents be included as staff according to QSO-20-38-NH. EI #2 replied yes and explained the only exclusion would be State Surveyors and 911/emergency personnel. When asked if the facility were testing the contracted transport companies, the answer was no. When asked why not, the reply was we interpreted it differently; we will have to start testing everyone.

Based on observation, interview and the review of a manual titled Potter / Perry Fundamentals of Nursing Ninth Edition, the facility failed to ensure Employee Identifier (EI) #2, Licensed Practical Nurse (LPN) and EI #3, Registered Nurse (RN) did not leave medication carts unlocked and unattended while administering medications. This deficient practice affected two of the four licensed staff observed during medication administration. Findings include: A review of a manual titled Potter /Perry Fundamentals of Nursing Ninth Edition, year (YEAR), revealed . Distribution Systems . Health care agencies have a special area for stocking and dispensing medications. Examples of storage areas include . locked carts, . Medication storage areas need to be locked when unattended. On 10/23/19 at 5:01 p.m., the surveyor observed EI #2 walk into resident's room after gathering supplies and left the medication cart unlocked and unattended. At this time, the surveyor opened a drawer on the medication cart to check the locked status of the cart. There was a visitor who walked out of the room and passed the cart as the nurse entered the resident's room. The medication cart was positioned in the middle of the hallway. On 10/23/19 at 5:03 p.m., the surveyor conducted an interview EI #2. The surveyor asked EI #2 how did she leave the medication cart lock positioned. EI #2 said unlocked. The surveyor asked EI #2 what was the issue with leaving the medication unlocked and unattended. EI #2 said patients can get into the medication cart. On 10/24/19 at 8:46 a.m., the surveyor observed a medication cart unlock and unattended, positioned in the middle of the hallway. The surveyor opened two of the drawers of the unlocked/unattended medication cart to verify the lock position. RI #3, was in a resident's room with the door closed. On 10/24/19 at 8:48 a.m., the surveyor conducted an interview with EI #3. The surveyor asked EI #3 what was the position of the lock on the medication cart. EI #3 said unlocked. The surveyor asked EI #3 what was the issue with the medication cart being left unlocked and unattended. EI #3 said a resident could have gotten into the medications from the medication cart. On 10/24/19 at 11:36 a.m., the surveyor conducted an interview with EI #1, Director of Nursing (DON). The surveyor asked EI #1 when could a medication cart be left unlocked and unattended. EI #1 said at no time. EI #1 was asked what was the issue with leaving the medication cart unlocked and unattended. EI #1 said safety.

Based on observation, interview, record review and a review of a policy titled, Infection Control, the facility failed to ensure licensed staff did not: 1. place an ungloved finger on the rim of a medication cup before administering medications to RI #4; 2. place [MEDICATION NAME] medication box inside of his uniform pocket to take into Resident Identifier (RI) #4's room and 3. place the [MEDICATION NAME] box on the unclean bedside table with no barrier. These deficient practices had the potential to affect one of five residents observed during medication administration. Finding included: A review of a facility policy titled, Infection Control, with as effective date of 11/01/17, revealed POLICY STATEMENT . prevent and manage transmission of diseases and infections. RI #4 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. On 10/23/19 at 8:27 a.m., the surveyor observed Employee Identifier (EI) #4, Registered Nurse (RN): 1. pick up a medication cup by the rim with ungloved fingers before giving medication to RI #4; 2. place a [MEDICATION NAME] medication box inside of his uniform pocket then pick up a box of gloves and Kleenex from the medication cart and 3. place the [MEDICATION NAME] box, box of gloves and Kleenex on the unclean bedside table. The surveyor then observed EI #4 return the [MEDICATION NAME] box to the inside of the medication cart and place the box of gloves and Kleenex on the side of the cart. On 10/23/19 at 8:33 a.m., the surveyor conducted and interview with EI #4. The surveyor asked EI #4 how did he pick up the medication cup. EI #4 demonstrated picking up a medication cup with his ungloved fingers over the rim of the cup. The surveyor asked EI #4 how did he carry the box of [MEDICATION NAME] into the resident's room. EI #4 said inside of his pocket. The surveyor asked EI #4 where did he place the [MEDICATION NAME] box and the box of gloves and Kleenex once he entered RI #4's room. EI #4 said on the bedside table. The surveyor asked was there a barrier on the bedside table. EI #4 said no. The surveyor asked EI #4 what was the issue with placing those items on an unclean surface. EI #4 said infection control. On 10/24/19 at 11:22 a.m., the surveyor conducted an interview with EI #1. The surveyor asked EI #1 when could a nurse place their ungloved fingers/hand on the rim of a medication cup that had medications to be administered. EI #1 said they should never do that. The surveyor asked EI #1 when could a nurse carry a medication box containing a medication in their pocket, place it on the resident's bedside table then return the box to the medication cart. EI #1 said they should never. The surveyor asked EI #1 what was the issue with this. EI #1 said infection control.

Based on observation, interview, and review of the (YEAR) Food Code, the facility failed to prevent potential cross contamination by ensuring air gaps existed between the floor drains and the drain pipes for the three compartment pots and pans sink, the dish sink/disposal, and the automatic dish machine. This deficient practice had the potential to affect 26 of 26 residents receiving meals from the kitchen. Findings Include: A review of the (YEAR) Food Code revealed: .5-402.11 Backflow Prevention (A) .a direct connection may not exist between the SEWAGE system and a drain originating from EQUIPMENT in which FOOD, portable EQUIPMENT, or UTENSILS are placed . On 11/13/18 at 10:44 a.m., during the initial tour of the kitchen area, the surveyor observed there was no air gap at the drains for the three compartment pots and pans sink, the dish sink/disposal and the dishmachine. All three pipes extended into one floor drain. On 11/14/18 at 4:55 p.m., an interview was conducted with Employee Identifier (EI) #5, Dietary Manager. EI #5 was asked did the drain have an air gap. EI #5 said she was not sure. EI #5 called EI #6, Director of Maintenance. EI #6 was asked if he saw an air gap. EI #6 replied no. EI #6 was asked how far did the three drain pipes extend into the floor drain. EI #6 said, the wash sink/disposal extended approximately three inches below the floor drain, the three compartment pots and pans sink extended approximately two and one half inches below the floor drain and the dishmachine extended approximately two inches below the floor drain. EI #6 was asked, should there have been an air gap at the floor drain. EI #6 said yes. EI #6 was asked what would be the potential harm if there was a backflow of the sewage system. EI #6 answered, cross contamination.

Based on observations, medical record review and interviews, the facility failed to ensure a Registered Nurse did not stand while assisting Resident Identifier (RI) #1 and RI #4 with their lunch meal on 11/14/18. This affected RI #1 and RI #4, two of 26 residents observed during meals. Findings Include: RI #1 was readmitted to the facility on [DATE], with a [DIAGNOSES REDACTED]. On 11/14/18 at 12:21 p.m., during the dining observation in the main dining room, the surveyor observed Employee Identifier (EI) #3, Registered Nurse (RN), assisting/cuing RI #1 with eating while in a standing position beside RI #1's wheelchair. RI #4 was readmitted to the facility on [DATE], with a [DIAGNOSES REDACTED]. On 11/14/18 at 12:21 p.m., during the dining observation in the main dining room, the surveyor observed RI #4 being served lunch. EI #3 was observed assisting RI #4 with eating while in a standing position beside RI #4's chair. On 11/14/18 at 1:14 p.m., an interview was conducted with EI #3, RN. EI #3 was asked how should she be positioned when assisting a resident with eating. EI #3 replied, she was not sure what that meant. EI #3 was asked how was she positioned when assisting RI #1 with eating. EI #3 said she was standing beside his/her chair. EI #3 was asked how was she positioned when she was assisting RI #4 with eating. EI #3 replied, she was standing. On 11/15/18 at 4:08 p.m., an interview was conducted with EI #1, RN/Director of Nursing (DON). EI #1 was asked, should a staff member stand while assisting a resident with eating. EI #1 said no. EI #1 was asked what was the concern with standing while assisting a resident with eating. EI #1 answered, it was a dignity thing and they should have been at eye level.

Based on observations, interviews and medical record review, the facility failed to ensure Resident Identifier (RI) #4's lunch meal on 11/14/18, was served on a divided plate as stated on RI #4's care plan for assistive devices. This affected RI #4, one of three residents who required assistive devices for eating. Findings Include: RI #4 was readmitted to the facility on [DATE], with a [DIAGNOSES REDACTED]. A review of RI #4's Risk for Alteration in Nutrition and Dehydration Care Plan revealed: .Divided plate with meals . A review of RI #4's tray card revealed: .Adap (Adaptive) Equip (Equipment): Divided Plate; . On 11/14/18 at 12:21 p.m., during the dining room observation in the main dining room, the surveyor observed Employee Identifier (EI) #3, Registered Nurse (RN) assisting RI #4 with eating the lunch meal from a regular plate. On 11/14/18 at 1:14 p.m., an interview was conducted with EI #3, RN. EI #3 was asked to look at RI #4's tray card. EI #3 was asked what the tray card said RI #4's food should be served on. EI #3 said, divided plate. EI #3 was asked, what was RI #4's food served on for lunch. EI #3 replied, a regular plate. EI #3 was asked should RI #4's meal be on a regular plate. EI #3 answered no.

Based on observation, interview and review of facility policies titled, Handwashing/Hand Hygiene and Eye Drop Administration, the facility failed to ensure a Licensed Nurse washed her hands and changed gloves appropriately during medication administration for Resident Identifier (RI) #3 on 11/14/18. This affected RI #3, one of four residents observed during medication administration observation and one of three nurses observed. Findings Include: A review of a facility policy titled, Handwashing/Hand Hygiene with an effective date of (MONTH) 1, (YEAR), revealed: .General Infection Control Practices 5. Use an alcohol-based hand rub, or alternatively, soap and water for the following situations: k. After removing gloves; .7. The use of gloves does not replace handwashing/ hand hygiene. A review of a facility policy titled, Eye Drop Administration dated 06/15, revealed: .B. Put on examination gloves.J. If another drop of the same or different medication is prescribed for the same eye at the same time .repeat procedure above . RI #3 was readmitted to the facility on [DATE]. On 11/14/18 at 4:11 p.m., during medication administration observation for RI #3, the surveyor observed Employee Identifier (EI) #7, Licensed Practical Nurse (LPN), administer RI #3's pill medication. EI #7 applied gloves to administer RI #3's eye drops without washing her hands or using hand sanitizer. EI #7 placed one drop of Pred Forte in RI #3's right eye, wiped the tip of the bottle with Kleenex and put the cap back on the bottle. While still wearing the same gloves, EI #7 administered one drop of [MEDICATION NAME] in RI #3's right eye, removed her gloves, and returned to the cart and used hand sanitizer. On 11/14/18 at 4:57 p.m. an interview was conducted with EI #7. EI #7 was asked when should she wash her hands when using gloves. EI #7 said, before and after. EI #7 was asked did she wash or use hand sanitizer after she gave RI #3's [MEDICATION NAME] and before she applied gloves to administer RI #3's eye drops. EI #7 replied no. EI #7 was asked should she have. EI #7 stated yes. EI #7 was asked did she wash her hands and change her gloves in between administration of the Pred Forte and [MEDICATION NAME] drops for RI #3's right eye. EI #7 said, no, because the eye drops were in the same eye. EI #7 was asked what was the concern with not washing her hands and changing gloves appropriately when administering multiple eye drops. EI #7 answered, germs and infection control. On 11/15/18 at 4:08 p.m., an interview was conducted with EI #1, Registered Nurse/Director of Nursing/Infection Control Coordinator. EI #1 was asked, when should a nurse wash her hands when using gloves. EI #1 said prior to putting them on and after taking them off. EI #1 was asked, when administering eye drops should a nurse wash their hands or use hand sanitizer. EI #1 replied, prior to putting gloves on and when she takes them off, wash them again. EI #1 said with multiple drops, take the gloves off after the first drop, wash her hands and put on gloves to administer the second drop and wash again after removing those gloves. EI #1 was asked what was the concern with not washing hands and changing gloves when appropriate. EI #1 answered, infection control.

Based on observation, interviews, and a review of a facility policy titled, Food Holding Temperatures on Food Service Line and a facility document tiled, Production Sheet-Copy of Southern 4 SB F/W 2017-2018, the facility failed to ensure the cold food items temperatures were taken and recorded on the Production Sheet during the lunch meal on 01/31/2018. This deficient practice had the potential to affected 30 of 32 residents who received meals from the kitchen. Finding include: A review of a facility policy titled, Food Holding Temperatures on Food Service Line, with an effective date of January 1, 2017 revealed: Policy .All foods will be served at appropriate temperatures to ensure resident/patient acceptance while reducing the risk of foodborne illness. PR(NAME)EDURE 1 .3 .the temperatures will be taken prior to each meal service.5. Temperatures will be recorded on the Production Sheet form . On 1/31/18 at 11:47 a.m., the surveyor observed the lunch tray line. All the food items temperatures on the tray line were taken. The surveyor observed no one taking the temperature of the milk, sysco shake and fruit salad being served nor did staff write the temperature of the milk, sysco shake and fruit salad on the Production Sheet-Copy of Southern 4 SB F/W 2017-2018 form where food temperatures are logged. On 2/1/18 at 9:00 a.m., an interviewed was conducted with EI (Employee Identifier) #2 , Dietary Staff/Cook. EI #2 was asked if the cold food items served on 01/31/18 temperatures were taken prior to serving. EI #2 said, No Ma'am. EI #2 was asked should cold food items temperatures have been taken on 1/31/18 prior to serving. EI #2 said, Yes they should have been tempted. EI #2 was asked why it is important to take the temperatures of all food items prior being served. EI #2 said, Because of bacteria, food borne illness and to keep our residents from being sick. On 2/1/18 at 9:10 a.m., an interview was conducted with EI #3, Dietary Manager. EI #3 was asked who is responsible for ensuring food temperatures are taken on all food items prior to serving. EI #3 said she was responsible. EI #3 was asked were the temperature taken on the cold food items on 1/31/18 during the lunch meal. EI #3 said, No. EI #3 was asked should the cold food items have been measured for temperatures prior to serving. EI #3 said, Yes. EI #3 was asked why it is important to take the temperatures on all food items, hot and cold prior to serving. EI #3 said, because you have a temperature danger zone between 41 degrees and 135 degrees and bacteria can start to grow during the danger zone.

Based on a review of RI (Resident Identifier) #17's MDS (Minimum Data Set), record review, a review of the smoking assessment, and interview, the facility failed to accurately assess RI #17 as a tobacco user on the resident's 12/01/2017 annual comprehensive MDS. This affected one of two sampled residents identified as smokers. Findings Include: RI #17 was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of RI #17's most recent annual MDS with an ARD (Assessment Reference Date) of 12/01/2017 revealed the resident had a BIMS(Brief Interview of Mental Status) score of 15 which indicated RI #17 was cognitively intake. Further review of RI #17's MDS revealed RI # 17 was coded as a non-tobacco user. The surveyor reviewed RI #17's Care Plan which focused on RI #17's tobacco use, stating the resident was at risk for smoking related injury and stated the goal was for RI #17 not to having any smoking related injuries. RI #17 had a Smoking Assessment with an effective date of 12/07/2017. RI #17's Care Plan and Smoking Assessment revealed the resident's use of tobacco. RI #17's MDS did not reflect the resident's use of tobacco. An interview was conducted with EI (Employee Identifier) #1, DON (Director of Nursing) on 02/01/2018 at 9:05 a.m. EI #1 reviewed RI #17's annual MDS dated [DATE]. EI #1 was asked was she familiar with RI #17. EI #1 said yes. EI #1 was asked if RI #17 was identified as a smoker. EI #1 said yes. EI #1 was asked why should RI #17's use of tobacco be reflective with RI #17's MDS. EI #1 said for RI #17's safety. EI #1 was asked was the resident's MDS reflective of his/her use of tobacco. EI #1 said no. EI #1 was asked what was the potential harm in coding a tobacco user as a non-tobacco user on the MDS. EI #1 explained if it was not coded right it would not trigger.

Based on interviews, medical record review, review of a facility policy titled, 5.3: DISCONTINUED MEDICATIONS, and review of Potter and Perry, Fundamentals of Nursing, Ninth Edition, Chapter 23, Legal Implications in Nursing Practice, the facility failed to ensure Licensed Nurses did not administer Santyl ointment to Resident Identifier (RI) #30 for six days after an order was received to discontinue the medication on 04/11/18. This affected RI #30, one of two residents sampled for wounds. Findings Include: Review of Potter and Perry, Fundamentals of Nursing, Ninth Edition, Chapter 23, Legal Implications in Nursing Practice, page 311, revealed the following: . Health Care Providers' Orders . Nurses follow health care providers' orders unless they believe that the orders are in error . A review of a facility policy titled, 5.3: DISCONTINUED MEDICATIONS, revised (MONTH) 2014, documented: .[NAME] The nurse documents the order to discontinue the medication in the resident's record. The physician's orders [REDACTED]. Medications are removed from the medication cart or active supply immediately upon receipt of an order to discontinue (to avoid inadvertent administration). RI #30 was readmitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. A review of a facility document titled, WOUND CARE SPECIALIST EVALUATION dated 04/11/2018, revealed an order to discontinue the daily Santyl treatment to RI #30's stage three pressure ulcer to the sacrum. In addition, a new order was written for calcium alginate once daily for 30 days. RI #30's (MONTH) (YEAR) Medication Administration Record [REDACTED] .Santyl Ointment . Apply to Sacrum area . The MAR indicated [REDACTED]. On 04/19/2018 at 12:17 p.m., an interview was conducted with Employee Identifier (EI) #4, Registered Nurse (RN)/Assistant Director of Nursing Services(ADNS)/Treatment Nurse. EI #4 was asked did she know why the Santyl order was not discontinued when the Calcium Alginate was ordered. EI #4 said she discontinued it but there must have been another order in the system that she overlooked. On 04/19/2018 at 1:33 p.m., an interview was conducted with EI #6, Licensed Practical Nurse (LPN). EI #6 was asked did she perform treatments as part of her job. EI #6 said yes, if there was soiling or something of that nature, or if the treatment nurse was not there. EI #6 was asked did she recall administering Santyl on 04/14/18 for RI #30. EI #6 replied yes, if she signed it she did it because she always looks at the orders before she signs them. On 04/19/2018 at 2:00 p.m., a telephone interview was conducted with EI #11, LPN. EI #11 was asked did she ever perform treatments for RI #30. EI #11 said yes she did. EI #11 was asked did she recall if she performed treatments on 04/15, 04/16 and 04/17/18 to RI #30 for Santyl ointment. EI #11 replied yes, she did. EI #11 was asked was she aware of an order change to Calcium Alginate. EI #11 answered no, the Santyl was what was on the MAR, so she administered it. On 04/19/2018 at 2:19 p.m., an interview was conducted with EI #8, RN. EI #8 was asked did she perform a treatment for [REDACTED]. EI #8 said yes she did. EI # 8 was asked was she aware that RI #30's treatment order changed from Santyl to Calcium Alginate. EI #8 replied no, she was not aware. She said that she applied Santyl because it was listed on the MAR. On 04/19/2018 at 3:11 p.m., an interview was conducted with EI #1, RN/Director of Nursing Services (DNS). EI #1 was asked what occurred when the Santyl order for RI #30 was discontinued on 04/11/18 by the wound doctor. EI #1 answered apparently the order was put in the computer system, but there was no hard copy of the order for the change to Calcium Alginate or. EI #1 further stated the order to discontinue the Santyl was not written until 04/18/18. EI #1 was asked what was the concern with orders not being transcribed correctly to discontinue medications. EI #1 said if the order stays active on the MAR, the nurses are likely to administer the medication. EI #1 was asked was that what happened with RI #30's Santyl. EI #1 replied yes.

Based on interviews, medical record review, review of a facility policy titled, 5.3: DISCONTINUED MEDICATIONS, and review of Potter and Perry, Fundamentals of Nursing, Ninth Edition, Chapter 23, Legal Implications in Nursing Practice, the facility failed to ensure Licensed Nurses did not administer Santyl ointment to Resident Identifier (RI) #30 for six days after an order was received to discontinue the medication on 04/11/18. This affected RI #30, one of two residents sampled for wounds. Findings Include: Review of Potter and Perry, Fundamentals of Nursing, Ninth Edition, Chapter 23, Legal Implications in Nursing Practice, page 311, revealed the following: . Health Care Providers' Orders . Nurses follow health care providers' orders unless they believe that the orders are in error . A review of a facility policy titled, 5.3: DISCONTINUED MEDICATIONS, revised (MONTH) 2014, documented: .A. The nurse documents the order to discontinue the medication in the resident's record. The physician's orders [REDACTED]. Medications are removed from the medication cart or active supply immediately upon receipt of an order to discontinue (to avoid inadvertent administration). RI #30 was readmitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. A review of a facility document titled, WOUND CARE SPECIALIST EVALUATION dated 04/11/2018, revealed an order to discontinue the daily Santyl treatment to RI #30's stage three pressure ulcer to the sacrum. In addition, a new order was written for calcium alginate once daily for 30 days. RI #30's (MONTH) (YEAR) Medication Administration Record [REDACTED] .Santyl Ointment . Apply to Sacrum area . The MAR indicated [REDACTED]. On 04/19/2018 at 12:17 p.m., an interview was conducted with Employee Identifier (EI) #4, Registered Nurse (RN)/Assistant Director of Nursing Services(ADNS)/Treatment Nurse. EI #4 was asked did she know why the Santyl order was not discontinued when the Calcium Alginate was ordered. EI #4 said she discontinued it but there must have been another order in the system that she overlooked. On 04/19/2018 at 1:33 p.m., an interview was conducted with EI #6, Licensed Practical Nurse (LPN). EI #6 was asked did she perform treatments as part of her job. EI #6 said yes, if there was soiling or something of that nature, or if the treatment nurse was not there. EI #6 was asked did she recall administering Santyl on 04/14/18 for RI #30. EI #6 replied yes, if she signed it she did it because she always looks at the orders before she signs them. On 04/19/2018 at 2:00 p.m., a telephone interview was conducted with EI #11, LPN. EI #11 was asked did she ever perform treatments for RI #30. EI #11 said yes she did. EI #11 was asked did she recall if she performed treatments on 04/15, 04/16 and 04/17/18 to RI #30 for Santyl ointment. EI #11 replied yes, she did. EI #11 was asked was she aware of an order change to Calcium Alginate. EI #11 answered no, the Santyl was what was on the MAR, so she administered it. On 04/19/2018 at 2:19 p.m., an interview was conducted with EI #8, RN. EI #8 was asked did she perform a treatment for [REDACTED]. EI #8 said yes she did. EI # 8 was asked was she aware that RI #30's treatment order changed from Santyl to Calcium Alginate. EI #8 replied no, she was not aware. She said that she applied Santyl because it was listed on the MAR. On 04/19/2018 at 3:11 p.m., an interview was conducted with EI #1, RN/Director of Nursing Services (DNS). EI #1 was asked what occurred when the Santyl order for RI #30 was discontinued on 04/11/18 by the wound doctor. EI #1 answered apparently the order was put in the computer system, but there was no hard copy of the order for the change to Calcium Alginate or. EI #1 further stated the order to discontinue the Santyl was not written until 04/18/18. EI #1 was asked what was the concern with orders not being transcribed correctly to discontinue medications. EI #1 said if the order stays active on the MAR, the nurses are likely to administer the medication. EI #1 was asked was that what happened with RI #30's Santyl. EI #1 replied yes.

Based on interview, medical record review and a facility policy titled, Discharge Summary Requirements, the facility failed to ensure a discharge summary was completed for RI (Resident Identifier) #36 a resident who discharged from the facility on 11/20/17. This affected one of one resident sampled for discharge. Finding Include: A review of a facility policy titled, Discharge Summary Requirements with no effective date revealed: Guidelines: To provided for a safe departure from the center and provide a summary of the patients service provided during a length of stay . Processes: 1. In the situation where the patient is being discharged .home, the patient's attending physician should completed a Discharge Summary describing the patient's condition during the period of stay of which that physician was responsible for physician's care and services . RI #36 was admitted to the facility on [DATE] and discharged home on[DATE]. A review of RI #36's medical record did not reveal a discharge summary. On 2/1/18 at 4:40 p.m., an interview was conducted with EI (Employee Identifier) #4, RN/Registered Nurse Medical Records. Surveyor asked EI #4 to review RI #36's medical record for a discharge summary. EI #4 said the facility gave RI #36 a discharge booklet with a list of all his/her medications, doctor's appointment and the name of the home health care agency. EI #4 was asked did the medical doctor complete a discharge summary on RI #36 who was discharged from this facility on 11/20/17. EI #4 said, No, he did a progress note.