Barrington of Carmel, The

In the surveyor’s words

From the most serious findings on record at Barrington of Carmel, The, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Jun 9, 2023

  Based on observation, interview and record review, the facility failed to ensure residents sitting at the same table were all served before assisting other residents for 12 of 17 residents observed for dining. Finding includes: During an observation, on 6/7/23 at 12:18 p.m., the cook carried two plates to a table of six residents sitting against the wall by the windows. The cook then carried two more plates to another table of six residents sitting at the entrance of the dining room. […]

• No harm, potential for more than minimal, isolatedF692Jun 9, 2023

  Based on observation, interview and record review, the facility failed to notify the MD (medical doctor) about a greater than 5% weight loss in 3 days according to the order for 1 of 2 residents reviewed for nutrition. (Resident 7) Finding includes: During an interview, on 06/07/23 at 1:34 p.m., Resident 7's daughter indicated the resident was getting food which was against her gluten-free diet, and it was giving her diarrhea. The record for Resident 7 was reviewed on 06/08/2023 at 9:35 a.m. […]

• No harm, potential for more than minimal, isolatedF727Jun 9, 2023

  Based on interview and record review, the facility failed to ensure a Registered Nurse was in the facility for 8 hours during a 24-hour period for 2 days of the second quarter reviewed for sufficient staffing. (March 11 and 12, 2023) Finding includes: A Payroll-Based Journal (PBJ) Staffing report, for the second quarter of 2023, indicated the facility failed to have licensed nurse coverage for 2/11, 2/12, 2/19, 2/25, 2/26, 3/4, 3/11, 3/12, 3/18, 3/19, 3/25 and 3/26/2023. During an interview, on 6/8/23 at 10:15 a.m., the Director of Nursing (DON) indicated she did not believe the facility went twelve days without Registered Nurse (RN) coverage. They always work with at least two nurses each shift. The facility scheduled a RN daily. […]

• No harm, potential for more than minimal, isolatedF758Jun 9, 2023

  Based on interview and record review, the facility failed to ensure staff knew how to monitor residents for the serious side effect of EPS (extrapyramidal side effects) which can be caused by antipsychotic medications for 2 of 5 residents reviewed for unnecessary medications (Resident 14 and 4). Findings include: 1. The record for Resident 14 was reviewed on 6/8/23 at 9:54 a.m. Diagnoses included, but were not limited to, psychotic disorder with hallucinations due to a known physiological condition, Parkinson's disease, and dementia without behavioral disturbance. A physician's order, dated 5/22/23, indicated quetiapine (an antipsychotic) 25 mg (milligram) give one half tablet at bedtime related to the psychotic disorder with hallucinations due to a known physiological condition. […]

• No harm, potential for more than minimal, isolatedF583Jun 15, 2022

  Based on observation, interview and record review, the facility failed to ensure a resident received privacy during an assessment for 1 of 2 residents reviewed for privacy. (Resident 2) Finding includes: During an observation, on 06/08/22 at 12:42 p.m., the Psychiatric Nurse Practitioner (NP 2) was observed in the dining room, during the mid day meal, asking Resident 2 questions. The questions which were asked in the dining room, with other residents, dietary staff and a CNA present, were about her sleep patterns, her mood, whether the resident was happy or sad, if she was better on [MEDICATION(S)] (an antidepressant) and if she was participating in activities. During an interview, on 06/08/22 at 12:46 p.m., NP 2 indicated the dining room was not an appropriate area to ask those questions. […]