Batavia Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Batavia Nursing Care Center, in the surveyor’s own words.

• Actual harm, isolatedF688Oct 31, 2022

  Based on observations, record review and staff interviews, the facility failed to ensure recommendations for passive range of motion were implemented upon discharge from Occupational Therapy services to maintain range of motion. Actual harm occurred when Resident #7 did not receive passive range of motion exercises as recommended and subsequently developed contractures of both upper extremities. This affected one (#7) of one residents reviewed for range of motion. The facility identified 25 residents with contractures. The facility identified 30 residents who were on the restorative nursing program. The facility census was 101. Findings include: Review of Resident #7's medical record revealed an admitted [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF880Oct 31, 2022

  Based on observations, staff interviews, medical record reviews, review of facility policies, and review of the Centers for Disease Control (CDC) prevention online guidance, the facility failed to ensure appropriate isolation precautions and use of Personal Protective Equipment (PPE) were implemented and failed to ensure staff performed adequate hand hygiene when completing care hygienic care. This affected three (#7, #42 and #89) of three residents reviewed for infection control and the potential to affect all residents in the facility. The facility census was 101. Findings include: 1. Review of Resident #7's medical record review revealed an admitted [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF880Sep 26, 2024

  Based on observation, medical record review, staff interview, review of a job description, and facility policy review, the facility failed to maintain infection control practices when handling dirty linens for one (Hall K) of seven halls observed and failed to use proper hand hygiene during incontinence care. This had the potential to affected 16 (#2, #5, #6, #8, #10, #17, #25, #29, #42, #44, #47, #57, #65, #68, #70, and #85) residents who resided on Hall K and one (#83) of two residents observed during incontinence care. The census was 96. Findings included: 1. On 09/23/24 at 10:15 A.M., an observation on Hall K revealed an open resident's door with dirty linens on the floor. […]

• No harm, potential for more than minimal, patternF812Oct 31, 2022

  Based on observation, staff interview and policy review, the facility failed to ensure food storage was maintained in a clean manner to prevent potential food contamination or food borne illness. This had the potential to affect 50 of 50 resident who reside on the affected units. The facility census was 101. Findings include: Observation on [DATE] from 9:50 A.M. through 10:15 A.M., revealed the in the E/F Unit resident refrigerator: the outside of the freezer casket pull away from the top side and corner edge of the door exposing debris; inside the freezer, there was a built up of ice where the door closed, preventing the door from completely shutting and making a complete seal; there was and outside handle missing from the refrigerator door exposing two holes in the door; two large,… […]

• No harm, potential for more than minimal, patternF880Nov 24, 2021

  Based on medical record review, observation, staff interview, review of facility policies, and review of online resources per the Center for Medicare and Medicaid Services (CMS) and the Centers for Disease Control (CDC), the facility failed to ensure staff wore appropriate personal protective equipment (PPE) in resident areas to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This had the potential to affect the residents residing in Unit E (#13, #14, #15, #16, #17, #18, #19, #20, #21, #22 and #23). Additionally, the facility also failed to clearly indicate residents with orders for transmission based precautions ordered by the physician. This affected two (#14 and #25) of 17 facility-identified residents on transmission-based precautions. The census was 100. […]