Bay Path at Duxbury Nursing & Rehabilitation CTR

In the surveyor’s words

From the most serious findings on record at Bay Path at Duxbury Nursing & Rehabilitation CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF711May 17, 2023

  Based on record review, interviews, and policy review, the facility failed to ensure the Physician signed and dated all orders for 12 Residents (#11, #51, #80, #105, #71, #50, #108, #21, #52, #5, #56, and #67), out of a total sample of 22 residents. Findings include: Review of the facility's policy titled Medication Orders, dated April 2014, included but was not limited to: -Supervision by a Physician: -Physician orders/Progress notes must be signed and dated every thirty (30) days. (Note: this may be changed to every sixty (60) days after the first ninety (90) days of the resident's admission) 1. […]

• No harm, potential for more than minimal, isolatedF880Jul 9, 2024

  Based on observation, interview, and record review, the facility failed to adhere to infection control procedures during a wound dressing change for one Resident (#26) of a sample size of 22 residents. Findings include: The surveyor was provided as the facility policy the form titled Competency Assessment Dressing, Dry/Clean, dated 2018, which indicated but was not limited to the following: -The purpose of this procedure is to provide guidelines for the application of dry, clean dressings. -Verify that there is a physician's order for this procedure. -Assemble the equipment and supplies needed. Date and initial all bottles and jars upon opening (unless product is single use). Wipe nozzles of wound cleanser with alcohol wipe or facility disinfected wipe. […]

• No harm, potential for more than minimal, isolatedF552May 17, 2023

  Based on record review, interview, and policy review, the facility failed to ensure residents and/or their representatives were informed and given necessary information to make health care decisions including the risks and benefits of psychotropic medications prior to their use for one Resident (#50), out of a total sample of 22 residents. Findings include: Review of the facility's policy titled Psychotropic Medication Use Consent, effective date 11/17, indicated but was not limited to: - Prior to administering psychotropic medication the prescriber will discuss with the resident or resident representative the reason for prescribing the medication, dosage, anticipated effects of the drug therapy and the most commonly noted side effects. […]

• No harm, potential for minimal, patternF641Jul 9, 2024

  Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the Resident's status for two Residents (#44 and #70), out of a sample of 22 residents. Specifically, the facility failed: 1. For Resident #44, to accurately reflect hospice services; and 2. For Resident #70, to accurately reflect Post Traumatic Stress Disorder (PTSD) Findings include: 1. Resident #44 was admitted to the facility in September 2022 with diagnoses including left sided hemiplegia, hypertension and dementia. Review of Resident #44's current physician's orders indicated he/she had an order for Cranberry Hospice, order date 2/14/24. […]