Blessing Hospital Snu

In the surveyor’s words

From the most serious findings on record at Blessing Hospital Snu, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 1, 2021

  Based on observation, interview, and record review, the facility failed to consistently use cool down temperature logs to ensure potentially hazardous food items are safely cooled in the recommended time period; discard outdated food items (Asian dressing; cherry pie filling, sliced onion, sausage patties), label all perishable food items (chicken salad; Parmesan cheese; raw chicken; fresh pineapple, [MEDICATION(S)]; ham); record thaw date on food items taken out of the freezer (beef cubes); maintain a clean can opener, can opener base, slicer and convection ovens; and keep ladles out of dry food items (brown rice). […]

• No harm, potential for more than minimal, isolatedF695Oct 17, 2024

  Based on observation, interview, and record review the facility failed to follow a physician's order for oxygen for one of one resident (R115) reviewed for oxygen therapy in the sample of 16. Findings include: The Oxygen Delivery policy dated 11/2023 documents Upon physician order, a licensed respiratory therapist (RT) or respiratory student working under a licensed RT will provide supplemental oxygen to adult, pediatric, and infant patients to treat or prevent hypoxia. R115's Physician Order dated 10/14/24 at 9:09 AM, documents 2 (two) liters of oxygen per cannula only at night. On 10/15/24 at 10:55 AM, 10/16/24 at 10:33 AM, and 10/17/24 at 12:13 PM, R115 was sitting in his room wearing oxygen. […]

• No harm, potential for more than minimal, isolatedF758Aug 31, 2023

  Based on interview and record review the facility failed to ensure all as needed psychotropic medications were only ordered for 14 days for 2 residents (R60 and R162) of five residents reviewed for psychotropic medications, in a total sample of 11. Findings include: The Facility's undated Psychotropic Medication Administration and Monitoring policy documents As needed psychotropics will be limited to 14 days, at which time the Attending Physician will assess the current need for the drug prior to reordering. R60's current Physician Order Sheet documents an order dated 8/8/23, Lorazepam .25 mg (milligrams) by mouth every 6 hours as need for anxiety. The Lorazepam order documented a stop date of 8/29/24. […]

• No harm, potential for more than minimal, isolatedF578Jul 1, 2021

  Based on interview, and record review, the facility failed to ensure a code status was recorded correctly on the electronic health records for one of eight residents (R160) reviewed for Advance Directives in a sample of 19. Findings include: A facility Advance Directive policy dated ,d+[DATE] documents: Adult patients have the right to formulate advance directives and Advance Directive: A written instruction prepared by a person, recognized under state law, which provides directives on how their future medical decisions will be made when the person is not capable of making decisions for him/herself. R160's Electronic Orders (POS) dated [DATE], document that R160 was admitted on [DATE] and further documents: Code Status: No cardiopulmonary resuscitation (no CPR). […]

• No harm, potential for more than minimal, isolatedF700Jul 1, 2021

  Based on observation, interview, and record review, the facility failed to attempt to use appropriate alternatives prior to instilling a side rail, failed to assess the resident for risk of entrapment before rails were installed and failed to ensure the bed's dimensions were appropriate for the residents size and weight for 4 of 12 residents (R56, R57, R58, R59) reviewed for side rails in the sample of 19. Findings: The Bed Rail Information for Residents and Families dated 07/2020, documents Bed rails (side rails) are not used routinely, and only used if alternatives fail or are not appropriate and assessment indicates the need for a bed rail, (regulations) indicate that prior to bed rails (side rails) use, the resident must be assessed for benefits of use and risk of entrapment between… […]