Blue Ash Health & Rehab

In the surveyor’s words

From the most serious findings on record at Blue Ash Health & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 6, 2022

  Based on medical record review, observation, staff interviews, local police employee interviews, review of the facility investigation, review of the witness statements, review of the 15-minute check documentation, review of the local police report, review of a local police records screen shot for times the local police received the call, review of the policy on elopement and review of the policy on missing residents, the facility failed to provide adequate supervision to prevent one resident (#47), with severe cognitive impairment, from eloping from the facility without staff knowledge. […]

• Immediate jeopardy, isolatedF695Jan 6, 2022

  Based on observation, record review, resident and staff interviews, and policy review, the facility failed to ensure suctioning equipment was available at the bedside to provide suctioning to a resident with a [CONDITION(S)] to maintain an open airway. This resulted in Immediate Jeopardy for one (Resident #22) resident when staff could not locate the suctioning equipment, the resident went into respiratory distress and 911 had to be called to treat the resident. Resident #22 was admitted to the hospital for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected one (#22) of two residents reviewed for [CONDITION(S)] care of three residents reviewed for respiratory care. The facility identified two residents (#22 and #37) with tracheostomies. […]

• Immediate jeopardy, isolatedF690May 4, 2021

  Based on closed medical record review, hospital record review and staff interviews, the facility failed to ensure one resident with an indwelling urinary catheter upon admission was assessed for removal of the catheter as soon as possible and failed to provide care and services to prevent Catheter Associated Urinary Tract Infection (CAUTI). This resulted in Immediate Jeopardy and serious life-threatening harm when one resident (Resident #20) suffered an acute change in condition and was sent to the hospital for evaluation and treatment. The resident was admitted to the hospital with diagnoses of [CONDITION(S)], severe [CONDITION(S)] with a urinary source, and pyuria (pus in the urine). This affected one (Resident #20) of two residents identified with indwelling urinary catheters. […]

• Actual harm, isolatedF684Aug 26, 2024

  Based on medical record review, review of hospital records, and resident and staff interviews the facility failed to provide adequate care and services to prevent constipation. This resulted in harm on 08/22/2024 when Resident #15 was sent to the hospital and received treatment for a large fecal impaction. This affected one of three resident sampled for constipation. The facility census was 51. Findings include: Review of the medical record revealed Resident #15, was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF697Jan 6, 2022

  Based on record review, observation, interview and policy review, the facility failed to ensure a resident's pain was managed. This resulted in actual harm to Resident #22 who had uncontrolled pain because his [MEDICATION(S)] patches were not changed in a timely manner and the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected one (Resident #22) of one resident reviewed for pain management. The facility identified ten residents on a pain management program. The census was 47. Finding include: Record review for Resident #22 revealed an admitted [DATE]. His medical diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]