Blue Palms Health and Rehabilitation Center of del

In the surveyor’s words

From the most serious findings on record at Blue Palms Health and Rehabilitation Center of del, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 22, 2023

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to complete temperature logs for the dish machine and ice cream box, properly clean and sanitize the kitchen ice machine, fryer, upper and lower-level of convection oven, can opener, oven tray lines, and grill; date mark numerous open food packages in the dry storage room, on the bread rack, under the food prep table, in the refrigerator, and in the freezer. […]

• No harm, potential for more than minimal, patternF880Apr 2, 2025

  Based on interview and record review, the facility failed to establish an infection prevention and control program (IPCP) that included a system for preventing, identifying, reporting, investigating, and controlling infections, specifically, the spread of a gastrointestinal infection (GI) affecting 15 (Residents #208, #32, #42, #36, #22, #207, #21, #24, #35, #51, #40, #1, #8, #14 and #20) of 50 residents living in the facility. Failure to control the spread of infection can result in serious harm to residents, staff, volunteers, visitors, and other individuals providing services to the facility. Facility staff also failed to implement enhanced barrier precautions (EBP) for two (Residents #1 and #304) of two residents with indwelling devices from a total survey sample of 30 residents. […]

• No harm, potential for more than minimal, isolatedF645Apr 2, 2025

  Based on interview and record review, the facility failed to ensure that a Level II Preadmission Screening and Resident Review (PASRR) evaluation was completed after a Level 1 screening suggested the possibility of a serious mental illness for one (Resident #6) of one resident reviewed for PASRR, out of 30 residents in the total survey sample. The findings include: A review of Resident #6's medical record revealed an initial admitted [DATE] with the most recent readmission on 4/25/2024. […]

• No harm, potential for more than minimal, isolatedF656Apr 2, 2025

  Based on observations, interviews, and record review, the facility failed to develop comprehensive care plans that included measurable objectives and timeframes to meet residents' medical, nursing, mental, and psychosocial needs for four (Residents #1, #40, #24 and #31) of 30 residents reviewed for care planning from a total survey sample of 30 residents. The findings include: 1. On 3/30/25 at 11:30 AM, Resident #1 was observed in bed with a pressure relieving mattress, catheter bag hanging at bedside, bilateral boots to prevent pressure wounds, and a peripherally inserted central catheter (PICC) line in the left upper arm. A review of the medical record revealed that Resident #1 was initially admitted on [DATE]. […]

• No harm, potential for more than minimal, isolatedF684Apr 2, 2025

  Based on record review and interview, the facility failed to provide treatment and care in accordance with professional standards of practice for two (Residents #304 and #305) of 30 residents in the total survey sample. Resident #304 was not provided adequate care for a Jackson Pratt (JP) drain, and the facility failed to obtain a timely hospice consult per physician's orders for Resident #305, who was admitted on [DATE], with a physician's order for Consult [provider name] Hospice dated 3/12/25 at 12:55 PM. As of 4/2/25, three weeks after the order was written and on the last day of the survey, there was no documented evidence that a hospice consult had been obtained. The findings include: 1. […]