Blue River Healthcare, Inc

In the surveyor’s words

From the most serious findings on record at Blue River Healthcare, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Sep 26, 2024

  Based on observation and interview, the facility failed to ensure air vents were clean and in good repair for three (#1, 2, and #3) of three sampled residents reviewed for a clean and homelike environment. The administrator identified 45 residents resided in the facility. Findings: A Cleaning and Disinfecting Residents' Rooms policy, dated August 2013, read in part, .Environmental surfaces will be disinfected (or cleaned) on a regular basis .and when surfaces are visibly soiled .Clean curtains, window blinds, and walls when they are visibly soiled or dusty . 1. On 09/25/24 at 12:53 p.m., Resident #1 was observed in their room (room [ROOM NUMBER]). The air vent closest to the resident was observed to be slightly open and covered with dust. […]

• No harm, potential for more than minimal, patternF600Sep 26, 2024

  Based on observation, record review, and interview, the facility failed to prevent an inappropriate relationship between a staff member and resident, and ensure a resident was free from abuse for one (#1) of one sampled resident reviewed for abuse. The administrator identified 45 residents resided in the facility. They stated there was one allegation of abuse in the past 30 days. Findings: An Abuse Investigation and Reporting policy, dated July 2017, read in part, .The Administrator will inform the resident and his/her representative of the status of the investigation and measures taken to protect the safety and privacy of the resident .Upon conclusion of the investigation, the investigator will record the results of the investigation on approved documentation forms and provide the… […]

• No harm, potential for more than minimal, patternF684Mar 10, 2022

  Based on record review, observation, and interview, the facility failed to assess and monitor [CONDITION(S)] for one (#1) of one resident reviewed for [CONDITION(S)]. The administrator reported 42 residents resided in the facility. Findings: Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A significant change assessment, dated 11/19/21, documented the resident was moderately impaired with cognition and required extensive assistance with activities of daily living. The assessment documented the resident was frequently incontinent of bladder and always continent of bowel. The assessment documented no skin issues. A care plan, updated 02/18/22, documented the resident was at risk for excess fluid volume related to [CONDITION(S)]. […]

• No harm, potential for more than minimal, isolatedF677Aug 29, 2024

  Based on observation, record review, and interview, the facility failed to provide showers as scheduled for one (#29) of three residents reviewed for assistance with activities of daily living. The administrator reported a facility census of 48 residents. Findings: An Activities of Daily Living policy, dated March 2018, documented in part, .Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene .Appropriate care and services will be provided for .hygiene (bathing, dressing, grooming) . Resident #29 was admitted with diagnoses which included diabetes mellitus, chronic kidney disease, and chronic pain. […]

• No harm, potential for more than minimal, isolatedF755Aug 29, 2024

  Based on observation, record review, and interview, the facility failed to administer medications per physician orders for two (#11 and #41) of five residents reviewed for following physician orders. The facility reported two medication errors in the last 90 days. Findings: An Administering Medications policy, dated April 2019, documented in part, .Medications are administered in accordance with prescriber orders, including any required time frame .The individual administering the medication checks the label three (3) times to verify the .right time .before giving the medication . 1. Resident #11 was admitted with diagnoses which included diabetes mellitus, polyarthritis, hypertension, hypothyroidism, acute kidney failure, anxiety, and chronic pain. […]