Bluebird Wellness and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Bluebird Wellness and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF686Jul 12, 2024

  See Event ID 56TT12. Based on observation, interview, and record review, the facility failed to ensure treatments were completed as ordered by the physician for three residents (Resident #19, #21, and #22). Facility nursing staff documented the treatments as completed, although they were not completed. The facility identified 15 residents with pressure ulcers. Four were sampled and problems were found with three. The census was 164.

• Immediate jeopardy, isolatedF686Aug 27, 2024

  See Event ID 56TT13. This deficiency is uncorrected. For previous examples, refer to the Statement of Deficiencies dated 7/12/24. Based on observation, interview and record review, the facility failed to ensure staff followed facility policies by failing to ensure nurses assessed and notified the physician of Resident #29's right buttock/right ischium (lower and back part of the hip bone) when Certified Nursing Assistants (CNAs) alerted the nurses of issues for the resident's skin and documented open areas on bath sheets. The resident also requested the facility's former Wound Nurse (WN) assess his/her bottom, but she refused. The resident's request was witnessed by CNA N. […]

• Immediate jeopardy, isolatedF686Jun 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure treatments were completed as ordered by the physician for three residents (Resident #19, #21, and #22). Facility nursing staff documented the treatments as completed, although they were not completed. The facility identified 15 residents with pressure ulcers. Four were sampled and problems were found with three. The census was 164. Review of the facility's undated Skin Care & Wound Management Overview policy and procedure, included the following: -Definitions: Pressure ulcer is defined as a localized injury to skin and/or underlying tissue usually over a bony prominence, as a result of pressure in combination with shear and/or friction; -Policy: -The facility staff strives to prevent resident skin… […]

• Immediate jeopardy, isolatedF686Jun 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure treatments were completed as ordered by the physician for three residents (Resident #19, #21, and #22). Facility nursing staff documented the treatments as completed, although they were not completed. The facility identified 15 residents with pressure ulcers. Four were sampled and problems were found with three. The census was 164. Review of the facility's undated Skin Care & Wound Management Overview policy and procedure, included the following: -Definitions: Pressure ulcer is defined as a localized injury to skin and/or underlying tissue usually over a bony prominence, as a result of pressure in combination with shear and/or friction; -Policy: -The facility staff strives to prevent resident skin impairment… […]

• Immediate jeopardy, isolatedF600Mar 24, 2023

  Based on observation, interview, and record review, the facility failed to ensure one resident was free from abuse when Certified Nursing Assistant (CNA) Y and CNA X confronted and yelled at resident #85 regarding money they thought the resident stole and when CNA X struck the resident at least twice, with one time being in the face. In addition, prior to CNA X striking the resident, the facility's Staffing Coordinator (SC) entered the resident's room with the resident, CNA X, CNA Y and CNA Z. The SC reported the resident appeared terrified, but left the resident in the room with the CNAs without supervision and/or without removing the resident from the room and away from the CNAs. The sample size was six. […]