Broadview Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF684Nov 29, 2023

  Based on record review and interviews, the facility failed to provide services in accordance with currently accepted professional principles for one Resident (#1) out of three residents reviewed for blood sugar managements out of a total sample of six residents. Resident #1, who had a diagnosis of diabetes and was on diabetic medication, did not have his blood glucose levels consistently monitored by the facility. Resident #1 was sent to the hospital on 10/18/23 when he was lethargic with a diagnosis of hyperglycemia. For three days, 10/25/23 to 10/27/23, Resident #1 had high blood glucose readings above 300 milligrams per deciliter (mg/dl), with normal being 70-130 mg/dl. The facility staff failed to monitor the resident for signs and symptoms of high glucose levels. […]

• Actual harm, isolatedF684Feb 16, 2022

  Based on observations, record review and interview, the facility failed to ensure that the resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (#1) of six residents reviewed for quality of care of seven sample residents. Resident #1 had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident was administered sliding scale insulin based on his blood sugar levels that were checked by the nurses prior to administration. On 2/3/22 at 8:35 a.m. Resident #1 developed continuous high blood sugar (BS), and increased respiration. The facility failed to follow the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident's condition continued to deteriorate and at 7:14 p.m. […]

• No harm, potential for more than minimal, patternF761Feb 15, 2024

  Based on observations, record review and interviews, the facility failed to ensure all drugs and biologicals were properly stored in two of four medication carts and in one of one medication storage room. Specifically, the facility failed to ensure: -Medications were labeled with the date opened; and, -Expired and discontinued medications were removed from the medication carts in a timely manner. Findings include: I. Professional references According to the manufacturer Sanofi Aventis US, How to Use Your Lantus Solostar Pen ([DATE]), retrieved on [DATE] from https://www.lantus.com/dam/jcr:817aed9c-a,d+[DATE]cd6-a6b3-d93d8aba629a/lantus-solostar-pen-guide.pdf, After 28 days, throw your opened Lantus pen away, even if it still has insulin in it. […]

• No harm, potential for more than minimal, patternF812Nov 17, 2022

  Based on observation, interview, and record review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility failed to maintain nurse unit refrigerators used for resident snacks and nourishment on three of three nurse units with proper temperatures to prevent foodborne illness, and without accurate temperature logs or cleaning. These failures had the potential to cause foodborne illness among residents who eat food prepared in the facility's kitchen and stored in the unit refrigerators. Findings include: I. […]

• No harm, potential for more than minimal, patternF550Apr 12, 2022

  Based on interviews and record review, the facility failed to ensure residents on two out of three units had the right to a dignified existence. Specifically, the facility failed to ensure: -Residents experienced a dignified living experience by answering the call lights timely according to the previous three months of resident council meeting minutes reviewed with no facility response or action; -Resident #4 experienced a dignified living experience by answering the call lights timely; and, -Resident #1 had access to her call light to call for assistance when needed. Findings include: I. Facility policy and procedure The Call Light: Accessibility and Timely Response policy, undated, was received from the nursing home administrator (NHA) on 4/12/22 at 12:30 p.m. […]