Buckingham at Norwood, The

In the surveyor’s words

From the most serious findings on record at Buckingham at Norwood, The, in the surveyor’s own words.

• Immediate jeopardy, widespreadF728Nov 7, 2024

  Based on interviews, and a review of pertinent facility documents, it was determined that the facility failed to ensure that a non-certified Nursing Aide (NA #1) received the required training and competencies needed prior to receiving their own assignment and rendering resident care which included but not limited to; bathing, toileting, transferring, feeding, personal hygiene, and grooming. This was identified for 1 of 9 NAs reviewed (NA#1) who provided direct care to residents on 5 of 5 nursing units. NA #1 was hired on 6/17/24, as a Hospitality Aide. […]

• Immediate jeopardy, isolatedF880Jul 14, 2023

  Based on observations, interview, and policy review, the facility failed to clean and disinfect glucometers per the manufacturer's recommendation. This facility failure to properly clean and disinfect multi-use glucometers has the potential to increase the likelihood of transmission of blood-borne pathogens for two of 30 residents (Resident (R) 351 and R 11) receiving blood sugar monitoring. On 7/13/23 at 2:59 PM, the Administrator and the Director of Nursing (DON) were notified of immediate jeopardy (IJ) in the following area: at F880-: Infection Control. […]

• Immediate jeopardy, isolatedF689Feb 14, 2023

  COMPLAINT#: NJ161036, NJ161038 Based on interviews, medical records reviews, and review of other pertinent facility documentation on 2/3/2023, 2/6/2023, 2/7/2023, and 2/14/2023, it was determined that the facility failed to appropriately supervise and monitor a severely cognitively impaired resident (Resident #2), with a known history of wandering, and Aggressive Behavior. The facility failed to ensure Resident #2, who has a known diagnosis of Unspecified Dementia, Unspecified Severity, Without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance, Anxiety, Syncope, Collapse, Unspecified Lack of Coordination, and Wandering In Diseases Classified plan of care was implemented for monitoring the Resident's location every shift and as needed and to document observed behaviors and… […]

• Actual harm, isolatedF656Feb 14, 2023

  Complaint #: NJ161036, NJ161038 Based on interviews, medical records reviews, and review of other pertinent facility documentation on 2/3/2023, 2/6/2023, 2/7/2023, and 2/14/2023, it was determined that the facility failed to ensure care plan interventions were implemented for a resident (Resident #2) who is cognitively impaired and has a history of wandering, resulting in the resident being hospitalized with a Subdural Hematoma. The facility also failed to follow its policy titled Comprehensive Care Plans for 1 of 4 residents reviewed for CP (Resident #2). […]

• No harm, potential for more than minimal, widespreadF868Nov 7, 2024

  Based on the interview and review of pertinent facility documentation, the facility failed to have the Infection Preventionist present for three (3) of three (3) quarterly Quality Assurance Performance Improvement (QAPI) meetings. This failure had the potential to affect all 156 residents who currently live in the facility. The deficient practice was evidenced by the following: On 10/29/24 at 11:02 AM, the surveyor met with the Licensed Nursing Home Administrator (LNHA), Assistant Administrator (AA), and the Registered Nurse/Unit Manager during an Entrance Conference meeting. The LNHA confirmed that day census (total number of residents) of 156. […]