Calcasieu Community Care Center

In the surveyor’s words

From the most serious findings on record at Calcasieu Community Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881Oct 9, 2024

  Based on record review and interview, the facility failed to maintain an effective antibiotic stewardship program to monitor antibiotic use by failing to develop an antibiotic stewardship program with effective surveillance and tracking and trending of antibiotic use. This deficient practice had the potential to effect a census of 115. Findings: Review of the policy titled Antibiotic Stewardship, with a revised date of December 2022, facility did not provide a review date, read in part: Antibiotics will be prescribed and administered to residents under the guidance of the facility's Antibiotic Stewardship program. Policy Interpretation and Implementation: The purpose of our antibiotic stewardship program is to monitor the use of antibiotics in our residents. Surveillance: 1. […]

• No harm, potential for more than minimal, widespreadF882Oct 9, 2024

  Based on interview and record review, the facility failed to ensure that the individual designated as the Infection Preventionist, completed specialized training in infection prevention and control. This had the potential to affect a census of 115residents. Findings: On 10/08/2024, a review of the facility's policy titled Infection Preventionist with a revision date of December 2022, revealed the following in part: Professional Training 1. The infection preventionist is professionally -trained in nursing, medical technology, microbiology, epidemiology, or other related field with at least the following professional training: a. a nurse must have earned a certificate/diploma or degree in nursing Specialized Training: 1. […]

• No harm, potential for more than minimal, patternF692Oct 9, 2024

  Based on observations, interview and record review, the facility failed to prepare mechanically altered therapeutic diets to meet the nutritional requirements for 4 (#52, #88, #93 and #106) residents out of 8 (#28, #37, #52, #68, #88, #93, #96 and #106) residents reviewed for weight and nutrition. The facility did not use the recommended liquid additive consistently when preparing pureed foods as defined by the recipe, and not serve residents' meals according to planned nutritional menus as recommended by the registered dietitian for residents #52, #88, #93, and #106 who received puree diets and found to have weight loss. 1) Resident #52 had a weight loss of 9.17% in 3 months and a 17.86% in less than 6 months. […]

• No harm, potential for more than minimal, patternF803Oct 9, 2024

  Based on observation, and interviews, the facility failed to ensure recipes for pureed foods and menus were followed for residents who recieved puree diets. This deficient practice affected 8 (#28, #37, #52, #68, #88, #93, #96 and #106) of 8 residents that received a pureed diet. Findings: On 10/07/2024 at 10:55 a.m., a review of the facility's lunch menu revealed the residents should have received: Chicken thighs with barbecue sauce, baked beans, Texas toast and vanilla [NAME] dessert. On 10/07/2024 at 11:00 a.m., an observation was made of S7KS (kitchen staff) preparing the pureed food for eight residents prescribed pureed diets. While preparing the baked chicken, he placed the meat from 12 chicken wings into the food processor, added 6 teaspoons of thickener and 4 cups of water. […]

• No harm, potential for more than minimal, patternF867Oct 9, 2024

  Based on review of the Quality Assurance and Performance Improvement (QAPI) Program and interview, the facility failed to take actions aimed at performance improvement and after implementing those actions, measure its success and track performance. This was evidenced by lack of evidence of: 1. Measuring or tracking success of actions implemented; 2. collection and analysis of data; and, 3. in-services conducted with staff. This deficient practice had the potential to affect a census of 115 residents. […]