Casas Adobes Post Acute Rehab Center

In the surveyor’s words

From the most serious findings on record at Casas Adobes Post Acute Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF600Apr 12, 2024

  Based on clinical record review, staff and resident interviews, and a review of the facility's policy and procedures, the facility failed to protect the rights of five residents (#1, #4, #2, #5, and #3) to be free from abuse from other residents. The deficient practice could lead to further abuse and residents being placed in an unsafe environment. Findings include: Regarding to resident #4 and resident #5 -Resident #5 was admitted on [DATE] with diagnoses of dementia, cognitive communication deficit, and heart disease. The quarterly MDS (Minimum Data Set) assessment dated [DATE] revealed a BIMs (Brief Interview for Mental Status) score of 8 indicating the resident had moderate cognitive impairment. […]

• No harm, potential for more than minimal, patternF658Mar 28, 2024

  Based on clinical record review, staff interviews, observation of current facility practice and review of the facility's policies, the facility failed to ensure controlled medications were provided and accounted for in accordance with professional standards for 4 residents (#52, #358, #27) The deficient practice could result in diversion of resident medication. Findings include: -Resident #52 was admitted to the facility on [DATE] with diagnoses that included cognitive communication deficit, rheumatoid arthritis, morbid obesity, and bipolar disorder. The quarterly Minimum Data Set (MDS), dated [DATE] revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated the resident is cognitively intact. […]

• No harm, potential for more than minimal, patternF600Feb 14, 2024

  Based on clinical record review, staff interviews, facility documentation, policies and procedures, the facility failed to ensure that five residents (#1, #3, #4, #5, #6) were free from abuse from other residents. The deficient practice could result in other residents being abused. Findings included: Regarding Resident #1 and #2: Resident #1 was admitted to the facility on [DATE] with diagnoses that included schizoaffective disorder, cognitive communication deficit, atherosclerotic heart disease, syncope, hypertension, and mild neurocognitive disorder. A review of the quarterly MDS (minimum data set) assessment dated [DATE] for resident #1 revealed a BIMS (brief interview of mental status) score of 7, indicating moderate impact on cognition. […]

• No harm, potential for more than minimal, patternF658Dec 8, 2022

  Based on clinical record review, staff interviews and review of facility policy and procedures, the facility failed to ensure weekly weights for one resident (#12) were completed as ordered by the physician. The deficient practice could result in resident not receiving the appropriate care and treatment they need. Findings include: -Resident #12 was admitted on [DATE] with diagnoses of diabetes mellitus, end stage renal disease, and Bipolar disorder. An Admission Minimum Data Set (MDS) dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 3, which indicated resident had severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF698Dec 8, 2022

  Based on clinical record review, staff interviews and facility documentation, the facility failed to ensure that ongoing assessment and monitoring for complications before and after dialysis was provided to one resident (#12). The deficient practice could result in resident not provided with treatment and care according to their assessed needs. Findings include: Resident #12 was admitted on [DATE] with diagnoses of end stage renal disease, traumatic brain injury, and bipolar disorder. An admission Minimum Data Set (MDS) dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 3, which indicated severe cognitive impairment. The assessment also included that the resident received dialysis. […]