Celebrate SR Living of Moline

In the surveyor’s words

From the most serious findings on record at Celebrate SR Living of Moline, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880May 20, 2021

  Based on observation, interview and record review the facility failed to construct a secure barrier between the COVID-19 positive unit and the non-COVID-19 unit, cohort quarantined residents, provide dedicated staff for the COVID-19 positive unit, follow transmission based precautions, provide an anteroom for donning and doffing of personal protective equipment (PPE) for the COVID-19 positive unit and failed to ensure non-quarantined residents, staff and vendors wore required PPE while in the facility during a COVID-19 outbreak. […]

• Actual harm, isolatedF697Mar 15, 2024

  Based on observation, interview and record review the facility failed to comprehensively assess pain and effectively manage pain for one resident (R67) of three residents be reviewed for pain. This failure has resulted in ineffective pain management and ongoing expression of moderate to severe pain by R67. Findings include: The Facility's Pain Management Policy dated 3/26/21 documents: It will be the standard of this facility to screen residents and attempt to provide effective pain and comfort management. Residents may additionally be screened for pain quarterly, annually, upon change of condition or upon resident report of new pain or newly observed non-verbal signs and symptoms of potential pain. […]

• Actual harm, isolatedF686Feb 17, 2023

  Based on observation, interview and record review, the facility failed to notify the physician for an identified sign of infection in a pressure ulcer for one resident (R7). The facility also failed to identify a pressure ulcer and notify the physician for one resident (R18). These failures effected two out of four residents reviewed for pressure ulcer in a sample of 47. This failure caused a delay in treatment resulting in R7 being admitted to the Intensive Care Unit (ICU) for septic shock due to an infection in his stage IV right hip pressure ulcer. Findings include: The facility's Standards and Guidelines: SG Wound Care policy dated 3/27/21, documents 11. Document the progression of the wound being treated. […]

• Actual harm, isolatedF689Jul 12, 2021

  Based on observation, interview and record review the facility failed to implement fall prevention interventions for one resident (R1) of three residents reviewed for falls. This failure resulted in R1 sustaining a ground level fall resulting in a [CONDITION(S)] injury that required local emergency room Care and sutures. Findings include: Facility Fall Prevention policy, revised 3/27/21, documents: It will be the standard of this facility to complete an initial assessment, on-going monitoring/evaluation of resident condition and subsequent intervention development in an attempt to prevent falls and injuries related to falls; The staff will discuss the resident's risk factors for falling and obtain orders from the Physician for appropriate fall preventative devices as needed; After a fall,… […]

• Actual harm, isolatedF740May 20, 2021

  Based on observation, interview and record review the facility failed to provide behavioral health care services and interventions for one of five residents (R30) reviewed for behaviors in the sample of 54. This failure resulted in R30 expressing feelings of worthlessness, recurrent thoughts of wanting to die and expressions of emotional pain. Findings include: Facility Policy/Behavioral Health Services dated 3/21/21 documents: The facility will develop and implement person-centered Care Plans that include and support the behavioral health care needs identified in the comprehensive assessment. The facility will develop individualized interventions related to the resident's diagnosed condition. […]