Cimarron Pointe Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF755Jul 14, 2023

  Based on record review and interview, the facility failed to ensure medications were administered as ordered for two (#14 and #79) of three sampled residents reviewed for medication administration. The Resident Census and Conditions of Residents report, dated 07/12/23, documented 31 residents resided in the facility. Findings: The facility's Pharmacy Services policy, revised 04/2019, read in parts, .Pharmacy services are available to residents 24 hours a day, seven days a week .Residents .receive medications (routine, emergency or as needed) in a timely manner . The facility's Medication Orders policy, revised 11/2014, read in parts, .Orders must be written .When recording orders for medication, specify the type, route, dosage, frequency and strength of the medication ordered . 1. […]

• No harm, potential for more than minimal, patternF804Jul 14, 2023

  Based on observation, record review and interview, the facility failed to ensure food was served at a palatable temperature for one (breakfast meal) of one meal observed for palatable temperature. The Residents Census and Condition of Residents report, dated 07/12/23, documented 31 residents resided in facility. Findings: The facility's Food and Nutrition Services policy, revised 10/2017, read in parts, .Food and nutrition services staff will inspect food trays to ensure .the food appears palatable and attractive, and it is served at a safe and appetizing temperature . The following concerns related to cold food were identified during resident council meetings: Resident council meeting minutes, dated 02/07/23, documented the breakfast was served cold. […]

• No harm, potential for more than minimal, patternF641May 5, 2023

  Based on record review and interview, the facility failed to ensure MDS Resident Assessments were accurate for two (#7 and #13) of 14 sampled residents reviewed for MDS resident assessments. The Resident Census and Conditions of Residents report, dated 05/03/23, documented 28 residents resided in the facility. Findings: 1. Resident #7 had diagnoses which included hypertension and hyperlipidemia. Resident #7's Weight Summary documented they weighed: a. 198.8 pounds on 11/03/22, b. 195.6 pounds on 01/17/23, c. 190 pounds on 03/01/23, and d. […]

• No harm, potential for more than minimal, patternF692May 5, 2023

  Based on record review and interview, the facility failed to ensure: a. meal consumption percentages were documented on a resident who experienced weight loss for two (#7 and #13) and b. ordered supplement consumption was documented on a resident who experienced weight loss for one (#13) of three sampled residents reviewed for nutrition. The Resident Census and Conditions of Residents report, dated 05/03/23, documented 28 residents resided in the facility. Findings: A Guidelines for Charting and Documentation policy, revised 04/12, read in parts, .General Rules for Charting and Documentation .Be concise, accurate, and complete .Nutritional Status .document the diet, appetite, food consumption . 1. Resident #7 had diagnoses which included hypertension and hyperlipidemia. […]

• No harm, potential for more than minimal, patternF755May 5, 2023

  Based on record review and interview, the facility failed to ensure medications were administered as ordered for two (#7 and #10) of six sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 05/03/23, documented 28 residents resided in the facility. Consultant #3 identified 16 residents with blood pressure parameter orders. Findings: A Documentation of Medication Administration policy, revised 04/07, read in parts, .The facility shall maintain a medication administration record to document all medications administered .Administration of medication must be documented immediately after .it is given . 1. […]