Community Hospital Onaga Ltcu

In the surveyor’s words

From the most serious findings on record at Community Hospital Onaga Ltcu, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF636Oct 31, 2024

  The facility identified a census of 23 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to fully complete the Comprehensive Minimum Data Set (MDS) for Resident (R) 3 when staff did not complete an analysis for triggered Care Area Assessments (CAA). This placed this resident at risk for an inaccurate plan of care and unidentified care needs. Findings included: - R3's Electronic Medical Record (EMR) documented diagnoses of mood disorder (category of mental health problems, feelings of sadness, helplessness, guilt, and wanting to die were more intense and persistent than what may normally be felt from time to time), dementia (a progressive mental disorder characterized by failing memory and confusion), weakness, anxiety… […]

• No harm, potential for more than minimal, isolatedF689Oct 31, 2024

  The facility identified a census of 23 residents. The sample included 12 residents with six residents reviewed for falls and accidents. Based on observation, record review, and interviews, the facility failed to consistently implement interventions to prevent falls for Resident (R)19 who had multiple falls. This deficient practice placed R19 at risk for further falls and related injuries. Findings included: - R19's Electronic Medical Record (EMR) from the Diagnoses tab documented restlessness and agitation, frontotemporal neurocognitive disorder (a group of disorders that occur when nerve cells in the frontal and temporal lobes of the brain are lost), and pain. […]

• No harm, potential for more than minimal, isolatedF849Oct 31, 2024

  The facility identified a census of 23 residents. The sample included 12 residents with one resident reviewed for hospice. Based on observation, record review, and interviews, the facility failed to ensure collaboration between the nursing home and hospice services to identify hospice-supplied services, supplies, medication, and equipment for Resident (R) 19. This deficient practice placed R19 at risk for impaired end-of-life care. Findings Included: - R19's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of documented restlessness and agitation, frontotemporal neurocognitive disorder (a group of disorders that occur when nerve cells in the frontal and temporal lobes of the brain are lost), and pain. […]

• No harm, potential for more than minimal, isolatedF657Jun 19, 2023

  The facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to revise the care plan with person-centered intervention for behaviors for one sampled resident, Resident (R) 19. This placed the resident at risk for injury and unmet needs. Findings included: - The Electronic Medical Record (EMR) documented R19 had diagnoses of late onset Alzheimer dementia without behavioral disturbance (progressive mental deterioration characterized by confusion and memory failure), anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear, and depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, and emptiness). […]

• No harm, potential for more than minimal, isolatedF744Jun 19, 2023

  The facility had a census of 19 residents. The sample included eight residents, with three reviewed for dementia (progressive mental deterioration characterized by confusion and memory failure) care. Based on observation, record review, and interview, the facility failed to provide the necessary dementia care and services to attain or maintain the highest level of practicable physical, mental, and psychosocial wellbeing for Resident (R) 19, who had dementia related behaviors. This placed the resident at risk for decreased quality of life. […]