Complete Care at Kresson View

In the surveyor’s words

From the most serious findings on record at Complete Care at Kresson View, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 23, 2024

  Complaint # 150996 Based on interview, and review of medical records it was determined that the facility failed to ensure a laboratory value to monitor a therapeutic value for a blood thinner was carried out per physician order which resulted in a sub-therapeutic laboratory value determined upon transfer to the Emergency Department on 12/28/21. This deficient practice occurred for 1 of 1 closed medical records reviewed for physician orders (Resident #311) and was evidenced by the following: On 01/10/24 at 10:05 AM, the surveyor reviewed the closed medical record for Resident # 311 which revealed: a Care Plan dated 12/2021 with a Care Plan Focus for Resident is at risk for injury or complications related to the use of anticoagulation therapy medication: Coumadin (blood thinner), Date… […]

• Actual harm, isolatedF686Jan 23, 2024

  Complaint #152805, #153069 Based on observations, interviews, review of medical records and other facility documentation, it was determined that the facility failed to ensure: a) there was no delay for physician ordered wound treatment that was not initiated for 17 days, b) Care Plan (CP) interventions to prevent skin breakdown were consistently implemented, c) ensure staff were competent to administer physician ordered wound treatments, and d) a comprehensive assessment was completed to ensure thorough identification of PU risk. […]

• No harm, potential for more than minimal, widespreadF725Jan 23, 2024

  Complaint #152805 Refer to F677, F697 Based on observation, interview, record review, and review of documentation, it was determined that the facility failed to provide sufficient staff to provide nursing and related services to meet the resident needs. This deficient practice was identified for 5 of 35 residents (Resident #39, #11, #101, #106, and #144), and on 1 of 4 resident units with the potential to affect all residents. This deficient practice was evidenced by the following: Review of the New Jersey Department of Health Long Term Care Assessment and Survey Program Nurse Staffing Report revealed the facility was deficient in (Certified Nurse Aide ) CNA staffing as follows: For the 2 weeks of staffing prior to survey from 12/17/2023 to 12/30/2023, the facility was deficient in CNA… […]

• No harm, potential for more than minimal, widespreadF804Jan 23, 2024

  Complaint # 152906 Based on observation, interview, and document review it was determined that the meals were not served at a appetizing temperature and food items were not consistently palatable. The deficient practice was evidenced for 2 of 5 residents who attended a resident council meeting, on 4 of 4 resident units for 2 of 4 food items during a test meal observation, and for Resident #410, #144, #145 and #188. The deficient practice was evidenced by the following: On 01/05/24 at 10:17 AM, the surveyor interviewed Resident #144 about the meals provided. Resident #144 stated, Nothing to desire, food is lousy. On 01/05/24 at 11:00 AM, the surveyor interviewed Resident #410 while in the resident's room. […]

• No harm, potential for more than minimal, widespreadF809Jan 23, 2024

  Complaint # 153846 Based on observation, interview and review of facility documentation, it was determined that the facility failed to consistently offer residents evening/bedtime snacks. This deficient practice was identified for 3 of 5 residents (Resident #40, #128, and #142) during resident council meeting and for 4 of 4 nursing units, and was evidenced by the following: On 01/08/24 at 10:30 AM, the surveyor conducted resident council meeting with five residents. During that time, the surveyor inquired about evening/bedtime snacks. Three residents commented that they do not always get offered bedtime snacks and that only those with a physician ordered bedtime snack are given snacks nightly. […]