Complete Care at St Vincents LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at St Vincents LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Sep 28, 2021

  Reference: The American Heart Association (AHA) 2010 . guidelines every five years for CPR and Emergency Cardiovascular Care (ECC). These guidelines reflect global resuscitation science and treatment recommendations . In the guidelines, AHA has established evidenced-based decision-making guidelines for initiating CPR when cardiac or respiratory arrest occurs in or out of the hospital. AHA urges all potential rescuers to initiate CPR unless: 1) a valid Do Not Resuscitate (DNR) order is in place; 2) obvious clinical signs of clinical death (e.g., rigor mortis, dependent lividity, decapitation, transection, or decomposition) are present; or 3) initiating CPR could cause injury or peril to the rescuer. […]

• No harm, potential for more than minimal, patternF658Jan 25, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to a.) ensure that there was an order for the administration of oxygen being provided to Resident # 189 and b.) failed to accurately document a medication being administered per Physicians order for Resident # 35. Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board The Nurse Practice Act for the State of New Jersey states; The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical… […]

• No harm, potential for more than minimal, patternF761Jan 25, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that medications were stored and labeled appropriately. This deficient practice was identified in three (3) of four (4) medication carts inspected on four (4) of four (4) units. This deficient practice was evidenced by the following: On 1/18/23 at 11:37 AM, the surveyor inspected 1st floor South Cart High in the presence of LPN#1 and an additional surveyor and observed one (1) foil package of Budesonide (Pulmicort) nebulizer solution (a steroid inhalant liquid used with a mechanical nebulizer to treat asthma) with no date documented on the foil package when opened. […]

• No harm, potential for more than minimal, patternF656Sep 28, 2021

  Based on observation, interview and record review, it was determined that the facility failed to accurately develop and implement a person-centered comprehensive care plan for care and service needs. This deficient practice was observed for 6 of 27 residents reviewed, Residents # 7, # 25, # 38, # 94, # 98, and # 112, as evidenced by the following: 1. On 9/15/21 at 1:04 PM, the surveyor observed Resident #94 in the resident's room. Resident # 94 informed the surveyor that he/she was receiving an anticoagulant medication. The surveyor reviewed Resident #94's Electronic Medical Records. […]

• No harm, potential for more than minimal, patternF880Jul 26, 2021

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to: a.) follow appropriate isolation precaution protocols for residents on Transmission-Based Precautions (TBP) on a unit for Persons under investigation/observation (PUI) from potential exposure to COVID-19 for 1 of 2 units toured; b.) ensure staff perform appropriate handwashing to prevent the spread of COVID-19; and, c) follow appropriate isolation precaution protocols for entering a COVID-19 positive unit. […]