Copley Health Center

In the surveyor’s words

From the most serious findings on record at Copley Health Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Aug 10, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated [DATE], The Department of Health and Human Services, Center for Medicare and Medicaid (CMS) Memo QSO ,d+[DATE]-ALL dated [DATE], record review, review of the facility COVID-19 positive timeline, review of the county community COVID-19 transmission rate, staff time sheets, facility census, staff screening forms, resident and staff rapid point of care (POC) test results, residents' vaccination logs, staff interviews, review of the facility COVID-19 procedure policy, and observations, the facility failed to ensure staff reported respiratory symptoms timely, staff screened for signs and symptoms of COVID-19 prior to working, reported COVID-19 cases timely to the local… […]

• Actual harm, isolatedF550Jan 17, 2024

  Based on observation, interview, record review and facility policy review, the facility failed to ensure each resident was treated in a respectful and dignified manner. This affected one (Resident #9) of three residents reviewed for toileting. The facility census was 111. Actual Psychosocial Harm occurred on 01/09/24 at 3:16 P.M. when Resident #9 was humiliated upon asking State tested Nurse Aide (STNA) #581 to assist her to the bathroom to use the toilet and STNA #581 told Resident #9 to go to the bathroom in her incontinence brief. Interview of Resident #9 on 01/10/24 at 10:43 A.M. revealed when STNA #581 told her to go to the bathroom in her incontinence brief it made her feel bad and sad. […]

• Actual harm, isolatedF686Jan 17, 2024

  Based on observation, interview, record review, and facility policy review the facility failed to ensure appropriate care and services to prevent the devopement of an in house pressure ulcer and decline of the pressure ulcer to a Stage four pressure injury (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer. Slough and/or eschar may be visible on some parts of the wound bed). This affected one (Resident #76) of three residents reviewed for pressure ulcers. The facility census was 111. […]

• Actual harm, isolatedF692Mar 30, 2022

  Based on record review and interview, the facility failed to ensure Resident #6's weights were obtained per physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . Actual harm occurred when Resident #6 sustained a significant weight loss of 35.8 pounds, a 12.11 % weight loss, on [DATE], less than a month after his admission. There was no evidence any nutritional interventions or interventions to improve his appetite were considered or implemented. This affected one of three residents reviewed for nutrition. Findings include: Review of the medical record for Resident #6 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #6 was a full code. […]

• Actual harm, isolatedF686Dec 6, 2021

  Based on observation, record review, review of facility policy and procedure and interview the facility failed to comprehensively assess and implement a pressure reduction/relieving plan of care for Resident #57, a new admission to the facility to prevent the development of pressure ulcers to the resident's bilateral heels. Actual harm occurred on 11/27/21 when Resident #57 was identified by hemodialysis staff to have a concern regarding the status of the left heel. The facility failed to assess the heel or implement any type of wound treatment at that time. On 11/28/21 the facility noted the resident's bilateral heels were darkened with an open area to the left heel and a strong odor. […]