Copper Ridge Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Copper Ridge Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF693Sep 20, 2023

  Based on observation, interview, and record review, a licensed staff member failed to properly administer enteral tube feedings, for 1 (#1) of 2 sampled residents; and the facility nursing staff failed to have the enteral tube feeding order clarified further on receipt. The failure resulted in the resident being given the incorrect amount of tube feeding formula and the resident had a decline in status. Findings include: Review of a Facility Reported Incident, sent to the State Survey Agency, dated 7/13/23, At 20:00 (8:00 p.m.) [Resident #1] was receiving her bedtime bolus via her feeding tube. [Resident #1] requested her feeding be stopped. This was done per her request. [Resident #1] was left sitting up in her recliner. […]

• Actual harm, isolatedF726Sep 20, 2023

  Based on observation, interview, and record review, a licensed staff member failed to seek out necessary education or guidance to ensure competency for the skills and knowledge necessary for the administration of enteral tube feedings for a resident who was new to the unit, and who had complications with tube feedings, for 1 (#1) of 7 sampled residents. This deficiency resulted in the resident having a decline in status, and the resident was sent to the emergency room for further evaluation. Findings include: During an interview on 9/20/23 at 1:22 p.m., staff member A stated resident #1 was transferred from the 200 hall of the facility to the 400 hall on 7/13/23. Staff member A relayed staff member C had not cared for resident #1 before. […]

• Actual harm, isolatedF686Apr 13, 2023

  Based on interview and record review, the facility failed to prevent the development of three Stage II pressure ulcers, after a resident had a fracture and became more dependent on staff for assistance, and the pressure ulcers were avoidable, for 1 (#1) of 2 sampled residents. Findings include: During an interview on 4/11/23 at 10:50 a.m., staff member H stated resident #1 had a pressure ulcer on her bottom. Staff member H stated resident #1 developed the pressure ulcer after she broke her femur in March 2023. Staff member H stated resident #1 became a lot less mobile after the fall and could not move as easily to reposition herself. Staff member H stated resident #1 was incontinent of bowels and staff repositioned resident #1 when staff provided incontinence care. […]

• No harm, potential for more than minimal, widespreadF761Mar 28, 2024

  Based on observations, interviews, and record review, the facility failed to remove and dispose of expired medications and medical supplies in three medication rooms, three medication carts, and one wound supply cart; and, failed to properly store medical supplies, keeping the supplies off the floor in one medication room. These failures increased the risk of expired medications and medical supplies being used for any resident at the facility. Findings include: During an observation on 3/26/24 at 8:10 a.m., with staff member G, the following was found in the 400-hall medication room and cart: - Wound vac supplies on the floor, including open cases of canisters with gel, Grandufoam dressings, unopened cases of Whitefoam dressings, and canisters with gel. […]

• No harm, potential for more than minimal, widespreadF761Mar 18, 2021

  Based on observation, interview, and record review, the facility failed to label multi-use vials of medication with an opening date; failed to record refrigerator temperatures daily; and failed to dispose of expired medications and medical supplies. This deficient practice had the potential to affect all residents who utilized the facility's medications and supplies storage. Findings include: 1. 300 hallway nurses station medication room During an observation on 3/18/21 at 9:07 a.m., the medication room refrigerator temperatures log, taped to the outside of the refrigerator, showed no documentation on three out of 17 days. […]