Crest View Nursing Home

In the surveyor’s words

From the most serious findings on record at Crest View Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 29, 2021

  Based on observation and interview the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect 44 residents who reside in the facility. -Staff personal food and beverage items were stored amongst resident food and beverage items in facility walk in refrigerator. -Stove hood observed to be dust coated directly above food preparation -Expired milk cartons observed in unit refrigerators -Food removed from original containers and/or opened observed without open dates or use by dates Evidenced by- Personal food items in resident refrigerator: Facility policy, entitled Food and Nutrition, undated, includes, in part: All food brought in by patients and residents must be covered, labeled, dated and stored… […]

• No harm, potential for more than minimal, isolatedF656Jan 16, 2025

  Based on interview and record review, the facility failed to ensure 1 of 5 resident (R43's) plan of care included a sleep assessment and sleep monitoring/tracking to ensure R43 was attaining or maintaining R43's highest mental, physical and pyschosocial well-being. R43 is receiving Melatonin for sleep and did not have a sleep assessment/tracking completed. Findings Include: R43 was admitted to the facility on [DATE] with diagnoses that include, in part: Insomnia and Anxiety Disorder (A mental health condition that causes excessive and uncontrollable fear or worry). R43's physician orders include, in part: Melatonin 6mg (milligrams) by mouth at 5:00 PM for sleep aide. […]

• No harm, potential for more than minimal, isolatedF685Jan 16, 2025

  Based on interview and record review, the facility failed to ensure a resident (R) with hearing impairment received proper treatment and assistive devices for 1 (R31) of 12 residents reviewed for hearing. R31's follow-up appointment(s) to address hearing loss were not scheduled by the facility and therefore hearing aides were not obtained. Findings Include: R31 was admitted to the facility on [DATE] with diagnoses that include, in part: Dementia (loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), Vascular Dementia (a type of dementia that occurs when blood flow to the brain is reduced or blocked), Anxiety (A mental health condition that causes excessive and uncontrollable fear or worry), and Impacted Cerumen,… […]

• No harm, potential for more than minimal, isolatedF758Jan 16, 2025

  Based on interview and record review the facility did not ensure each residents medication regimen was free of unnecessary psychotropic medications for 1 of 5 Residents (R16) reviewed for unnecessary medications. R16's physician orders include, in part: Lorazepam (a psychotropic medication used for anxiety) 0.5mg every 2 hours as needed with a start date of 7/12/24. There is no evidence of a documented end date or provider rational for extending beyond 14 days. Evidenced by: The facility policy entitled Guidelines for Safe Administration and Management of Medications, undated, states, in part: . PURPOSE: Safely and accurately administer oral medications. […]

• No harm, potential for more than minimal, isolatedF790Jan 16, 2025

  Based on observation, interview and record review, the facility did not ensure routine dental care was provided to 1 of 3 sampled residents (R12). R12 reported her dentures were ill-fitting. The facility did not assist R12 in making an appointment or arrange transportation to and from the dental services location. The facility did not promptly, within 3 days, refer R12 for dental services. The facility did not document the extenuating circumstances that led to the delay. Evidenced by: Facility policy, titled Oral Care, undated, includes: . Residents can access regular and emergency dental care from their chosen dentist or local practitioner . Transportation is provided by Nursing Home or family, with assistance available, if needed . […]