Crouse Community Center Inc

In the surveyor’s words

From the most serious findings on record at Crouse Community Center Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Jan 13, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 1/6/2025-1/13/2025, the facility did not provide pharmaceutical services to meet the need of each resident for 4 of 4 residents (Residents #1, #88, #208, and #209) reviewed. Specifically, the facility used Resident #88's oxycodone (a narcotic pain reliever) to administer to Residents #1, #208, and #209 when they did not have the medication available. Findings include: The facility policy, Medication Administration, Handling and Storage, revised 12/2024, documented a resident's controlled drug package was to be fully labeled with the name, drug, and directions and put in the double locked drawer of the medication cart during the medication pass. […]

• No harm, potential for more than minimal, isolatedF561Jan 13, 2025

  Based on observation, interview and record review during the recertification survey conducted 1/6/2025-1/13/2025, the facility did not ensure that it promoted and facilitated resident self-determination including the resident's right to make choices about aspects of daily life that are significant to the resident for 1 of 3 residents (Resident #4) reviewed. Specifically, there was no documented evidence Resident #4's informed consent was obtained prior to initiating a chair alarm (a device that detects pressure changes to alert staff of resident position changes) and the care plan was not revised to include the use of a chair alarm. […]

• No harm, potential for more than minimal, isolatedF580Jan 13, 2025

  Based on observations, record review and interviews during the recertification survey conducted 1/6/2025-1/13/2025, the facility did not consult with the physician when there was a significant change in the resident's physical status for 1 of 3 residents (Resident #30) reviewed. Specifically, Resident #30 had a continued, unplanned weight loss and the medical provider was not notified. Findings include: The undated facility policy, Change in Condition-Notification, documented the facility would notify and inform the resident's physician, and if known, their legal representative when there was a significant change in the resident's physical, mental or psycho-social status in either life-threatening conditions or clinical complications. […]

• No harm, potential for more than minimal, isolatedF583Jan 13, 2025

  Based on observations, interviews, and record review during the recertification survey conducted 1/6/2025-1/13/2025, the facility did not ensure resident rights to privacy and confidentiality of their personal and medical records for 2 of 2 residents (Resident #3 and 13) reviewed. Specifically, Residents #3 and #13 had their dietary status posted outside their rooms and was visible to the public. Findings include: The facility policy, Patient [NAME] of Rights Procedures, dated 6/26/1997, documented the residents of the facility were assured their medical and personal records would be kept in confidence. All staff were educated to respect the dignity and individuality of each patient with attention to privacy during the treatment and care of the resident's personal needs. […]

• No harm, potential for more than minimal, isolatedF610Jan 13, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 1/6/2025-1/13/2025, the facility did not ensure all alleged violations including injuries of unknown origin, were thoroughly investigated to rule out abuse or neglect for 1 of 5 residents (Resident #25) reviewed. Specifically, staff identified a skin tear on Resident #25's left arm and there was not a timely investigation completed to rule out abuse or neglect. Additionally, the resident's skin tear was not assessed by a qualified professional and the medical provider was not notified of the injury. […]