Crowne Healthcare of North Baldwin

In the surveyor’s words

From the most serious findings on record at Crowne Healthcare of North Baldwin, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF886Nov 18, 2021

  Based on observations, interviews, a review of BinaxNOW COVID-19 Ag CARD, a review of facility policy titled Coronavirus Testing, and a review of facility's staff vaccination status, the facility failed to ensure a licensed staff member performed COVID-19 testing per manufacturer's guidelines for two of three staff who were unvaccinated for COVID-19 and observed being tested for COVID-19. This has the potential to affect all residents and staff. Findings Include: A review of BinaxNOW COVID-19 Ag CARD product insert with copyright date of 2020 revealed: .PRINCIPLES of the PROCEDURE .To perform the test, a nasal swab is collected from the patient, . The patient sample is inserted into the test card .The swab is rotated 3 (three) times clockwise and the card is closed, . PRECAUTIONS . 19. […]

• No harm, potential for more than minimal, isolatedF557Nov 18, 2021

  Based on observation, interviews, record review, and review of a facility policy titled Dining Room Duties, the facility failed to ensure a Certified Nursing Assistant, Employee Identifier (EI) #5 did not stand while feeding Resident Identifier (RI) #51 his/her lunch meal in the dining room on 11/17/2021. This deficient practice affected RI #51; one of four sampled residents observed being fed their meals. Findings Include: A review of a facility policy titled Dining Room Duties, with an effective date of 01/2017, revealed: . PROCESS: . h) When feeding a resident, staff must sit beside or across from the resident. […]

• No harm, potential for more than minimal, isolatedF693Nov 18, 2021

  Based on observations, interview, record review, and review of Potter and Perry's FUNDAMENTALS OF NURSING, the facility failed to ensure the feeding tube containers of Resident Identifier (RI) #27 and RI #31 were labeled appropriately. This deficient practice affected RI #27 and 31, two of five residents receiving tube feeding at the facility. Findings include: A review of Potter and Perry's FUNDAMENTALS OF NURSING, NINTH EDITION, with a copyright date of 2017, page 1092, UNIT VII Physiological Basis for Nursing Practice, revealed the following: . STEP . (2) . Label bag with tube-feeding type, strength, and amount (include date, time, and initials). Change bag every 24 hours. RATIONALE . […]

• No harm, potential for more than minimal, isolatedF755Nov 18, 2021

  Based on interviews, record review, and review of a pharmacy policy titled Ordering and Receiving Medications, the facility failed to ensure Resident Identifier (RI) #57's as needed Oxycodone-Acetaminophen 7.5-325 milligram ([MEDICATION(S)]) supply was not depleted from 11/11/2021 until 11/17/2021. This affected RI #57, one of two residents sampled for pain. Findings Include: A review of undated facility policy titled Ordering and Receiving Medications revealed: . Policy: . The facility will only be responsible for ordering new medications, PRN (as needed) medications, . Procedure: . C. […]

• No harm, potential for more than minimal, isolatedF842Nov 18, 2021

  Based on interviews, record review, and review of a facility policy titled Medication Administration the facility failed to ensure licensed staff documented pain medication on the Electronic Medication Administration Record as administered when administering pain medication to Resident Identifier (RI) #57. This affected one of two residents sampled for pain. Findings Include: A review of a facility policy titled Medication Administration with an implemented date of 3/2018 and revised date of 3/2021 revealed: Policy: Medications are administered by licensed nurses, . as ordered by the physician and in accordance with professional standards of practice, . Policy Explanation and Compliance Guidelines: . 17. Sign MAR after administered. 18. […]