Dayspring of Miami Valley HLTH Care Center & Rehab

In the surveyor’s words

From the most serious findings on record at Dayspring of Miami Valley HLTH Care Center & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 12, 2024

  Based on observation, staff interview, and record review, the facility failed to store foods in a sanitary manner. This had the potential to affect 124 residents who received food from the kitchen. The census was 125. Findings Include: Observation on [DATE] at approximately 8:40 A.M. of the dry storage area revealed a bag of lemonade mix, wrapped in plastic wrap, with no label nor date. Observation of the dry storage area revealed a half bag of dry macaroni noodles and a half bag of dry pasta noodles each closed with a twist tie and unwrapped, with no label and no date Interview at the same time as the observations with Chef #394 verified the lemonade mix, dry macaroni, and dry pasta noodles were not labeled nor dated. Observation on [DATE] at approximately 8:45 A.M. […]

• No harm, potential for more than minimal, patternF761Dec 23, 2024

  Based on observation, staff interviews, and policy review, the facility failed to ensure medications were securely stored in location inaccessible by the residents. This had the potential to affect 23 residents who were ambulatory with cognitive decline on the Healthcare II unit. The facility census was 119. Findings include: Observation on 12/15/24 at 3:54 P.M. of treatment cart on 1200 A Hall revealed a Humalog Pen with a covered needle intact, with 220 units of Humalog insulin remaining in the pen, laying on top of treatment cart unattended. Interview on 12/15/24 at 3:56 P.M. with Registered Nurse (RN) #260 confirmed a Humalog Pen with covered needle intact, with 220 units of Humalog insulin remaining in the pen, was laying on top of treatment cart unattended. […]

• No harm, potential for more than minimal, isolatedF689Nov 6, 2024

  Based on observations, staff interview, review of the facility policy, and record review, the facility failed to ensure fall interventions were in place for a resident who had a history of falls and was at a fall risk. This affected one (Resident #84) of three residents reviewed for falls. The facility census was 125. Findings include: Review of the medical record for Resident #84 revealed an admitted [DATE]. Diagnoses included senile degeneration of the brain, chronic obstructive pulmonary disease, respiratory failure dementia and cognitive communication deficit. […]

• No harm, potential for more than minimal, isolatedF805Nov 6, 2024

  Based on observations, staff interview, review of the facility policy, and record review, the facility failed to ensure a resident was served a therapeutic meal as physician ordered. This affected one (Resident #84) of three residents reviewed for therapeutic diets. The facility census was 125. Findings include Review of the medical record for Resident #84 revealed an admitted [DATE]. Diagnoses included diabetes mellitus, malnutrition, and dementia. Review of Resident #84's physician orders dated 06/13/24 revealed an order for finger foods with regular texture. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #84 had significant cognitive impairment and required supervision or touching assistance from staff with meals. […]

• No harm, potential for more than minimal, isolatedF677Sep 12, 2024

  Based on observation, resident interview, staff interviews and record review, facility failed to ensure a resident received adequate Activities of Daily Living (ADLs) care. This affected one resident (#27) of one reviewed for personal care. Facility census was 125. Findings include Review of the medical record for Resident #27 revealed an admitted [DATE]. Diagnoses included contracture of left hand, monoplegia of left upper extremity, anxiety, and bipolar disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #27 had intact cognition and was dependent on staff for showering and bathing as well as personal hygiene and stated, helper does all of the effort, resident does none of the effort to complete the activity. […]