Delaware Valley Skilled Nursing & Rehabilitation C

In the surveyor’s words

From the most serious findings on record at Delaware Valley Skilled Nursing & Rehabilitation C, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 6, 2023

  Based on review of clinical records, select resident incident/accident reports and information submitted by the facility and staff interview, it was determined that the facility failed to provide safe and adequate staff supervision with activities of daily living to a resident, with identified positioning difficulties, resulting in an avoidable fall during which the resident sustained multiple traumatic injuries for one resident out of seven sampled (Resident 1). Findings include: A review of the clinical record revealed that Resident 1 was admitted to the facility on [DATE], with a diagnosis of dementia (a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning). […]

• Actual harm, isolatedF773Aug 3, 2021

  Based on clinical record review and staff interview it was determined that the facility failed to promptly notify the physician of an elevated PT (Prothrombin time test which is a test to evaluate blood clotting; an elevated number higher than range means it takes longer than usual to clot) with PT INR [(international normalized ratio; a type of calculation based on PT test results; often used to see how well [MEDICATION(S)] (an anticoagulant medication) is working] laboratory result, which resulted in the resident continuing to receive the same dosage of [MEDICATION(S)], causing [MEDICATION(S)] toxicity and GI bleed requiring hospitalization for one of three sampled residents (Resident A1). […]

• No harm, potential for more than minimal, widespreadF801Sep 8, 2023

  Based on staff interview and a review of employee credentials, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian. Findings include: An interview with the facility's Dietary Manager on September 6, 2023, at 9:26 AM, revealed that she was previously a cook at the facility and became the dietary manager after the resignation of the CDM (Certified Dietary Manager) resigned, but confirmed that she had no experience as a manager in food service. […]

• No harm, potential for more than minimal, widespreadF812Sep 8, 2023

  Based on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness in the food and nutrition services department and two of three resident pantries. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

• No harm, potential for more than minimal, widespreadF801Dec 3, 2021

  Based on staff interview and a review of employee credentials and staffing, it was determined the facility failed to employ a full-time qualified dietitian or other clinically qualified nutrition professional and failed to employ a qualified person to serve as the director of food and nutrition service in the absence of a full-time qualified dietitian. Findings include: During a tour of the food and nutrition services department on November 30, 2021, at approximately 9:00 AM Employee 5 (cook) stated that the facility did not currently employ a full-time dietitian or qualified certified dietary manager (CDM). The facility utilized part-time onsite and remote services of Employee 6 (registered dietitian) approximately 20 hours per week (one day onsite and remainder of hours remote). […]