Delta Healthcare & Wellness Center, LP

In the surveyor’s words

From the most serious findings on record at Delta Healthcare & Wellness Center, LP, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure food items were used by the discard date, dated when opened, and labeled. This failure had the potential to cause foodborne illness (illness caused by the ingestion of contaminated food or beverages) to the residents. Findings: During a concurrent observation and interview on 5/12/25 at 9:01 a.m. with Certified Dietary Manager (CDM) in the kitchen, there was a large container with brown liquid that was not labeled. CDM stated it was iced tea, and it should be labeled. During a concurrent observation and interview on 5/12/25 at 9:03 a.m. with CDM in the kitchen, there were three pitchers of juice with no labels in the refrigerator. […]

• No harm, potential for more than minimal, patternF759May 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure a medication error rate of less than five percent for two of five sampled residents (Resident 33 and Resident 6). This failure resulted in Resident 33 and Resident 6 receiving medications unsafely and had the potential for adverse outcomes. Findings: During an observation on 5/15/25 at 8:46 a.m. with Licensed Vocational Nurse (LVN) 2 in Resident 33's room. LVN 2 administered Lisinopril (used to treat high blood pressure, heart failure, and to improve survival after a heart attack) 5 milligrams (mg), Carvedilol (used to treat heart failure and high blood pressure) 3.125 mg, and Spironalactone (used to treat high blood pressure, heart failure, and fluid retention) 25 mg, by mouth to Resident 33. […]

• No harm, potential for more than minimal, patternF880May 15, 2025

  Based on observation, interview, and record review, the facility failed to implement infection control standards for two of eight residents (Resident 7 and Resident 21). This failure had the potential to spread illness to residents, staff, and visitors. Findings: During an observation and interview on 5/13/25 at 9:38 a.m. with Physical Therapist (PT) 1 in hallway, trash cans were not in the rooms and two were noted in the hallway. PT 1 exited Resident 7's isolation room with a soiled isolation gown rolled up in her hands. PT 1 crossed the hallway to dispose of the gown in the hallway trash can. PT 1 stated, There isn't a trash can in the room big enough for soiled personal protective equipment [PPE- gowns, gloves, and masks used to prevent the spread of infection]. […]

• No harm, potential for more than minimal, patternF645Mar 24, 2022

  Based on interview and record review, the facility failed to accurately complete Preadmission Screening and Resident Review (PASRR- Federal requirement to screen for mental illness and intellectual disabilities to ensure individuals are placed in nursing homes with appropriate services to meet their needs) Level I Screening, for five of 28 sampled residents (Resident 39, Resident 40, Resident 3, Resident 32, and Resident 28). This failure resulted in a Level II screening not being performed and had the potential for residents to be admitted to the facility without appropriate services available to them. Findings: During a review of Resident 39's PASRR, dated 11/12/21, the PASRR indicated, Section III- Serious Mental Illness Screen 10. […]

• No harm, potential for more than minimal, patternF727Mar 24, 2022

  Based on interview and record review, the facility failed to ensure a Registered Nurse (RN) was scheduled and on duty eight hours a day, seven days a week. This failure had the potential for resident care to be negatively impacted. Findings: During a concurrent interview and record review, on 3/24/22, at 2:43 PM, with the Director of Nursing (DON), the facility's staff schedule titled, Nursing Schedule 2022 (NS), dated 3/22, was reviewed. The NS indicated, only Licensed Vocational Nurses (LVN) were scheduled. DON stated, she was the only RN in the facility and did not always work seven days a week. […]