Every finding on record at Denton Rehabilitation and Nursing Center

Based on interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objective and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 (Resident #8 and Resident #42) of 19 residents reviewed for care plans.The facility failed to care plan Resident #8's nail trimming to be done by nurses due to her contracture of the hands and diagnosis of type 2 diabetes mellitus.The facility failed to care plan Resident #42's diagnosis of type 2 diabetes mellitus.This failure could affect residents by placing them at risk of not receiving care and services to meet their needs.Findings included:1. Record review of Resident #8's face sheet, dated 07/14/2026, revealed a [AGE] year-old female, admitted with diagnoses including type 2 diabetes mellitus (the body does not produce enough insulin or does not use insulin effectively, leading to high blood sugar levels), rheumatoid arthritis (chronic inflammatory disease that affects the joints, causing pain, swelling, and stiffness) and contractures of the hands (tissues in the hand permanently tighten around the joints, limiting ability to straighten them).Record review of Resident #8's annual comprehensive MDS assessment, dated 06/02/2026, revealed Resident #8 had an active diagnosis of diabetes mellitus. Resident #8's functional abilities and self-care assessment revealed she was fully dependent on staff for personal hygiene care.Record review of Resident #8's care plan, dated 07/07/2026, revealed she was care planned for ADLs Functional Status/Rehabilitation Potential. Resident has contractures to the BUE (hands elbows and shoulders) and is at risk for skin breakdown, increased pain, decrease ADL's. [Resident #8] is unable to perform ADL functions independently; With the goal of Resident will perform ADL's to their functional ability and maintain a sense of dignity by being clean, dry, odor free and well groomed. Interventions included Assist with ADL's as needed. Set-up, assist/give shower, shave, oral, hair and nail care per schedule and as needed.2. Record review of Resident #42's face sheet, dated 07/14/2026 revealed an [AGE] year-old male, admitted to the facility on [DATE] with a primary diagnosis of osteoarthritis (cartilage at the end of bones wear out of over time, leading to stiffness, pain, and reduced mobility of joints). Other pertinent diagnoses included type 2 diabetes mellitus (the body does not produce enough insulin or does not use insulin effectively, leading to high blood sugar levels).Record review of Resident #42's care plan, last revised 04/01/2026, did not include his diagnosis of type 2 diabetes mellitus.Record review of Resident #42's annual comprehensive MDS assessment, dated 07/04/2026, revealed he had an active diagnosis of diabetes mellitus.Record review of Resident #42's medication orders revealed he was prescribed metformin (antidiabetic medication) for his diagnosis of type 2 diabetes mellitus. The start date was 01/31/2025 and the order was open ended. Resident #42 was prescribed glimepiride (antidiabetic medication) for his diagnosis of type 2 diabetes mellitus. The start date was 05/12/2026 and the order was open ended.An observation on 07/14/2026 at 2:03 PM of Resident #8 revealed she had contracture of the hands and the length of her fingernails were grown out. During an interview at this time, Resident #8 said she was diabetic and the nurses trimmed her nails. She said it had been about a month since her nails were last trimmed and they were bothering her. Resident #8 said her middle finger on her left hand bothered her most. Observation at this time revealed Resident #8's middle finger of the left hand was pushing directly into the palm of her hands as described.During an interview on 7/15/2026 at 1:39 PM with LVN C revealed she provided care for Resident #8. LVN C said she and other nurses trimmed Resident #8's nails because she was diabetic. LVN C said she trimmed Resident #8's nails about a month ago and did not know if anyone else had since she did. LVN C said there was not a schedule for nail trimming and the nurses just did it. She said the risk of not trimming Resident #8's nails was infection control and wounds. LVN C said Resident #8 usually told her when she wanted her nails trimmed but had not in a while. LVN C could have an order put in so the nail trimmings were scheduled.During an interview on 07/15/2026 at 1:55 PM with LVN A, she said she provided care for Resident #42. LVN A said he had type 2 diabetes mellitus and took oral medications for it. LVN A said she did create not care plans but did participate in meetings regarding resident care. She said the MDS coordinators were responsible for creating and making changes to care plans. She said care plans were important because they show how staff were supposed to take care of residents and it would be difficult if the residents did not have a care plan.During an interview on 07/15/2026 at 2:28 PM with MDS coordinator B, she said she and another MDS coordinator were responsible for doing MDS assessments, but MDS coordinator B was responsible for care plans. MDS coordinator B said she started in the position less than 60 days ago and there had been gaps in care plans being completed and she now had a tracking system to keep up. MDS coordinator B said it was a daunting task to stay on top of MDS assessments, care plans and updating care plans. MDS coordinator B said anytime there was a diagnosis for type 2 diabetes mellitus, there should be a care plan because of the risk of complications associated with the diagnosis and Resident #42 was on medication for it. MDS coordinator B, she said it would be good to care plan Resident #8's nail trimming due to her having contractures, her diagnosis of diabetes and needing nurses or wound care to trim her nails.During an interview on 07/16/2026 at 1:39 PM with the DON revealed care plans were the MDS coordinators' responsibility. The DON said not care planning Resident #42's diagnosis of type 2 diabetes was probably oversight. The DON said comprehensive care plans were important because they were guidance on how to take care of a resident, meet needs, and a reflection of everything going on with a resident. The DON said she expected nurses to trim Resident #8's nails, especially since she had diabetes mellitus. She said there will be a better plan in place for Resident #8 and other residents with contractures of the hands. The DON said there will be a list of residents with contractures, assessments will be completed, staff will coordinate with therapy (physical and occupational), and nails will be trimmed as needed. The DON said Resident #8 will have an order for nails to be trimmed every 15th of the month and it will be care planned. Record review of the facility's Care Plans, Comprehensive Person-Centered policy, revised 03/2022, reflected: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident.7. The comprehensive, person-centered care plan:a. includes measurable objectives and timeframes;b. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.e. reflected currently recognized standards of practice for problem areas and conditions.

Based on observations, interviews, and record reviews, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for 1 (Resident #8) of 3 residents reviewed for ADL care.The facility failed to trim and maintain the fingernails of Resident #8, who had contractures of the hands.This failure placed residents at the facility at risk of diminished quality of life.Findings included:Record review of Resident #8's face sheet, dated 07/14/2026, revealed a [AGE] year-old female, admitted with diagnoses including type 2 diabetes mellitus (the body does not produce enough insulin or does not use insulin effectively, leading to high blood sugar levels), rheumatoid arthritis (chronic inflammatory disease that affects the joints, causing pain, swelling, and stiffness) and contractures of the hands (tissues in the hand permanently tighten around the joints, limiting ability to straighten them).Record review of Resident #8's annual comprehensive MDS assessment, dated 06/02/2026, revealed Resident #8 had an active diagnosis of diabetes mellitus. Resident #8's functional abilities and self-care assessment revealed she was fully dependent on staff for personal hygiene care.Record review of Resident #8's care plan, dated 07/07/2026, revealed she was care planned for ADLs Functional Status/Rehabilitation Potential. Resident has contractures to the BUE (hands elbows and shoulders) and is at risk for skin breakdown, increased pain, decrease ADL's. [Resident #8] is unable to perform ADL functions independently; With the goal of Resident will perform ADL's to their functional ability and maintain a sense of dignity by being clean, dry, odor free and well groomed. Interventions included Assist with ADL's as needed. Set-up, assist/give shower, shave, oral, hair and nail care per schedule and as needed.An observation on 07/14/2026 at 2:03 PM of Resident #8 revealed she had contracture of the hands and the length of her fingernails were grown out. During an interview at this time, Resident #8 said she was diabetic and the nurses trimmed her nails. She said it had been about a month since her nails were last trimmed and they were bothering her. Resident #8 said her middle finger on her left hand bothered her most. Observation at this time revealed Resident #8's middle finger of the left hand was pushing directly into the palm of her hands as described.During an interview on 7/15/2026 at 1:39 PM with LVN C revealed she provided care for Resident #8. LVN C said she and other nurses trimmed Resident #8's nails because she was diabetic. LVN C said she trimmed Resident #8's nails about a month ago and did not know if anyone else had since she did. LVN C said there was not a schedule for nail trimming and the nurses just did it. She said the risk of not trimming Resident #8's nails was infection control and wounds. LVN C said Resident #8 usually told her when she wanted her nails trimmed but had not in a while. LVN C could have an order put in so the nail trimmings were scheduled.During an interview on 07/15/2026 at 2:28 PM with MDS coordinator B, she said it would be good to care plan Resident #8's nail trimming due to her having contractures, her diagnosis of diabetes and needing nurses or wound care to trim her nails.During an interview on 07/16/2026 at 1:39 PM with the DON revealed she expected nurses to trim Resident #8's nails, especially since she had diabetes mellitus. She said there will be a better plan in place for Resident #8 and other residents with contractures of the hands. The DON said there will be a list of residents with contractures, assessments will be completed, staff will coordinate with therapy (physical and occupational), and nails will be trimmed as needed. The DON said Resident #8 will have an order for nails to be trimmed every 15th of the month and it will be care planned.Record review of the facility's Fingernails/Toenails, Care of policy, dated 02/2018, reflected: The purposes of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infections.PreparationReview the resident's care plan to assess any special needs of the resident.General Guidelines1. Nail care includes daily cleaning and regular trimming.4. Trimmed and smooth nails prevent the resident from accidentally scratching and injuring his or her skin .

Based on interview and record review, the facility failed to consult with the physician regarding a change in condition for 1 (Resident #1) of 4 residents reviewed for change of condition.The facility did not consult with Resident #1's physician about his pattern of refusing to wear his CPAP (continuous positive airway pressure machine for the treatment of sleep apnea) on 2/22/26, 2/23/26, and 2/24/26; removing his oxygen by nasal canula at times; or his low oxygen saturation on 2/25/26.These failures could place residents at risk of having delayed treatments or worsening conditions.Findings included:Review of Resident #1's face sheet reflected he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses in part including pulmonary edema (too much fluid in the lungs), sleep apnea (repeated stops and starts in breathing during sleep), and congestive heart failure (occurs when the heart can't pump blood well enough to give the body a normal supply).Review of Resident #1's Five-Day MDS dated [DATE], reflected Resident #1 had the ability to understand others with clear comprehension, his ability to express ideas and wants (considering both verbal and non-verbal expression) was understood, and his speech was clear with distinct intelligible words. The MDS reflected no behavioral symptoms and no rejection of evaluation or care. The MDS reflected that Resident #1 required continuous oxygen therapy and CPAP. The MDS reflected a BIMS score of 11 indicating moderate cognitive impairment.Review of Resident #1's care plan dated 02/19/26, reflect Resident #1 was at risk for impaired gas exchange, respiratory distress, inflammation, and decline in pulmonary function, oxygen was to be administered per physician orders, and oxygen saturation was to be monitored every shift and as needed and abnormalities were to be reported to the physician. Further review of Resident #1's care plan reflected, Monitor oxygen saturation every shift and as needed and report abnormalities to physician (start date 2/19/26).Review of Resident #1's physician order dated 02/19/26 reflected, Apply CPAP at bedtime. Special Instructions: apply per home settings. Notify provider and DON of refusal. Twice a day. Review of Resident #1's February 2026 Medication Administration Record reflected he refused his CPAP on 02/22/26, 2/23/26, and 02/24/26 on the night shift as signed by RN A.Review of Resident #1's progress notes for the nights of 02/22/26, 02/23/26, and 02/24/26 did not reflect any incidents, harm, or decompensation related to the refusals.Review of Nursing progress note dated 02/23/26 at 07:38 by RN A reflected, Resident refused CPAP again this shift and opted for just NC to sleep with, did not sleep most of the shift, c/o pain effectively managed with PRN Hydro.Review of Resident #1's progress notes did not reflect documentation that the physician or nurse practitioner were notified of his refusal of CPAP, his removal of oxygen by nasal canula, or his low oxygen saturation on 02/25/26.During an interview on 04/01/26 at 04:40 a.m., RN A reported that Resident #1 had refused his CPAP on 02/22/26, 2/23/26, and 02/24/26 but she did not notify the physician or the DON of this refusal. She stated she had notified Resident #1's family member of the refusal. She stated she did not notify the provider because Resident #1 accepted oxygen by nasal cannula when he refused his CPAP. She stated that at times Resident #1 would remove his oxygen by nasal canula and receive redirection by staff. She stated she had received training in documenting and notifying the physician of changes in residents' status. She denied there were any symptoms such as oxygen desaturation or respiratory distress associated with the CPAP refusals.During an interview on o4/02/26 at 08:47 a.m., NP B stated she did not know if she was ever informed of Resident #1 having an oxygen saturation of 85% on 02/25/26 or if she had ever been informed by nursing that he was refusing his CPAP at times and removing his oxygen at times. She stated she was aware of his refusals or removals because Resident #1 had informed her and she had provided him with education on the need for using his CPAP and oxygen. She stated if a nurse had told her that he refused his CPAP she would have advised them to provide the oxygen by nasal canula.During an interview on 04/02/26 at 09:46 a.m., the Attending Physician stated that she and NP B were not notified of Resident #1 not using or removing his oxygen or refusing his CPAP at times. She stated she would have recommended the facility continue frequent monitoring and education. She denied any known harm or injury related to these events. The Attending Physician stated that she and her NP should have been notified of the low oxygen saturation (85% on 2/25/26).During an interview on 04/01/26 at 11:11 a.m., the DON stated that Resident #1 was dependent on oxygen and she had not been notified and was not aware that Resident #1 was removing or refusing his CPAP or oxygen, or that his oxygen saturation had been 85% at one point on 02/25/26. She stated Resident #1 did not experience any harm related to these incidents.During an interview on 04/02/26 at 09:00 a.m., LVN C stated that she had noted Resident #1's oxygen saturation to be 85% around 09:00 a.m. on 02/25/26. She stated she accidentally charted the time as 03:33 p.m. when she was charting at the end of the day and failed to change the time. She stated she applied his oxygen and remained with him until his oxygen saturations returned to above 90%. She stated she did not document this and indicated that while her shift ended at 02:00 p.m. she was still charting at 03:33 p.m. She stated that NP B was rounding in the building on the morning of 02/25/26 (time unknown) and that she told her in person and NP B went and assessed Resident #1 that morning. She stated she did not document this. She stated, I probably should chart different. She stated normally she would have documented what his oxygen saturations came up to and she did not know why she did not. She stated she had received teaching at the facility on the need to document and report residents' change in status.During an interview on 04/02/26 at 02:55 p.m., the DON stated that if a residents oxygen saturation had been 85% or the resident was refusing CPAP or oxygen, she expected the nurse to document the finding and use their nursing judgement to decide if they could place an intervention that raised the oxygen saturation. She stated that if the resident's oxygen saturation remained low, she expected that the nurse would notify the physician.Review of facility policy titled, Change in a Resident's Condition or Status dated 2001, reflected the nurse will notify the resident's attending physician or physician on call when there has been a significant change in the resident's physical/emotional/mental condition, a need to alter the resident's medical treatment significantly, or a refusal of treatment or medications two or more consecutive times.

Based on observation, interview and record review the facility failed to maintain clinical records that were complete and/or accurate for 1 (Resident #1) of 4 residents reviewed for clinical records in that: -The facility did not document a nursing assessment or progress note for Resident #1 when he refused his CPAP on 02/22/26 and 02/24/26.-The facility did not document a nursing assessment or progress note for Resident #1 when his oxygen saturation was low on 02/25/26. These failures could place residents at risk for wrong or missed diagnoses and/or treatments. Findings included: Review of Resident #1's face sheet reflected he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses in part including pulmonary edema (too much fluid in the lungs), epilepsy (brain condition causing recurring seizures), sleep apnea (repeated stops and starts in breathing during sleep), and congestive heart failure (occurs when the heart can't pump blood well enough to give the body a normal supply).Review of Resident #1's Five-Day MDS dated [DATE], reflected Resident #1 had the ability to understand others with clear comprehension, his ability to express ideas and wants (considering both verbal and non-verbal expression) was understood, and his speech was clear with distinct intelligible words. The MDS reflected no behavioral symptoms and no rejection of evaluation or care. The MDS reflected that Resident #1 required continuous oxygen therapy and CPAP. The MDS reflected a BIMS score of 11 indicating moderate cognitive impairment.Review of Resident #1's care plan dated 02/19/26, reflect Resident #1 was at risk for impaired gas exchange, respiratory distress, inflammation, and decline in pulmonary function, oxygen was to be administered per physician orders, and oxygen saturation was to be monitored every shift and as needed and abnormalities were to be reported to the physician. Further review of Resident #1's care plan reflected, Monitor oxygen saturation every shift and as needed and report abnormalities to physician (start date 2/19/26).Review of Resident #1's physician order dated 02/19/26 reflected, Apply CPAP at bedtime. Special Instructions: apply per home settings. Notify provider and DON of refusal. Twice a day. Review of Resident #1's February 2026 Medication Administration Record reflected he refused his CPAP on 02/22/26, 2/23/26, and 02/24/26 on the night shift as signed by RN A.Review of Nursing progress note dated 02/23/26 at 07:38 by RN A reflected, Resident refused CPAP again this shift and opted for just NC to sleep with, did not sleep most of the shift, c/o pain effectively managed with PRN Hydro.Review of Resident #1's progress notes did not reflect documentation that the physician or nurse practitioner were notified of his refusal of CPAP, his removal of oxygen by nasal canula, or his low oxygen saturation on 02/25/26.During an interview on 04/01/26 at 04:40 a.m., RN A reported that Resident #1 had refused his CPAP on 02/22/26, 2/23/26, and 02/24/26 but she did not notify the physician or the DON of this refusal. She stated Resident #1 did not have any symptoms such as oxygen desaturation or respiratory distress associated with the CPAP refusals, but she had not charted this assessment. She did not state why she did not chart the assessment. She stated she had received training in documenting and notifying the physician of changes in residents' status.During an interview on 04/02/26 at 09:00 a.m., LVN C stated that she had noted Resident #1's oxygen saturation to be 85% around 09:00 on 02/25/26. She stated she accidentally charted the time as 03:33 p.m. when she was charting at the end of the day and failed to change the time. She stated she applied his oxygen and remained with him until his oxygen saturations returned to above 90%. She stated she did not document this and indicated that while her shift ended at 02:00 p.m. she was still charting at 03:33 p.m. She stated that NP B was rounding in the building on the morning of 02/25/26 (time unknown) and that she told her in person and NP B went and assessed Resident #1 that morning. She stated she did not document this. She stated, I probably should chart different. She stated normally she would have documented what his oxygen saturations came up to and she did not know why she did not. She stated she had received teaching at the facility on the need to document and report residents' change in status.During an interview on 04/02/26 at 02:55 p.m., the DON stated that if a residents oxygen saturation had been 85% or the resident was refusing CPAP or oxygen, she expected the nurse to document the finding and use their nursing judgement to decide if they could place an intervention that raised the oxygen saturation. She stated that if the resident's oxygen saturation remained low, she expected that the nurse would notify the physician.Review of facility policy titled, Change in a Resident's Condition or Status dated 2001, reflected The nurse will record in the resident's medical record information relative to changes in the resident's medical/mental condition or status.

Based on observation, interview and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for one (Residents #1) of eight residents reviewed for medication storage. The facility failed to ensure that Resident #1's collagen powder (medication used for wound care) for wound care was not inside the room on 10/07/2025. This failure could place residents at risk of misuse of medications that could lead to overdosing or underdosing.Findings include: Record review of Resident #1's Face Sheet, dated 10/07/2025, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with pressure ulcer (wound on the skin caused by prolonged pressure to specific area of the body) of sacral (area at the bottom of the spine) region. Record review of Resident #1's Comprehensive MDS Assessment, dated 08/09/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Comprehensive MDS Assessment indicated the resident was at risk for pressure ulcer. Record review of Resident #1's Comprehensive Care Plan, dated 08/25/2025, reflected that the resident had a stage 4 pressure ulcer of the lower sacrum and one of the interventions was to provide treatments as per order. Record review of Resident #1's Physician's Order, dated 07/09/2025, reflected Wound care: Lower sacrum: Cleanse with NS, pat dry with gauze, apply collagen powder then silver alginate, and cover with silicone border dressing daily. During an observation and interview on 10/07/2025 at 9:49 AM revealed Resident #1 was in her bed, awake. It was observed that there was two packs of collagen powder on the resident's bedside table. The resident said the collagen powder was for wound on her bottom. She said she did not know who brought the collagen powder. During an observation and interview on 10/07/2025 at 10:58 AM, LVN B stated she was not aware there were packs of collagen powder on top of the Resident #1's side table and did not notice them when she made her round. She said the collagen powder were used for wound care and should be inside the nurse's cart or the treatment cart. She said it could be possible that the resident mistakenly consume it. She said there were no resident going inside other residents' room but it could be a possibility. She said it might cause stomach upset when consumed. She went inside the resident's room and saw the pack of collagen powder and said she would ask the DON on what to do with the packs of collagen powder inside the resident's room. In an interview on 10/07/2025 at 12:08 PM, ADON A stated medications should not be inside the residents' rooms and should be stored inside the carts. She said collagen powders were used for wound care and should be inside the nurse's cart. She said confused resident or residents with poor eyesight could eventually consume them. She said if collagen powders were consumed, they might cause allergic reactions and stomach problems. She said the staff should always scan the residents' rooms for any medications. She said the DON already started an in-service about no medications inside the rooms of the residents. In an interview on 10/07/2025 at 12:28 PM, the WCN stated the collagen powder should not be inside the Resident #1's room but inside the treatment cart. She said she did not know who left them inside the resident's room. She said she had some collagen powders inside the treatment cart that was the one she used when she cleaned the resident's wound. She said the resident could mess with it that could cause adverse effects. In an interview on 10/07/2025 at 12:53 PM, the DON stated the collagen powder must have been left by hospice because they were the one supplying collagen powder for the resident #1's wound. She said she already called hospice to let them know not to leave an medication inside the room and to give any medication to the nurse in-charged. She said the collagen powders should not be inside because they were medications and should be inside the carts. She said collagen powders were applied topically and could be harmful when ingested. She said she already started an in-service about not leaving any medication inside the rooms of the residents. In an interview on 10/07/2025 at 1:05 PM, the Administrator stated the expectation was for the staff to be mindful not to leave any medication inside the room and to scan the room to make sure there were no medications inside the resident's rooms. He said the residents might consume the medications inappropriately. He said the DON already started an in-service about medication storage. Record review of the facility's policy entitled MEDICATION STORAGE Pharmacy Services Policies and Procedures revised 04/17/2024 reflected POLICY . biologicals are stored safely, securely . the facility will store all drugs and biologicals in locked compartments . biological supply is only accessible to licensed nursing personnel, pharmacy personnel or authorized staff members.

Based on observations, interviews, and record reviews, the facility failed to ensure that residents' environment remained free of hazards as was possible for 1 (Resident #2) of five residents reviewed for accident hazard. The facility failed to ensure that a container of germicidal (substance that destroys germs and microorganism) wipes was not left inside Residents #2's room on 10/07/2025. This failure could prevent the residents from having an environment that was free from toxic chemicals.Findings include: Record review of Resident #2's Face Sheet, dated 10/07/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with neoplasm (abnormal growth of tissue in the body) of the esophagus (hollow tube that carries food and liquid from the throat to the stomach). Record review of Resident #2's Comprehensive MDS Assessment (assessment used to determine functional capabilities and health needs), dated 09/02/2025, reflected the resident was cognitively intact (resident capable of normal cognition and needs little support) with a BIMS (screening tool used to assess cognitive status) score of 13. The Comprehensive MDS Assessment indicated that the resident had a medically complex condition (health issues that involves multiple chronic conditions). Record review of Resident #2's Comprehensive Care Plan, dated 07/17/2025, reflected the resident was at risk for dehydration related to cancer. The Comprehensive Care Plan indicated the resident was at risk for alteration in psychosocial well-being and one of the intervention was to observe and report any changes in mental status. During an observation and interview on 10/07/2025 at 9:54 AM revealed Resident #2 was in her bed, awake. It was observed that there was a container of germicidal wipes on the resident's white rattan table located near the resident's door. The resident said the container had been inside the room for some time and the aides were using the wipes to clean some of the items inside the room. In an interview on 10/07/2025 at 10:58 AM, LVN B stated technically, the germicidal wipes were not supposed to be inside the resident's room because they could cause various adverse effects such as skin irritation. She said she would ask the DON on what to do the germicidal wipes inside Resident #2's room. In an interview on 10/07/2025 at 11:29 AM, CNA C stated the staff used the germicidal wipes to clean the room. She said it should not be left inside the room because the wipes had chemicals that could be harmful to the residents if they were able to use them to wipe their eyes or were able to consume them. She said she did not notice the container of germicidal wipes inside Resident #2 room and did not know who left it there. She said she would if the container of wipes was still inside Resident #2's room and would give it to the nurse if it was still there. She said she would also check the other residents' rooms on her assigned hall. In an interview on 10/07/2025 at 12:08 PM, ADON A stated the container of germicidal wipes should not be inside Resident #2's room or any residents' room for that matter. She said the germicidal wipes should not be kept inside the rooms of the residents because they were not safe and should be kept inside the nurses' cart or MA's carts. She said it did not matter if the resident was confused or not, but the wipes were soaked in chemicals that could be harmful if ingested or used accidentally to wipe the eyes or used for incontinent care. She said it could result to skin irritation and eye irritation. She said the resident was immunocompromised and could have more severe reactions. She said the germicidal wipes were used to destroy microorganisms and were used with gloves on. She said the germicidal wipes should be inside the nurses' cart or the MAs' carts. She said the DON already started an in-service with regards to not leaving germicidal wipes inside the resident's rooms. In an interview on 10/07/2025 at 12:53 PM, the DON stated the germicidal wipes should not inside the residents' rooms because they have chemicals that could cause adverse effects if consumed or had contact with the skin. She said the container of germicidal wipes was closed but somebody could open it pull some wipes with their bare hand. She said the wipes were handled with gloves on because they have chemical on them to eliminate germs on surfaces. She said she was still asking who left it inside Resident #2's room so she could remind them not to leave any germicidal wipes inside the rooms of the residents. She said the container of germicidal wipes was taken out of the room and was placed inside the cart. She said she already started an in-service about not leaving any germicidal wipes inside the rooms for resident safety. In an interview on 10/07/2025 at 1:05 PM, the Administrator stated the container of germicidal wipes should not be left inside the rooms of the residents because they could take some and accidentally use them that could result to skin or eye irritation. He said the DON already started an in-service and he would personally check the rooms that there were no germicidal wipes inside the room. Record review of the facility's policy entitled Storage Areas, Maintenance 2001 MED-PASS, Inc. revised December 2009 reflected 3. Cleaning supplies, etc., must be stored in areas separate from food storage rooms and must be stored as instructed on the labels of such products. Record review of the facility's policy entitled MEDICATION STORAGE Pharmacy Services Policies and Procedures revised 04/17/2024 reflected POLICY . potentially harmful substances (e.g. cleaning supplies and disinfectants) are clearly identified and stored away.

Based observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three (Resident #10, Resident #41 and Resident #195) of sixteen residents reviewed for Infection Control. 1. The facility failed to ensure CNA F performed hand hygiene and changed gloves while providing incontinent care to Resident #10 on 05/28/2025. 2. The facility failed to ensure CNA G performed hand hygiene and changed gloves while providing incontinent care to Resident #41 on 05/28/2025. 3. The facility failed to ensure LVN C wore a gown while flushing and disconnecting Resident #195's IV on 05/27/2025. These failures could place residents at risk of cross-contamination and development of infections. Findings included: 1. Record review of Resident #10's Face Sheet, dated 05/28/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with urge incontinence (urgent, uncontrollable need to pee several times) and kidney failure (condition in which one or both kidneys no longer work). Record review of Resident #10's Quarterly MDS Assessment, dated 13/31/2025, reflected that the resident was moderately impaired cognition with a BIMS score of 10. The Quarterly MDS Assessment indicated the resident needed assistance for personal hygiene and toileting. Record review of Resident #10's Comprehensive Care Plan, dated 05/05/2025, reflected the resident had urge incontinence and one of the approaches was to monitor for incontinence and change promptly. Observation on 05/28/2025 at 7:13 AM revealed CNA F was about to do Resident #10's incontinent care. She washed her hands, put on a pair of gloves, pulled some more gloves from a box of gloves and put them inside her pocket, and then took a brief from the resident's drawer. she pulled down the resident's blanket, unfastened the brief, and pushed it between the resident's legs. She cleaned the resident's perineal area (area between the legs), using the front to back technique, five times. She assisted the resident to roll to her left, cleaned the resident's bottom, pulled the soiled brief, and threw it in the trash can. Before she pulled the soiled brief, she placed the new brief under the soiled brief and did not change her gloves before touching the new brief. She assisted the resident to roll back, fastened the brief on both sides, and pulled the blanket up. She then washed her hands. In an interview on 05/28/2025 at 7:27 AM, CNA F stated she should have not placed the new brief under the soiled brief because the germs on the soiled brief would transfer to the new brief. She said she should have also changed her gloves before touching the new brief for the same reason. she said she would be mindful the next time she would do incontinent care that dirty things would not touch clean things. 2. Record review of Resident #41's Face Sheet, dated 05/28/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with frequency of micturition (need to urinate many times during the day or night). Record review of Resident #41's Quarterly MDS Assessment, dated 04/08/2025, reflected the resident was moderately impaired cognition with a BIMS score of 12. The Quarterly MDS Assessment indicated the resident was totally dependent to staff for personal hygiene and toileting. Record review of Resident #41's Comprehensive Care Plan, dated 02/28/2025, reflected the resident was incontinent of bladder and one of the approaches was to monitor for incontinence every 2 hours and change promptly. Observation and interview on 05/28/2025 at 9:10 AM, CNA G and CNA H were about to transfer Resident #41 to a shower bed via mechanical lift. CNA G said before the transfer, they would clean her first. CNA G put on a pair of gloves without washing or sanitizing her hands and then put some gloves on her pockets. CNA H went to the bathroom and sanitized her hands. CNA G unfastened the resident's brief, pushed it between the resident's legs, took some wipes, and cleaned the resident's perineal area using a front to back technique. Both CNAs then assisted the resident to roll to her left side. CNA G cleaned the resident's bottom and then pulled the heavily soiled brief. She took off her gloves, took a pair of gloves from her pocket, put them on, and continued to clean the resident. She did not sanitize her hands before putting on a new pair of gloves. She then placed the mechanical lift sling and transferred the resident to a shower chair. In an interview on 05/28/2025 at 9:18 AM, CNA G stated hand washing should be done before any care. She said she should have washed her hands before cleaning Resident #41. She said even though she was only to transfer the resident, she still needed to wash or sanitize her hands to avert cross contamination and infection. 3. Review of Resident #195's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with bacteremia. Review of Resident #195's Comprehensive MDS Assessment, dated 05/20/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Quarterly MDS Assessment indicated the resident had bacteremia. Review of Resident #195's Care Plan, dated 05/20/2025, reflected the resident required IV medication for bacteremia and one of the approaches was follow regimen when caring for IV site. Review of Resident #195's Physician Order, dated 05/19/2025, reflected Flush IV line before and after medications and Q shift. Normal Saline Flush (sodium chloride 0.9 %). Observation and interview on 05/27/2025 at 9:34 AM, LVN C stated she would disconnect and flush Resident #195's IV because the medication was already done. She sanitized her hands and prepared normal saline bullet, IV flush syringe, green cap, and alcohol wipes. She went inside the resident's room, disconnected the IV, and flushed the IV line. A sign outside the resident's room indicated enhanced barrier precaution was required when caring or the resident but LVN C did not wear a gown when she did the treatment. In an interview on 05/27/2025 at 1:39 PM, LVN C stated the resident was on enhanced barrier precaution and she should have worn a gown when she disconnected the IV and flushed it. She said the purpose of enhanced barrier precaution was to reduce transmission of unwanted organisms. She said she forgot to wear one when she flushed and disconnected Resident #195's IV. In an interview on 05/28/2025 at 12:08 PM, the ADON stated staff must wash their hands before and after incontinent care. She said staff should be mindful that when they touched something dirty, they should change their gloves before touching something clean. She also said that before putting on a new pair of gloves, staff must wash their hands or sanitize their hands depending how soiled the resident was. She said if the resident had a sign outside the door that said enhanced barrier precautions, staff must wear a gown to prevent the spread of any unwanted microorganism. She said washing the hands, changing the gloves, sanitizing in between changing of gloves, wearing a gown were done to prevent cross contamination and probable infection. She said, since the DON was on leave, she was responsible in overseeing if the staff were following the policies and procedure for infection control. She said the expectation was for the staff to follow the protocols for infection control, hand hygiene, and enhanced barrier precaution. She said another expectation was for the staff not to put the gloves on their pockets because their pockets were not always clean. She said she would do an in-service about the mentioned issues and would personally monitor their adherence to the policies. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated that staff must be mindful in preventing the spread and development of infection. He said he was not a clinician and would let the ADON take the lead in educating the staff about infection control, hand washing, and enhanced barrier precaution. Record review of the facility's policy Handwashing/Hand Hygiene Infection Control Policy and Procedure Manual revised August 2019 revealed Policy Statement: This facility considers hand hygiene the primary means to prevent the spread of infections . Policy Interpretation and Implementation . Use an alcohol-based hand rub . b. Before and after direct contact with residents . h. Before moving from a contaminated body site to a clean body site during resident care; i. After contact with a resident's intact skin . j. After contact with blood or bodily fluids; m. After removing gloves . Applying and Removing Gloves . Perf01m hand hygiene before applying non-sterile gloves . 2. When applying, remove one glove from the dispensing box at a time, touching only the top of the cuff. Record review of the facility's policy Enhanced Barrier Precautions Nursing Services Policy and Procedure Manual for Long-Term Care revised August 2022 revealed Policy Statement: Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents. Policy Interpretation and Implementation . 2. EBPs employ targeted gown and glove use during high contact resident care . a. Gloves and gown are applied prior to performing the high contact resident care activity . 3. Examples of high-contact resident care activities . g. device care or use (central line .).

Based on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for six (Residents #29 #88, #193, #194, #197, and #198) of sixteen residents reviewed for Care Plans. 1. The facility failed to ensure Resident #29 was care planned for the resident's bed being placed in a low position and a fall placed alongside their beds for fall risk. 2. The facility failed to ensure Resident #88 was care planned for oxygen therapy on 05/09/2025. 3. The facility failed to ensure Resident #193 was care planned for CPAP on 05/17/2025. 4. The facility failed to ensure Resident #194 was care planned for catheter (flexible tube that collects urine from the bladder) when the resident was ordered to have a catheter on 05/22/2025. 5. The facility failed to ensure Resident #197 was care planned for oxygen therapy on 05/16/2025. 6. The facility failed to ensure Resident #198 was care planned for oxygen therapy on 05/22/2025. These failures could place the residents at risk of not receiving the necessary care and services needed. Findings included: 1. Record review of Resident #29's Face Sheet, dated 05/27/25, reflected he was an [AGE] year-old male admitted on [DATE]. Relevant diagnoses included history of falling and Alzheimer's (severe memory loss). Record review of Resident #29's Quarterly MDS assessment, dated 04/21/25, reflected he had a BIMS score of 4 (severe cognitive impairment). For ADL care, it reflected the resident required substantial assistance for transfer assistance. Record review of Resident #29's Comprehensive care plan, dated 02/12/25, reflected the resident was a fall risk but it did not include an intervention of the bed being in a low position and fall mats along both sides of the resident's bed. In an observation on 05/27/25 at 10:56 AM, Resident #29 was observed to have his bed in a low position, and he had fall mats placed alongside both sides of the bed. In an interview on 05/28/25 at 11:50 AM, CNA A, stated she was the CNA for Resident #29. She stated the resident was a fall risk and she was required to ensure that the fall mat was placed alongside the resident's bed and his bed was in a low position. She stated this was done for fall prevention. In an interview on 0528/25 at 1:01 PM, MDS nurse D stated she had been at the facility for 20 years. She stated Resident # 144 was a fall risk and his bed was required to be in a low position and fall mats placed alongside both sides of his bed. She stated both interventions should have been on the resident's care plan to prevent the resident the resident from hurting himself if he falls. She stated she was responsible for adding the interventions to the care plan, but it was overlooked. In an interview on 05/29/25 at 9:30 AM, the ADON stated she was made aware of Resident #29's care plan not reflecting the personalized intervention for the resident. She stated the resident's care plan should have included the bed being in a low position and the fall mats being placed alongside the bed. She stated not having the interventions added to the care plan could result in the resident not receiving the appropriate care. 2. Record review of Resident #88's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with pneumonia (inflammation and fluid in the lungs caused by a bacterial, viral, or fungal infection) and shortness of breath. Record review of Resident #88's Quarterly MDS Assessment, dated 05/05/2025, reflected the resident had moderate impairment in cognition with a BIMS score of 10 The Quarterly MDS Assessment indicated the resident was receiving oxygen therapy. Record review of Resident #88's Comprehensive Care Plan, dated 05/09/2025, reflected the resident did not have a care plan for oxygen therapy. Record review of Resident #88's Physician Order, dated 04/29/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. No order for continuous oxygen was noted. Record review of Resident #88's Progress Notes, dated 04/29/2025 reflected . resident had arrived . was receiving oxygen via nc @ 2 lpm . NP gave orders to keep O2 via nc continuously. Observation on 05/27/2025 at 9:37 AM revealed Resident #88 was in her wheelchair, awake. It was also observed that the resident was on oxygen via nasal cannula. In an interview on 05/27/2025 at 2:10 PM revealed Resident #88 was in her bed, awake. the resident was on oxygen via nasal cannula at 2 liter per minute. The resident said she was using oxygen since she was admitted . She said she came to the facility with oxygen. 3. Record review of Resident #193's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old female admitted on [DATE]. The resident was diagnosed with chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs), respiratory failure (condition where there is no enough oxygen in the body or too much carbon dioxide in the body) with hypercapnia (too much carbon dioxide in the blood), and sleep apnea (a sleep disorder where breathing is interrupted repeatedly during sleep). Record review of Resident #193's Comprehensive MDS Assessment, dated 05/19/2025, reflected the resident had moderate impairment in cognition with a BIMS score of 10. The Quarterly MDS Assessment indicated the resident had oxygen therapy. Record review of Resident #193's Comprehensive Care Plan, dated 05/17/2025, reflected the resident was at risk for SOB/wheezing related to COPD and one of the approaches were to provide medications and administer oxygen as ordered. There was no care plan for CPAP. Record review of Resident #193's Physician Order, dated 05/15/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. Record review of Resident #193's Physician Order, dated 05/15/2025, reflected ipratropium-albuterol solution for nebulization 0.5 mg-3 mg(2.5 mg base)/3 mL 3 mL inhalation Four Times A Day Chronic obstructive pulmonary disease with (acute) exacerbation. Record review of Resident #193's Physician Order on 05/27/2025 reflected the resident did not have an order for CPAP and continuous oxygen. Record review of Resident #193's Progress Notes, dated 05/15/2025, reflected . on 4 L continuous oxygen via NC. Record review of Resident #193's Progress Notes on 05/27/2025 reflected the resident was on continuous oxygen from 05/15/2025 onwards and was on CPAP since 05/18/2025 onwards. Observation on 05/27/2025 at 9:43 AM revealed Resident #193 was not inside her room. It was noted that the resident had an oxygen concentrator at bedside with a nasal cannula attached to it. It was also noted that the resident had a breathing mask and CPAP mask inside her left side table. In an interview on 05/27/2025 at 2:19 PM, Resident #193 stated she had been on oxygen and using CPAP before she was admitted to the facility. 4. Record review of Resident #194's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with stage 4 pressure ulcers to sacral region. Record review of Resident #194's Comprehensive MDS Assessment, dated 05/09/2025, reflected resident had a moderately impairment in cognition with a BIMS score of 12. The Comprehensive MDS Assessment indicated the resident had a pressure ulcer to sacral region. Record review of Resident #194's Comprehensive Care Plan, dated 05/09/2025, reflected no care plan for catheter. Record review of Resident #194's Physician Order, dated 05/22/2025, reflected Catheter care Q Shift. Record review of Resident #194's Progress Notes, dated 05/22/2025, reflected MD discussed with the resident the benefits of foley catheter to wound healing. After the resident gave the consent, 16 F Foley catheter was inserted. Observation and interview on 05/27/2025 at 9:02 AM revealed Resident #194 was in her bed, awake. It was observed that the resident had a catheter bag hanging on the side frame of the bed. The catheter bag, with urine inside, did not have a privacy bag. The resident stated she had a catheter so the wound to her bottom would heal faster. She said she had the catheter for less than a week. 5. Record review of Resident #197's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with respiratory failure and shortness of breath. Record review of Resident #197's Comprehensive MDS Assessment, dated 04/09/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Comprehensive MDS Assessment indicated the resident was not coded for oxygen use. Record review of Resident #197's Comprehensive Care Plan, dated 05/16/2025, reflected the resident had no care plan for oxygen therapy. Record review of Resident #197's Physician Order, dated 05/13/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. PRN. Record review of Resident #197's Progress Notes, dated 05/15/2025, reflected . oxygen at 2 l via nc. Record review of Resident #197's Progress Notes on 05/27/2025 reflected the resident was on oxygen since admission and onwards. Observation on 05/27/2025 at 9:11 AM revealed Resident #197 was in his bed with eyes closed. It was observed that the resident was on oxygen therapy at 3 liter per minute via nasal cannula. In an interview on 05/28/2025 at 8:20 AM, LVN B stated Resident #197 was using oxygen during the day and during night time. She said the resident was continuously using oxygen via nasal cannula. In an interview on 05/29/2025 at 10:12 AM, Resident #197 stated she came to the facility with oxygen and had been using it since then. 6. Record review of Resident #198's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with pulmonary edema (abnormal build- up of fluid in the lungs) and bronchitis (inflammation of the airways). Record review of Resident #198's Comprehensive MDS Assessment, dated 05/27/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Comprehensive MDS Assessment did not indicate that the resident was on oxygen therapy. Record review of Resident #198's Comprehensive Care Plan, dated 05/22/2025, reflected the resident had no care plan for oxygen therapy. Record review of Resident #198's Physician Order, dated 05/21/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. PRN. Observation on 05/27/2025 at 9:14 AM revealed the Resident #198 was in her wheelchair and was on oxygen therapy via nasal cannula connected to her portable tank behind her wheelchair. In an interview on 05/27/2025 at 2:19 PM, Resident #198 stated she was using oxygen day and night because she was experiencing shortness of breath. In an interview on 05/28/2025 at 6:44 AM, LVN B said if a resident was using oxygen since she was admitted to the facility and she was using it always. In an interview on 05/28/2025 at 10:07 AM, the MDS Coordinator stated a care plan is was a reflection of a resident's care and services being provided by the staff. She said care plans were important because they indicate the care and treatment needed by the residents. She said if there were no care plans, the staff might miss something and the residents' needs will not be addressed. She said without the care plans, the staff would not know the latest goals and interventions for the residents. She said if the residents were admitted in the facility with an oxygen and were using oxygen while in the facility, there should be a care plan for oxygen. She said the same was true for the CPAP and catheter. she She said she should have done the care plans after the residents' assessments. She said it was on oversight on her part and she said she would audit the care plans of the residents. In an interview on 05/28/2025 at 12:08 PM, The ADON stated everything done for the residents should be care planned to make sure the residents were being taken care for and were receiving the care needed. She said care plans should be in place so that the staff were in sync with the care being provided to the residents. She said without the care plan, needed interventions might not be provided. She said the expectation was all the issues of the residents were care planned. She said she would coordinate with the MDS Nurse on how to make sure the residents were care planned accordingly. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated all the care, services, and treatment done for the residents should be reflected in their care plans to make sure the staff would not know and understand what kind of care to provide. He said he was not a clinician and would let the ADON take the lead in making sure the residents had their care plans in place. Record review of the facility's policy, Care Plans, Comprehensive Person-Centered Nursing Services Policy and Procedure Manual for Long-Term Care revised March 2022 revealed Policy Statement: A comprehensive, person-centered care plan . is developed and implemented for each resident . 11. Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' change in condition.

Based on observations, interviews, and record review, the facility failed to treat each resident with respect, dignity, and care in a manner and environment that promoted maintenance or enhancement of his or her quality of life for seven (Resident #195, Resident #200, Resident #193, Resident#202, Resident#65, Resident#16, and Resident #204) of sixteen residents reviewed for Privacy and Confidentiality. 1. The facility failed to ensure LVN C closed the door while flushing Resident #195's IV and disconnecting his IV bag on 05/27/2025. 2. The facility failed to ensure LVN D did not leave Resident #200, Resident #193, Resident #202, Resident #65, Resident #16 and Resident #204, medical information on top of the medication care unattended on 05/27/2025. These failures could place the residents at risk of not having their personal privacy maintained during medical treatment and their medical information exposed to unauthorized individuals. Findings included: 1. Record review of Resident #195's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with bacteremia (presence of bacteria in the blood stream). Record review of Resident #195's Comprehensive MDS Assessment, dated 05/20/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Quarterly MDS Assessment indicated the resident had bacteremia. Record review of Resident #195's Care Plan, dated 05/20/2025, reflected the resident required IV medication for bacteremia and one of the approaches was follow regimen when caring for IV site. Record review of Resident #195's Physician Order, dated 05/19/2025, reflected Flush IV line before and after medications and Q shift. Normal Saline Flush (sodium chloride 0.9 %). Observation and interview on 05/27/2025 at 9:34 AM, LVN C stated she would disconnect and flush Resident #195's IV because the medication was already done. She sanitized her hands and prepared normal saline bullet, IV flush syringe, green cap, and alcohol wipes. She went inside the resident's room, disconnected the IV, and flushed the IV line. She did not close the door while disconnecting and flushing the resident's IV line. In an interview on 05/27/2025 at 1:39 PM, LVN C stated doors should be closed when providing care or treatment to the residents to provide them privacy. She said she was not aware that she did not close the door. She said it did not matter if the resident would mind or not, the door should be closed. She said she would be mindful the next time she would provide care or treatment. In an interview on 05/28/2025 at 12:08 PM, The ADON stated all the care and treatment should be done in the privacy of the residents' room. She said every care done by the staff should be behind the door so other staff, other residents, or even the visitors would not see or speculate the medical condition of the residents. She said it did not matter if the residents care or not, the door should still be closed while providing care. She said the expectation was for the staff be mindful when they were providing care. She said she would do an in-service regarding closing the door when providing treatment. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated the staff must make sure that the residents were provided privacy when providing care tor treatment to prevent embarrassment. He said the expectation was for the staff to close the door during all treatment provided. He said he would collaborate with the ADON to do an in-service about closing the door to provide privacy. 2. Observation on 05/27/2025 at 9:40 AM revealed a small piece of paper was on top of medication cart parked in the hallway. On the piece of paper was the following: *Resident #200's blood pressure, *Resident #193's order for Flonase, *Resident #202's blood pressure, *Resident #65' blood pressure, *Resident #16's order for Lasix and potassium, and *Resident #204's blood pressure and order for Norco. It was observed that nobody was attending the cart, and the cart was facing the hallway. During an interview on 05/27/2025 on 10:10 AM, LVN D stated when she left the cart to administer medication. She said she should not leave any information about residents' medical issues on top of the cart unattended because they have information about the resident. LVN D stated she should have flipped the paper when she left the cart. She stated she did not know putting resident room numbers would be a problem. LVN D would be mindful that no type of information about any resident would be left on top of the cart. During an interview on 05/27/25 at 11:30 AM ADON stated that was a HIPAA violation. ADON stated the expectation was for all staff not to leave any personal or medical information about a resident. ADON stated a resident's information is confidential and should not be seen by unauthorized individuals. Record review of facility's policy, Quality of Life - Dignity & Privacy Operational Policy and Procedure Manual for Long-Term Care revised August 2009 revealed Policy Statement: Each resident shall be cared for in a manner that promotes and enhances quality of life, . privacy . Policy Interpretation and Implementation . 9. Staff shall maintain an environment in which confidential clinical information is protected . 10. Staff shall promote, maintain and protect resident privacy, including bodily privacy during assistance with personal care and during nursing treatment procedures.

Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 7 of 15 resident rooms on the 100 hall (Resident rooms #1, #2, #3, #4, #5, #6, and #7), and all the hand rails on the 500 hall, reviewed for environment. 1. The facility failed to ensure Resident rooms #1, #2, #3, #4, #5, #6, and #7 were thoroughly cleaned and sanitized. 2. The facility failed to ensure the handrails on the 500 hall were thoroughly cleaned and sanitized. These deficient practices could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life. Findings include: An observation on 05/27/25 at 11:00 AM of resident room [ROOM NUMBER] reflected the refrigerator in the resident room had brownish stains on the inside bottom of the refrigerator. The bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and red stains under it. An observation on 05/27/25 at 11:05 AM of resident room [ROOM NUMBER] reflected the bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and red stains under it. The drain hole had dark stains surrounding the drain. Behind the toilet was a dark stain on the floor. An observation on 05/27/25 at 11:10 AM of resident room [ROOM NUMBER] reflected the bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and dark red stains under it. An observation on 05/27/25 at 11:19 AM of resident room [ROOM NUMBER] reflected the bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and dark dirt stains under it. An observation on 05/27/25 at 11:20 AM of all the handrails on the 500-hall revealed dirt particles and dead bugs on the inside of the handrails. An observation on 05/27/25 at 11:28 AM of resident room [ROOM NUMBER] reflected the bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and dark dirt stains under it. An observation on 05/27/25 at 11:31 AM of resident room [ROOM NUMBER] reflected the bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and dark dirt stains under it. A small personal fan in the room had thick dust on the outside of the unit and on the fan blades. The corners of the room floor had dirt particles building up. An observation on 05/27/25 at 11:33 AM of resident room [ROOM NUMBER] reflected the bathroom shower floor had a steel grill, located over the drain, that had a brown rust-like substance on it, and dark dirt stains under it. A large personal fan in the room had thick dust on the outside of the unit and on the fan blades. In an interview on 05/29/25 at 8:40 AM, the Environmental Supervisor was shown pictures of the concerns observed in Resident Rooms #1, #2, #3, #4, #5, #6, and #7, and the handrails on Hall 500. She stated housekeeping was responsible for ensuring these areas were cleaned and she was responsible for checking to see if the areas were cleaned. She stated she would ensure the concerns were addressed. She stated not ensuring the resident rooms were thoroughly cleaned could result in breathing issues and infections. In an interview on 05/29/25 at 10:45 AM, Housekeeping M, stated she normally did not clean Hall 500 and the person assigned to clean Resident rooms #1, #2, #3, #4, #5, #6, and #7, and the handrails in the halls was off today. She stated they were responsible for cleaning all areas of the resident rooms and they were also responsible for cleaning the handrails in the halls. She was shown photos of the concerns observed in the resident rooms and she stated they should have cleaned all of the areas of concerns. She stated the Environmental Supervisor was responsible for cleaning the fans in the resident rooms. She stated not cleaning the areas of concern could result in breathing problems for the residents. In an interview on 05/29/25 at 11:10 AM, the Administrator was advised of the concerns observed in Resident Rooms #1, #2, #3, #4, #5, #6, and #7, and the handrails on Hall 500. He stated he had met with the Environmental Supervisor about the concerns observed and they were working on resolving the issues. He stated they had issues with cleaning the rust from the steel grills in the shower area and he did not think housekeeping was aware that the grills could be removed to clean under them. He stated they had issues cleaning white particles stuck on the floor and they did not know how to remove them. He was advised the white particles appeared to be dirt particles not cleaned in the corners of the room floors and the handrails had dead bugs on them. He stated the concerns observed did not present a homelike environment for the residents. Record review of the facility's policy on Cleaning and Disinfection of Environmental Surfaces (June 2009) reflected Daily cleaning of resident rooms help to provide a sanitary environment, prevent odors, and prolong the useful life of furniture, equipment, paint, and floor finish.

Based on interviews, and record review, the facility failed to ensure assessments accurately reflected the resident's status for three (Residents #196, #197, and #198) of sixteen residents reviewed for Accuracy of Assessments. 1. The facility failed to ensure Resident #196's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open). 2. The facility failed to ensure Resident #197's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on oxygen therapy. 3. The facility failed to ensure Resident #198's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on oxygen therapy. These failures could place the resident at risk for not receiving care and services to meet their needs, diminished function of health, and regression in their overall health. Findings included: 1. Record review of Resident #196's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with obstructive sleep apnea (a sleep disorder where breathing is interrupted repeatedly during sleep). Record review of Resident #196's Comprehensive MDS Assessment, dated 05/29/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Comprehensive MDS Assessment did not indicate the resident was using a CPAP. Record review of Resident #196's Comprehensive Care Plan, dated 05/26/2025, reflected the resident had sleep apnea and the goal was for the resident to adhere to CPAP therapy. Record review of Resident #196's Physician Order, dated 05/22/2025, reflected CPAP Q HS. Record review of Resident #196's Progress Notes, dated 05/22/2025, reflected THIS [AGE] year old FEMALE ARRIVED VIA PRIVATE TRANSPORT . BROUGHT CPAP . CPAP IS ON. Observation on 05/27/2025 at 9:22 AM revealed Resident #196 was not inside the room. A CPAP mask was observed on top of the resident's side table. In an interview on 05/29/2025 at 8:13 AM, LVN C stated Resident #196 had been using a CPAP ever since she was admitted to the facility. 2. Record review of Resident #197's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with respiratory failure and shortness of breath. Record review of Resident #197's Comprehensive MDS Assessment, dated 05/16/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Comprehensive MDS Assessment did not indicate the resident was on oxygen therapy. Record review of Resident #197's Comprehensive Care Plan, dated 05/16/2025, reflected the resident had no care plan for oxygen therapy. Record review of Resident #197's Progress Notes on 05/27/2025 reflected the resident was on oxygen since admission and onwards. Record review of Resident #197's Physician Order, dated 05/13/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. PRN. Record review of Resident #197's Physician Order on 05/27/2025 reflected no order for continuous oxygen. Observation on 05/27/2025 at 9:11 AM revealed Resident #197 was in her bed, awake. It was observed that the resident was on oxygen therapy at 3 liter per minute via nasal cannula. In an interview on 05/28/2025 at 8:20 AM, LVN B stated Resident #197 was using oxygen during the day and during night time. She said the resident was continuously using oxygen via nasal cannula. 3. Record review of Resident #198's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with pulmonary edema (abnormal build- up of fluid in the lungs) and bronchitis (inflammation of the airways). Record review of Resident #198's Comprehensive MDS Assessment, dated 05/27/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Comprehensive MDS Assessment did not indicate that the resident was on oxygen therapy. Record review of Resident #198's Comprehensive Care Plan, dated 05/22/2025, reflected the resident had no care plan for oxygen therapy. Record review of Resident #198's Physician Order, dated 05/21/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. PRN. Record review of Resident #198's Progress Notes, dated 05/21/2025, reflected oxygen in use at 2 liters per minute via nasal cannula. Observation on 05/27/2025 at 9:14 AM revealed the Resident #198 was in her wheelchair and was on oxygen therapy via nasal cannula connected to her portable tank behind her wheelchair. In an interview on 05/27/2025 at 2:19 PM, Resident #198 stated she was using oxygen day and night because she was experiencing shortness of breath. In an interview on 05/28/2025 at 6:44 AM, LVN B said if a resident was using oxygen since she was admitted to the facility and she was using it always. In an interview on 05/28/2025 at 10:07 AM, the MDS Coordinator stated the purpose of the MDS was to gather and document significant data about a resident. The data collected were the resident's demographics, cognition, behaviors, functional abilities, diagnosis, and if the resident was using any kind of treatment. She said the MDS was used to do a basic assessment of a resident that could be gathered from the nurses' documentation of the nurses, during her face-to-face evaluation during admission, or from word of mouth. She said since the Residents #196, #197, and #198 were all using oxygen prior to my assessment, their MDS should reflect that. She said it was an oversight on her part and missed that the residents were using oxygen. She said she would audit the MDS of the residents and would make sure that everything was coded appropriately. She said if the residents were not properly assessed, the needs would not be met, and there could be confusion in the provision of care and in doing the care plan. In an interview on 05/28/2025 at 12:08 PM, The ADON stated she was not that familiar with the MDS. She said if the residents were using oxygen, then the residents' MDS should reflect it. She said the MDS Nurse was responsible for doing the MDS and if the assessment in the MDS was not accurate, the care given to the residents might not be accurate. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated the MDS was done to reflect the current condition of the resident through accurate assessment. He said if there was no accurate assessment, there could be a misunderstanding about the care needed by the residents. He said he would coordinate with the ADON and the MDS Nurses to evaluate and resolve the issue. Record review of the facility policy, Comprehensive Assessment and the Care Delivery Process Nursing Services Policy and Procedure Manual for Long-Term Care revised December 2016 revealed Policy Statement: Comprehensive assessments will be conducted to assist in developing person-centered care plans . 2. Assessment and information . a. Assess the individual . (1) Gather relevant information from multiple sources . (a) Observation; (b) Physical assessment; (c) Symptom or condition-related assessments; (d) Resident and family interview . (h) Evaluations from other disciplines.

Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food and nutrition services. 1. The facility failed to place a cover on top of the tea dispenser to avoid air borne contaminants. 2. The facility failed to ensure prepared food in the dry storage, refrigerator and freezer was labeled and dated when stored. 3. The facility failed to ensure expired food in the refrigerator and freezer was discarded. 4. The facility failed to ensure all foods stored in the freezer and refrigerator was properly sealed. These failures could place residents at risk for cross contamination and air-borne illnesses. Findings include: Observations on 05/27/25 from 9:01 AM to 9:14 AM in the facility's only kitchen revealed: o Three trays containing small bowls of salads, located in a refrigerator, were not labeled with the date they were stored. Two large containers with small cups of white milk, located in the refrigerator, were not labeled with the date they were stored. One container of sliced onions and sliced tomatoes, located in the refrigerator, was labeled with 5/24 and not labeled with month, day, and year the items were stored. One large box of boiled eggs, located in the refrigerator, was labeled with 5/20 and not labeled with month, day, and year the items were stored. One bag of cooked hamburger patties, located in the refrigerator, was not labeled with the date the item was stored. One large tea dispenser, located in the dining area, had tea in it, but it did not have a lid placed on the top of the dispenser to avoid air-borne contaminants. o Once large container of Italian Salad Dressing, located in the refrigerator, had a sheet of foil laying on top of the container and it was not sealed from air-borne contaminants. One bag of frozen hash browns in a zip locked bag, located in the freezer, was not labeled with the date it was stored. Two large bags of frozen fries, located in the freezer, were not labeled with the date the items were stored. Four two-pound containers of Greek yogurt, located in the refrigerator, had a use by date of 05/15/25 and were not discarded. Four bags of flour tortillas, located in the freezer, had a best by date of 02/24/25, and were not discarded. Four bags of hotdog buns, stored in the dry storage bins, were not labeled with the date the items were stored. In an interview and observation on 05/27/25 at 9:15 AM, the Dietary Manager was shown the concerns observed in the kitchen and he stated the tea was prepared at 7:00 AM and should have been covered once it was done. He stated he was unaware the food stored in the refrigerator and freezer should have included the year and he always just put the month and day. He stated the expired foods should have been discarded once they passed the use by date, but it was overlooked. He stated he would correct the concerns observed. He stated not addressing the concerns could result in food contamination. In an interview on 05/29/25 at 11:30 AM, the Administrator was shown pictures of the concerns observed in the kitchen. He stated he did not know that the food items should have been dated with the month, date, and year, as opposed to just the month and day. He stated he expected these areas to comply and meet all expectations. He stated the concerns not being addressed could result in residents getting sick. Record review of the facility's policy on Food Receiving and Storage (June 2014), revealed Foods shall be received and stored in a manner that complies with safe food handling practices. All foods stored in the refrigerator or freezer will be covered, labeled and dated with the date of use. Record review of the U.S. Food and Drug Administration (FDA) Code (2022) revealed, Food shall be protected from contamination that may result from a factor or source not specified under Subparts 3-301 - 3-306.

Based on observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for six (Residents #88, #193, #196, #197, #198, and #244) of twelve residents reviewed for respiratory care. 1. The facility failed to ensure that Resident #88 had an order for continuous oxygen use. 2. The facility failed to ensure Resident #193's nasal cannula (flexible tube used to deliver oxygen to the nose through two prongs), breathing mask (used to receive medications by breathing in mist through nose and mouth), and CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open) mask were properly stored when not in use on 05/27/2025 and that the resident had an order for CPAP and continuous oxygen. 3. The facility failed to ensure Resident #196's CPAP mask was properly stored when not in use on 05/27/2025. 4. The facility failed to ensure an Oxygen in Use sign was placed outside Resident #197's room on 05/27/2025 and the resident had an order for continuous oxygen. 5. The facility failed to ensure Resident #198's nasal cannula was properly stored when not in use and an Oxygen in Use sign was placed outside resident's room on 05/27/2025. 6. The facility failed to ensure Resident #244's BiPAP (bilevel positive airway pressure: normalizes breathing by delivering pressurized air into the upper airway leading into the lungs) mask was properly stored when not in use and an Oxygen in Use sign was placed outside resident's room on 05/27/2025. These failures could place residents at risk for respiratory infection and not having their respiratory needs met. Findings included: 1. Record review of Resident #88's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with pneumonia (inflammation and fluid in the lungs caused by a bacterial, viral, or fungal infection) and shortness of breath. Record review of Resident #88's Quarterly MDS Assessment, dated 05/05/2025, reflected the resident had moderate impairment in cognition with a BIMS score of 10. The Quarterly MDS Assessment indicated the resident was receiving oxygen therapy. Record review of Resident #88's Comprehensive Care Plan, dated 05/09/2025, reflected the resident did not have a care plan for oxygen therapy. Record review of Resident #88's Physician Order, dated 04/29/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. PRN. No order for continuous oxygen was noted. Record review of Resident #88's Progress Notes, dated 04/29/2025 reflected . resident had arrived . was receiving oxygen via nc @ 2 lpm . NP gave orders to keep O2 via nc continuously. The Progress Notes indicated that the resident was using oxygen since admission and onwards. Observation on 05/27/2025 at 9:37 AM revealed Resident #88 was in her wheelchair, awake. It was also observed that the resident was on oxygen via nasal cannula. In an interview on 05/27/2025 at 2:10 PM revealed Resident #88 was in her bed, awake. The resident was on oxygen via nasal cannula at 2 liter per minute. The resident said she was using oxygen since she came to the facility. She said she came to the facility with oxygen and had been using it continuously then. In an interview on 05/28/2025 at 8:13 AM, LVN C stated if Resident #88 was using the oxygen continuously, there should be an order for continuous oxygen and not just an order for as needed. She checked the resident's profile and saw the resident was on oxygen every day and there was no order for continuous oxygen. She said there should be an order for continuous oxygen. 2. Record review of Resident #193's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old female admitted on [DATE]. The resident was diagnosed with chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs), respiratory failure (condition where there is not enough oxygen in the body or too much carbon dioxide in the body) with hypercapnia (too much carbon dioxide in the blood), and sleep apnea (a sleep disorder where breathing is interrupted repeatedly during sleep). Record review of Resident #193's Comprehensive MDS Assessment, dated 05/19/2025, reflected the resident had moderate impairment in cognition with a BIMS score of 10. The Quarterly MDS Assessment indicated the resident had oxygen therapy. Record review of Resident #193's Comprehensive Care Plan, dated 01/21/2025, reflected the resident was at risk for SOB/wheezing related to COPD and one of the approaches was to provide medications and administer oxygen as ordered. There was no care plan for CPAP. Record review of Resident #193's Physician Order, dated 05/15/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. Record review of Resident #193's Physician Order, dated 05/15/2025, reflected ipratropium-albuterol solution for nebulization 0.5 mg-3 mg(2.5 mg base)/3 mL 3 mL inhalation Four Times A Day Chronic obstructive pulmonary disease with (acute) exacerbation. Record review of Resident #193's Physician Order on 05/27/2025 reflected the resident did not have an order for CPAP and continuous oxygen. Record review of Resident #193's Progress Notes, dated 05/15/2025, reflected Resident . on 4 L continuous oxygen via NC. Record review of Resident #193's Progress Notes on 05/27/2025 reflected the resident was on continuous oxygen from 05/15/2025 onwards and was on CPAP since 05/18/2025 onwards. Observation on 05/27/2025 at 9:43 AM revealed Resident #193 was not inside her room. It was noted that the resident had an oxygen concentrator at bedside with a nasal cannula attached to it. The nasal cannula was on top of the bed and was not bagged. It was also noted that the resident had a breathing mask and CPAP mask inside her left side table. Both the breathing mask and CPAP mask were not bagged. Observation and interview on 05/27/2025 at 9:49 AM, LVN D stated Resident #193 was on oxygen therapy, breathing treatment, and used CPAP at night. She went inside the resident's room and saw the nasal cannula on top of the bed and the breathing mask and CPAP mask that were inside the drawers. She said the nasal cannula, breathing treatment, and CPAP mask should all be bagged when the resident was not using them to prevent transfer of microorganisms that could eventually cause infection. She disconnected the nasal cannula and the breathing mask and said she would get a new one and would place them in a bag. She said she would clean the CPAP mask and then put it inside a plastic bag. Observation and interview on 05/27/2025 at 2:19 PM revealed Resident #193 was in her bed, was on oxygen via nasal cannula. She stated she had been on oxygen and using CPAP before she was admitted to the facility. She said sometimes staff would check on her after a breathing treatment but she did not know where the staff would put the CPAP. She said she would sometimes take off the CPAP mask but nobody told her to put it in a bag. She said it made sense that the nasal cannula, breathing mask, and CPAP mask were in a clean bag when she was not using them so she would not have additional respiratory issues. In an interview on 05/28/2025 at 6:39 AM, LVN D stated if a resident was using the oxygen every day and almost all the time, there should be an order for continuous oxygen because everything being done for the resident should have an order. She said she would check Resident #193's profile and see if she had an order for oxygen and CPAP. 3. Record review of Resident #196's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with obstructive sleep apnea. Record review of Resident #196's Comprehensive MDS Assessment, dated 05/29/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Comprehensive MDS Assessment indicated the resident had sleep apnea. Record review of Resident #196's Comprehensive Care Plan, dated 05/26/2025, reflected the resident had sleep apnea and the goal was for the resident to adhere to CPAP therapy. Record review of Resident #196's Physician Order, dated 05/22/2025, reflected CPAP Q HS. Observation on 05/27/2025 at 9:22 AM revealed Resident #196 was not inside the room. It was observed that her CPAP mask was on her side table. The CPAP mask was not bagged. 4. Record review of Resident #197's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with respiratory failure and shortness of breath. Record review of Resident #197's Comprehensive MDS Assessment, dated 05/16/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Comprehensive MDS Assessment indicated the resident was not on oxygen therapy. Record review of Resident #197's Comprehensive Care Plan, dated 05/16/2025, reflected the resident had no care plan for oxygen therapy. Record review of Resident #197's Physician Order, dated 05/13/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. Record review of Resident #197's Physician Order on 05/27/2025 reflected no order for continuous oxygen. Record review of Resident #197's Progress Notes, dated 05/13/2025, reflected . oxygen at 2 l via nc. Record review of Resident #197's Progress Notes on 05/27/2025 reflected that the resident was on oxygen from admission on wards. Observation on 05/27/2025 at 9:11 AM revealed Resident #197 was in her bed with eyes closed. It was observed that the resident was on oxygen therapy at 3 liters per minute via nasal cannula. It was also observed that there was no Oxygen in Use sign outside the resident's room. In an interview on 05/29/2025 at 10:12 AM, Resident #197 stated she was on oxygen since she was admitted to the facility. She said the nasal cannula was always on her nose. 5. Record review of Resident #198's Face Sheet, dated 05/27/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with pulmonary edema and bronchitis. Record review of Resident #198's Comprehensive MDS Assessment, dated 05/27/2025, reflected the resident was unable to complete the interview to determine the BIMS score. The Comprehensive MDS Assessment did not indicate that the resident was on oxygen therapy. Record review of Resident #198's Comprehensive Care Plan, dated 05/22/2025, reflected the resident had no care plan for oxygen therapy. Record review of Resident #198's Physician Order, dated 05/21/2025, reflected May apply O2 via nasal cannula to maintain SpO2 greater than 90%, if requiring more than 5 LPM notify provider. PRN. Observation on 05/27/2025 at 9:14 AM revealed Resident #198 was ushered to her room by CNA E. Prior to the resident entering the room, a nasal cannula connected to her bedside oxygen concentrator was observed on top of her bed. The nasal cannula was not bagged. When the resident was ushered to her room, CNA E took the nasal cannula from the bed and put it on top of the oxygen concentrator with the prongs of the nasal cannula touching the side of the oxygen concentrator. It was noted that there was a plastic bag at the side of the oxygen concentrator. Also, there was no Oxygen in Use sign outside the door. In an interview on 05/27/2025 at 9:16 AM, LVN B stated the nasal cannula should be bagged when not in use and not left on top of the bed because the bed might be dirty. She said it should not also be on top of the oxygen concentrator for the same reason. She said it should be bagged to prevent any respiratory infections. She then disconnected the nasal cannula from the oxygen concentrator and said she would get a new one. She said whoever transferred the resident should have called her so she could have placed the nasal cannula in the plastic bag. She said she would talk to CNA E. In an interview on 05/27/2025 at 9:19 AM, CNA E stated she transferred Resident #198 to her wheelchair and left the nasal cannula on the bed. She said she should have called LVN B to put the nasal cannula inside the plastic bag to keep it clean. Observation and interview on 05/28/2025 at 6:44 AM, LVN B said if a resident was using oxygen, there should be an oxygen sign outside the door of the resident's room to inform everybody that oxygen was being used in the facility. She said the sign served as a reminder for potential hazards connected to oxygen use such as fire and explosions. She then saw that Residents #197 and #198 did not have any Oxygen in Use sign outside their door. She said she would get some signs and put them outside the residents' room. In an interview on 05/29/2025 at 10:19 AM, Resident #198 said she used her oxygen once in a while and not every day, just when she needed it. She said when she was transferred to her wheelchair, she did not know where the staff put her nasal cannula. 6. Record review of Resident #244's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with respiratory failure (condition where there is not enough oxygen in the body or too much carbon dioxide in the body) and chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs). Record review of Resident #244's Comprehensive MDS Assessment, dated 05/23/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Comprehensive MDS Assessment indicated the resident was on oxygen and used a BiPAP. Record review of Resident #244's Comprehensive Care Plan, dated 05/19/2025, reflected the resident had oxygen therapy and was using a BiPAP. Record review of Resident #244's Physician Order, dated 05/17/2025, reflected O2 @ 4 L/min via nasal cannula every shift. Record review of Resident #244's Physician Order, dated 05/17/2025, reflected apply BiPAP @ HS at bedtime. Observation and interview on 05/27/2025 at 9:26 AM revealed Resident #244 was in his bed, awake. It was observed that the resident was on oxygen therapy via nasal cannula and that there was no sign outside the resident's door indicating that the resident was on oxygen therapy. It was also observed that a BiPAP mask was on top of the resident's side table. The mask was not bagged. The resident said he was using oxygen because of his lung issue. He said he also used his BiPAP mask every night because of his sleep apnea. In an interview on 05/29/2025 at 8:13 AM, LVN C stated the CPAP and BiPAP masks should be in a plastic bag to prevent cross contamination and respiratory infection. She said she did not notice that the CPAP and BiPAP masks were not bagged on 05/27/2025. but already checked if Resident #196's CPAP mask and Resident #244's BiPAP were bagged when she did her morning round. She also said that if a resident was using oxygen, there should be an Oxygen in Use sign outside the resident's door so the staff and the visitors were aware that oxygen was being used in the facility. In an interview on 05/29/2025 at 12:08 PM, The ADON stated the nasal cannulas, breathing masks, CPAP masks, and BiPAP masks should be stored properly inside a plastic bag if the residents were not using them. She said the staff were responsible for ensuring all the breathing paraphernalia mentioned were clean every time the residents used them. She said the expectation was for the staff to be mindful and bag all of them to prevent respiratory issues. She said another expectation was for the staff to check if there was an Oxygen in Use sign outside the door of residents that were using oxygen. She said the sign for oxygen use was to remind the staff and visitors to be careful not to cause any ignition that could cause fire. She said an order should be in place if the residents were using oxygen continuously and if they were using a CPAP or BiPAP. She said she would check the residents mentioned if they needed orders for their oxygen, CPAP, and BiPAP because everything done for the residents should have orders and the orders should be accurate. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated everything that the residents were using should be kept clean to prevent cross contamination and respiratory infection. He said there should be a sign outside the door if a resident was using oxygen. He said he was not a clinician and would let the ADON handle the issues mentioned. Record review of the facility's policy Departmental (Respiratory Therapy) -Prevention of Infection Nursing's Services Policy and Procedure Manual for Long-Term Care revised November 2011 revealed Purpose: The purpose of this procedure is to guide prevention of infection associated with respiratory therapy tasks . Infection Control Considerations Related to Oxygen Administration . 8. Keep the oxygen cannula and tubing . in a plastic bag when not in use. Record review of the facility policy Oxygen Administration 2001 MED-PASS revised October 2010 revealed Purpose: The purpose of this procedure is to provide guidelines for safe oxygen administration . Steps in the Procedure . 2. Place an Oxygen in Use sign on the outside of the room entrance door. Record review of the facility's policy Medication Orders Nursing Services Policy and Procedure Manual for Long-Term Care revised November 2014 revealed Purpose: The purpose of this procedure is to establish uniform guidelines in the receiving and recording of medication orders . Medication Orders - When recording orders for medication, specify the type, route, dosage, frequency and strength of the medication ordered.

Based on observations, interviews, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for 2 of 12 residents (Resident #143 and Resident #194) reviewed for dignity. The facility failed to treat Resident #143 and Resident #194 with dignity and promote enhancement of their quality of life when the residents were not provided privacy bags for their catheter bags. This failure placed residents at risk of not having their right to a dignified existence maintained. Findings included: 1. Review of Resident #143's Face Sheet, dated 05/27/25, reflected a [AGE] year-old male admitted on [DATE]. Resident #143 was diagnosed with neuromuscular dysfunction of bladder (the muscles and nerves that control the bladder do not work properly due to illness). Review of Resident #143's Quarterly MDS Assessment, dated 05/09/25, reflected Resident #143 was cognitively intact with a BIMS score of 13. The Quarterly MDS Assessment indicated that the resident had an indwelling catheter. Review of Resident #143's Comprehensive Care Plan, dated 05/21/25, reflected Resident #143 had an indwelling catheter related to neurogenic bladder (the normal bladder function is disrupted due to nerve damage) and one of the interventions was catheter care every shift. Review of Resident #143's Physician Order, dated 05/27/25, reflected Change catheter and drainage bag monthly on the 15th day every 1 month(s) In an observation and interview on 05/27/25 at 9:15 AM, Physical Therapist V was observed walking with Resident #143 down the facility hall providing therapy. The resident was observed with a catheter bag, but it did not have the privacy cover. Physical Therapist V stated the resident had a privacy cover, but it fell off in the therapy room, and she forgot to place it back on. She stated not having the privacy cover over the catheter bag was an infection control and a dignity concern. In an interview on 05/27/25 at 9:58 AM, the ADON stated Resident #143 should have had a privacy cover for his catheter bag in place for the resident's dignity. She was advised of Resident #143 conducting therapy in the facility hall and no privacy bag being observed. She stated staff was responsible to ensure residents with catheter bags also had a privacy bag covering them. In an interview on 05/29/25 at 09:45 AM, the Director of Therapy advised that she was made aware that Resident #143 did not have a privacy bag attached to his catheter bag when he was doing his therapy on 05/27/25 with Physical Therapist V. She stated staff was responsible for ensuring the resident's privacy bag was in place for the dignity of the resident. 2. Record review of Resident #194's Face Sheet, dated 05/27/2025, reflected a [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with stage 4 (localized skin injury extending to the bone) pressure ulcers (damage to the skin usually over a bony prominence) to sacral region (area located at the bottom of the spine). Record review of Resident #194's Comprehensive MDS Assessment, dated 05/09/2025, reflected resident had a moderately impairment in cognition with a BIMS score of 12. The Comprehensive MDS Assessment indicated the resident had a pressure ulcer to sacral region. Record review of Resident #194's Physician Order, dated 05/22/2025, reflected Catheter care Q Shift. Record review of Resident #194's Comprehensive Care Plan, dated 05/09/2025, reflected the resident had stage 4 pressure ulcer to sacral region and one of the interventions was assess and clean the pressure ulcer as ordered. Record review of Resident #194's Progress Notes, dated 05/22/2025, reflected the MD discussed with the resident the benefits of foley catheter to wound healing. After the resident gave the consent, 16 F (French: unit of measurement for Foley catheter) Foley catheter was inserted. Observation and interview on 05/27/2025 at 9:02 AM revealed Resident #194 was in her bed, awake. It was observed that the resident had a catheter bag hanging on the side frame of the bed. The catheter bag, with urine inside, did not have a privacy bag. The resident stated she had a catheter so the wound to her bottom would heal faster. She said she had the catheter for less than a week and had no idea if her catheter bag was inside a privacy bag or not. In an interview on 05/28/2025 at 6:44 AM, LVN B stated the catheter bag should be inside a privacy bag even if the resident was in her room to avoid embarrassment in case a visitor would come. sShe said she did not notice that the catheter bag was exposed when she was attending to the resident. She said they were preparing Resident #194 to be sent out but that was not an excuse to leave the catheter bag without a privacy bag. She said she was responsible in providing dignity to the residents with a catheter and making sure the catheter bag was inside a privacy bag. In an interview on 05/28/2025 at 6:49 AM, CNA E stated she did notice that Resident #194's catheter bag was exposed. She said there was a privacy bag on the other side of the bed but it did not occur to her to put the catheter bag inside. She said she was busy preparing the resident to be sent out and forgot to put the catheter inside the privacy bag. She said it was also her responsibility to put the catheter bag inside the privacy bag especially if the resident would be transported to avoid humiliation. In an interview on 05/28/2025 at 12:08 PM, The ADON stated a catheter bag must have a privacy bag to avoid incidents that could lead to embarrassment. The purpose of the privacy bag was to provide dignity for residents with urinary catheters. The ADON said the expectation was for the staff to make sure the catheter bags had privacy bags when the residents were inside their rooms or outside their room. She said she would continually remind the staff the importance of providing dignity and would start an in-service about dignity. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated a catheter bag without a privacy bag was a dignity issue. He said all the staff were responsible in providing dignity to all residents. He said staff must do their due diligence in ensuring the residents had a dignified existence while in the facility. The Administrator said he would coordinate with the ADON to monitor that the catheter bags were not exposed. Record review of facility's policy, Quality of Life - Dignity & Privacy Operational Policy and Procedure Manual for Long-Term Care revised August 2009 revealed Policy Statement: Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity . Policy Interpretation and Implementation . 11. Demeaning practices and standards of care that compromise dignity are prohibited . a. Helping the resident to keep urinary catheter bags covered

Based on observations, interviews, and record reviews, the facility failed to ensure residents were free from physical restraints imposed for purposes of discipline or convenience and not required to treat the resident's medical symptoms for 1 of 6 residents (Resident #17) reviewed for physical restraints. The facility failed to ensure Residents #17 had physician orders for the bolster pads on the mattress. This failure could prevent the residents from moving freely in and out of their beds and not from being restrained. Findings include: 1. Record review of Resident #17's Face Sheet, dated 05/28/25, reflected he was an [AGE] year-old male admitted on [DATE]. Relevant diagnoses included dementia (cognitive decline), and macular degeneration (loss of sight). Record review of Resident #17's Quarterly MDS assessment, dated 04/15/25, reflected he had a BIMS score of 14 (intact cognitive response). For ADL care, it reflected the resident required total assistance. Record review of Resident #17's physician orders, dated 05/28/25, reflected no physician orders for the bolster pads. In an observation on 05/28/25 at 11:07 AM, Resident #17 was observed to have bolster pads on his bed. The padding was approximately 4 inches in thickness and approximately 8 inches high. The padding was positioned on both sides of the upper portion of the bed and lower portion of the bed, with a slight opening along the middle of the bed. In an interview on 05/28/25 at 12:30 PM, LVN A stated Resident #17 had bolster pads on his bed because he was a fall risk. She stated she had checked the resident's physician orders and he did not have physician orders for the bolster pads. She stated physician orders were needed to ensure the bolster pads were not a restraint for the resident. In an interview on 05/29/25 at 9:30 AM, the ADON stated she was made aware of Resident #17 having the bolster pads on his air mattress and not having physician orders. She stated physician orders were needed for everything that pertained to the resident and it would look like a form of a restraint for the resident. She stated the resident's family had purchased the padding for the resident. She stated the padding had been removed from the air mattress. Record review of the facility's policy RESIDENT RESTRAINT POLICY (undated) reflected The facility does not restrain residents for any reason except for acute behavioral issues that endanger the resident, staff, or other individuals. In such cases, the resident's physician & responsible party will be contacted for an immediate plan of action. The least restrictive device will be used until the behavior subsides or until appropriate alternative placement can be made.

Based on observations, interviews, and record review, the facility failed to ensure that drugs and biologicals were stored properly in locked compartments and under proper temperature for two (Cart #1 and Cart #2) of three nurses' carts observed for storage of drugs and biologicals. 1. The facility failed to ensure that LVN D locked Cart #1 before providing wound care to Resident #89 on 05/27/2025. 2. The facility failed to ensure RN A would not store Lorazepam (medication used to treat anxiety disorders) on Cart #2 on 05/28/2025. These failures could place the residents at risk of accessing/opening the cart causing accidental overdose or misuse of medications and not receiving the full benefit of the medication. Findings included: 1. Observation on 05/27/2025 at 12:02 PM revealed LVN D was about to do Resident #89's wound care. She prepared her dressing, gauzes, nasal saline bullets, and Iodoform packing strips. After preparing the things needed for wound care, she went inside the resident's room closed the door, and proceeded with wound care. She did not lock Cart #1 before going inside the resident's room. Cart #1 was not locked because the centralized, metal, round lock, located on the upper right side of the cart, was protruding and the metal lock needed to be pushed to lock the drawers of the cart. The cart was facing the hallway and the drawers could easily be opened. The drawers of the cart contained various over-the-counter medications, blister packs of medication, eyedrops, insulins, wound care ointments and solutions, and sanitizing wipes. In an interview on 05/27/2025 at 12:23 PM, LVN D stated she was not aware that she left her cart unlocked. She said the cart should be locked every time it was left unattended because anybody, residents, staff, and visitors, could open it and could get anything from the cart. She said residents could open it and accidentally ingest medications that they were allergic to or choke on some medication. She said she would be mindful next time to always lock the cart every time she left it unattended. 2. Observation and interview on 05/28/2025 at 11:50 AM revealed that during inspection of Cart #2, it was noted that there was a Lorazepam inside the locked compartment of the nurse's cart. RN A stated she stored the Lorazepam on the locked compartment of the cart because it was a narcotic. She said it was already open and that was why it was on the cart. She said the unopened lorazepam were inside the refrigerator inside the medication room. She then saw the instruction on the box of the Lorazepam saying Store at cold temperature. Refrigerate at 2 to 8 degrees Centigrade (36 to 46 degrees Fahrenheit). She said she did not notice the instructions on the box. She said she administered the Lorazepam every morning and would place it back to the locked compartment after every administration. She said she should put it in the refrigerator after every administration. She said it should be refrigerated and it must have something to do with the effectivity of the medication. She said she needed to read the instructions of the medications she was administering to make sure the resident was receiving the full benefit of the medication. In an interview on 05/28/2025 at 12:08 PM, the ADON stated the carts should not be left unlocked to prevent untoward incidents. She said residents might be able to open it and take some medications and ingest them or hide them. She said, aside from the residents, staff or visitors could open it and get some medications from it. she also said that if the instruction was to store inside the refrigerator, then the Lorazepam should be placed back inside the refrigerator after administration and the staff should just get it in the morning to give the resident. She said proper temperature was required to ensure the effectiveness of the medications. She said the expectation was for the staff to lock the carts before leaving them and to store the medications as instructed. She said she would do an in-service pertaining to locking the cart when left unattended and following the instructions of medication storage. In an interview on 05/29/2025 at 8:30 AM, the Administrator stated the carts should always be locked so residents, other staff, and visitors could not open them and have access to the medications. He said it could result in accidental ingestion and overdose. He said if the instruction said to store in the refrigerator, then the medications should be stored appropriately. Said he was not a clinician so he do not know why it should be stored inside the refrigerator. He said he would collaborate with the ADON about the said issues. Record review of facility policy Storage of Medication Nursing Services Policy and Procedure Manual for Long-Term Care revised April 2019 revealed Policy Statement: The facility stores all drugs and biologicals in a safe, secure, and orderly manner . Policy Interpretation and Implementation . 1. Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light and humidity controls . 8. Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and biologicals are locked when not in use . 11. Medications requiring refrigeration are stored in a refrigerator located in the drug room at the nurses' station.

Based on interviews and record reviews, the facility failed to ensure the resident maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance for 1 of 3 residents (Residents #1) reviewed for assisted nutrition and hydration. The facility failed to ensure Resident #1 was weighed monthly, according to her physician orders and her personalized care plan. This failure could prevent the facility from detecting if the resident was experiencing excessive weight loss. Findings include: 1. Record review of Resident #1's Face Sheet, dated 05/27/25, reflected she was a [AGE] year-old female admitted on [DATE]. Relevant diagnoses included nutritional and metabolic disease, and muscle weakness. Record review of Resident #1's Quarterly MDS assessment, dated 02/19/25, reflected she had a BIMS score of 15 (intact cognitive response). For ADL care, it reflected the resident required supervision during eating. Record review of Resident #1's Physician orders, dated 05/28/25, reflected weigh monthly and PRN. Record review of Resident #1's Comprehensive care plan, dated 03/24/25, reflected and intervention of weighing per physician orders. Record review of Resident #1's history of weight in the facility's system of records revealed no weight captured for January 2025, February 2025, March 2025, April 2025, and May 2025. Record review of Resident #1's progress notes from 2/08/25 to 5/28/25 did not reveal and notes indicating the resident refusal to be weighed. In an interview and record review on 05/28/25 at 9:30 AM, LVN A, stated she had been at the facility for nearly a month and was the floor nurse for Resident #1. She reviewed Resident #1's physician orders and the resident's care plan, which indicated a monthly weigh-in to monitor for any weight loss. She reviewed the resident's weight records for the past five months and she stated there were no records indicating the resident was weighed monthly. She stated the resident needed to be weighed at least monthly to ensure of no increased weight loss. She stated it was the responsibility of the nurse to ensure the resident was being weighed monthly. In an interview on 05/28/25 at 10:06 AM, Restorative Aide A stated she had been at the facility for 3 years and she was responsible for weighing the residents. She was advised Resident #1 had no records of being weighed for the past 5 months. She stated she had asked the resident to weigh her, but she had refused. She stated she had documented it on a paper and handed it to Medical Records. She stated she had advised the nurses of this, but she could not provide the names of any nurse because the nurses changed often. She stated not weighing the resident monthly could result in her having problems with sudden weight loss and it not being addressed. In an interview on 05/28/25 at 10:24 AM, the ADON stated she had been at the facility for 18 months. She was advised of Resident #1 not having any recorded weight for the past five months and she stated that the resident was routinely weighed at the hospital and her weight was recorded on paperwork received from them, but it was not uploaded in their system of records. She stated the resident refused to be weighed. She stated residents who were bed bound were transferred to a wheelchair, and then weighed, but the resident refused to sit in a wheelchair. She stated not weighing the resident monthly could result in them not capturing weight loss properly. She was advised that there were no notes in the system of records indicating the resident refused to be weighed and she stated Restorative Aide A, should have reported it to the floor nurse and the floor nurse should have documented the refusal. Record review of the facility's policy Weight Assessment and Intervention (September 2008) reflected The multidisciplinary team will strive to prevent, monitor, and intervene for undesirable weight loss for our residents. The nursing staff will measure resident weights within 72 hours of admission and weekly for four weeks thereafter. If no weight concerns are noted at this point, weights will be measured monthly thereafter, unless otherwise directed. 2.Weights will be recorded in each individual's medical record.

Based on observation, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth at S483.10(c)(2) and S483.10(c)(3), that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for three of (Resident # 14, Resident #48, and Resident #75) of six residents reviewed for Care Plans. The facility failed to ensure Resident #14 and Resident #75 were care planned for oxygen administration. The facility failed to ensure Resident #48 was care planned for CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open). These failures could place residents at risk of respiratory needs not being met. Findings included: Resident # 14 Review of Resident #14's Face Sheet dated 04/02/2024 reflected that resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs) and acute respiratory failure with hypoxia (low level of oxygen in the blood). Review of Resident #14's Quarterly MDS assessment dated [DATE] reflected that Resident #48 had a moderate impairment in cognition with a BIMS score of 11. The Quarterly MDS also indicated that the resident was on oxygen therapy. Review of Resident #14's Comprehensive Care Plan dated 02/05/2024 reflected resident had no plan of care for oxygen supplement. Review of Resident #14's Physician Order dated 03/04/2022 reflected, oxygen @ 2-3 LPM via nasal cannula prn for dyspnea/low O2 sats. Observation on 04/02/2024 at 9:36 AM revealed Resident #14 was on her bed, sleeping. It was noted the resident had an oxygen concentrator at bedside. Interview with Resident #14 on 04/03/2024 at 7:26 AM, Resident #14 revealed she had been on oxygen for a long time but cannot specifically remember the date she started on oxygen. Resident #14 said she did not have it always. Resident #48 Review of Resident #48's Face Sheet dated 04/02/2024 reflected that resident was a [AGE] year-old female admitted on [DATE]. Relevant diagnoses included chronic respiratory failure with hypoxia (low level of oxygen in the blood) and chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs) . Review of Resident #48's Quarterly MDS assessment dated [DATE] reflected that Resident #39 had a moderate impairment in cognition with a BIMS score of 12. The Quarterly MDS also indicated that the resident was on oxygen therapy. No diagnosis for sleep apnea (a sleep disorder where breathing is interrupted repeatedly during sleep) noted. Review of Resident #48's Physician Order for CPAP dated 01/22/2024 revealed CPAP on Q HS. Review of Resident #48's Comprehensive Care Plan dated 02/05/2024 reflected resident had no plan of care for CPAP. Observation on 04/02/2024 at 9:47 AM revealed Resident #48 was on her bed awake. It was also noted that there was no CPAP machine placed on the resident's side table. Interview with Resident #48 on 04/03/2024 at 7:43 AM, Resident #48 confirmed she was using a CPAP when she was admitted to the facility. Resident #48 added she did not want to use it anymore because it was uncomfortable. Observation and interview with RN E on 04/04/2024 at starting at 7:47 AM, RN E stated she was not aware the resident was on CPAP. RN E checked if there was an order and confirmed there was an order for CPAP. RN E then checked if there was a care plan for CPAP. RN E acknowledged there was no care plan for CPAP. RN E then reviewed Resident #48's progress notes and read that resident was refusing the CPAP. RN E said there should be a care plan for CPAP since she was admitted with a CPAP. RN E added there should also be a care plan if the resident was refusing to use her CPAP. RN E said the care plan should reflect the resident's usage and refusal to CPAP so the staff could provide proper or alternative interventions. RN E said if there was no care plan, the staff would not know the needed interventions and what to assess. Resident #75 Review of Resident #75's Face Sheet dated 04/02/2024 reflected that the resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included acute respiratory failure with hypoxia, pneumonia (inflammation and fluid in the lungs caused by a bacterial, viral, or fungal infection), and emphysema (a lung disease that damages the air sacs in the lung causing shortness of breath). Review of Resident #75's Quarterly MDS assessment dated [DATE] reflected that Resident #27 had a severe impairment in cognition with a BIMS score of 07. The Quarterly MDS also indicated that the primary reason for admission was respiratory failure. Review of Resident #75's Comprehensive Care Plan dated 03/07/2024 reflected no care planned for oxygen administration. Review of Resident #75's Physician Order dated 01/02/2023 reflected, oxygen @ 2 - 3 LPM via nasal cannula for dyspnea/low O2 sats. Observation on 04/02/2024 at 9:59 AM revealed Resident #75 was not inside her room. It was also noted that the resident had an oxygen concentrator at bedside. A nasal cannula was attached to the oxygen concentrator and the prongs of the nasal cannula was on the floor. The nasal cannula was not bagged. Observation on 04/02/2024 at 11:36 AM revealed Resident #75 was rolled out of the room to the nurse station. RN E then put an oxygen tank behind the wheelchair. A nasal cannula was connected to the oxygen tank and the other end was placed to the resident's nostril. In an interview with Resident #75 on 04/03/2024 at 7:36 AM, Resident #75 stated she had been on oxygen since last year. She said when she was inside the room, she would use the oxygen box but when she was outside of her room, she would use the tank situated behind her wheelchair. In an interview with RN E on 04/03/2024 at 7:58 AM, RN E stated the care plan was primarily an overview of the resident's care. RN E said the staff needed the care plan to know the medical issues and they needed interventions for such. RN E added without the care plan, there might be confusion about the care of the resident, and it could cause medication error if medications were involved. She added that without the care plan, the staff would not know the resident's needs at that time resulting in needs not being met. She said if a resident had an active diagnosis regarding any respiratory issues and had an order for oxygen, there should be a care plan for an oxygen supplement. RN E checked Resident #48 and Resident #75's care plan and found no care plan for an oxygen supplement. Interview and observation with MDS Nurse F on 04/04/2024 at 8:07 AM, MDS Nurse stated care plans were important because it directed the plan of care for the residents so the nurses would know what to do. She said the care plan should correspond to the diagnosis and physician orders. MDS Nurse F added the care plan was there to help address the medical needs of the residents. She said without the care plan, the staff would not be able provide the particular needs of the resident. She added the residents would still be cared for but not on their specific needs. MDS Nurse F said nurses should coordinate and communicate when they see any changes on the resident. MDS Nurse F checked Resident #14 and Resident #75' care plan and saw no care plan for oxygen supplement. MDS Nurse then checked Resident #48 care plan and saw no care plan for CPAP nor no care plan for noncompliance. She acknowledged that there was oversight because the care plans were not provided for some of the residents. In an interview with the DON on 04/04/2024 at 8:42 AM, the DON stated the purpose of the care plan was to know the resident's needs and for the staff to know what kind of care and interventions were needed. She said without the care plan, the staff would not know the needed care and assistance the residents required. The DON said MDS nurses do the care plan, but nurses should observe, assess, and coordinate with management if there was an issue that was noted. She added there was an oversight that the care plan for oxygen supplement and CPAP were not done. The DON said she would continue to educate the staff through an in-service about the significance of a care plan. The DON concluded that moving forward, she will monitor staff's observance to the policy care planning to ensure the best possible care. In an interview with the Administrator on 04/04/2024 at 9:40 AM, the Administrator stated the care plan was important to provide care with consistency. He said every medical issue of the residents should be care planned. The Administrator said that without a care plan, the resident would not have the care needed and required. The Administrator concluded that the expectation was that the staff would ensure every resident was care planned. Record review of facility's policy, Care Planning - Interdisciplinary Team 2001 MED - PASS, Inc. revised March 2022 revealed 1. Resident care plans are developed according to the timeframes and criteria . 2. Comprehensive, person-centered care plans are based on resident assessments.

Based on observations, interviews, and record review, the facility failed to ensure that Residents, who needed respiratory care, was provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for four (Resident #77, Resident #14, Resident #48, and Resident #75) of ten residents reviewed for respiratory care. The facility failed to ensure Resident #77 and 48's nebulizer masks were properly stored. The facility failed to ensure Resident #14 and Resident 75's nasal cannulas were properly stored. These failures could place the residents at risk for respiratory infection and not having their respiratory needs met. Findings included: Resident # 77 Review of Resident #77's Face Sheet dated 04/03/2024 reflected that resident was a [AGE] year-old male admitted on [DATE]. Relevant diagnoses included pneumonia and pneumonitis (inflammation of the lung tissues). Review of Resident #77's Comprehensive MDS assessment dated [DATE] reflected resident was not able to complete the interview to determine the BIMS score. Review of Resident 77's Physician Order on dated 12/31/2022 reflected, ipratropium-albuterol solution for nebulization; 0.5 mg - 3mg (2.5 mg base)/3 mL; amt: 1 vial; inhalation. Every 6 Hours - PRN Observation on 04/02/2024 at 9:25 AM revealed Resident #77 was on his bed sleeping. It was also noted that his nebulizer mask was sitting on the recliner parallel to his bed. The mask used for the nebulizer was not bagged. Resident # 14 Review of Resident #14's Face Sheet dated 04/02/2024 reflected that resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included chronic obstructive pulmonary disease and acute respiratory failure with hypoxia. Review of Resident #14's Quarterly MDS assessment dated [DATE] reflected that Resident #48 had a moderate impairment in cognition with a BIMS score of 11. The Quarterly MDS also indicated that the resident was on oxygen therapy. Review of Resident #14's Comprehensive Care Plan dated 02/05/2024 reflected resident had no plan of care for oxygen supplement. Review of Resident #14's Physician Order dated 03/04/2022 reflected, oxygen @ 2-3 LPM via nasal cannula prn for dyspnea/low O2 sats Observation on 04/02/2024 at 9:36 AM revealed Resident #48 was on her bed, sleeping. It was noted resident had an oxygen concentrator at bedside. A nasal cannula was connected to the oxygen concentrator. The nasal cannula was hanging on top of the concentrator and was not bagged. Resident # 48 Review of Resident #48's Face Sheet dated 04/02/2024 reflected that resident was a [AGE] year-old female admitted on [DATE]. Relevant diagnoses included chronic respiratory failure with hypoxia and chronic obstructive pulmonary disease. Review of Resident #48's Quarterly MDS assessment dated [DATE] reflected that Resident #39 had a moderate impairment in cognition with a BIMS score of 12. The Quarterly MDS also indicated that the resident was on oxygen therapy. Review of Resident #48's Physician Order dated 01/22/2024 revealed oxygen @ 4 LPM via nasal cannula continuous. Review of Resident #48's Comprehensive Care Plan dated 01/14/2024 reflected resident had SOB/wheezing related to COPD and one of the interventions was to provide medications per physician orders. Observation on 04/02/2024 at 9:47 AM reveled the resident was on her bed, awake. It was also noted that her breathing mask used for the nebulizer was on the drawer. The breathing mask was not bagged. Resident # 75 Review of Resident #75's Face Sheet dated 04/02/2024 reflected that the resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included acute respiratory failure with hypoxia, pneumonia, and emphysema. Review of Resident #75's Quarterly MDS assessment dated [DATE] reflected that Resident #27 had a severe impairment in cognition with a BIMS score of 07. The Quarterly MDS also indicated that the primary reason for admission was respiratory failure. Review of Resident #75's Comprehensive Care Plan dated 03/07/2024 reflected no care planned for oxygen administration. Review of Resident #75's Physician Order dated 01/02/2023 reflected, oxygen @ 2 - 3 LPM via nasal cannula for dyspnea/low O2 sats. Observation on 04/02/2024 at 9:59 AM revealed Resident #75 was not inside her room. It was also noted that the resident had an oxygen concentrator at bedside. A nasal cannula was attached to the oxygen concentrator and the prongs of the nasal cannula were on the floor. Observation and interview with RN E on 04/02/2024 at 11:56 AM, RN E stated the breathing mask, and the nasal cannula should not have been exposed nor touching anything because it could cause infections. RN E said the breathing mask and the nasal cannula should have been bagged when not in use. RN E went inside Resident #77's room and saw the breathing mask on the recliner. RN E disconnected the breathing mask and said she would get a new one and would put it in a plastic bag. RN E then went to Resident #14's room and disconnected the nasal cannula attached to the oxygen concentrator. RN E then proceeded to Resident #48' room and disconnected the breathing mask. Lastly, RN E went to Resident #75's room and disconnected the nasal cannula from the oxygen concentrator. She said she would go get some breathing masks and nasal cannulas to replace those that she disconnected. In an interview with the DON on 04/04/2024 at 8:42 AM, the DON stated the breathing mask, and the nasal cannula should be bagged when not in use. The DON said it was the proper way to store the breathing mask and the nasal cannula. She said if those breathing apparatus were not bagged, exposed, or touching surfaces that were not clean, then oxygen administration could be compromised. The DON said the staff, including her, were responsible for monitoring that the apparatus used in oxygen therapy were bagged when not in use. She said the expectation was the breathing mask and the nasal cannula would be stored properly. The DON said she would continually remind the staff to be diligent in making sure the procedures for respiratory care were followed. In an interview with the Administrator on 04/04/2024 at 9:40 AM, the Administrator stated the breathing masks and the nasal cannulas should be stored properly to prevent potential respiratory infections. The Administrator said the expectation was for the staff to be diligent in providing respiratory care in order to provide the highest level of care. Record review of facility's policy, Departmental (Respiratory Therapy) - Prevention of Infection 2001 MED-Pass, Inc. revised November 2011 revealed Purpose: the purpose of this procedure is to guide prevention of infection associated with respiratory therapy tasks and equipment . Steps in the Procedure . 8. Keep the oxygen cannula and tubing used PRN in a plastic bag when not in use.

Based on observations, interviews, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for two (Resident #45 and Resident #29) of ten residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #45 and Resident #29's rooms was in a position that was accessible to the resident. This failure could place the residents at risk of being unable to obtain assistance when needed and not to get help in the event of an emergency. Findings included: Resident #45 Review of Resident #45's Face Sheet dated 04/02/2024 reflected that resident was a 53 -year-old male admitted on [DATE]. Relevant diagnoses included muscle weakness, acquired hammer toes (abnormal bending of the toe), and difficulty in walking. Review of Resident #45's Quarterly MDS assessment dated [DATE] reflected Resident #45 was cognitively intact with a BIMS score of 15. Resident #45 required supervision for bed mobility, transfer, eating, and toilet use. Review of Resident #45's Comprehensive Care Plan dated 01/25/2024 reflected Resident #45 was at risk for falls and one of the interventions was to increase staff supervision with intensity based on resident need. No intervention noted to put the call light within reach. Review of Resident #45's Comprehensive Care Plan dated 01/25/2024 indicated Resident #45 was unable to perform ADL Functions independently due to NWB (non-weight bearing) status and the interventions were to assist with transfer, assist with repositioning, and assist with ADLs. No intervention noted to put the call light within reach. Observation and interview with Resident #45 on 04/02/2024 at 9:25 AM revealed resident on his bed, resting. It was noted that the resident's call light was behind the side table of his roommate. When asked where his call light was, the resident searched for it on his side. The resident verbalized he cannot find it. The resident stood up and started to walk towards where the call lights were connected to the wall and started to pull the call light from the back of the table and placed it on the recliner located in front of the roommate's side table. Resident #45 added he did not usually use the call light but in cases of emergencies, he might not be able get up and walk to get to the call light. Observation on 04/02/2024 at 11:17 AM revealed RN E was preparing to give Resident #45's medication. RN E went inside the room to administer the medication. After giving the medication, RN E went out of the room and did not notice the call light was not within reach of Resident #45. Resident #29 Review of Resident #29's Face Sheet dated 04/02/2024 reflected that resident was an [AGE] year-old female admitted on [DATE]. Relevant diagnoses included history of falling, muscle weakness, and difficulty in walking. Review of Resident #29's Quarterly MDS assessment dated [DATE] reflected that Resident #29 had a moderate cognitive impairment with a BIMS score of 10. Resident #29 required supervision for bed mobility, transfer, eating, and toilet use. Review of Resident #29's Comprehensive Care Plan dated 03/14/2024 reflected resident was at risk of injury related to falls and one of the interventions was to ensure call light was in reach and answer promptly. The Comprehensive Care Plan also indicated resident had falls on the 09/06/2023, 10/18/2023, and 03/13/2024. Observation on 04/02/2024 at 9:35 AM revealed Resident #29 was on her bed sleeping. It was noted that the resident's call light was behind the side table of the resident's roommate. Observation and interview with RN E on 04/02/2024 starting at 11:53 AM, RN E stated call lights were important and should be with the residents at all times because these were what the residents used to let the staff know they needed something. RN E said the call lights were used by the residents to call the attention of the staff, if they needed help to go to the restroom, or a refill on their water pitcher. If the call lights were far from the residents, the residents might try to do the activity themselves, and fall in the process. RN E went inside Resident #45's room and took the resident's call light from the recliner and placed it on the resident's bed. RN E then went inside Resident #29's room and tried to pull the resident's call light but was not able to pull it. RN E said the call light was stuck. RN E moved the side table forward to be able to pull the call light and place it on Resident #29's bed. In an interview with CNA A on 04/02/2024 at 1:45 PM, CNA A stated the call light should be with the residents all the time whether the resident was dependent or not. CNA A said they needed the call light to call the staff if they needed something or were in distress. She added, Resident #45 was independent, but in cases of emergencies, it might be difficult for him to stand up and look for his call light. CNA A said the staff still needed to ensure the call light was with resident #45. CNA A then stated Resident #29 was the one making her bed. She said the call light could have fallen while she was making the bed and got stuck behind the side table located at the end of her bed. CNA A continued that if the call light was stuck behind the table on the other side, it would be hard for the resident to get the call light. CNA A said the staff should also ensure the call light was accessible even though Resident #29 was the one fixing her bed. CNA A added the staff should monitor if the call light were with the residents all the times they were inside the room. In an interview with CNA C on 04/03/2024 at 9:40 AM, CNA C stated call lights were particularly important for the residents. CNA C said the resident needed the call light to ask for assistance or help. In addition, CNA C said if the residents could not reach the call light, the resident could not communicate their needs to the staff. CNA C said the residents might get mad, frustrated, or could start yelling to get the attention of the staff. CNA C said she would make a round to check if the call lights were with the residents. In an interview with the DON on 04/04/2024 at 8:42 AM, the DON stated the call lights were significant to the residents. The DON said the call lights were important because this was one way to keep the residents safe. She said the call lights were also provided to be a means of communication between the residents and the staff. She added the resident used the call lights if they needed help or if they needed assistance. The DON further added there should be a conscious effort from the staff to place the call lights where the residents could reach them. She said it was not an excuse to say the resident was independent and not monitor the call light. She explained if the independent resident had an emergency, the resident might not be able to stand up to look for his call light. For other residents, they might fall if they try to stand up because nobody was there to assist them. The DON said the expectation was for the staff to continue their rounds to make sure the call lights were within reach of all the residents. The DON said she would continue to educate the staff through an in-service about the significance of call lights being accessible to the residents. In an interview with the Administrator on 04/04/2024 at 9:40 AM, the Administrator stated call lights must always be with the residents so the residents could alert the staff if they needed something, if they were not feeling well, if they were in pain, or if there was an emergency. If the residents did not have their call lights, the residents would not be able to communicate their needs. The Administrator said the expectation was that the staff were to do more rounds and make sure the call lights were within the reach of the residents. The Administrator said they would continue to remind the staff for proper placement of the call lights. Record review of the facility's policy Answering the Call Light MED-PASS, Inc. revised September 2022 revealed, Purpose: The purpose of this procedure is to ensure timely responses to the resident's request and needs . General Guidelines . 4. Ensure that the call light is accessible to the resident .