Diversicare of Oneonta

In the surveyor’s words

From the most serious findings on record at Diversicare of Oneonta, in the surveyor’s own words.

• Immediate jeopardy, isolatedF607Jul 23, 2023

  Based on record reviews, interviews, facility document review, the Confirmation of Receipt of Online Incident Report, and facility policy titled Abuse, Neglect, Misappropriation, Exploitation Policy, the facility failed to ensure staff implemented the facility's abuse policies and procedures when: staff failed to identify an allegation of abuse, protect residents from further potential abuse, and immediately report an allegation of resident-to-resident sexual abuse on 01/14/2023 involving Resident #21 and Resident #2. […]

• No harm, potential for more than minimal, isolatedF644Jul 23, 2023

  Based on interviews, record review, and facility policy review, the facility failed to complete a new Preadmission Screening and Resident Review (PASARR) Level I after the resident was diagnosed with a new mental illness for one (Resident #80) of three residents reviewed for PASARR completion. Findings included: A review of the facility's undated policy titled, PASRR [PASARR] Requirements, revealed, .3. In the event a resident is discharged to a 'mental health or psychiatric hospital' and returns with a new mental illness diagnosis, a new PASRR must be completed prior to or immediately upon readmission. A review of Resident #80 Admission Record revealed the facility admitted Resident #80 on 10/29/2020 with diagnoses that included Depressive Disorders. […]

• No harm, potential for more than minimal, isolatedF645Jul 23, 2023

  Based on interviews, record review, and facility policy review, the facility failed to ensure a level I Preadmission Screening and Resident Review (PASARR) was updated with a newly developed mental illness for one (Resident #14) of three residents reviewed for PASARRs. Findings included: A review of the facility undated policy titled, PASRR (Preadmission Screening and Resident Review) [PASARR] Requirements revealed, .Guidelines: In an effort of the Health Information Management Coordinator to obtain a completed record, all patients [residents] must have a Pre-Admission Screening and Resident Review prior to or immediately upon admission as required by Federal and/or a patient/resident specific review process as defined by local State guidelines. […]

• No harm, potential for more than minimal, isolatedF684Jul 23, 2023

  Based on interviews and record review, the facility failed to ensure treatment was provided per physician's orders for a resident who required their legs to be wrapped with a compression bandage daily due to edema for one (Resident #45) of 27 sampled residents. Findings included: A review of Resident #45's Admission Record revealed the facility admitted Resident #45 on 07/16/2022 with diagnoses that included Heart Failure, Weakness, and Type Two Diabetes Mellitus. A review of the quarterly Minimum Data Set (MDS), with an Assessment Reference date (ARD) of 06/16/2023, indicated Resident #45 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. Resident #45 required limited assistance with dressing and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF685Jul 23, 2023

  Based on interviews, record review, and document review, the facility failed to ensure one (Resident #90) of one resident reviewed for vision/hearing was seen by the in-house optometrist as ordered by the physician. Findings included: A review of Resident #90's Admission Record revealed the facility admitted the resident on 03/17/2023 with a principal diagnosis of Parkinson's Disease. A review of the admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/23/2023, revealed Resident #90 had a Brief Interview for Mental Status (BIMS) score of eight, which indicated the resident had moderate cognitive impairment. The MDS indicated the resident had adequate vision. […]