Diversicare of Riverchase

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 6, 2021

  Based on interviews, review of Resident Identifier (RI) #1's medical and hospital record, and the facility's investigation, the facility failed to ensure RI #'1 bed was correctly positioned on 2/28/2021. On 2/28/2021, RI #1, who is totally dependent on staff for all activities of daily living, was found in the floor. RI #1 sustained a laceration to the back of his/her head that required right staples to close and a skin tear to the left knee. The facility's investigation concluded positioning of the resident's bed contributed to the fall. This deficient practice affected RI #1, one of three sample residents reviewed for falls. Findings include: RI #1 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF658Apr 28, 2023

  Based on observations, interviews, record reviews, review of the Director of Social Services Job Description, review of facility policies titled, Medication Administration General Guidelines and Oxygen Guideline, and review of Potter and Perry's Fundamentals of Nursing, the facility failed to ensure: 1) Resident Identifier (RI) #1's Admission Physician Orders were followed, as RI #1 was admitted with an order for a cardiologist appointment for 4/10/23, that was missed. This affected one of three residents sampled for appointments; and was cited as a result of investigation of complaint/report number AL00043987, 2) licensed nurses did not leave medications unattended at the bedside of RI #2, this affected one of 17 resident's sampled, 3) RI #3's Physician Order for Oxygen Use for… […]

• No harm, potential for more than minimal, patternF660Apr 28, 2023

  Based on interviews, record review, facility document titled POSITION DESCRIPTION for Social Services Supervisor, and facility policy titled Transfer & (and) Discharge the facility failed to ensure an individualized discharge plan of care which was a part of the comprehensive care plan was created for Resident Identifier (RI) #3, RI #10 and RI #16. This affected three of three residents sampled for discharge planning. Findings Include: A review of facility policy titled Transfer & Discharge with an effective date of November 1, 2016, revealed . PROCEDURE . Orientation for Transfer or Discharge . 7. In accordance with Federal and State law, (name of facility) will provide and document sufficient preparation and orientation to the Resident to ensure a safe and orderly . […]

• No harm, potential for more than minimal, patternF880Jan 6, 2021

  Based on observations, interviews, and a facility document titled . COVID-19 Education, Prevention & Response Guide the facility failed to ensure: 1) a licensed staff member did not enter a resident's room on the COVID Unit without putting on a gown or N95 respirator. This affected Resident Identifier (RI) #1, one of fifteen residents on the COVID Unit. 2) licensed staff cleaned a blood pressure cuff between resident use. This affected RI #3 and RI #4, two of four residents observed for blood pressure measurement. Findings Include: 1) A facility document titled . COVID-19 Education, Prevention & Response Guide with a revised date of December 30, 2020 revealed: .Guidance for Limiting the Transmission of COVID-19 . 8. […]

• No harm, potential for more than minimal, isolatedF553Apr 28, 2023

  Based on interviews, record review, and facility document titled POSITION DESCRIPTION for Social Services Supervisor the facility failed to ensure the care planning process facilitated the inclusion of resident and resident's representative for Resident Identifier (RI) #3 and RI #10 when the facility did not schedule a care plan meeting with resident or resident's representative. This affected two of three residents sampled for the right to participate in care planning. Findings Include: A review of facility document titled POSITION DESCRIPTION for Social Services Supervisor which was signed by Employee Identifier (EI) #13 on 11/03/2022 revealed .KEY RESPONSIBILITIES . 3. […]