Dreier's Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Dreier's Nursing Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jun 11, 2024

  Based on interview and record review, the facility failed to implement the facility's policy and procedure titled Change in a Resident's Condition or Status, and Pain Assessment and Management, by ensuring the physician was immediately notified for one of three sampled residents (Resident 53), who had a significant change of condition when noted with decreased blood pressure (BP) from baseline, increased heart rate (HR), new pain, moaning, fidgeting and agitated by failing to: 1. […]

• Immediate jeopardy, isolatedF684Jun 11, 2024

  Based on interview and record review, the facility failed to reassess, monitor for the signs and symptoms of Cerebral Vascular Accident (CVA or stroke also called ischemic stroke, occurs when the blood supply to part of the brain is blocked or reduced) and Transient Ischemic Attack ([TIA] a short period of symptoms similar to those of a stroke, caused by a brief blockage of blood flow to the brain),) and exhibited new pain for one of three sampled residents (Resident 53) who was recently hospitalized for change in mental status and was diagnosed with TIA and CVA, in accordance to the facility's policy and procedures, and professional standard of practice the facility failed to: 1. […]

• Actual harm, isolatedF689Aug 2, 2024

  Based on interviews and record reviews, the facility failed to ensure one of four sampled residents (Resident 1), who had severely impaired cognition (thought process), severe contractures (a permanent tightening of the muscle, tendon, skin, and nearby tissues that cause the joints to shorten and become very stiff) to the upper and lower extremities, was free from accidents and hazards by failing to: 1. Ensure Licensed Vocational Nurse [LVN] 1 and Registered Nurse (RN) 1 provided report and informed Certified Nurse Assistant (CNA) 1 on potential accident hazards concerning Resident 1's activities of daily living [ADL- fundamental skills that people need to do every day to care for themselves independently], including transfers from bed to chair and bathing, in accordance with the… […]

• No harm, potential for more than minimal, widespreadF921Feb 19, 2025

  Based on observation, interview, and record review, the facility failed to maintain a safe environment in two of two resident ' s rooms (Residents 1 and 2), residents ' shared bathroom, facility kitchen, and resident ' s activity room. This had the potential for residents to be placed at risk for injury. Findings: During an observation on 2/14/2025 at 10:43 AM in facility parking lot, plastic tarp cover was observed in various parts of the roof of the facility. During an interview on 2/14/2025 at 10:49 AM with the director of nursing (DON), the DON stated she does not know if there is a water leak in the facility. During an observation on 2/14/2025 at 10:51 AM in Resident 2 room bed B, the room was observed with paint bubbling around ceiling above bed B with discoloration. […]

• No harm, potential for more than minimal, widespreadF841Jun 11, 2024

  Based on observation, interview, and record review the facility failed to designate a physician to serve as the medical director responsible for implementation of resident care policies and coordinating medical care, help to implement and evaluate resident care policies or overall goals, directives, and governing statements that direct the delivery of care and services to residents consistent with current professional standards of practice. The facility did not have a designated medical director since June 2023 a total of 6 months to serve the 46 residents of 46 residents in the facility that included Resident 53. The facility failed to: 1. […]