Eaglecrest Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Eaglecrest Nursing and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Dec 14, 2023

  Based on observation, interview and record review, the facility failed to ensure nail care was provided for 1 (Resident #37) sampled resident on the 200 Hall who was dependent on staff for nail care. The findings are: Resident #37 had a diagnosis of Dementia. A Quarterly Minimum Data Set (QMDS) with an Assessment Review Date (ARD) of 11/16/23 documented a Brief Interview for Mental Status (BIMS) score of 4 (0-7 severe cognitive impairment) and required substantial/maximal assistance with bathing and partial/moderate assistance with personal hygiene. A Care Plan with an initiated date of 2/27/23 documented, .[name] has an ADL self-care performance deficit r/t [related to] Impaired balance . […]

• No harm, potential for more than minimal, patternF726Dec 14, 2023

  Based on observation, interview and record review the facility failed to ensure resident safety when providing meals to 2 (Residents #9 and #37) sampled residents on the 200 Hall. The findings are: 1. Resident #9 had diagnoses of Atrial Fibrillation and Congestive Heart Failure. The Quarterly Minimum Data Set (MDS) with an Assessment Review Date (ARD) of 7/15/23 documented a Brief Interview for Mental Status (BIMS) score of 12 (8-12 indicates moderate cognitive impairment) and required a therapeutic and a mechanically altered diet. a. A Physicians Order dated 11/16/23 documented, .Regular, NAS [No Added Salt] diet, Regular texture, Regular consistency Please send finger foods for all meals . b. A Care Plan initiated 10/23/20 documented, .Provide, serve diet as ordered. […]

• No harm, potential for more than minimal, patternF865Dec 14, 2023

  Based on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program [QAPI] Committee developed and implemented appropriate plans of action to prevent repeated deficiencies for F656 Develop/Implement Comprehensive Care Plan. The findings are: A Recertification survey was conducted on 12/14/23 at the facility. During this survey, F656 was cited for facility failure to implement and ensure a comprehensive plan of care was developed for a resident for diabetic interventions. […]

• No harm, potential for more than minimal, patternF921Dec 14, 2023

  Based on observation and interview, the facility failed to ensure the environment was maintained in a sanitary and safe condition for residents, staff, and the public, as evidenced by failure to ensure a shower room on Rehabilitation (Rehab) hall and a clean linen closet was locked to prevent accidental ingestion of chemicals and injury prevented. The findings are: 1. On 12/10/23 at 12:46 pm, a clean linen closet located on the Rehab Hall was unlocked. Inside the linen closet, there was a wood 5 door cabinet approximately 4 feet tall with the doors open. Inside the first cabinet on the top shelf was a one quart size squirt bottle of professional strength cleaner and odor eliminator and one quart size squirt bottle of industrial cleaner, a gallon jug of shampoo and assorted personal items. […]

• No harm, potential for more than minimal, patternF690Oct 6, 2022

  Based on observation, record review, and interview, the facility failed to ensure indwelling catheter drainage bags were not touching the floor to prevent the potential complications and possible infections for 2 (Residents #33 and #37) of 3 (Residents #27, #33 and #37) sampled residents who had indwelling catheters. This failed practice had the potential to affect three residents who had catheters according to a list provided by the Administrator on 10/05/22 at 8:47 AM. The findings are: 1. Resident #33 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]