Edgewood Manor of Lucasville I

In the surveyor’s words

From the most serious findings on record at Edgewood Manor of Lucasville I, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880May 9, 2024

  Based on observation, staff interview and review of the facility policy the facility failed to implement enhanced barrier precautions (EBP) for residents when appropriate. This affected 11 facility-identified (Residents #13, #23, #29, #39, #43, #54, #60, #70, #77, #92, #337) who were appropriate for EBP and had to potential to affect all of the residents residing in the facility. The facility census was 90. Findings include: Observations on from 05/05/24, 05/06/24, 05/07/24, 05/08/24 and 05/09/24 revealed there were no rooms with signage indicating residents were on EBP. […]

• No harm, potential for more than minimal, widespreadF880Jul 5, 2022

  Based on record review, observation, employee interview, and facility policy review the facility failed to ensure staff wore appropriate personal protective equipment in resident areas to prevent the potential spread of COVID-19. This had the potential to affect all 82 residents residing in the facility. Findings Include: Observation on 06/26/22 at 9:00 A.M. Licensed Practical Nurse (LPN) #145 answered the front door of the facility and instructed the survey team who to speak to for direction. Observation on 06/26/22 at 9:02 A.M. Registered Nurse (RN) #200 was standing next to a medication cart without a mask, googles or face shield, and an unknown resident in a wheelchair was propelling away the medication cart. Interview on 06/26/22 at 9:03 A.M. […]

• No harm, potential for more than minimal, patternF756May 9, 2024

  Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure pharmacy recommendations were addressed by the physician in a timely manner. This affected four (Residents #32, #43, #77, and #78) of five residents reviewed for unnecessary medications. The facility census was 90 residents. Findings include: 1. Review of the medical record for Resident #43 revealed an admitted [DATE] with diagnoses including end stage renal disease, hypertension, and unspecified psychosis. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #43 dated 03/11/24 revealed the resident had intact cognition. […]

• No harm, potential for more than minimal, patternF692Jul 5, 2022

  Based on observation, interview, and record review revealed the facility failed to provide therapeutic diet and supplements as ordered for Resident's #21, #34, #70, and #72. This affected four (Resident's #21, #34, #70, #72) of six residents reviewed for nutrition. The facility census was 82. Findings include: 1. Review of the medical record revealed Resident #34 admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #34 had intact cognition. Review of the plan of care dated 04/21/22 revealed Resident #34 had potential fluid imbalance and imbalanced nutrition related to disease processes, behavioral problems, poor dentition, and weight change prior to admission. […]

• No harm, potential for more than minimal, patternF761Jul 5, 2022

  Based on observations, interviews, record review, and review of facility policy, the facility failed to ensure safe storage of medicated creams. This had the potential to affect six (Resident's #8, #12, #30, #35, #65, and #232) who were identified by the facility as being cognitively impaired and ambulatory and resided on the unlocked E, R, and S halls of the facility. The facility census was 82. Findings include: Observation on 06/26/22 at 12:32 P.M. revealed there was an open tube of [MEDICATION(S)] 100,000 unit per gram medicated cream located on the bathroom sink in room [ROOM NUMBER] of the facility. The cream was not labeled with a resident's name, or the date opened. Observation and interview with Licensed Practical Nurse (LPN) #139 on 06/26/22 at 12:32 P.M. […]