Elevate Care Abington

In the surveyor’s words

From the most serious findings on record at Elevate Care Abington, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 7, 2025

  Based on interview and record review the facility failed to follow its Transfer policy by failing to provide a two persons assist while transferring a dependent resident from bed to wheelchair. This failure affected one of three residents (R1) reviewed for accidents. This failure resulted in R1 falling from a mechanical lift to the floor and sustaining a fracture of the left superior and inferior pubic rami medially, a sacral fracture and small hematoma. Findings Include: On 2/5/25 at 10:30am, V3 (RN) stated that she provided care to R1 on the day of the fall (2/3/25) and was called to the room by V4 (CNA) after R1 slid out of the sling to the floor during transfer from the bed to the wheelchair. V3 stated that she assessed R1 and noted a cut on the left outer ear. […]

• Actual harm, isolatedF689Apr 5, 2024

  Based on interview and record review, the facility failed to ensure a resident at risk for falls was supervised and assisted while in the bathroom for 1 of 4 residents (R1) reviewed for safety in the sample of 7. This failure resulted in R1 being sent to the hospital after sustaining a laceration to his head which required staples. The findings include: R1's Admission Record dated 4/5/24 shows he was admitted to the facility on [DATE]. R1's diagnoses includes, but are not limited to, Parkinson's disease, neurocognitive disorder with Lewy bodies, dementia, left foot drop, and abnormalities of gait and mobility. […]

• Actual harm, isolatedF689Oct 4, 2023

  Based on interviews and record review, the facility failed to follow their transfer policy. The facility failed to safely transfer a total dependent resident that requires a mechanical lift with 2 person assist, by transferring via stand pivot with one person assist. This affects one resident (R1) of three residents reviewed for safe transfer. This resulted in R1 being hospitalized with a CT scan result of distal tibia periprosthetic fracture and distal fibula fracture. Findings include: Initial Incident Report dated 9/12/23, reads in part: R1 complaint of pain over her right ankle. Noted with anterior swelling and left shin swelling. X-ray done and noted with right ankle mildly displaced fracture of fibula. Left knee with pretibial contusion with uncomplicated Right knee arthroplasty. […]

• Actual harm, isolatedF689Apr 28, 2023

  Based on interviews and record reviews, the facility failed to implement a fall intervention such as supervision for a resident identified as moderate risk for fall. This affects two residents (R62 and R312) reviewed for fall incident and supervision. This failure resulted in R312 having a fall incident, sustaining a scalp laceration that required a transfer to a local hospital for further evaluation. R312 received 5 sutures on his laceration. Findings Include: On 4/25/23 at 11:00am, observed R62 sitting in the wheelchair, with his head down. R62 up on his wheelchair and position close to foot base of his bed area. Call light attached to side rails of the bed not within reach of R62. […]

• Actual harm, isolatedF689Aug 14, 2022

  Based on interview and record review, the facility failed to ensure that a resident was provided with safe care in a manner, considering the resident's history of refusal of care and aggressive behavior toward staff; the resident became aggressive with staff while incontinence care was being provided and the staff member was not familiar with the resident or related interventions for care; the resident then had a fall, and staff proceeded to transfer the resident from the floor to the bed, using a mechanical lift, while the resident continued to be in an agitated state. […]