Elevate Care North Branch

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jul 11, 2024

  Based on interviews and record review, the facility failed to contact and notify a resident's primary care physician regarding the onset of a residents change of condition and failed to send a resident out via 911 when all interventions failed to correct an elevated heart rate. This failure resulted in a delay of [R1] being sent to the hospital for a higher level of care more than 15 hours after the onset of the high heart rate and subsequent death. This was identified as an immediate jeopardy. V17 (Director of Nursing) was notified in the administrator's absence of the immediate jeopardy on [DATE] and presented with an immediate jeopardy template. The facility presented an acceptable removal plan to department on [DATE] after items were revised. […]

• Actual harm, isolatedF552Sep 23, 2025

  Based on interviews and record review, the facility failed to ensure that the rights of one (R1) of three residents reviewed for resident rights were respected when staff disregarded the resident's expressed refusal to be transferred via mechanical lift. This failure resulted in R1's actual harm evidenced by pain, loss of dignity, and emotional distress. Findings include:R1 is an [AGE] year-old-male admitted to the facility on [DATE] with diagnosis including but not limited to Unilateral Primary Osteoarthritis, Right Hip; Encounter for Orthopedic Aftercare Following Surgical Amputation; Acute Osteomyelitis, Left Ankle and Foot; Type 2 Diabetes Mellitus; Chronic Obstructive Pulmonary Disease; Hypertensive Chronic Kidney Disease; Dependence on Renal Dialysis; and Atherosclerotic Heart… […]

• Actual harm, isolatedF760Oct 11, 2024

  Based on interview and record review, the facility failed to ensure 2 of 3 (R2, R4) residents reviewed for viral infections in the sample of 3 were administered the correct dose of antiviral medications. This failure resulted in R2 being hospitalized for 21 days and R4 having significant side effects. The findings include: 1. On 10/11/24 at 12:10 PM, V6, Nurse Practitioner (NP), said R2 was diagnosed with shingles and was put on Valtrex (an antiviral), 1 gram (1000 milligrams) three times a day for seven days, which is a standard dose for shingles. V6 said R2 dose should have been adjusted because he is a dialysis patient. R2's dose should have been 500 milligrams (mg) three times a day for seven days. V6 said she does not know why it was not adjusted; it just did not get adjusted. […]

• Actual harm, isolatedF689Aug 5, 2024

  Based on observation, interview and record review, the facility failed to follow their fall prevention program by failing to ensure the safe transfer/handling of a resident during care, failed to follow their plan of care to prevent further falls, and failed to keep the resident's immediate surroundings free of accidental hazards. This failure affects 1 (R1) of 4 residents reviewed for falls and resulted in R1 being emergently transferred to the hospital and admitted with acute pain and right knee fracture. […]

• Actual harm, isolatedF689Mar 3, 2024

  Based on observation, interview and record review, the facility failed to provide adequate supervision and monitoring of residents at risk for falls and with a history of falls for 3 (R1, R3, R4) of 3 residents reviewed for accident hazards in the sample; failed to follow the plan of care to prevent injuries and future falls; and failed to train staff (including agency staff) on fall risk interventions. These failures resulted in all 3 residents requiring emergent transfers to the hospital emergency department. R1 sustained a left shoulder fracture; R3 sustained a non-displaced sacral fracture with required hospitalization ; and R4 sustained a left tibia/fibula (ankle) fracture with required hospitalization and surgical intervention. […]