Emerald Nursing & Rehab Lancaster LLC

In the surveyor’s words

From the most serious findings on record at Emerald Nursing & Rehab Lancaster LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 8, 2024

  Licensure Reference Number 175 NAC 12.006.09(I) Based on observation, interview, and record review, the facility failed to ensure interventions were implemented to prevent elopement (when a resident leaves the premises or a safe area without authorization) for 2 (Residents 1 and 2) of 3 sampled residents. The facility census was 198. The facility Administrator for Emerald Nursing and Rehab [NAME] was notified on 07/02/2024 at 5:30 PM of an Immediate Jeopardy (IJ) which began on 06/29/2024. The IJ was removed on 07/02/2024, as confirmed by surveyor onsite verification. Findings are: A record review of the facility's undated Missing Resident/Elopement Procedure revealed all nursing staff were responsible for knowing the whereabouts of residents for which they were assigned. […]

• Immediate jeopardy, isolatedF689Mar 28, 2024

  Licensure Reference Number 175 NAC 12-006.09D7 Licensure Reference Number 175 NAC 12-006.18B Based on record review and interviews, the facility failed to ensure elopement (unsupervised wandering that leads to the resident leaving the facility without facility staff knowledge) door alarms were functioning, which affected 1 (Resident 3) of 14 sampled residents. The facility failed to ensure all staff were aware of residents who were at risk for elopement which affected 1 (Resident 3) out of 5 sampled residents. This had the potential to affect 14 residents identified at risk for elopement. […]

• Actual harm, isolatedF686Oct 29, 2024

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(2) Based on interview and record review; the facility failed to follow the medical practitioner's orders regarding wound care and failed to ensure wound treatment was completed for 1 (Resident 1) of 4 sampled residents. The facility census was 177. Findings are: Record review of facility's Skin and Wound Management Policy, last revised 1/2024, revealed the nursing staff and the medical practitioner: -Will assess and document regarding all current wound care treatments, -will identify type and characteristics of a pressure sore, -will identify and define complications of healing regarding pressure sores, -the practitioner will order wound treatments and identify medical interventions related to wound management. […]

• Actual harm, isolatedF689May 7, 2024

  Licensure Reference Number 175 NAC 12-006.09D7 Based on observation, interview, and record review, the facility failed to ensure 1 (Resident 1) of 3 sampled residents was assessed for the ability to safely use the resident's recliner/chair lift to prevent a fall with major injury. The facility census was 203. Findings are: A record review of the facility's Accidents and Incidents policy with a last revised date of 1/2024 revealed Accident/Incidents may include a fall or suspected fall. Should an accident/incident occur, the facility strived to prevent such occurrence from happening again. […]

• Actual harm, isolatedF580Jul 27, 2022

  Licensure Reference Number 175 NAC 12-006.04C3a(6) Based on interview and record review, the facility failed to notify the provider of changes in condition for 1 (Resident 2) of 5 sampled residents. The facility had a total census of 207 residents. The findings are: A. A review of Resident 2's progress notes revealed the following: -7/15/22 at 4:58 PM - Resident returned to facility (from hospital) with the following skin areas- .open area to pannus (refers to the fatty tissue that hangs over the abdomen) 8 x 7.1 cm (centimeters) . -7/24/22 at 2:04 PM - Resident wound to right abdominal fold noted to have slough (dead tissue) and odor. Cleansed and dressed with dry dressing per facility protocol. MD (Physician) notified for wound care orders. […]