Emerald Pointe Health and Rehab CTR

In the surveyor’s words

From the most serious findings on record at Emerald Pointe Health and Rehab CTR, in the surveyor’s own words.

• Actual harm, isolatedF692Mar 1, 2022

  Based on record review, review of hospital records and interview the facility failed to ensure Resident #16, who was cognitively impaired, had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Actual harm occurred on 02/10/22 when Resident #16, who was exhibiting signs and symptoms of dehydration (general malaise, lower back pain, burning with urination and brown colored urine) was not adequately assessed, monitored or treated. On 02/11/22 Resident #16 sustained a fall with complaints of dizziness that resulted in multiple skin injuries. The family requested the resident be sent to the hospital for further evaluation. […]

• Actual harm, isolatedF693Mar 1, 2022

  Based on record review, review of hospital records and interview the facility failed to ensure Resident #16, who was cognitively impaired, had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Actual harm occurred on 02/10/22 when Resident #16, who was exhibiting signs and symptoms of dehydration (general malaise, lower back pain, burning with urination and brown colored urine) was not adequately assessed, monitored or treated. On 02/11/22 Resident #16 sustained a fall with complaints of dizziness that resulted in multiple skin injuries. The family requested the resident be sent to the hospital for further evaluation. […]

• Actual harm, isolatedF692Mar 11, 2021

  Based on observation, record review, review of hospital records and interview the facility failed to ensure Resident #40 received timely and proper treatment to prevent dehydration. This affected one resident (#40) of three residents reviewed for dehydration. Actual harm occurred on 03/05/21 when Resident #40, who was exhibiting signs and symptoms of dehydration was not provided timely intervention including physician ordered intravenous (IV) fluids. Laboratory testing dated 03/06/21 revealed the resident's sodium was low 133 (normal 137-145), potassium was high 5.5 (normal 3.5-5.0), blood urea nitrogen (BUN) was critically high 117 (normal 7-17) and creatinine was high 39 (normal 0.5-1.0), laboratory values consistent with dehydration. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2023

  Based on observation, interview, and facility policy review the facility failed to store foods properly to prevent spoilage and/or contamination. This had the potential to affect 51 residents receiving food from the kitchen. The facility identified one resident (Resident #155) as receiving nothing by mouth. The facility census was 52. Findings included: Observation on 04/10/23 at 8:15 A.M. of the kitchen revealed the following items in the walk-in refrigerator which were opened and not dated: one large bag of mixed green salad, one squeeze bag of whipped cream, and a partial ham wrapped in aluminum foil. There was also one resealable plastic bag of hot dogs, dated 04/08/23, with the seal not completely closed. Observation on 04/10/23 at 8:23 A.M. […]

• No harm, potential for more than minimal, widespreadF838Mar 1, 2022

  Based on observation, record review, review of the facility assessment, review of personnel files, review of the facility census, review of staff orientation packet information and interview the facility failed to ensure the facility assessment was updated to reflect a new secured unit and to ensure staff competencies were completed. This had the potential to affect all 57 residents residing in the facility. Findings include: 1. On 02/23/22 at 5:13 P.M. observation revealed the facility had a secured unit on the 300 hall that required a code to be entered on keypad to enter and exit the unit. An additional observation on 02/23/22 at 5:14 P.M. […]