Emerson Health Care Center

In the surveyor’s words

From the most serious findings on record at Emerson Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF656Feb 13, 2023

  Based on observation, interview, and record review it was determined that the facility failed to develop and implement a comprehensive, person-centered care plan (CP) for a resident in the facility. This deficient practice was identified for 1 of 1 resident reviewed for comprehensive care plans (Resident #99) who had a diagnosis of Type 2 Diabetes Mellitus. This deficient practice was evidenced by the following: On 2/01/23 at 11:15 AM, the surveyor observed Resident # 99 in bed. […]

• No harm, potential for more than minimal, isolatedF695Feb 13, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to a.) ensure that the respiratory equipment was dated properly and b.) develop a comprehensive, person-centered care plan for a resident who was receiving continuous oxygen (O2). This deficient practice was observed for 1 of 4 residents (Resident #71) reviewed for respiratory care. This deficient practice was evidenced by the following: On 2/1/23 at 11:59 AM, during the initial tour, the surveyor observed Resident #71 in bed with O2 in use via a face mask set at 4 liters per minute (LPM) attached to a humidified O2 concentrator (a medical device used for delivering O2). The O2 tubing was dated 1/26/23. […]

• No harm, potential for more than minimal, isolatedF658Mar 16, 2021

  Based on observation, interview, and record review, it was determined that the facility failed to set the appropriate weight in an air mattress used to promote wound healing for 1 of 3 residents reviewed for pressure ulcer according to professional standards of practice. This deficient practice was evidenced for Resident #19 and evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative… […]

• No harm, potential for more than minimal, isolatedF842Mar 16, 2021

  Based on observation, interview, and record review, it was determined that the facility failed to maintain complete, accurate, and readily accessible medical records. This deficient practice was identified for 1 of 24 residents reviewed, Resident#24, and was evidenced by the following: This deficient practice was evidenced by the following: On 3/9/21 at 11:10 AM, during the tour, the Licensed Practical Nurse/Unit Manager (LPN/UM) informed the surveyor that Resident #24 was on hospice care. The resident was lying on an air mattress. At that same date and time, the LPN/UM stated that the hospice nurse does the virtual visit once a week. […]

• No harm, potential for more than minimal, isolatedF880Mar 16, 2021

  Based on observation, interview, record review, and a review of pertinent facility documents, it was determined that the facility failed to ensure personal protective equipment (PPE) was removed in accordance with nationally accepted guidelines for infection prevention and control. This deficient practice was identified for 1 of 4 staff members observed donning and doffing. The evidence was as follows: According to the U.S. Centers for Disease Control and Prevention (CDC) guidelines, Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic updated 2/23/21 included, HCP (Healthcare Personnel) must receive training on and demonstrate an understanding of: when to use PPE, what PPE is necessary, how to properly… […]