Every finding on record at Evenglow Lodge

Based on observation, interview, and record review the facility failed to store resident's medications separately from food, failed to maintain a pharmacy label on medications and failed to discard/return medication for someone who was not a resident in the facility. This failure affects four residents (R11, R6, R8, R18) with medication in the medication room refrigerator in the sample list of 24. Findings include: The facility's Medication Storage Policy updated 11/1/16 documents, Medications and biologicals that are dispensed by a licensed nurse are stored in a locked cabinet/cart or locked in the medication room. On 9/3/24 at 2:38 PM, V3 (Registered Nurse) opened the medication storage room refrigerator and confirmed there is food stored in the refrigerator with resident's medications. At this time the medication storage room refrigerator contained: 1. R11's Lantus (insulin), 2. R6's Bisacodyl suppositories, 3. Two vials of Tuberculin solution, 4. Emergency stock supply of insulin and Lorazepam, 5. R8's Bisacodyl suppositories, 6. R18's Dorzolamide drops, 7. A clear plastic bag full of Acetaminophen suppositories with no label, name or identification on the bag, 8. R6's Acetaminophen suppositories, 9. Four pudding cups, several cups of applesauce, three bottles of nutritional drink, three boxes of fortified nutritional liquid supplement and 10. A locked controlled medication box. The medication storage room refrigerator also contained a Lantus pen for an unidentified name - not a resident of the facility and never has been a resident of the facility. This Lantus pen had this person's name on the pharmacy label with a dispensed date of 7/14/24. V3 stated she did not know who the resident was and stated that maybe they passed away. At this time, V4 (Registered Nurse) stated that she thinks this was a pharmacy delivery error, that it was not supposed to be delivered to this facility. V3 confirmed that the dispensed date was back in July 2024 and has been stored in the medication storage room refrigerator. R11's Order Summary Report dated 9/4/24 documents an order for Lantus Subcutaneous Solution 100 unit/ml (milliliters) inject 20 units subcutaneously one time a day related to Type 2 Diabetes Mellitus with a start date of 4/4/24. R6's Order Summary Report dated 9/4/24 documents an order for Bisacodyl Rectal Suppository, insert one suppository rectally every 24 hours as needed for Constipation with a start date of 4/24/24 and an order for Acetaminophen Rectal Suppository 650 mg (milligrams), insert one suppository rectally every four hours as needed for Mild Pain; Elevated Temperature with a start date of 4/24/24. R8's Order Summary Report dated 9/4/24 documents an order for Bisacodyl Suppository 10 mg, insert one suppository rectally every 24 hours as needed for Constipation or if no bowel movement after three days. R18's Order Summary Report dated 9/4/24 does not document any orders for Dorzolamide ophthalmic drops. On 9/4/24 at 12:07 PM, V2 (Director of Nursing) stated that the (unidentified resident's) Lantus pen belongs to a resident at one of the other facility's in town and she stated that she was surprised no one had sent it back to the pharmacy. On 9/5/24 at 9:34 AM, V2 confirmed that there should not be food stored in the refrigerator with medications.

Based on observation, interview, and record review the facility failed to ensure food is handled in a sanitary manner for one (R12) of 16 residents reviewed for dining in the sample of 24. The facility's undated policy titled Handwashing, Glove Use, and Personal Standards for (facility) Foodservice, documents wear gloves when handling ready-to-eat foods. On 09/03/24 at 11:39 AM The noon meal was distributed on the second floor. V12 (Volunteer/R22's Family) was assisting staff in serving resident meal trays. R12 requested ketchup for his turkey burger. V12 touched R12's turkey burger bun with V12's bare hands and applied ketchup. On 9/03/24 at 12:00 PM V12 confirmed he volunteers at the facility and assists in serving meal trays. V12 stated V12 only wears gloves when prepping chicken on the bone. V12 confirmed V12 did not wear gloves when he touched R12's turkey burger. On 9/04/24 at 1:18 PM V6 (Dietary Manager) stated gloves should be worn when handling ready to eat foods.

Based on interview and record review the facility failed to complete an initial assessment prior to starting an antipsychotic medication for one of five residents (R28) reviewed for unnecessary medications in the sample list of 24. Findings include: The facility's Nursing Service Procedure for Psychoactive Medication use policy with a revised date of 12/15/23 documents, Before considering the use of an anti-psychotic medication, staff will first determine whether there is an underlying medical, physical, functional, psychosocial, emotional, psychiatric, or environmental cause of the behavior(s). The pre-psychoactive medication assessment form will be completed. R28's Order Summary Report dated 9/4/24 documents diagnoses including Major Depressive Disorder, Generalized Anxiety Disorder, Alzheimer's Disease with Late Onset, Dementia in Other Diseases Classified Elsewhere and Unspecified Psychosis not Due to a Substance or Known Physiological Condition. This Order Summary Report documents an order for Seroquel Oral Tablet 25 mg (milligrams) (antipsychotic) one tablet by mouth one time a day for Atypical Psychosis with a start date of 6/17/24. R28's Medication Administration Record dated 6/1/24 through 6/30/24 documents R28 received the first dose of Seroquel on 6/17/24. R28's Psychotropic Medication and Behavior Assessment/Observation dated 6/19/24, 6/26/24 and 7/3/24 do not include the Seroquel in the assessments. R28's first assessment for the Seroquel 25 mg is not until the 7/10/24 Psychotropic Medication and Behavior Assessment/Observation. R28's Care Plan updated on 8/16/24 documents R28 takes psychoactive medications including the Seroquel. R28's MDS (Minimum Data Set) dated 8/8/24 documents R28 takes an antipsychotic medication. On 9/5/24 at 9:34 AM, V2 (Director of Nursing) confirmed that there was not an initial psychotropic medication assessment completed for R28 prior to starting an antipsychotic medication (Seroquel) and there should have been one completed.

Based on observation, interview, and record review the facility failed to label and properly store nebulizer mask and tubing. The facility also failed label oxygen tubing when changed for two of two residents (R16, R3) reviewed for respiratory care in the sample list of 24. Findings include: The facility's Oxygen Policy and Procedure with a reviewed date of 12/13/23 documents, The nasal cannula or mask, the extension tubing, the pre-filled humidifier bottle and the baggie are to be changed weekly and as needed. The baggie and the pre-filled humidifier bottle are to be dated. 1.) R16's Order Summary Report dated 9/5/24 documents diagnoses including Dyspnea, Dependence of Supplemental Oxygen, Chronic Respiratory Failure with Hypoxia, Other Specified Interstitial Pulmonary Diseases, Chronic Obstructive Pulmonary Disease and Acute Upper Respiratory Infection. This Order Summary Report documents an order for Ipratropium-Albuterol Inhalation Solution 0.5-2.5 (3) mg (milligrams)/3 ml (milliliters), 3 ml inhale orally every 6 hours as needed for wheezing/Shortness of Breath with a start date of 12/22/23. On 9/3/24 at 10:15 AM, R16's oxygen concentrator was running via a nasal cannula. R16's nebulizer mask was hanging on the drawer handle of the bedside stand and the medication cup portion of the mask was open to air and hanging on the side of the nebulizer machine. There was no date on the nebulizer mask or tubing to indicate when it was changed and was not stored in anything to protect from contamination. On 9/4/24 at 2:33 PM, R16 was in his room, in his recliner and the nebulizer mask and tubing were still hanging in the same place with no date and no covering. On 9/5/24 at 8:38 AM, R16 was in his room in his recliner and the nebulizer mask and tubing were still hanging in the same place with no date and no covering. On 9/5/24 at 9:34 AM, V2 (Director of Nursing) stated that nebulizer mask, tubing and the oxygen tubing are to be labeled with the date they were changed. V2 stated they are supposed to be changed weekly and stored inside a plastic bag. 40385 2.) On 9/3/24 at 9:29 AM R3 was sitting in the dining room wearing Oxygen at 2 liters per minute per nasal cannula that was connected to a portable oxygen tank. This tubing was not labeled with a date. On 9/3/24 at 3:08 PM V15 (Licensed Practical Nurse) stated oxygen tubing is changed weekly on Sundays. V15 confirmed oxygen tubing should be labeled with a date. V15 entered R3's room and verified R3's portable oxygen tubing was not labeled with a date. V15 stated the tubing will need to be changed and dated. R3's September 2024 Treatment Administration Record documents to change R3's oxygen tubing and humidifier weekly on Wednesdays and label with a date.

Based on observation, interview, and record review the facility failed to implement fall prevention interventions, failed to obtain an ordered X-ray in a timely manner, and failed to document fall and post fall assessment for two residents (R13, R12) of five residents reviewed for falls in a sample list of 24 residents. Findings Include: 1. R13's Current Diagnoses list includes the following diagnoses: Fractured Right Hip, Alzheimer's Dementia, Unsteadiness on Feet, Difficulty Walking, and Instability of Left Hip. R13's Fall Risk assessment dated [DATE] documents R13 is at moderate risk for falls. R13's Progress note dated 7/30/24 at 6:25AM by V11 (Licensed Practical Nurse/LPN) documents (R13) slid off edge of bed and was sitting next to bed. Denies any injury but complained of usual arthritic pain. Ambulated to bathroom and then out to breakfast. Narcotic pain reliever given as ordered. R13's Progress note dated 7/30/24 at 10:33 AM documents Continues to complain of pain in hips especially right and then complains of back as usual. In bed and moving lower extremities but complaints of pain. Examined and no deformities noted. (V18) Advanced Practice Nurse made aware of slip to floor. Orders for bilateral hip X-rays. Power of Attorney notified (POA). (contracted X-ray company) notified of orders. R13's Progress note dated 7/30/24 at 12:37PM documents (R13) Continued to yell out periodically and especially pain more prominent of right hip. No deformity noted and demonstrating Active Range of Motion to both hips. In bed for comfort. POA and V18 (notified) new orders for x-rays of both hips. (contracted X-ray company) notified and orders sent. R13's Progress Note dated 7/30/24 at 7:21PM documents (Nurse) called (X-ray Company) again to check on Estimated Time of Arrival and spoke with (representative). Order was changed from routine to As Soon As Possible after (representative) suggested it due to ASAP orders and STAT orders having to be completed before routine orders. R13's Progress Note dated 7/30/24 at 7:51PM documents (contracted X-ray company) called back at and stated the technician would be here to x-ray (R13) within an hour and 30 minutes. R13's Progress Note dated 7/30/24 at 9:46PM documents (X-ray Company) arrived and completed imaging. Upon completion of Bilateral Lower Extremity x-ray (technician) saw some displacement of Right hip with possible suspicion of fracture. (Nurse) called ambulance to transport (R13) to hospital for further evaluation. (Nurse) informed POA. (nurse) also informed on call nurse. (Nurse) attempted to notify Primary Care Physician and received busy signal. Ambulance arrived. A copy of the images completed have been given to Emergency Medical Services (EMS) via disc. Paperwork printed (face sheet, order summary, transfer sheet, POLST (Physician Orders for Life Sustaining Treatment) form, administration record of MAR (Medication Administration Record) and Living will) have been given to EMS. Subsequent Progress Notes document (R13) returned to the facility 8/9/24 after surgical repair of the fractured right hip. On 9/4/24 at 2:00PM V2 (Director of Nursing) stated We have trouble getting (contracted X-Ray provider) here to do X-Rays very quickly. On 9/4/24 at 1:17PM V18 (Nurse Practitioner) stated (R13) is very severely cognitively impaired. They did do surgery to repair (R13's) hip. That might have sped up (R13's) decline. 40385 2. On 9/03/24 at 11:38 AM R12 was sitting in a wheelchair in the dining room. On 9/03/24 at 12:06 PM R12 was sitting in a wheelchair in his room. R12 stated R12 had previously self-transferred out of the recliner, his foot got tangled up, and somehow, he broke his toe. On 9/03/24 at 2:51 PM R12 was sitting in the recliner in his room. There was a pressure relieving cushion in R12's wheelchair. The wheelchair did not contain a nonskid mat. R12's Minimum Data Set, dated dated dated [DATE] documents R12 has moderate cognitive impairment. R12's Fall Risk and Intervention Assessment/Observation dated 7/3/24 documents R12 is at high risk for falls. R12's Care Plan dated 1/11/24 documents R12 is at risk for falls related to impaired balance, weakness, and Congestive Heart Failure. This care plan includes an intervention dated 7/2/24 to use a nonskid mat in R12's wheelchair. R12's Nursing Note dated 5/6/2024 at 3:47 PM documents V18 (Nurse Practitioner) evaluated R12 for toe bruising and pain and gave orders for Tylenol and foot x-ray. V21 (R12's Family) was present and updated. R12's Nursing Note dated 5/6/24 at 7:52 AM documents R12 complained of left toe discomfort and R12's left great toe and second toe were bruised/swollen. The Occurrence Report to the state surveying agency dated 5/10/24 documents the following: On 5/5/24 at 2:00 PM a Certified Nursing Assistant (identified as V17) transferred R12 from the recliner. R12 reported R12's knee gave out causing R12 to go down to the floor in a kneeling position, and R12's left foot slid under the recliner. R12's x-ray results received on 5/7/24 document an acute non-displaced fracture of the left great toe. R12's medical record does not contain documentation for the fall on 5/5/24 or that R12 was immediately assessed for injuries following the fall. R12's Fall Report dated 7/1/24 at 7:15 PM documents R12's alarm was sounding and R12 was found sitting on the floor in front of his wheelchair. R12 reported that he slipped out of his wheelchair. The facility's fall investigation dated 7/8/24 for R12's fall on 7/1/24 documents a nonskid mat was applied to R12's wheelchair as the post fall intervention. On 9/03/24 at 2:56 PM V16 (CNA) stated V16 has access to resident care plans and that is where she looks for fall interventions. On 9/03/24 at 3:00 PM V15 (Agency Licensed Practical Nurse) stated V15 has access to resident care plans and she looks there for fall interventions. At 3:15 PM V15 entered R12's room and verified R12's wheelchair seat did not contain a nonskid mat. V15 stated V15 will have to see if therapy staff is still in the building to obtain the nonskid mat. On 9/03/24 at 1:05 PM V2 (Director of Nursing) stated R12's toe fracture was due to the fall on 5/5/24. V2 confirmed R12's fall and post fall assessment should have been documented in R12's progress notes. V2 stated V17 (Agency CNA) transferred R12 from the recliner, R12's knee gave out and his foot bent underneath of him causing R12 to be lowered to the floor. On 9/03/24 at 3:21 PM V2 stated R12's fall was not reported until the following day when R12 reported the fall. V2 stated V2 completed the Fall Huddle form for R12's fall since it was not completed by the agency nurse working at the time.

Based on observation, interview, and record review the facility failed to provide personal hygiene assistance for one (R3) of one resident reviewed for Activities of Daily Living in the sample list of 24. Findings include: On 9/03/24 at 9:28 AM R3 was sitting in the dining room and was finished with breakfast. R3's lower eyelids were very red and there was green discharge in the corner of R3's left eye. R3 stated R3's eyes have been bothering her today. R3 was asked what has been done to address R3's eye discomfort/redness/drainage. R3 stated R3 receives eye drops daily. On 9/4/24 at 9:06 AM R3 was present for the resident council meeting. R3's eyes remained red and there was white/yellow drainage on R3's eyelids. R3's Minimum Data Set, dated dated dated [DATE] documents R3 has moderate cognitive impairment and requires partial/moderate staff assistance for personal hygiene. R3's Nursing Note dated 9/3/2024 at 9:51 PM documents R3 complained of eye discomfort/pain and there was increased redness noted to R3's eyes and lower eyelids. R3's eyes had clear drainage and a warm compress was applied. On 9/04/24 at 12:41 PM V10 (Registered Nurse) stated it is not unusual for R3's eyes to have drainage in the morning. V10 stated R3 gets herself ready in the morning, but staff does provide assistance as well. V10 confirmed R3's eyelids should be washed with a warm washcloth as part of morning cares. V10 stated she will have to talk to the Certified Nursing Assistants about that. On 9/04/24 at 1:28 PM V18 (Nurse Practitioner) stated R3 has chronic dry eyes and it is not uncommon for R3 to have eye discharge related to allergies.

Based on interview and record review the facility failed to report a fall to the physician and resident representative for one (R12) of five residents reviewed for falls in the sample list of 24. Findings include: R12's Minimum Data Set, dated dated dated [DATE] documents R12 has moderate cognitive impairment. There is no documentation in R12's medical record that V21 (R12's Family) or V22 (R12's Physician) were notified on 5/5/24 that R12 was lowered to the floor during a staff assisted transfer. R12's Fall Report for fall on 5/5/24 documents R12's fall was not reported to V21 until 5/6/24 at 10:08 AM and V18 (Nurse Practitioner) until 5/6/24 at 8:08 AM. R12's Nursing Note dated 5/6/24 at 7:52 AM documents R12 complained of left toe discomfort and R12's left great toe and second toe were bruised/swollen. R12's Nursing Note dated 5/6/2024 at 3:47 PM documents V18 (Nurse Practitioner) evaluated R12 for toe bruising and pain and gave orders for Tylenol and foot x-ray. The Note documents R12's family was present and updated. The facility's Occurrence Report to the state surveying agency dated 5/10/24 documents the following: On 5/5/24 at 2:00 PM a Certified Nursing Assistant (identified as V17) transferred R12 from the recliner. R12 reported R12's knee gave out causing R12 to go down to the floor in a kneeling position, and R12's left foot slid underneath the recliner. R12's x-ray results received on 5/7/24 document an acute non-displaced fracture of the left great toe. On 9/03/24 at 1:05 PM V2 (Director of Nursing) stated R12's toe fracture was due to the fall on 5/5/24. At 3:21 PM V2 confirmed R12's fall on 5/5/24 should have been reported to R12's physician and family. V2 stated it wasn't reported until the following day when R12 reported the fall, since the agency nurse and CNA had not reported the fall. On 9/04/24 at 1:25 PM V18 (Nurse Practitioner) stated R12 told V18 on the morning of 5/6/24 that during a staff assisted transfer R12's foot bent underneath of R12, R12's knees buckled, and R12 was lowered to the floor. V18 stated V18 was not aware of this incident until she evaluated R12 on 5/6/24 for toe swelling and bruising. V18 stated V18 should have been notified of the incident and V18 is rarely notified by agency staff. The facility's undated Procedure for Resident Falls & Incidents documents to report falls/incidents to the resident's physician and family.

Based on observation, interview, and record review the facility failed to post daily staffing and include total hours worked as part of the posted daily staffing. This failure affects all 30 residents who reside in the facility. Findings include: On 9/05/24 at 9:22 AM V2 (Director of Nursing) stated posted staffing is usually located on the bulletin board by the first-floor nurse's station. V2 confirmed the bulletin board did not contain the daily posted staffing. V2 stated V14 (Scheduler) usually posts the staffing and V2 keeps the forms. V2 provided a copy of the form, which does not include the total hours worked for licensed and unlicensed staff. V1 (Administrator) stated there should be another form that is posted for daily staffing which includes the hours worked. On 9/05/24 at 9:27 AM V14 (Scheduler) stated V14 has not posted daily staffing for September 2024. V14 was completing the form, which did not include the total number of hours worked. V14 stated V14 wasn't aware that the daily posted staffing must include the hours worked. The Report of (facility) Nursing Staff Directly Responsible for Resident Care dated September 2024, provided by V14, documents total licensed and unlicensed nursing staff full time employees for days, evening, and night shifts. This form does not document total number of hours worked. The facility's Resident List Report dated 9/3/24 documents 30 residents reside in the facility.

Based on observation, interview, and record review the facility failed to ensure proper food storage by failing to label foods with a date, ensure the walk-in cooler contained a thermometer, and ensure foods were not expired prior to serving. These failures have the potential affect all 32 residents residing in the facility. Findings include: On [DATE] from 8:00 AM until 8:18 AM an initial tour of the kitchen was conducted. The walk-in cooler did not contain a thermometer inside the cooler. The temperature gauge on the wall located outside of the cooler next to the door was not functioning and read 0 degrees Fahrenheit (F.) The walk-in cooler contained a plastic container of mixed fruit that was covered with plastic wrap and was not labeled with a date. There were two boxes of prepared coleslaw with use by date of [DATE]. There was an unopened plastic package of bologna lunchmeat that did not contain a use by or expiration date. Sliced ham was in a zipper locking plastic bag that was not dated. Sliced turkey was in metal roasting pans covered with plastic wrap and undated. There were two boxes of prepared pre-mixed pasta salad. One box was unopened with a use by date of [DATE]. The other box with use by date of [DATE] was opened and contained a handwritten date [DATE]. V13 (Dietary Manager) entered the walk-in cooler and stated the turkey was from Thanksgiving ([DATE]) and needs to be thrown out. V13 confirmed all foods in the cooler should be labeled with a date and expired items should be discarded and not used. V13 stated there should be a thermometer in the walk-in cooler. V13 searched the walk-in cooler for a thermometer and was unable to locate the thermometer. The facility's Week at a Glance Week 2 Menu documents on Thursday ([DATE]) pasta salad was part of the supper meal. The facility's Resident Listing Report dated [DATE] documents 32 residents reside in the facility. The facility's Dietary Services Policy dated as revised [DATE] documents: There is an accurate thermometer in each refrigerator and freezer and in storerooms for perishable foods. Dating and labeling of all foods not in original containers, opened to re-use, and foods dished for service will have a date when opened or dished up. A 3 day in/out policy for these foods is the accepted practice. In some instances, a use by date will be acceptable when written on tag or item. Daily salad bar/dessert items for service must be wrapped and dated by end of shift. Items not dated and labeled will be discarded.

Based on record review and interview the facility failed to implement their infection control program by failing to complete infection control logs and by failing to track, trend, and analyze infection data within the facility. This failure has the potential to affect all 32 residents that reside within the facility. Findings include: The Infection Prevention and Control Program dated 5/18/2018 documents it will include a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents. The facility provided their ongoing Infection Control binder that did not contain information on the culture and sensitivity of infections/pathogens, whether the infection was healthcare acquired or community acquired, nor any follow up labs after antibiotic completion. The infection control binder also did not contain a list of infections or tracking/trending data. On 11/29/23 at 1:35 PM, V4 (Infection Preventionist) stated V4 does not have any Culture and Sensitivity reports from any infection in the Infection Binder, nor did V4 have any tracking or trending information available at this time. The facility's Resident Listing Report dated November 27, 2023 documents 32 residents reside at the facility.

Based on interview and record review, the facility failed to notify the physician and resident representative with a change in condition for one of two residents (R4) reviewed for skin alterations on the sample list of 25. Findings Include: R4's Progress Notes dated 11/15/23 by V7 (Wound Nurse) document, noted resolving blood blister {on} right foot second toe/chronic gout toe. Area is dry and intact--will use skin prep Q (every) shift x (for) 2 weeks as preventative. R4's Progress Notes from 11/15/23 - 11/27/23 do not document that R4's physician or representative were notified of R4's skin alteration. On 11/29/23 at 10:10 AM, V7 (Wound Nurse) stated the Physician or Nurse Practitioner, and the resident family are normally notified of changes in condition and that is documented in the Progress Notes but V7 did not notify them of R4's blister. Instead, V7 just initiated a standing order for skin prep due to the blister already resolving. The facility's Notification for Change in a Resident's Condition Policy dated 7/28/17 documents the attending physician and the responsible party will be notified promptly of any change in the resident's condition. A change in condition may include but is not limited to a need to alter the resident's treatment. The facility's undated Wound Care Policy documents when a wound is identified, notify the resident's responsible party and physician and document that notification was made.

Based on interview and record review the facility failed to update a care plan to include interventions to prevent reoccurring Urinary Tract Infections (UTIs) and address an active infection for one (R16) of one resident reviewed for UTIs in the sample list of 25. Findings include: R16's Physician Order dated 11/22/23 documents to administer Keflex (antibiotic) 500 milligrams (mg) by mouth twice daily for 10 days for UTI. R16's Nursing Note dated 11/22/23 at 1:29 PM documents R16 had hematuria (blood-tinged urine) and abdominal discomfort. Keflex was initiated as ordered. R16's Care Plan revised 11/20/23 documents R16 has a history of frequent UTIs but does not include interventions to prevent UTIs or address R16's antibiotics for UTI treatment initiated on 11/22/23. On 11/28/23 at 12:52 PM, V8 (Minimum Data Set (MDS) Coordinator) stated V8 does not update the care plans for active infections and antibiotic use, unless it is within 30 days of the MDS completion date. V8 stated we encourage fluids as an intervention to prevent R16's reoccurring UTIs. V8 confirmed R16's care plan does not document interventions to address R16's frequent UTIs. The facility's Comprehensive Individualized Care Plan dated 11/20/17 documents: The objective is to use assessment data including but not limited to the MDS, resident interview, resident family/representative/legal guardian interview, staff interview, to develop a course of action that moves a resident towards a specific measurable goals utilizing individual resident strengths and interdisciplinary expertise. The care plan is ongoing and will be revised with every change in the resident's care. The care plan can be revised by any staff member with knowledge of the resident's specific needs.

Based on observation, interview and record review, the facility failed to administer medications according to Physician Orders and Manufacture's Recommendations for two of six residents (R11, R34) reviewed for medication administration on the sample list of 25. The facility had two errors out of 33 opportunities for a medication error rate of 6.06%. Findings Include: 1. R11's November 2023 POS (Physician Order Sheet) documents an order for Carafate (Antiulcer) 1 gm (gram) - administer one tablet before meals and at bedtime. On 11/28/23 at 11:45 am, R11 was sitting at the dining room table eating lunch and stopped V17 (Registered Nurse/RN) stating, I (R11) haven't had my Carafate yet and I'm supposed to have it 30 minutes before I eat. R11 explained R11 was served lunch around 11:30 am and has been eating since that time. V17 stated V17 forgot, even though V17 had a reminder alarm set, but would get it for R11. At 11:48 am, V17 administered R11's Carafate. The Carafate Instructions for Use dated April 2004 document Carafate is to be given on an empty stomach. 2. R34's November 2023 POS (Physician Order Sheet) documents morning medications that include Advair Diskus (Corticosteroid) 10-50 mcg (micrograms) - one inhalation BID (twice a day). On 11/29/23 at 7:45 am, V17 (RN) entered R34's room with R34's ordered medication including the Advair. V17 handed the inhaler to R34 and instructed R34 how to activate the inhaler. R34 inhaled the medication then V17 instructed R34 how to close the inhaler, which R34 did. V17 then left R34's room without instructing or ensuring R34 rinsed R34's mouth out after using the inhaler. The Instructions for Use for Advair dated 2008 documents localized infections of Candida Albicans can occur in the mouth and throat due to the use of Advair therefore patients need to be advised to rinse their mouth following inhalation of the medication.

Based on observation, interview, and record review the facility failed to document behaviors and implement nonpharmacological interventions prior to administering psychotropic medications, failed to document clinical rational to extend an order for PRN (as needed) antianxiety medication, and failed to ensure appropriate justification for use of an antipsychotic for one (R12) of five residents reviewed for unnecessary medications in the sample list of 25. Findings include: On 11/29/23 at 9:18 AM, 9:30 AM and 10:40 AM R12 was asleep sitting in a recliner near the 2nd floor nurse's station. R12's undated Diagnoses List documents R12's diagnoses include Dementia without behavioral disturbances (5/5/16), unspecified psychosis (7/26/23), major depression, and anxiety disorder. R12's November 2023 Physician Order Summary documents orders for Celexa (antidepressant) 20 milligrams (mg) by mouth daily related to Anxiety Disorder, Lorazepam (antianxiety) 0.5 mg by mouth as needed twice daily for 120 days beginning 9/15/23, and Seroquel (antipsychotic) 25 mg by mouth twice daily for unspecified psychosis initiated on 10/30/23. R12's Physician Order with start date 7/26/23 and stop date 7/28/23 documents Seroquel 25 mg twice daily. R12's Physician Order with start date of 7/28/23 and stop date of 10/30/23 documents Seroquel 25 mg once daily. R12's active Electronic Profile documents special instructions- Medication: Lorazepam, Seroquel---DX (Diagnoses): Anxiety, Atypical Psychosis--- Target Behaviors: Restlessness, Bewildered, Whole Body Shaking, Unsteady of feet, SX (signs/symptoms) of Panic (wide eye, pale, reaching to staff), Freq (frequent) Need of Reassurance---Non-pharmacological Interventions: 1-1 (one to one) activities, walk with someone, family visits, hugging dolls in room, watching TV, lights on in room, offer drinks/food, check urostomy bag. R12's Minimum Data Set (MDS) dated [DATE] documents R12 has severe cognitive impairment and did not exhibit behaviors during the 7 days look back period. R12's Care Plan revised 10/30/23 documents R12 receives psychotropic medications and Seroquel was increased on 10/30/23 due to increased behaviors. R12's Social Services Note dated 10/20/2023 at 12:32 PM documents V3 (Social Services Director) attended the weekly behavior meeting and R12's medications were reviewed. R12 continues to have periods of anxiety and tearfulness and the PRN Lorazepam does not appear to be effective. R12's nonpharmacological interventions that work occasionally include group activities, one to one with staff, family visits, and coloring. The pharmacist recommended to increase Seroquel to 50 mg. R12's Nursing Note dated 10/23/2023 at 2:54 PM documents the pharmacy recommended to increase R12's Seroquel dosage and R12's family declined the recommendation at that time due to prior side effects of lethargy, inability to walk, inability to wake for meals when R12 was on this dose in July 2023. R12's Nursing Note dated 10/30/2023 at 2:01 PM documents R12's family agreed to the order to increase Seroquel to twice daily. R12's Behavior Tracking dated 7/1/23-11/29/23 documents the following R12's behaviors include repetitive movements, crying, and yelling/screaming, but does not document nonpharmacological interventions attempted in response to these behaviors. R12's Nursing Notes dated 7/1/23-11/29/23 do not consistently document R12's behaviors and nonpharmacological interventions that were attempted and unsuccessful prior to the administration of PRN Lorazepam. R12's Nursing Notes document the following: Lorazepam was administered 11 times between 7/1/23 and 7/24/23. R12's Progress Notes document Lorazepam was ineffective on 7/10/23 at 3:35 AM and 7/24/23 at 12:20 PM, and the remaining administrations are documented as effective. Lorazepam was administered with effective results five times during September. Lorazepam was administered 11 times in October, and 10 of those times are listed as effective results. Lorazepam was administered four times in November for anxiety/crying/calling out, and without documentation of nonpharmacological interventions that were used and unsuccessful prior to administering Lorazepam. R12's Consultant Pharmacist Communication to Physician dated 5/30/23 documents a stop date and rational is needed for R12's PRN Lorazepam Order. This form is signed by V5 Nurse Practitioner and documents an order for Lorazepam 0.5 mg by mouth every 4 hours as needed for 120 days but does not document the clinical rationale to extend this order past the 14-day time frame. On 11/29/23 at 9:12 AM V10 (Certified Nursing Assistant) stated R12 gets anxious when sitting and gets real shaky and this happens at various times of the day, but mostly in the evening. V10 stated sometimes R12 asks to go home, and staff tell R12 that R12 lives in the facility now and that the staff take care of R12, which helps R12 relax. V10 stated R12 has no other behaviors and staff walk with R12 which seems to calm R12. V10 stated sometimes the nurses must give R12's medication to calm R12. On 11/29/23 at 10:08 AM V2 (Director of Nursing) stated the nurses should document in a nursing note the behaviors and the nonpharmacological interventions that were attempted and failed prior to giving Lorazepam. V2 stated when PRN psychotropic medication orders are extended past the 14-day time frame we usually just update the order. On 11/29/23 at 10:15 AM V8 (MDS Coordinator) confirmed R12's Seroquel was started in August 2023 and R12's behaviors are a fear of being lost, calling out for R12's mom, gets shaky, has no safety awareness, seeks out staff, and gets up on R12's own. V8 stated R12 has unspecified psychosis diagnosis to warrant the use of Seroquel, and R12 did not admit to the facility with that diagnosis. V10 confirmed this diagnosis was added when Seroquel was ordered. V10 stated the nonpharmacological interventions that were attempted prior to starting Seroquel are listed at the top of R12's electronic profile, and it would help a lot if R12 could always have someone with R12 but that is not feasible. V10 confirmed the last time R12's Lorazepam was scheduled to give routinely was in May 2023. V10 stated R12's Seroquel was increased in October due to R12 having increased fear and crying and the Lorazepam was ineffective. V10 stated the facility has not had the physician/practitioner document a clinical rational when ordering PRN Lorazepam past the 14-day time frame. At 11:27 AM V10 stated R12's behavior tracking logs do not document nonpharmacological interventions used in response to R12's listed behaviors. The facility's undated Psychoactive Medication Use policy documents: Before considering the use of an anti-psychotic medication, staff will first determine whether there is an underlying medical, physical, functional, psychosocial, emotional, psychiatric, or environmental cause of the behavior(s). Documentation should include the reason the medication was given, any nonpharmacological interventions that were tried and ineffective, and the outcome after giving the medication.

Based on observation, interview, and record review the facility failed to monitor and record fluid intake for a physician ordered fluid restriction for one (R5) of one resident reviewed for dialysis in the sample list of 25. Findings include: On 11/27/23 at 9:44 AM, R5 stated R5 receives dialysis on Tuesdays, Thursdays, and Saturdays, and R5 is on a fluid restriction. R5 stated R5's doctor tells R5 that R5 does not drink enough water. There was a water pitcher on R5's overbed table. On 11/28/23 at 9:39 AM, there was a water pitcher filled with water on R5's overbed table. On 11/29/23 at 12:17 PM, R5 was eating in the dining room. R5's meal included a disposable container of ice cream, a glass of water, and a glass of iced tea. R5's Minimum Data Set (MDS) dated [DATE] documents R5 as cognitively intact. R5's November 2023 Physician Orders document R5 has orders for a 1500 milliliter (ml) daily fluid restriction and routine dialysis. R5's Care Plan dated 9/12/23 documents R5 has Chronic Kidney Disease Stage Four and receives dialysis three times weekly and includes an intervention to provide regular No Added Salt diet with renal precautions and 1500 ml fluid restriction. There is no documentation in R5's medical record that R5's total daily fluid consumption is recorded or monitored. On 11/28/23 09:22 AM, V12 (Certified Nursing Assistant) stated fluid intakes are recorded by the CNAs as part of their electronic charting. On 11/28/23 at 9:27 AM, V9 (Registered Nurse) stated R5 receives dialysis three times weekly and R5 is on a 1500 ml daily fluid restriction. V9 stated fluid intake is not recorded, dietary just gives the assigned amount that dietary has written down. V9 entered the kitchenette and referenced the sign on the cabinet. The sign documents at breakfast give R5 150 ml coffee, 150 ml juice, and 100 ml water. At lunch give R5 150 ml water, 150 ml juice and 100 ice cream. At dinner give R5 ice cream 100 ml, iced tea 100 ml, and juice 100 ml. This sign notes that R5 is allowed to have 100 ml between meals. V9 stated the 100 ml between meals is the amount nursing gives. On 11/29/23 at 12:20 PM, V8 (MDS Coordinator) stated residents on dialysis with fluid restrictions do not have fluid intakes recorded since dietary is responsible for giving the allotted fluid amounts. V8 stated nursing is supposed to give medications with drinks served during meal times. V8 stated R5 should not have a water pitcher in R5's room, and confirmed the water pitcher amounts are not included in R5's designated fluid amounts.

Based on observation, interview and record review, the facility failed to date oxygen tubing and humidifier bottles. The facility also failed to secure and store portable oxygen cylinders appropriately for one of one resident (R4) reviewed for oxygen on the sample list of 25. Findings Include: R4's November 2023 POS (Physician Order Sheet) documents the following orders: Check R4 after meals to ensure R4's oxygen is in use, change oxygen tubing weekly and check humidification bottle daily. On 11/27/23 at 9:21 AM, R4's oxygen tubing was draped over the top of oxygen concentrator, not covered. There was no label with a date on the tubing or humidifier. On 11/28/23 at 1:21 PM, R4 was reclined back in R4's recliner with R4's oxygen tubing lying next to R4 and the oxygen concentrator on at three liters per minute. At this time, V9 (Registered Nurse/RN) reapplied the oxygen tubing and cannula onto R4. The tubing and humidifier were not dated. V9 stated the tubing and humidifier are to be dated when they are changed. Also at this time, behind R4's room door, there was a portable transportation cart for oxygen cylinders with one cylinder in it and another oxygen cylinder sitting on the floor, outside of the cart and unsecured. V9 stated, oxygen cylinders should be in the cart and secured to prevent them from falling over. The facility's Oxygen Policy and Procedure dated 11/3/14 documents the nasal cannula or mask, extension tubing, the pre-filled humidifier bottle and the baggie are to be changed weekly and as needed. The baggie and the pre-filled humidifier are to be dated. Unused (empty or full) oxygen tanks are to be stored in the oxygen room.

Based on observation, interview, and record review the facility failed to implement physician ordered hand splints and implement restorative nursing services for range of motion and splint application following discharge from therapy services for one (R23) of one resident reviewed for range of motion in the sample list of 25. Findings include: On 11/27/23 at 11:15 AM, R23 was sitting in a wheelchair with R23's arms in a bent position, R23's hands were contracted and there was no washcloth or device in R23's palms. V18 (R23's Spouse) stated R23 has no functional movement of R23's hands. V18 demonstrated R23 required V18 to open R23's hands and R23's fingers and thumbs were stiff and contracted inward. V18 stated R23's left thumb stays in R23's palm and R23 used to use a ball in R23's palms to keep R23's hands open, but now the staff are supposed to use a rolled-up washcloth. V18 stated V11 (Restorative Certified Nursing Assistant/CNA) massages R23's hands and performs range of motion a few times per week. On 11/28/23 at 9:33 AM, R23 did not have a washcloth or device in R23's palms, and R23's hands were contracted. R23's undated Diagnoses List documents contractures of left- and right-hand muscles as of 7/14/22. R23's Minimum Data Set, dated dated dated [DATE] documents R23 has short- and long-term memory loss, does not have impaired range of motion to upper extremities, and restorative nursing program of active range of motion for at least 15 minutes was provided daily during the seven-day lookback period. There is no documentation in R23's medical record of restorative nursing programs provided with participation minutes between June 2023 and November 2023. R23's Care Plan updated 8/25/22 documents an intervention to wear bilateral hand splints when awake and as tolerated. R23's care plan does not address R23's arm/hand contractures or that R23 is provided restorative nursing programs. R23's Physician Order Sheets dated 1/19/23 document an order to apply braces to bilateral hands daily at breakfast and remove before lunch. R23's Occupational Therapy (OT) Evaluation & Plan of Treatment dated 6/6/23-7/5/23 documents the following: R23 was referred to therapy due to increased contractures of upper extremities with goals for good positioning of upper extremities while sitting to prevent position that encourages contracture development, device placement in left hand to maintain thumb in neutral position to avoid contracture development, and staff/family to change positioning of upper extremities when sitting to avoid elbow contracture development. R23 has impaired upper extremity function but has active control with inability to follow commands due to dementia. R23 has intrinsic plus type position (fingers contracted in downward position) as the resting state of hands, with the left thumb flexed into the palm. R23's Occupational Therapy Discharge Summary dated 6/28/23 documents staff were educated on proper positioning when sitting in a chair and staff/family are independent in placement of device in left hand and includes recommendations to continue with staff and family education for positioning following discharge from therapy. The Restorative Resident Lists for November 2023 includes R23 as participating in bike, passive and active range of motion, but does not document R23's specific restorative nursing programs with goals and interventions including specified exercises/task, repetitions, and minutes of participation. On 11/27/23 at 2:12 PM, V12 (CNA) stated R23 used to use a ball in R23's hands, but it was stopped per R23's family request. V12 stated sometimes a washcloth is placed in R23's palms. V12 confirmed R23 did not have washcloths or devices applied to R23's palms today and this is not done on a routine basis. On 11/27/23 at 2:15 PM, V10 (CNA) stated a washcloth is only placed in R23's palms in the evening after R23's showers. On 11/28/23 at 10:48 AM, V20 (CNA) stated R23 has had hand contractures for at least a year. On 11/28/23 at 12:43 PM, V11 (Restorative CNA) stated R23 participates in restorative programs over the past year that include riding the bike and passive range of motion to arms, elbow, and fingers. V11 stated R23 has limited left shoulder mobility and R23's fingers are starting to curl so gentle flexion is provided. V11 stated some residents have a restorative program form where V11 documents the resident's participation that is filed in the resident's medical record. V11 stated V11 does not have this restorative program form for R23 to document R23's restorative programs and participation. At 12:57 PM, V11 stated V11 does not have any documentation to provide for range of motion programs for R23's upper extremities. On 11/28/23 at 10:50 AM, V19 (Director of Rehabilitation/Certified Occupational Therapy Assistant) stated R23 has been evaluated and treated by therapy two or three times for R23's hand contractures and they continue to develop/progress despite interventions and treatment. V19 stated R23 last received therapy services in June 2023. R23 admitted to the facility with arm/hand contractures, but they were not as bad as they are now. V19 stated a ball was used for R23's hands but R23 sometimes removed the balls. They were stopped/removed due to complaints of pain, and we switched to using a washcloth. V19 stated R23 should still be using washcloths in R23's palms, which is used for both range of motion and skin protection. V19 stated therapy provided range of motion with water and the CNAs should be doing this as part of restorative nursing services. At 11:19 AM, V19 provided and reviewed R23's therapy notes. V19 stated during R23's October 2021 therapy treatments R23 was instructed and provided hand over hand repetitions, and then R23 was able to continue with two to three repetitions on R23's own. V19 stated at that time R23 was able to remove goggles placed on R23 by therapy staff, confirming R23 had some active range of motion functioning to R23's hands. V19 stated R23's hands had a pill rolling type of posture and V19 demonstrated thumb to fingers position. V19 stated therapy was not focusing on the degree of hand/arm contractures until June 2023, because prior to that therapy was focusing on R23's functioning abilities including having R23 picking up items. V19 stated in June 2023, R23 had contractures of elbows, hands, wrists, and shoulders and would sit in a wheelchair with arms in a bent position. V19 stated therapy provides recommendations for restorative programs, and prior to June 2023 therapy recommended restorative programs for hand washing, grooming including holding a hairbrush and toothbrush, and reaching items during meals and utilizing a handled cup during mealtimes with hand over hand movements and cueing. V19 stated R23 was unable to maintain that functioning, and implementing restorative programs would not have prevented R23's contractures. On 11/28/23 at 10:58 AM, V8 (MDS Coordinator) stated V8 completes the MDS section for assessment for range of motion and contractures, and R23 is on restorative nursing programs. On 11/29/23 at 10:15 AM, V8 confirmed there are no formal restorative nursing programs with goals, interventions, and participation minutes to address R23's upper extremity range of motion for R23 between June 2023 and November 2023. V8 stated R23 has been coding restorative services on the MDS based on the CNAs providing routine cares such as dressing, and not based on an actual restorative program. On 11/28/23 at 11:45 AM, V2 (Director of Nursing) stated splint placement should be documented on the Treatment Administration Record and the nurses should be documenting resident refusals as a 9 or a checkmark to confirm application. V2 confirmed R23's active order for daily hand splint application. On 11/29/23 at 10:15 AM, V2 stated therapy communicates verbally to V11 recommendations to implement restorative programs.

Failures at this level required more than one deficient practice statement. A. Based on observation, interview and record review, the facility failed to complete weekly wound assessments, complete a wound treatment as ordered and prevent potential cross contamination of the wound for one of two residents (R4) reviewed for skin alterations/wounds on the sample list of 25. B. Based on interview and record review the facility failed to ensure the hospice plan of care and visit notes were part of a resident's medical record to ensure coordination of care for one (R16) of one resident reviewed for hospice in the sample list of 25. Findings Include: A.) R4's November 2023 POS (Physician Order Sheet) documents the following orders: 11/15/23 - Skin prep to the right second toe every shift for two weeks at the previous gout site which is now a resolving blister. 11/28/23 - Bacitracin Ointment 500 units/gm (gram) - apply to right second toe daily and cover with an adhesive bandage. The facility's Skin Care Record dated 11/15/23 documents Preventative care of monitoring R4's right second toe. The 11/23/23 Skin Care Record documents the same with an added treatment order for skin prep to the area. There is no assessment of the resolving blister or gout site upon observation of it on 11/15/23 (the date the treatment was obtained) that documents the size, specific location, or condition of the surrounding tissue. R4's medical record does not contain any assessments of R4's [NAME] right second toe or the wound on the right second toe. On 11/28/23 at 1:26 PM, R4 was reclined back in R4's recliner wearing slip on slippers. V9 (Registered Nurse/RN) entered R4's room and removed R4's right slipper to complete the ordered treatment of skin prep to the right second toe. Upon removal of the slipper, R4's toe presented with an open sore approximately 0.5 cm (centimeters) with a white/yellowish colored center located on the knuckle of the right second toe. The peri wound and entire toe was red, and the upper part of the toe was swollen. R4 stated ouch when the nurse cleansed the area with sterile water. After cleansing the toe wound, V9 then applied skin prep to the peri wound and stated, we aren't really treating the wound, just the area around the wound. At this time, V9 stated the toe has been open like this for several weeks but the V7 (Wound Nurse) assesses it weekly on Wednesdays so V9 will make sure V7 looks at it again on 11/29/23 to see if R4's treatment needs to be changed. On 11/29/23 at 8:15 AM, V7 entered R4's room to complete R4's right second toe treatment. R4 had an adhesive bandage in place and V7 stated that is from the new order from yesterday for TAO (Triple Antibiotic Ointment). V7 washed V7's hands, donned gloves and removed the adhesive bandage to reveal the above-described open area. V7 states the open area to the right second toe is gout and has been there for years and explained it flares up, will drain, then heal but that crater was left. V7 then proceeded to cleanse the toe with normal saline, applied TAO to the wound and rubbed it in with V7's gloved finger (the order is for Bacitracin Ointment), then applied an adhesive bandage, all without performing hand hygiene or changing gloves after removing the soiled initial adhesive bandage. At this time, V7 also stated V7 has not completed any assessments of the gout/open area, nor has V7 been assessing or documenting the crater that has been on the knuckle for years. On 11/29/23 at 12:11 PM, V2 (Director of Nursing/DON) stated it is not acceptable to apply ointment with your finger and hand hygiene should be completed after removing the soiled dressing prior to moving forward. The facility's undated Wound Care Policy documents the nurse who discovers or is told of the wound will assess the wound and document in the resident's clinical record the location, size, drainage, odor and cause of the wound. The wound will then be assessed weekly and as needed thereafter and the same documentation will be recorded. B.) R16's Physician Order dated 11/20/23 documents new admit to hospice and does not identify which hospice company R16 utilizes. R16's medical record was reviewed and did not include the hospice plan of care or hospice visit notes. On 11/28/23 at 10:25 AM, V9 (RN) stated R16 receives hospice nurse and Certified Nursing Assistant visits once per week. V9 stated usually the facility has a separate chart for the resident to file hospice documentation and visit notes. V9 was unable to locate R16's hospice documentation after V9 reviewed R16's medical record and searched the 2nd floor nurse's station. On 11/28/23 at 11:35 AM, V2 (DON) stated the hospice plan of care and hospice notes should be in the resident's paper chart. V2 reviewed R16's medical record and stated V2 was unable to locate any hospice documentation. At 12:01 PM, V2 provided R16's hospice notes. V2 stated V2 just obtained R16's hospice visits electronically and confirmed they were not part of R16's medical record or located at the nurse's station for staff to access prior to today. On 11/28/23 at 12:52 PM, V8 (Minimum Data Set Coordinator) stated V8 obtains the hospice plan of care and incorporates it into the resident's plan of care. V8 confirmed R16's hospice plan of care and documentation was not obtained until 11/28/23. The Patient Service Agreement between (hospice company) and (facility) dated 10/10/15 documents both hospice and the facility will prepare and maintain record keeping of the hospice patient's medical records in accordance with state and federal law/regulations. This agreement documents hospice will develop a resident's hospice plan of care and provide it to the facility. 40385

Based on observation, interview and record review, the facility failed to complete a self-administration of medication assessment for residents to administer their own medication/treatments and ensure residents had an active order for the treatment for two of two residents reviewed (R1, R3) for self-administration of medications on the sample list of 25. Findings Include: The facility's Medication Administration Policy dated March 2022 documents after checking labels against the MAR (Medication Administration Record), select the appropriate medication for administration, identify the resident and observe the resident as they take the medication. 1. On 11/27/23 at 12:29 PM, R3 was sitting up in a wheelchair at the dining room table with V16 (R3's family) next to R3. R3 had a medication cup with 10 ml (milliliters) of a red liquid in the cup, without a nurse present. At this time, V16 stated that is (R3's) cough syrup that (R3) will take after (R3) is done eating. V16 also stated every time V16 is at the facility, the staff always leave it with R3 to take when R3 is done eating. On 11/27/23 at 12:35 PM, V17 (Registered Nurse/RN) stated when R3's family is here, V17 always leaves the cough medicine for R3 to take when R3 is finished with meals. R3's November 2023 POS (Physician Order Sheet) documents an order for Robafen DM (Dextromethorphan) {Cough Syrup} 100-10 mg (milligram)/5 ml - give 10 ml TID (three times a day). On 11/28/23 at 8:57 am, R3 was sitting up in the dining room with a medication cup in front of R3 that contained 10 ml of red liquid in it. There was no nurse next to or watching R3. At this time, V9 (RN) stated the medication cup of liquid was R3's cough medication and was not sure if R3 had taken it yet. R3's medical record did not contain a self-administration of medication assessment for R3. On 11/28/23 at 8:32 AM, V2 (Director of Nursing/DON) stated cough medication should not be left unattended with R3, staff should watch (R3) take it. 2. On 11/27/23 at 8:49 AM, R1 was sitting up in R1's recliner next to an overbed table that had a jar of (Brand name for cough suppressant/topical analgesic ointment) on it. R1 stated R1 puts the (Brand name for cough suppressant/topical analgesic ointment) below R1's nose daily. R1's November 2023 POS (Physician Order Sheet) does not document an order for (Brand name for cough suppressant/topical analgesic ointment) to be administered. R1's medical record does not contain a self-administration of medication assessment for R1. On 11/28/23 at 8:32 am, V2 DON (Director of Nursing) stated residents who can self-administer medications/treatments would have a physician order to do so, plus an assessment completed but we {facility} don't have any residents that self-administer at this time. V2 also stated if a (Brand name for cough suppressant/topical analgesic ointment) is being used, there should be an order for it.

Based on interview and record review the facility failed to ensure a level II PASARR (Preadmission Screening & Resident Review) was completed for one (R23) of one residents reviewed for PASARR screenings in the sample list of 25. Findings include: R23's undated Diagnoses List documents Unspecified Psychosis as of 11/1/21. R23's Interagency Certification of Screening Results dated 10/1/21 documents R23 admitted to the facility and was assessed on 10/1/21, R23 has formal diagnoses of mental illness including Chronic Depression and Panic Disorder, and a Level II Screening was not warranted or completed due to R23 being admitted for planned short term stay. There is no documentation that a Level II Screening was completed after R23 did not discharge home after R23 admitted to the facility. On 11/27/23 at 2:05 PM, V3 Social Services Director stated R23 admitted to the facility in October 2021. V3 confirmed R23's Mental Illness Diagnoses including psychosis and that R23 is a long term resident who has not discharged home after R23's admission. V3 confirmed a Level II PASARR was not completed and V3 will need to schedule the screening to be completed.

Based on record review and interview the facility failed to inform the resident's physician of increased symptoms of a possible urinary tract infection for timely treatment and prior to hospitalization for one resident (R39) outside of the sample. This failure resulted in R39 being admitted to the hospital for treatment of [REDACTED]. The findings include: The facility policy for Notification for Change in a Resident's condition states. It is the policy that the attending physician and the Responsible Party be notified promptly of any change in the residents condition. The policy states a change in condition may include, but is not limited to new onset of pain/increase in existing pain symptoms, Indications of potential or actual infection, or a need to alter the resident's treatment. The procedure says a description of the change in condition will be documented on the Nurse's Report and in the Nurses notes and the Nurse will promptly notify the residents's attending physician of above changes of condition. The policy states Documentation of, or of inability to contact, physician and or Responsible Party should be noted including names in the Nurses Notes. R39's Admission Face Sheet dated 9/17/18 documents [DIAGNOSES REDACTED]. R39's Care Plan dated 8/31/16 for Chronic Urinary Tract Infections with a Goal Target date of 11/08/18 has a goal that Resident will be free from urinary infection. Approaches include monitor indwelling catheter for patency and output every shift. Note any changes in amount, frequency, color or odor. Report any abnormalities to Registered Staff and Give medication for infection as per MD (Medical Doctor) orders. R1's Nurses progress notes reviewed from 7/1/18-7/9/18 document no communication with Physician V14 related to issues with R39's catheter dislodging, not draining, complaints of abdomen pain, cloudy dark urine, blood tinged urine, leaking catheter, complaints of bladder spasms, and altered mental status. R39 Nursing Progress Notes dated 7/9/18 at 12:30 am document foul smelling cloudy sediment urine, complaints of lower quadrant pain. R39 was given pain medication. There was no documentation that the physician was notified. On 7/9/18 at 10:05 p.m. the Nurse Progress notes V23 document Noted urinary output to be very cloudy, muddy/ greenish in color 450 cc (cubic centimeters). Resident continues to be confused. 911 was called. Will send to ED (Emergency Department) hospital for evaluation. There was no indication that R39's physician was notified. Progress notes dated 7/10/18 at 6:30 am document that the hospital called to inform the facility that R39 was admitted with a [DIAGNOSES REDACTED]. On 9/20/18 at 11:45 am Physician V14 stated during telephone interview that according to his records V14 was not informed by the facility of any symptoms related to R39's catheter from 7/1/18 -7/9/18. V14 confirmed that he was also not notified when the facility sent R39 to the hospital and admitted for Urosepsis. V14 stated that he has instructed the staff to notify him with even the hint of an infection for R39. V14 stated he wants to be informed with any change in color or appearance of urine, lower quadrant pain, change of mental status, and so forth so that treatment can be started to avoid a hospitalization . V14 stated in the past R39 has responded well to an intramuscular injection (IM) of [MEDICATION NAME]. V14 stated We need to get on top of it right away especially with (R39) to avoid a hospitalization .

Based on record review and interview the facility failed to notify the physician and obtain treatment for [REDACTED]. This failure resulted in R39's changes in urinary status progressing to pain and subsequent hospitalization nine days later with a [DIAGNOSES REDACTED]. The findings include: R39's (MONTH) (YEAR) Physician order [REDACTED]. R39 has an order dated 6/1/17 for a #16 French Silver Coated Coude Catheter that is changed every four weeks. R39's Care Plan dated 8/31/16 for Chronic Urinary Tract Infections has a target date of 11/08/18 with a goal of Resident will be free from urinary infection. Approaches in the care plan include monitor indwelling catheter for patency and output every shift. Note any changes in amount, frequency, color or odor. Report any abnormalities to Registered Staff and Give medication for infection as per MD (Medical Doctor) orders. R39 Nursing Progress Notes dated 7/9/18 at 12:30 am document foul smelling cloudy sediment urine, complaints of lower quadrant pain. The notes document R39 was given pain medication. There was no documentation that the physician was notified. On 7/9/18 at 10:05 p.m. RN (Registered Nurse) V23 documents Noted urinary output to be very cloudy, muddy/ greenish in color 450 cc (cubic centimeters). Resident continues to be confused. 911 was called. Will send to ED (Emergency Department) hospital for evaluation. There was no indication that R39's physician was notified in the resident record. Progress notes dated 7/10/18 at 6:30 am document that the hospital called to inform the facility that R39 was admitted with a [DIAGNOSES REDACTED]. R39's (MONTH) (YEAR) Physician order [REDACTED]. (V14), Doctor on Call in his absence and Nurse on call at facility is notified first. R39's Nurses progress notes reviewed from 7/1/18-7/9/18 document no communication with Physician V14 related to issues with R39's catheter dislodging, not draining, complaints of abdomen pain, cloudy dark urine, blood tinged urine, leaking catheter, complaints of bladder spasms, and altered mental status. R39's progress note review documents the following: Nurses Progress note dated 7/1/18 documented at 11:14 am that R39's catheter came out. The catheter was replaced on 7/1/18 at 3:44 pm with a #16 French. Progress Notes document on 7/1/18 at 9:00 pm that R39's urinary catheter was not draining to drainage bag at 4:00 pm, so the staff deflated the balloon and readjusted catheter with blood tinged urine returned. Subsequent check again at bedtime documented no further output so the catheter was irrigated. Notes documented 150 cc bloody urine at this time. On 7/2/18 progress notes document amber color urine. On 7/3/18 notes document 700 cc cloudy yellow urine, at 6:02 am and amber urine at 8:53 pm. On 7/4/18 at 10:48 am Progress notes document R39's catheter was not draining properly, was leaking all around with little output in the drainage bag. The catheter was irrigated, then the balloon was reinflated. On 7/4/18 at 5:16 pm progress notes state R39 had complaints of pain to abdomen that rated 5 out 10. The note stated abdomen is soft with no distention noted. Foley draining with 200 cc. R39 was given 650 mg (milligrams) Tylenol and that was not effective, R39 continued to complain at 4:00 pm and refused to eat supper. The note states the resident was repositioned and encouraged to drink more fluids and [MEDICATION NAME] 50 mg was given. LPN (Licensed Practical Nurse) V11 documented Will continue to monitor condition at this time. On 7/4/18 at 9:47 p.m. progress notes document the catheter was draining thick yellow urine with a pain level of mild 2 out of 10 (pain scale 1 through 10 with 10 being the worst). On 7/6/18 6:09 am notes document catheter patent with 550 cc of cloudy concentrated urine. On 7/7/18 notes at 12:56 pm documented resident was tired did not want to go to breakfast, stated was having pain from head to toe. The catheter was draining clear yellow urine at that time. On 7/8/18 at 8:28 am LPN V11 documented Resident was moaning in pain, [MEDICATION NAME] 50 mg was given along with other medications. Resident remained in bed through breakfast. Resident feels he is having bladder spasms. Residents leg was wet with urine while repositioning. (Indwelling urinary catheter) is draining dark yellow clear urine without difficulty. Abdomen pain is located at umbilical area. Fluids given at this time, tolerating well. V11 did not document notifying the physician. On 7/9/18 at 9:09 pm notes document R39 was medicated with [MEDICATION NAME] at 4:10 pm for complaints of lower abdominal pain. Notes state mental confusion was noted. The resident was afebrile. On 7/9/18 at 10:05 pm Registered Nurse (RN) V23 documented R39 had urinary output to be very cloudy,muddy/greenish in color 450 cc. Resident continues to be confused. 911 was called. Will send to ED (emergency department local acute care hospital). There was no documentation that Physician V14 was notified of R39's change in condition or intent to send to the hospital. Nurses notes dated 7/10/18 6:31 am stated the hospital called and R39 was admitted with [DIAGNOSES REDACTED]. R39's Hospital Summary dated 7/9/18 documented R39 has a past medical history of [REDACTED]. The report documents that review of nursing home records documented R39 complained of left lower abdominal pain for the last several days. The report stated that R39 had a indwelling catheter which had been draining greenish yellow thick urine, however the resident did not have fever or chill's. The Hospital Summary documents R39 had an acute kidney injury with the following elevated blood levels: creatinine 4.39, BUN (Blood Urea Nitrogen) 57, GFR (Glomerular Filtration Rate) 13, alkaline phos 527, AST (liver function test )157, and ALT (liver function test) 21. The urinalysis documented +3 WBC (white blood cell) esterase, pyuria. The CT (Computed Tomography) renal stone study showed Severe Bilateral Hydro[DIAGNOSES REDACTED] /hydroureter. The report was electronically signed by Physician V24 on 7/10/18. On 9/20/18 at 11:45 am Physician V14 stated during telephone interview that according to his records V14 was not informed by the facility of any symptoms related to R39's catheter from 7/1/18 -7/9/18. V14 confirmed that he was also not notified when the facility sent R39 to the hospital and was admitted for Urosepsis. V14 stated that he has instructed the staff to notify him with even the hint of an infection for R39. V14 stated he wants to be informed with any change in color or appearance of urine, lower quadrant pain, change of mental status, etc so that treatment can be started to avoid a hospitalization . V14 stated in the past R39 has responded well to an intramuscular injection (IM) of [MEDICATION NAME]. V14 stated We need to get on top of it right away especially with (R39) to avoid a hospitalization . Director of Nurses V2 stated on 9/20/18 at 1:30 pm that R39 has a history of chronic UTI's and has a Coude catheter that cause blood tinged urine when the catheter is dislodged or is replaced. V2 stated the nurses will send the physician a SBAR (Situation, Background, Assessment, Recommendation) for Suspected UTI if the resident presents with a symptom listed under assessment of Fever of 100 or repeated 99 Fahrenheit, New back or flank pain, [MEDICAL CONDITION] changes, Rigors/shaking or chills or a dramatic change in mental status. V2 stated the Nurses may not have reported because of R39's intermittent symptoms.

A) Based on record review and interview the facility failed to provide safety measures during a transport for 1 resident (R17) of 6 reviewed for falls in the sample of 15. This failure resulted in a fall with R17 sustaining a fractured right wrist. Findings include: The facility's Physician order [REDACTED]. The facility's Minimum Data Set ((MDS) dated [DATE] indicates that R17 is dependent upon 2 staff members for bed mobility, transfers, locomotion when off unit in a wheelchair, and toilet use. R17 is also documented on this MDS as non-ambulatory and only able to have stable balance with staff assistance. The facility's Care Plan dated 3/26/14 with revisions through 9/10/14 documents that R17 will be provided assistance of 2 staff members during bathing and a mechanical lift for transfers due to weakness from Myalgia. This care plan also documents that R17 is at risk for falls. On 10/21/14 at 10 AM during initial tour E4 MDS Coordinator stated R17 had fallen the previous night, sustained a fractured wrist and was sent to the emergency room . The facility's Occurence Report dated 10/20/14 for R17 documents "resident being pushed back to room in shower chair (without) belt. Resident fell forward, (complained of) wrist pain (and) hip pain on (right) side." This report documents the occurence as being related to/ caused by staff failure to use safety belts on the shower chair. The emergency room report dated 10/20/14 documents "fall from chair, initial encounter and Colles' fracture right wrist (fracture of the radius bone on the thumb side of the hand between the elbow and wrist)." The facility's Procedure for Using the Spa Chair and Lift documents "...Assist the resident onto the (...) lift either in their room or in the tub room....the waist belt is to be applied once the resident is on the (...) lift seat. If the resident has poor upper body strength or is unable to support themselves in an upright position, the upper strap/ chest belt is to be used." On 10/22/14 at 3 PM E2, Director of Nursing stated that it is part of the staff orientation to use the belts with the shower chair and if staff were not using the belts on the chair, (E2) would expect staff to wrap a gait belt around the resident and the chair inclusively. On 10/22/14 E16 and E17 Certified Nursing Assistants both stated that it was part of their orientation and training to use the belts with the shower chair. B. Based on observation, record review and interview the facility failed to protect residents from potential combustion hazards by allowing one resident to have a portable oxygen tank while in the beauty shop, failed to ensure that hair dryers were equipped with filters to prevent fire hazards, and failed to ensure that potentially hazardous cleaning chemicals were stored in locked areas to prevent resident access. This has the potential to affect two residents (R8, R16) reviewed for safety in the sample of fifteen and four residents (R20, R21, R22, R23) in the supplemental sample. The findings include: 1. On 10/23/14 at 9:30 am three residents from the certified unit (R16, R21, R22) were getting their hair done in the facility beauty shop. R16 was seated in a wheelchair with her hair in rollers. A portable oxygen tank with a nasal cannula was on the back of R16's wheelchair. A hair dryer was running near R16. There was no posting in the Beauty Shop that stated oxygen was not allowed. Beautician E3 stated at that time, R16 routinely brings her oxygen tank with her to the shop with the tank shut off. E3 then assisted R16 out of the wheelchair so she could sit under the hair dryer. E3 stated R16 was brought down to the beauty shop by a family member, E4 who is a nurse in the facility. E3 stated she had been told that it was alright to leave the oxygen tanks on the wheelchair as long as the oxygen has been turned off. E3 stated R16 is the only resident that comes to the beauty shop with oxygen. On 10/23/14 at 9:35 am, R16 stated that she has always brought her oxygen with her to the beauty shop turned off. R16's October 2014 Physician order [REDACTED]. On 10/23/14 at 10:00 am, Director of Nurse's E2 stated the oxygen tank should have been removed from R16's wheelchair before she was taken into the beauty shop. E2 stated she was aware that it is not acceptable to allow tanks or concentrators of oxygen in the beauty shop because it is an accelerant. The facility "Oxygen Therapy" policy dated 1/29/14 states "Oxygen concentrators and tanks are not allowed inside the beauty shop." 2. On 10/23/14 at 9:30 am, two of the free standing hair dryers in the beauty shop were missing filters to prevent lint accumulation inside the dryers which could be a fire hazard. Beautician E3 stated she needs to have the those dryers replaced because they are so old. On 10/23/14 at 9:40 am Maintenance Director E5 stated he was not aware the dryers did not have filters and they should be removed from the shop. 3. On 10/21/14 at 3:35 pm, one aerosol can of disinfectant and one can of aerosol air freshener, were on a small table just outside the R23's bathroom door. R23 was seated in a recliner chair in the bedroom and was not able to state if the items were hers. R8, a cognitively impaired resident (per 8/29/14 Minimum Data Set /MDS) was independently propelling herself in the hallway at that time. On 10/22/14 at 3:55 pm, the aerosol spray cans were still on the table in R23's room and the door was open. The labels on the disinfectants had warning to keep out of reach of children and to avoid contact with skin, eyes, and avoid inhalation. R20 was independently ambulating with a walker down the hall towards the room at the time of the observation R20 was not able to state his name or where he was going. R8's 8/29/14 Minimum Data Set identified R8 with severe cognitive impairment. R8's Care Area assessment dated [DATE] stated (R8) has been known to get into others things and has to be monitored. R20's MDS dated [DATE] states R20 has severe cognitive impairment. R20's Care Plan dated 9/23/14 states R20 is at the facility "due to his senile dementia and is at risk for wandering behavior". R23's MDS dated [DATE] stated R23 has moderate cognitive impairment and requires assistance of one staff for transfers and ambulation. 4. On 10/21/14 at 10:30 am, the first floor kitchenette door was unlocked. The door had a punch entry pad however the door could be opened without putting in a code. There was a spray bottle of quaternary ammonium sanitizer that measured 300 parts per million (ppm) on the counter just inside the door. There was a 32 ounce bottle of concentrated floor cleaner stored under the sink in an unlocked cabinet. There were warnings on the label to avoid ingestion, and eye, skin contact. The kitchenette remained unlocked with chemicals in view during a subsequent observation made on 10/22/14 at 2:50 pm. E5 Maintenance Director who was present during the observation, stated the kitchenette should be locked. E5 stated that no one had reported the door was not locking. E5 stated at that time that staff should make sure the door is locked when they close the door. On 10/22/14 at 3:10 pm the Second Floor Kitchenette door was unlocked. There was a spray container of quaternary ammonium sanitizer on the counter in the kitchenette. R8 was propelling herself in her wheelchair in the hallway outside of the kitchenette. E5 who was present at the time stated no one had reported that the door lock was not functioning. E5 again found the lock did function when properly closed. On 10/23/14 at 4:10 pm E5 stated the locksmith found that the strike plates for both locks were loose which is why the locks did not always latch. R8's 8/29/14 Minimum Data Set identified R8 with severe cognitive impairment. R8's Care Area assessment dated [DATE] stated "(R8) has been known to get into others things and has to be monitored." E5 stated on 10/23/14 at 3:40 pm that they do not have any written policies that address locked chemical storage however it is their practice not to leave any chemical out.

A. Based on interview and record review the facility failed to ensure the sling was securely attached to the frame of the sit to stand mechanical lift during a transfer for two of seven residents (R4, R14) reviewed for falls, on the sample of 13. This failure resulted in R4 falling back onto the toilet sustaining a Fractured Right Humerus. Findings include: 1. R4's electronic Narrative Note dated 8/16/13 at 10:11pm states, "Lowered to toilet per CNA(E6, Certified Nurse Aide). No injuries noted." On 12/17/13 at 2:50pm E6, CNA stated on 8/16/13 R4 called to go to the bathroom. E6 stated she used the sit to stand mechanical lift and took R4 into the bathroom, placing her on the toilet without a problem. E6 stated when R4 was done on the toilet, she put the sling on and hooked both the loops of the sling onto the hook on either side of the frame of the lift. E6 stated she then started to lift R4 with the mechanical lift so she could provide perineal care, when the "sling started to flip to the right. (R4) was about a foot off the toilet seat and (R4) went down onto the (grab)bar on the right....fell into the toilet seat onto the right grab bar under her arm." E6 stated, "I think I didn't have the loop(of the sling) in all the way(on the hook on the lift frame). I noticed the loop(right side) coming off and tried to catch it, but I couldn't get it, to keep her from falling." E6 stated she made sure R4 was sitting ok on the toilet and then went to get E7, RN(Registered Nurse). E6 stated, "I told the nurse(E7), (R4) went down on the grab bar." On 12/16/13 at 4:00pm E7, RN stated that E6 came and told her she had to lower R4 to the toilet, the "sling slipped." E7 stated R4 had no redness, bruising and had good range of motion to her right arm. E7 stated R4 was able to move her arm above her head on her own. The note dated 8/17/13 at 2:00pm states, "...Noted pain when R(right) arm raised; pain with external rotation. (R4) guarding R shoulder; noted R shoulder lower than L(left) shoulder; Called (E7,RN,(Registered Nurse))....she stated last eve strap on lift came undone and CNA(E6) lowered (R4) to toilet per self..." The note dated 8/17/13 at 8:21pm states, "..right front shoulder discomfort with movement, large bruise noted on front of upper arm and shoulder." The Xray Report of the Right Shoulder dated 8/18/13 states R4 had a "Acute humeral neck and greater tuberosity fractures, with moderate displacement. Mild inferior subluxation of humeral head. Moderate osteoporosis demonstrated...." The hospital History and Physical dated 8/19/13 states R4 has a "Acute fracture of the right humerus and shoulder....Orthopedics to do a ORIF(Open Reduction Internal Fixation)...." On 12/16/13 at 1:30pm Z2, RN for Z1, Orthopedic Surgeon, stated she was told by Z1 that R4's Right Humerus Fracture was related to her arm hitting the toilet grab bar, her age and bone density. On 12/16/13 at 12:35pm E2, Director of Nursing stated staff had gotten R4 off the toilet using the sit to stand lift. E2 stated the right loop of the sling came off the frame of the mechanical lift, R4 leaned and hit her arm on the armrest of the toilet, and broke her arm. E2 stated she checked the sling and the loop and both were fine. E2 stated she thinks the "loop was not hooked tight enough." 2. According to the current physician's orders [REDACTED]. The Minimum Data Sets for 7/26/13 and 10/23/13 assess R14 with severe cognitive impairment, and requiring extensive assistance for activities of daily living including bathing. The MDS also assesses R14 as 62 inches tall weighing 137 pounds. The Fall Occurrence Summary for August/September 2013 listed an incident dated 9/13/13 at 3:50pm, documenting, "Resident on lift in shower when strap came undone and resident was lowered to floor." The Intervention was "{Evaluate} per PT (Physical Therapy). Verbal warning to CNA. (Certified Nurse Aide) Skill test just done." The Occurrence Report and The Narrative Note - Nursing dated 9/13/13 at 4:35pm states that the CNA was giving R14 a shower, and "put her on the sit to stand lift to get her wheelchair, the R' (right) strap came off. {R14} was immediately and slowly lowered to the floor by CNA. . . . " The Root Cause stated on the investigation was R14 was "up in air for transfer and CNA turned to get wheelchair and at that time turned around and strap was off R' side." E5 (CNA) stated on 12/18/13 at 2:15pm that she had finished the shower and had R14 standing with the sit to stand lift while E5 dried R14 and pulled up her pants. E5 then pulled the shower chair out and turned to get the wheelchair to place under R14. That is when the strap came off and R14 was "just hanging" by one side on the lift. E5 stated she then lowered R14 to the floor with the lift. E5 stated that R14 "must have went forward" for the strap to come loose and slip off the hook. E5 stated she used the white, longest loop on the sling strap. The facility policy for the sit to stand lift dated 3/29/11 states, "Never leave a resident unattended while they are on the lift. . . . .attach the adjustment loops from the sling to the hooks on the stand using the blue loops (most common) or the white loops if they are very tall. . . ." On the stand lift operations information dated 2011 is written "As you are raising the resident up, check to see the loops are still attached to the hooks and tighten the belt as needed." The Skill Validation Form for Sit to Stand Transfers signed by E5 and E3 (Clinical Coordinator) as completed on 9/6/13 includes the following: "Attach sling loops to the lift - blue is most commonly used (use white if tall and yellow if overweight). . . .readjust the tightness of the sling and ensure loops are securely on hooks. . . .Never leave residents unattended while they are on the lift." The Employee Warning Notice dated 9/16/13 confirms that E5 was disciplined for "Failure to Follow Instructions, Unsatisfactory Work Quality, Violation of Company Policies and Procedures." The Employer Statement states "failed to ensure loops were securely on hooks of sit to stand lift. Employee just evaluated on using the lift 9/6/13." B. Based on observation, record review and interview, the facility failed to ensure safe water temperatures at handwashing sinks to prevent burn hazards to residents. This affects five of twelve sampled residents (R4, R5, R7, R11, R13) with room reviews in the sample of thirteen, and twelve residents (R16, R17, R18, R41-R50) in the supplemental sample. The findings include: On 12/16/13 at 11:55 am the hot water at the Physical Therapy handwashing sink was very hot to the touch. The hot water measured 119 degrees Fahrenheit (F.). Physical Therapy Assistant E9 was present during the observation stated as she felt the water that "It is usually not that hot!" On 12/16/13 at 3:30 pm the hot water at the first floor handicapped resident Men and Women's bathrooms was very hot to the touch and measured 124 degrees F. Registered Nurse E3 was asked to come along as additional hot water temperature checks were made in in 10 resident rooms on the first floor 12/16/13 at 3:45 pm. The hot water temperatures at the resident handwashing sinks ranged from 118 degrees F. to 126 degrees F at the handwashing sinks between 3:45 pm-4:15 pm. Examples include: Resident Time Temperature (F.) R41,R42 3:45 pm 124 R5, R11 3:50 pm 118 R44 3:50 pm 126 R43 3:55 pm 125 R4,R45 4:00 pm 123 R49,R50 4:10 pm 126 R13 4:13 pm 121 R47,R48 4:15 pm 120 R7,R46 4:18 pm 119 R21,R22 4:25 pm 120 (second floor) On 12/16/13 at 4:20 pm Maintenance E10 stated that they were waiting on a replacement part for the water system. E10 stated there is corrosion in the mixing valve. E10 stated they have been adjusting the hot water all morning. Maintenance staff E10, E11, and E12 stated they did not communicate to the Nursing Staff any potential hot water hazard. Maintenance Director E8 stated on 12/17/13 at 9:35 am that the Maintenance staff should have been communicating with the Nursing Department about the hot water temperatures. E8 stated they did not receive any reports of excessive hot water from the Physical Therapy staff or the Nursing staff on 12/16/13. The Health Center Water Temperature Log indicated the acceptable range was 100-110 degrees F. The 12/13/13 documentation stated "Adjusting" . There was no actual water temperatures recorded. There were no entries for 12/14, or 12/15/13. On 12/16/13 water temperatures were recorded at 11:30 am of 108-112 degrees F. The Health Center Water Temperature policy dated October 2008 stated the reason for the policy was "The need to ensure the safe delivery of water to our residents in the Tjardes Health center...checking every day Monday-Friday. The water being delivered to the resident rooms should be above 100 degrees and shall not exceed 110 degrees". On 12/19/13 at 10:15 am Registered Nurse E14 identified R5,R7, R13, R47, R48, and R49 as cognitively impaired, mobile residents residing in the above affected rooms that could have potentially come in contact with the hot water at the handwashing sinks.