Father Purcell Memorial Exceptional Children's CTR

In the surveyor’s words

From the most serious findings on record at Father Purcell Memorial Exceptional Children's CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Dec 22, 2022

  Based on observation, record review, interviews, and review of a facility policy titled Catheter Care, the facility failed to ensure Resident Identifier (RI) #144's catheter bag was not left uncovered and visible from the hallway on 12/20/2022. This affected RI #144, one of one resident sampled with an indwelling catheter. Findings include: Review of a facility policy titled Catheter Care, updated 10/07/2021, revealed the following: .Policy: It is the policy of this facility to ensure that residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheters are in use. Policy Explanation: .2. […]

• No harm, potential for more than minimal, isolatedF638Dec 22, 2022

  Based on record review, interview, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #2's quarterly Minimum Data Set (MDS) assessment was completed within three months of his/her prior assessment. This affected RI #2, one of 16 sampled residents for whom MDS assessments were reviewed. Findings include: Review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2019, revealed the following: .Chapter 2: Assessments for the RAI . 05. […]

• No harm, potential for more than minimal, isolatedF640Dec 22, 2022

  Based on record review, interview, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #14 and RI #24's completed Minimum Data Set (MDS) assessments were transmitted to the CMS system. This affected RI #14 and RI #24, two of 16 sampled residents for whom MDS assessments were reviewed. Findings include: Review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2019, revealed the following: CHAPTER 5: SUBMISSION .OF THE MDS ASSESSMENTS Nursing homes are required to submit Omnibus Budget Reconciliation Act (OBRA) required Minimum Data Set (MDS) records for… […]

• No harm, potential for more than minimal, isolatedF842Dec 22, 2022

  Based on record review and interviews, the facility failed to ensure: 1) Resident Identifier (RI) #3's diet orders were transcribed to the monthly Physician Orders; and 2) RI #144's catheter order was transcribed to the current Physician Orders following readmission to the facility with a catheter on 12/19/2022. This affected RI #3 and RI #144, two of 16 sampled residents for whom Physician Orders were reviewed. Findings include: 1) RI #3 was admitted to the facility on [DATE] and readmitted on [DATE] with a diagnosis of Gastrostomy Status (feeding tube). […]

• No harm, potential for more than minimal, isolatedF880Dec 22, 2022

  Based on observation, interviews, record reviews and a review of facility policies titled Hand Washing Policy/Procedure and a review of Potter and Perry, Fundamentals of Nursing, NINTH EDITION the facility failed to ensure facility staff sanitized a blood pressure cuff and sanitized their hands in between Resident Identifier (RI) 15 and RI #26 on 12/20/2022. This affected RI #15 and RI #26 two of two residents observed during vital sign assessments and had the potential to affect 44 of 44 residents residing in the facility. Findings include: Review of Potter and Perry's Fundamentals of Nursing, NINTH EDITION, page 528, revealed the following: . Foundations for Nursing Practice . Measuring Blood Pressure---cont'd . 11. Perform hand hygiene. […]