Fountain View Subacute and Nursing Center

In the surveyor’s words

From the most serious findings on record at Fountain View Subacute and Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jun 28, 2024

  This is a repeat deficiency from the Recertification Survey conducted on 4/18/2024. Based on observation, interview, and record review, the facility failed to implement interventions to prevent and control scabies (a highly contagious skin condition caused by the itch mite that infests and irritates your skin), per the facility policy and procedure (P&P) tiled, Scabies Identification, Treatment and Environmental Cleaning, for four of four sampled residents (Residents 1, 2, 3 and 4), by failing to: -Identify and detect symptoms of scabies and provide treatment for Resident 1 when the resident had a skin rash on 6/7 and 6/8/2024. […]

• Actual harm, isolatedF689Sep 16, 2022

  Based on interview and record review, the facility failed to supervise one of three sampled residents (Resident 1) who had a history of significant alcohol dependence (addiction that causes excessive drinking of alcohol) by failing to: 1. Ensure Resident 1 did not leave the facility unsupervised. 2. Conduct Quarterly Elopement Risk Assessments (assessment for resident who is incapable of adequately protecting himself, and who departs the health care facility unsupervised and undetected). As a result, Resident 1 eloped (leaving a safe area unsupervised without notice and permission) from the facility to the liquor store is a retail shop that predominantly sells prepackaged drinks- typically in bottles). […]

• Actual harm, isolatedF686Aug 6, 2021

  Based on observation, interview, and record review, the facility failed to provide care consistent with professional standards to maintain skin integrity and prevent an unstageable (full thickness tissue loss in which the base of the sore is covered by yellow/white material and/or brown/black material [dead tissue] in the wound bed) pressure sore (also known as pressure ulcers or bedsores, are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin) for one of two sampled residents (Resident 39). […]

• Actual harm, isolatedF686Jun 17, 2021

  Based on observation, interview, and record review, the facility failed to provide care consistent with professional standards to maintain skin integrity and prevent a recurrent avoidable pressure sore (also known as pressure ulcers or bedsores, are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin, especially where the bones are close to the skin such as in the hip, back, heels, and elbows) for one of three sampled residents (Resident 1). […]

• Actual harm, isolatedF600Apr 12, 2021

  Based on interview and record review, the facility failed to ensure residents were free from sexual abuse for one of three sampled residents (Resident 1). Resident 1 informed three different facility staff that Certified Nuse Assistant 1 kissed Resident 1. In addition, CNA 1 was not removed form duty after this incident. As a result, Resident 1 became anxious, afraid, and felt unsafe in the facility. Findings: A review of Resident 1's Admission Record indicated Resident 1 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]