Good Samaritan - West Union

In the surveyor’s words

From the most serious findings on record at Good Samaritan - West Union, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Oct 29, 2024

  Based on clinical record review, staff and resident interviews, and observations the facility failed to provide a sufficient number of staff to ensure each resident's call light is answered timely for 5 of 6 residents reviewed (Resident #2, #3, #4, #5, #6). The facility reported a census of 45 residents. Findings include: 1. According to the Minimum Data Set, dated dated dated [DATE], Resident #2 had diagnoses which included diabetes and dementia. The resident had a brief interview for mental status score (BIMS) of 9 which indicated moderate cognitive ability. The MDS revealed the resident required substantial assistance from staff for toileting and activities of daily living. The resident utilized a walker with one staff to ambulate to the rest room. […]

• No harm, potential for more than minimal, patternF883May 9, 2024

  Based on record review, staff interview, and policy review the facility failed to ensure 4 of 5 residents were educated about immunizations and offered the Influenza and Pneumococcal vaccination annually (Resident #20, #39, #15, and #34). The facility reported a census of 38 residents. Findings include: 1. Record review of Resident #20 Electronic Health Record (EHR) Immunizations on 5/9/24 revealed she had not received the following: a. Pneumococcal Polysaccharide (PPSV23) b. Pneumococcal Conjugated (PCV20) Record review of Resident #20 Progress Notes 2/28/2020 to 5/9/24 lacked documentation that education was provided or that she was given or refused PPSV23 and PCV20 vaccinations (for Pneumonia). 2. […]

• No harm, potential for more than minimal, patternF550Jan 26, 2023

  Based on clinical record review, observation, staff interview and policy review the facility failed to promote dignity for Residents requiring meal assistance (Resident #3, #7, #14, #20, #21 and #39) by leaving meals on a plastic serving tray. All resident not requiring meal assistance did not have meals left on plastic serving trays. The facility identified a census of 48 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #3 documented a short/long term memory problem, severely impaired decision making and listed diagnoses of Alzheimer's Disease and Non-Alzheimer's Disease. The Resident required extensive assistance of one staff member for eating. The Care Plan revised 5/28/22 directed the staff to assist with meals as needed. 2. […]

• No harm, potential for more than minimal, patternF812Jan 26, 2023

  Based on observation, policy review and staff interview the facility failed to distribute and serve food in accordance with professional standards for food service safety by touching the drinking surface of beverage glasses for 12 residents observed during meal service. The facility reported a census of 48 residents. Findings include: During an observation of the meal on 1/23/23 at 11:41 AM Staff F, Food Service Assistant, was observed serving 10 residents their meal beverages by gripping the top of the cup, fingers on the drinking surface, palm over the top of the cup. Staff F was observed filling a spouted drinking cup at the beverage dispenser. The spouted lid held in her bare hand with the spout in direct contact with her palm. During an observation on 1/24/23 at 12:20 p.m. […]

• No harm, potential for more than minimal, isolatedF609May 20, 2026

  Based on electronic health record (EHR), clinical records, facility records, facility policy review, and staff interview the facility failed to timely report an allegation of abuse for 1 of 1 resident reviewed (Resident #2). The facility reported a census of 35 residents. Findings Include:Resident #2's Minimum Data Set (MDS) assessment dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 8 out of 15, which indicated moderate cognitive impairment. The MDS documented Resident #2 had no hallucinations or delusions. The MDS identified Resident #2 had been occasionally incontinent of urine. […]