Grace Barker Nursing Center

In the surveyor’s words

From the most serious findings on record at Grace Barker Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF835Sep 29, 2023

  Based on record review and staff interview it has been determined that the facility failed to be administered in a manner that enables it to use its' resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident relative to ensuring that it's Nursing Assistants were licensed. Findings are as follows: Record review revealed Resident ID #1 was admitted to the facility in August of 2021 with diagnoses including, but not limited to, Alzheimer's disease, anxiety disorder, difficulty walking, and age-related macular degeneration (a medical condition that causes impaired vision). […]

• Immediate jeopardy, isolatedF728Sep 29, 2023

  Based on record review and staff interview, it has been determined that the facility failed to ensure that employed Nursing Aides that worked in the facility as a nurse aide for more than 4 months, on a full-time basis, completed a training and competency evaluation program, or a competency evaluation program approved by the State, for 9 of 30 Nursing Aides reviewed who were employed at the facility and listed on the working schedule. Findings are as follows: Record review revealed Resident ID #1 was admitted to the facility in August of 2021 with diagnoses including, but not limited to, Alzheimer's disease, anxiety disorder, difficulty walking, and age-related macular degeneration (a medical condition that causes impaired vision). […]

• Actual harm, isolatedF658Sep 29, 2023

  Based on record review and staff interview, it has been determined that the facility failed to ensure that services provided meet professional standards of quality for 1 of 1 resident reviewed who sustained a fracture following an incident, relative to the nursing scope of practice of a Licensed Practical Nurse (LPN), Resident ID #1. Findings are as follows: Review of the R.I. Gen. Laws 5-34-3. (14) states in part, 'Professional nursing' is practiced by registered nurses (R.N.s). The practice of professional nursing is a dynamic process of assessment of an individual's health status; identification of healthcare needs . Further review failed to reveal the process of assessment is included in the Licensed Practical Nurse's scope of practice. […]

• Actual harm, isolatedF689Sep 29, 2023

  Based on record review and staff interview, it has been determined that the facility failed to ensure that each resident receive adequate supervision to prevent an accident for 1 of 1 resident reviewed with major injury, Resident ID #1. Findings are as follows: According to the Appendix PP State Operations Manual, a fall is defined in part as .An episode where a resident lost his/her balance and would have fallen, if not for another person . Record review revealed Resident ID #1 was admitted to the facility in August of 2021 with diagnoses including, but not limited to, Alzheimer's disease, anxiety disorder, difficulty walking, and age-related macular degeneration (a medical condition that causes impaired vision). […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2022

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed and served in accordance with professional standards for food service safety, relative to the main kitchen. Findings are as follows: 1) The Rhode Island Food Code 2018 Edition 3-501.17 states in part (A), .refrigerated ready to eat prepared and packaged by a food processing plant shall be clearly marked at the time the original container is opened and held for a maximum of 7 days .(D), a date marking system that meets the criteria in (A) for food .that is frequently rewrapped . […]