Gulf Coast Medical Center Skilled Nursing Unit

In the surveyor’s words

From the most serious findings on record at Gulf Coast Medical Center Skilled Nursing Unit, in the surveyor’s own words.

• Immediate jeopardy, isolatedF806Oct 26, 2023

  Based on interview, record review, and facility policies the facility failed to consistently implement processes to ensure residents received food free from documented allergies for 1 (Resident #1) of 7 sampled residents with food allergies. Resident #1 had a documented allergy to Capsicum Annuum Extract & Derivative (Bell Pepper) Capsicum Oleo Resin. On 10/1/23 the facility did not check the resident's allergies and provided him a salad dressing which contained red bell pepper. Resident #1 consumed the salad dressing and suffered a severe allergic reaction requiring a transfer to an acute care hospital. Resident #1 was medicated for an allergic reaction in the emergency room , was not able to maintain an airway, was intubated, and admitted to the Intensive Care Unit. […]

• No harm, potential for more than minimal, isolatedF656Oct 28, 2021

  Based on record review and staff interviews, the facility failed to develop and implement a comprehensive [CONDITION(S)] care plan for 1(Resident #37) of 2 residents reviewed for [CONDITION(S)]. Failure to develop and implement a resident-centered care plan could lead to a decline and/or failure to meet the resident's highest practicable physical, mental, and psychosocial well-being. The findings included: On 10/27/21, review of Resident #37's clinical record, revealed the resident was an [AGE] year-old male with a history of end-stage [CONDITION(S)], receiving hemodialysis on Monday, Wednesday and Friday. On 10/27/21, further review of Resident #37's clinical record revealed there was no evidence of a comprehensive resident centered care plan for [CONDITION(S)]. […]

• No harm, potential for more than minimal, isolatedF684Oct 28, 2021

  Based on observation, record review, resident and staff interview the facility failed to follow through and provide timely care and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] #37) of 2 [CONDITION(S)] resident reviewed. The findings included: Review of [CONDITION(S)] Patient Management, Policy #165 last revised on 5/2021. Policy noted [NAME] Skilled Nursing staff will ensure coordinated care with involvement from resident/patient . attending physician and related medical providers, [CONDITION(S)] provider . and facility's interdisciplinary team . […]

• No harm, potential for more than minimal, isolatedF695Oct 28, 2021

  Based on observation, review of facility policy and resident and staff interviews, the facility failed to provide the necessary care and services to monitor and maintain a continuous positive airway pressure ([CONDITION(S)]) machine for 1 (Resident #157) of 1 resident reviewed with a [CONDITION(S)] machine (machine used to deliver constant and steady air pressure to help breathe while sleeping). The findings included: The facility policy #381 Respiratory Equipment with a review date of 2/21 documented, To maintain nebulizers and oxygen equipment and positive airway pressure machines (to include [CONDITION(S)] and [CONDITION(S)]) and accessories in a sanitary manner .Respiratory equipment will be cleaned, maintained and or changed in a timely manner within predictable intervals and as… […]