Every finding on record at Gulf Valor Rehabilitation by Harborview

Based on observations, staff interviews, and record review, the facility failed to implement appropriate infection control procedures during incontinence care for 1 of 1 resident on isolation Transmission Based Precautions. (Resident #81)The findings include: On 12/11/25 at 9:24 AM, Staff C, a Certified Nursing Assistant (CNA), was observed providing incontinence care, including peri-care and a brief change, to Resident #81. After completing care, the staff disposed of his gloves and gown in the trash bag located in the room, then proceeded to exit the room without hand washing or using hand sanitizer. Staff C used the hand sanitizer dispenser located outside the door. On 12/11/25 at 10:04AM, during an interview with Staff C, he acknowledged that he did not perform proper handwashing before leaving the room. On 12/11/25 at 10:10AM, during an interview with the Director of Nursing, she stated that staff, after removing their personal protective equipment inside the resident room, are to perform handwashing before exiting the resident room. On 12/11/25 at 10:30AM, record review of the facility's Isolation Precautions policy revealed that staff are to remove the gloves before leaving the room and wash hands or use hand sanitizer before leaving the room.

Based on observation, staff interviews, record review, and policy review, the facility failed to ensure the interdisciplinary team assessed and determined residents were capable of self-administration of medications prior to allowing 1 of 1 sampled resident to self-administer medications. (Resident # 82)The findings include:On 12/08/2025 at 11:26 AM, an observation of Resident #82 was conducted. He was in bed and was non-verbal. He had several medications inside a large plastic cup on his overhead table within reach. (Photographic evidence obtained) The resident was asked if those were his medications and he placed his left thumb up, indicating that they were his medications.On 12/08/2025 at 11:37 AM, an Interview was conducted with Staff A, Licensed Practical Nurse (LPN), who was the current charge nurse. She was asked if Resident # 82 was able to self-administer medications. Staff A, LPN stated Resident #82 was not able to self-administer his medications. Staff A was made aware that the resident had medications inside a cup at his bedside with no staff present. Staff A stated that the nurse that distributed medications should have ensured the medications were taken or disposed them appropriately if refused.A review of Resident #82's electronic medical record was conducted. The record revealed physician's orders to administer medications in the morning that included Gabapentin 600 mg for neuropathy, Lasix 20 mg for edema, Acidophilus 200 mg for probiotic, Clopidogrel Bisulfate 75 mg for apraxia, Tamsulosin 0.4 mg for benign prostatic hyperplasia, Linzess 8 mcg capsule twice daily for constipation, and Calcium 600 tablet daily for low calcium. A review of the quarterly minimum data set (MDS), with an assessment reference date of 11/14/25, was conducted. The MDS revealed that Resident #82 had a brief interview for mental status (BIMS) review, indicating short-term and long-term memory problems and that he was not cognitively intact. Resident #82's medical record was further reviewed and did not contain an assessment or a care plan to self-administer medications. On 12/10/2025 at 8:32 AM, an interview was conducted with Staff B, LPN. She stated she was passing medications on the hallway where Resident #82 resided. She was asked about the process of medication administration. She stated she watched the residents swallow the medications because they could choke. She further stated if residents refused to take the medications, she would chart as refusals on the medication administration record. Staff B reviewed the photographic evidence of the medications left at bedside on 12/8/25 and compared them with Resident #82's scheduled morning medications. She identified the Tamsulosin 0.4 mg capsule and Linzess 8 mcg capsule. On 12/10/2025 8:54 AM, an interview was conducted with Director of Nursing (DON). She stated she was aware that Resident #82 often spits his medications out in a cup. The facility obtained an order to crush medications and also obtained a speech therapy consult. The DON further stated that the nurse that administered the medications should have gone back and take the pills and follow up with documentation.A review of the facility policy Self-Administration of Medication dated October 2019 was conducted. Facility policy stated, The purpose of this procedure is to establish uniform guidelines concerning the self- administration of drugs. General Guidelines A resident may not be permitted to administer or retain any medication in his/her room unless so ordered, in writing, by the attending physician and approved by the Interdisciplinary Care Plan Team.

Based on observations, interviews, and record review, the facility failed to ensure activities of daily living (ADL) for bathing and grooming were provided to 1 of 6 residents sampled for ADL care. (Resident #42) The findings include: During an observation and interview on 08/19/2024 at 11:50AM, Resident #42 said his scalp is really dry because he doesn't get his hair washed and would like to receive a shower in the shower room. Resident #42 said he has only had one shower where he was taken to the shower room since he's been admitted to the facility, and he needs someone to take him because he can't use his legs. He added, most of the time they only provide a bed bath, and his hair doesn't get washed. Resident #42 has amputation of left hand and forearm, nails on right hand are noted to be dirty and long, extending past the tip of the finger with the middle finger noted to be very thick and discolored, long, and curved in toward the tip of the finger. The resident was noted to have an odor of urine. A review of Resident #42's medical record showed he was admitted to the facility on [DATE] and had diagnoses of anoxic brain damage, adult failure to thrive, major depressive disorder, anesthesia and parasthesia of skin (lack of sensation), diabetes mellitus, type 2, osteoarthritis, and acquired absence of left upper limb. The record showed Resident #42 weighed 130 pounds and had a brief interview for mental status (BIMS) score of 12 (a score of 8-12 indicates moderately impaired cognition). On 08/20/2024, a review of bathing documentation revealed Resident #42 was scheduled to receive a shower on Mondays, Wednesdays, and Fridays, but there was no documentation of any bed bath or shower occurring between 08/12/2024 and 08/20/2024. The most recent documented shower for the resident was dated 07/31/2024 and the most recent bed bath documented was dated 08/11/2024. There was no documentation of refusal of care, no care plan related to behaviors of refusing care, and no documentation of attempts to bathe resident or offer showers on days when there was no shower documented. During an observation on 08/20/2024 at 2:10pm, Resident #42 was in his wheelchair in the hallway, wearing a red ballcap with his hair sticking out on the sides beneath the cap and appeared unwashed, there was a faint odor of urine detected. On 08/21/2024 at 9:23 am, in an interview, Certified Nursing Assistant (CNA) A, who was standing in Resident #42's room, said she has only had this assignment for two days and hasn't bathed Resident #42, but believes he is on the 3:00 pm - 11:00 pm shower schedule. She said Resident #42 mentioned to her that he would like a shower, and she usually provides care like wiping the resident down in between when they ask and she motioned to her underarm area. Resident #42 was observed at 10:05am on 08/21/2024 returning from the smoking area wearing a blue ball cap and still had an odor of urine. Later in the day, at 12:29PM, Resident #42 was observed sitting in his wheelchair in his room and said he was waiting for lunch. The observation revealed Resident #42 had a substance that appeared to be dried, flaked off skin in his ear and a flaky particle that also appeared to be dried skin in the hair sticking out under his ball cap. There was an odor of urine and cigarette smoke. During an observation of Resident #42 at 4:04 PM on 08/21/2024, he was in his bed with his shirt off, and appeared not to have had a shower. In an interview immediately following this observation, CNA D described and demonstrated the method for documenting a shower or bed bath using the electronic documentation system. During the interview, she said she had showered Resident #42 before and takes him to the shower room. On 08/22/2024 at 8:34AM, Resident #42 was observed in bed, alert and oriented, with shirt off, hair appeared freshly washed and combed, no odors noted. The resident was noted to have dirt and/or debris under his fingernails on his right hand, which remained long and untrimmed, with the middle fingernail was still thick and discolored, extending past the tip of finger and curling back toward the tip of his middle finger. Resident #42 was asked if he was offered nail care during his bath, and he replied no and added he would like them trimmed, especially the middle finger which is very long. Resident #42 said he had a shower last night and it is only the second time he has received a shower since being in the facility. On 08/22/2024 at 8:39AM, Registered Nurse (RN) B explained in an interview the expectation for ADL care is that CNA reports to the nurse when done and the nurse assigned to the hall would note if anything needed to be followed up on such as not completing the care. RN B observed Resident #42's nails and agreed the nails needed to be cleaned and trimmed. She also agreed that the middle fingernail which was very thick and discolored should be assessed by a nurse prior to trimming. In a follow up interview with RN B, she said she confirmed that a registered nurse can trim that nail, and she will have the nurse assigned trim the nail today. On 08/22/2024 at 9:04 AM, during an interview, CNA E showed where the ADL care supplies are kept, and the implements used for nail care. CNA E said that he offers nail care during the bath and that should be completed. On 08/22/24 at 11:22 AM, the staff development coordinator, RN C, was asked during an interview to describe what she teaches as far as bathing and nail care. RN C said that the expectation is residents are provided a shower in the shower room unless specifically refusing or stating a preference for a bed bath and the expectation taught for bathing includes ensuring nails are clean. On 08/22/24 11:40 AM, during an interview, the Director of Nursing (DON) said Resident #42 is care planned for fabricating stories and will say that he did not get showers but then he refuses. The DON was told that Resident #42 was consistent about his desire for a shower throughout the week since Monday, 08/19/2024, and specifically that his hair doesn't get washed, which was consistent with observations of the resident having flakes of skin in his hair, appearing un-showered, and having an odor of urine about him. The DON said he only gets showers on Monday, Wednesday and Fridays and he often refuses. She said that she was the one who went in today to trim his middle fingernail, which was very thick. She agreed the nail was long and had not been trimmed. The DON was shown that no documentation in the record was found which demonstrated a nurse had been notified and the resident refused the care to his nail or other refusals of care or bathing. She left and said she would look for documentation in the record of these behaviors to provide. At 12:07 PM, the DON came back and provided one page of documentation with a late entry written by RN B that Resident #42 was offered a shower earlier in the shift, stated that he would prefer it after dinner and his smoke break. Resident refused x 2 when asked at the requested time. Will reattempt tomorrow. The note was entered on 08/21/2024 at 15:39PM as a late entry for 08/20/2024. No other documentation of refusals of care or behavior of fabricating stories were provided for Resident #42. On 08/22/2024 at 12:27 PM, in a follow up interview with Resident #42 about whether he refused care of a shower, he said he thinks he did ask to have the shower after he smokes, but he wouldn't refuse a shower unless it was time to go smoke. Review of policies provided for bathing and nail care included under the heading Key Procedural Points for Shower/Tub Bath - Dependent Resident: 2. Insofar as practical, encourage the resident to participate in the bath care. 6. Trim the resident's toenails or fingernails unless otherwise instructed by the staff/Charge Nurse. Key Procedural Points of the section titled Fingernails/Toenails, Care of included: 1. Nails can be cleaned during bath care.

Based on staff interviews and electronic medical record (EMR) review, the facility failed to develop a comprehensive person-centered care plan for antibiotic use for 1 of 2 residents sampled for care planning. (Resident #111) The findings include: A review of the physician's orders reveals an order placed on 12/16/2023 for Minocycline HCl Oral Capsule 100 MG - Give 1 capsule by mouth one time a day for infection (a broad-spectrum antibiotic used to treat infections). A review of the comprehensive care plan initiated on 09/12/2022 and last updated on 08/09/2024 does not include antibiotic use. (photographic evidence obtained) A review of the annual minimum data set (MDS) (a standardized assessment tool that measures health status in nursing home residents), dated 05/24/2024, indicated no infections but did indicate yes for Antibiotic use. On 08/21/2024 at approximately 11:21 AM during an interview with Staff G, Registered Nurse (RN) and MDS coordinator, she reviewed the EMR and confirms there is no care plan in place for Resident #111 for antibiotic use. She indicated that there should be a care plan for antibiotic use.

Based upon record review, observations, and interviews the facility failed to submit a level II screening for 1 out of 3 residents reviewed with a significant change in mental health and newly evident diagnosis of a serious mental disorder. (Resident #107) The findings include: On 8/20/24, a record review of Resident #107's level I PASARR was completed. The PASARR was dated 10/28/22 and had no indication of mental health or suspected mental health or intellectual disability indicated. However, review of the resident's medical record indicated added diagnoses of Disorganized Schizophrenia on 04/18/2023, major depressive disorder on 1/16/23, and Vascular Dementia severe, with other behavioral disturbances on 04/20/23. (Photographic evidence obtained) Upon interview and review of the medical health history with the Director of Nursing (DON) on 8/20/24 at approximately 05:04 PM, the DON stated myself and the Assistant Director of Nursing review and complete the PASARRs on all new residents and submit new ones as needed or as indicated. When asked about a level II PASARR for Resident #107, she stated she would have to review the health history and review medical records from the hospital and the records from the facility where Resident #107 resided prior to the current admission. During a follow up interview with the DON on 08/21/24 at approximately 10:00 am, the DON stated, There was no documentation of any mental health issues prior to her being admitted to our facility that I could find. We did not apply for a level II screening when the new diagnosis was added in April 2023. However, we did submit a Level II screen today.

Based on observations, resident record review, interviews, and facility policy review, the facility failed to evaluate a resident for self-administration of medications for 1 of 1 resident sampled. (Resident #103) The findings include: On 8/19/24 at 12:49 PM, Resident #103 was observed with an inhaler at bedside. She stated she had an inhaler at bedside so she could use it when she needed it. Resident #103 stated it was just albuterol and she had it for a long time. The inhaler's label read Albuterol Sulfate. This inhaler was again observed on the bedside table on 8/20/24 at 5:07 PM. (Photographic evidence was obtained) A review of Resident #103's medical record was conducted. A physician's orders stated, Albuterol Sulfate HFA Inhalation Aerosol Solution 108 (90 Base) MCG/ACT (Albuterol Sulfate), 2 puff inhale orally every 6 hours as needed for shortness of breath and was dated 4/19/24. The Medication Administration Record (MAR) for July and August 2024 revealed Albuterol Sulfate was scheduled as needed but was not documented. The resident's care plan did not include goals or intervention related to self-administration of medications. On 08/20/24 at 6:09 PM, an interview was conducted with Director of Nursing (DON). The DON reviewed Resident #103's records and stated the resident had never expressed she wanted to self administer the inhaler. The DON stated the facility did not have any residents that self-administered medications. A review of facility policy Self-administration of medication was conducted. The policy stated, A resident may not be permitted to administer or retain any medication on his/her room unless so ordered, in writing, by the attending physician and approved by the Interdisciplinary Care Plan Team. Should the resident's attending physician permit the resident to administer his/her medications (S) the following conditions will apply: the physician's orders must be given prior to self-administration; storage of medications in the resident's room must be such that it will prevent access by other residents.

Based on observation, interview and record review, the facility failed to follow provider orders and document measurable objectives in the care plan for monitoring of behaviors and medications side effects for 2 of 2 residents sampled. (Resident #51 and #64) The findings include: Resident #51 A review of provider orders for Resident #51 noted orders dated 6/1/2022 for monitoring of behaviors and side effects observations. A review of the care plan for Resident #51 noted the resident was care planned for mood problem related to bipolar diagnosis with interventions to include Administer medications as ordered. Monitor/Document for side effects and effectiveness. Monitor/record/report to MD prn mood patterns signs and symptoms of depression, anxiety, sad mood as per facility behavior monitoring protocols. Observe for signs and symptoms of mania or hypomania racing thoughts or euphoria; increased irritability, frequent mood changes; pressured speech; flight of ideas; marked change in need for sleep; agitation or hyperactivity. A review of the Medication Administration Record for Resident #51 April 1-30, 2023 noted 32 of 90 shifts where documentation of behaviors and side effects of medication was missed. A review of the Medication Administration Record for Resident #51 for May 1-9, 2023 noted 7 of 27 shifts where documentation of behaviors and side effects of medications was missed. Resident #64 A review of provider orders for Resident #64 noted orders on 5/19/2021 for monitoring of behaviors and side effects observations. A review of the care plan for Resident #64 noted the resident was care planned for mood problem related to depression, anxiety, insomnia and schizophrenia with interventions to include Administer medications as ordered. Monitor/record/report to MD acute episode feeling or sadness; loss of pleasure and interest in activities; feeling of worthlessness or guilt; change in appetite/eating habits; change in sleep patterns; diminished ability to concentrate; change in psychomotor skills. Resident #64 was care planned for ineffectiveness of medication or untoward side effect/adverse reaction or psychotropic use. With interventions to observe resident for signs and symptoms of constipation, orthostatic hypotension, urinary retention, motor restlessness, involuntary movement, confusion, blurred vision, or dry mouth. A review of the Medication Administration Record for Resident #64 for April 1-30, 2023 noted 32 of 90 shifts where documentation of behaviors and side effects of medication was missed. A review of the Medication Administration Record for Resident #64 for May 1-9, 2023 noted 7 of 27 shifts where documentation of behaviors and side effects of medications was missed. In an interview on 05/11/23 at approximately 09:46 AM, the Assistant Director of Nursing (ADON) was asked how behavior and medication side effect monitoring is documented. She stated it is on the Medication Administration Record (MAR), but sometimes you have to go look for it. She stated it doesn't automatically trigger to complete it. The ADON was advised that there were multiple gaps in the documentation of behavior and medication side effect monitoring for April 2023 and May 2023 for Resident #51 and Resident #64. She stated it should be documented ever shift and the staff may not know how to get it to trigger for them, it isn't that automatic. A review of the policy titled Care Plan - Comprehensive dated November 2019 states that A Comprehensive Care Plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs shall be developed for each resident.

Based on observation, interview and record review, the facility failed to provide accurate Minimum Data Set (MDS) Resident Assessments on 3 of 5 residents sampled. (Residents #21, #64, and #71) The findings include: Resident #21 A record review for Resident #21 was completed on 5/10/2023 at approximately 2:30 PM. This review noted an admission diagnosis of Schizophrenia dated 1/27/2023 and Anxiety Disorder dated 1/30/2023. A record review of the Admission Annual MDS Assessment for Resident #21, dated 2/3/2023, noted no documentation in Section A1500 that acknowledged a Level II Preadmission Screening and Resident Review (PASARR) was completed for the diagnosis of Schizophrenia. Section A1510 of the MDS did not list the mental health conditions. A record review noted a positive Level II Screen for Resident #21 that was dated 2/8/2023 and a consent from Resident #21 for a Level II evaluation. A record review noted the Level II determination for Resident #21 was received on 2/17/2023. An interview was performed on 05/11/23 at approximately 11:42 AM with Staff A, a MDS Registered Nurse (MDS-RN) and Staff B, another MDS-RN. They agreed that the MDS had not been updated to reflect that a Level II MDS screening was submitted for the resident. They said his Level II assessment was done after admission and the MDS had already been submitted and they had not yet updated the change in MDS. Resident #64 A record review for Resident #64 was completed on 5/10/2023 at approximately 3:30 PM. The record noted a secondary admission diagnosis of Paranoid Schizophrenia and Antisocial Personality Disorder dated 5/17/2021 and an added diagnosis of Unspecified dementia - unspecified severity with agitation added on 10/18/2022 and Major Depressive Disorder added on 11/28/2022. A record review of the Annual MDS Assessment for Resident #64 dated 5/25/2023 noted no documentation in Section A1500 that acknowledged a Level II PASARR screening was completed for the mental illness diagnoses. Section A1510 did not list the mental illness conditions. A record review for Resident #64 noted an updated PASARR was completed on 11/21/2022 which noted mental illness diagnoses of depressive disorder, schizophrenia, and antisocial personality disorder. A Level II PASARR screen was triggered and completed on 11/21/2022. The MDS assessment was not updated to reflect PASARR Level II update and diagnoses. In an interview on 05/11/23 at approximately 11:42 AM, Staff A, MDS-RN, and Staff B, MDS-RN, agreed that the MDS had not been updated once the PASARR was updated to reflect that the Level II PASARR review was submitted on Resident #64. Resident #71 A record review for Resident #71 noted a 5-Day MDS dated [DATE]. Section K0510 of the MDS was checked yes indicating that the resident had a feeding tube. In an interview with Resident #71 on 5/7/2023 at approximately 2:55 PM, Resident #71 stated he hasn't been hungry lately, but he has never had any sort of feeding tube. A record review of the Nutrition Risk Screen with Mini Nutritional Assessment for Resident #71 dated 4/18/2023 noted under Section B, Nutritional Orders and Intake that the resident does not have an enteral tube of any type. A review of dietary notes for Resident #71, dated 2/13/2023, noted a diet of regular/thin with 50-75% oral intake documented. A review of dietary notes dated 4/21/2023 documented his diet as Regular/No added salt/thin with 50% oral intake. Neither dietary note made any mention of any type of feeding tube. On 5/11/2023 at approximately 10:50 AM, the registered dietitian confirmed during an interview that Resident #71 had never had a feeding tube. In an interview on 05/11/23 at approximately 11:42 AM, Staff A, MDS-RN and Staff B, MDS-RN stated that the MDS that reflected the resident had a feeding tube was in error. The dietary manager had accidentally checked that Resident #71 had a feeding tube when he had actually been receiving intravenous fluids.

Based on observations, staff interviews, resident interview, record review, and policy review the facility failed to administer oxygen only with a physician order in accordance with the facility policy for 3 of 5 residents sampled for respiratory care (residents #15, #63, and #69) and failed to administer the physician ordered amount of oxygen for 1 of 5 sampled residents reviewed for respiratory care. (resident #109) The findings include: Resident #109 Observations of resident number 109 were conducted on 12/7/21 at 8:56 AM, 1:26 PM, 4:02 PM, and on 12/8/21 at 8:13 AM and 10:06 AM. During the observations the resident was in his room and had oxygen at 2 liters per minute via nasal cannula and concentrator in place. Review of resident 109's medical record revealed the resident was admitted to the facility on [DATE] and a current physician order dated 6/10/21 to decrease oxygen (02) to 1.5 liters keep 02 saturation above 88% every shift. The most recent quarterly minimum data set with an assessment reference date of 11/3/21 revealed resident 109 had a BIMS (brief interview for mental status) score of 15, indicating he was cognitively intact. An interview was conducted with employee A (licensed practical nurse) on 12/8/21 at 10:06 AM. Employee A observed resident 109 and confirmed his oxygen was on 2 liters per minute. Employee A reviewed the resident's medical record and confirmed the order for oxygen was 1.5 liters per minute. During the observation of resident 109 on 12/8/21 at 10:06 AM, the resident stated he does not adjust the oxygen himself as he could not see the numbers on the concentrator. Resident 109 stated the oxygen had been set on 2 liters since he came to the facility. Review of the facility policy for Oxygen Safety (April 2021) reveals oxygen therapy is administered to the resident only upon the written order of a licensed physician. Resident #63 On 12/07/2021 at approximately 3:02 PM, an observation of resident #63 revealed that the resident was receiving oxygen via nasal cannula (a lightweight tube which on one end splits into two prongs which are placed in the nostrils) at a rate of 3 Liters per minute. Review of resident #63's medical records was conducted. Review of oxygen saturation documentation in November and December indicated that the resident received oxygen on multiple dates. Further review revealed that the resident received oxygen without an order until 12/08/2021 at approximately 11:56 AM. On 12/08/2021 at approximately 10:57 AM, an interview was conducted with the DON. The interview revealed that resident #63 was receiving oxygen via nasal cannula without a physician's order. Resident #15 On 12/07/2021 at approximately 4:47 PM, an observation of resident #15 revealed that the resident was receiving oxygen via nasal cannula at a rate of 2 Liters per minute. Review of resident #15's medical records was conducted. Review of oxygen saturation documentation in November and December indicated that the resident received oxygen on multiple dates. Further review revealed that the resident received oxygen without an order until 12/08/2021 at approximately 11:56 AM. On 12/08/2021 at approximately 10:53 AM, an interview was conducted with the Director of Nursing (DON). The interview revealed that resident #15 was receiving oxygen via nasal cannula without a physician's order. Resident #69 On 12/06/21 at 1:20 PM an observation of resident #69 was made wearing oxygen via nasal cannula at 3 liters per minute. On 12/7/21 at 3:14 PM and interview was conducted with resident #69 concerning the use of oxygen. Resident 69 stated, I have been using oxygen for a long time mostly at night and sometimes during the day if I take a long nap. Resident #69 went on to say that the facility tried to take the oxygen away not too long ago, but I asked for it back because I can not sleep well without it. On 12/08/21 at 10:42 AM Resident #69 was observed resting in bed with the head of the bed elevated wearing oxygen via nasal cannula at 3 liters per minute. Resident 69 was questioned if she ever adjusted the level of the oxygen, resident 69 replied, No, they told me not to touch it. On 12/07/21 a review of resident #69 physician orders revealed oxygen therapy had been discontinued on 10/04/29, and there was no current order for oxygen therapy. On 12/08/21 at 10:44 AM an interview was conducted with Nurse C a Licensed Practical Nurse, (LPN). When questioned how many liters should resident #69 be on, Nurse C responded, She is on 2 liters I believe, let me double check. Nurse C looked on the electronic medication record and the electronic physician orders, and stated, I cannot find an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of facility policy titled, Oxygen Safety, Respiratory Care Nursing Services Procedures page 9 of 24, dated April 2021, revealed: Under subtitle Oxygen Administration section 1. Oxygen therapy is administered to the resident only upon the written order of a licensed physician.

Based on record review, staff interview, and policy review the facility failed to refer a resident with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . (resident number 38) The findings include: Review of resident number 38's medical record revealed the resident was admitted to the facility on [DATE]. Review of the most recent psychiatric evaluation dated 11/16/21 revealed a primary diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The record failed to contain evidence of a level II PASARR resident review. An interview was conducted with employee B (Regional Nurse Consultant) on 12/8/21 at 12:03 PM. He stated there was no level II PASARR for resident 38 and the facility was submitting one. Review of the facility policy Preadmission Screening (PASSAR/PASSR) (March 2020) revealed it was the policy of the center to follow the Federal and State regulations with regards to pre-screening residents with a mental disorder and individuals with intellectual disability for individuals requiring more than 30 days at the center. A level II PASSR must be completed if the individual has a primary or secondary diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . A PASSR level II may only be terminated by a PASSR Level II Evaluator.

Based on observations and interviews the facility failed to maintain a safe, clean, comfortable and homelike environment for 1 of 1 (#118) resident sampled for tube feeding. The finding include : On 12/06/21 at 12:04 PM, an observation was made of resident #118's tube feeding pump. The pump was observed to have a tan colored dried substance on its surface. On 12/07/21 at 1:58 PM, a second observation was made of resident #118's tube feeding pump, with the dried tan colored substance still on the surface of the pump. On 12/08/21 at 9:03 AM, a third observation was made of resident #118's tube feeding pump, with the dried tan colored substance still on the surface of the pump. (Photographic evidence obtained) On 12/08/21 at approximately 9:30 AM, an interview was conducted with the Administrator, who stated it was housekeeping's responsibility to clean the equipment at bedside. The Administrator accompanied this surveyor to resident #118's room and verbally confirmed that the pump was dirty and should have been cleaned. On 12/08/21 at 10:08 AM, an interview was conducted with the Head of Housekeeping who stated there was no set schedule for cleaning of the tube feeding pumps, and All I can say is that we will do better. On 12/08/21 at approximately 10:15 AM, a request for the facilities policy on the cleaning of bedside equipment from the Cooperate Nurse who stated the housekeeping policy does not address the cleaning of tube feeding pumps directly.

Based on observations, interviews and record review, the facility failed to provide a therapy screen for identified nect issues and positioning for 1 of 1 residents sampled who were discharged from hospice services. (resident #44) Findings Include: On 6/24/19 at approximately 2:42 PM an observation was made of resident #44 during which she was sitting upright in bed with her chin resting on her chest. She had a bluish tint to her lips and the area surrounding her mouth. She was noted to be wearing oxygen via nasal cannula at 2 liters per minute. Follow up observations were made on 6/26/19 at 7:42 AM and 1:38 PM during which the resident was observed in the same position with similar color to her lips and mouth. On 6/25/19 a record review was conducted for resident #44 which revealed she had been admitted to the facility on [DATE] and was receiving hospice care at the time of admission. The review further revealed an admission screen form for Physical Therapy dated 10/23/18 No skills pt (patient) currently under hospice care an Occupational Therapy screening form dated 10/31/18 Pt under hospice care at this time. Pt is verbal and pleasant. Hospice will indicate if they feel need for skilled in future. And a Speech Therapy screening form dated 10/23/18 admitted under the care of hospice. Further review of the record found a physician progress notes [REDACTED]. The review also revealed that the resident had been discharged from hospice services on 3/8/19 as evidenced by the Facility/Hospice Status Agreement which stated change of status - discharge stated 3/8/19. Review of the hospice plan of care revealed the resident had been receiving Range of Motion (ROM) services while on hospice services. On 6/26/19 at approximately 1:38 PM an interview was conducted with the daughter of resident #44 during which she stated that she thinks the resident's neck leaning forward is effecting her breathing and that when she came off hospice they had been told that therapy would evaluate her but they never heard back. She reports the resident has always had issues with sleeping with her head tipped forward but since she spends so much time in bed that it has gotten worse. On 6/26/19 at approximately 2:01 PM an interview was conducted with the Director of Therapy during which she stated that the resident was on hospice and not a candidate for therapy. She stated she referred the resident to restorative therapy but did not have anything in writing as she had just made a verbal referral. On 06/26/19 at approximately 2:10 PM an interview was conducted with the Restorative Nurse during which she stated the resident was on hospice when they completed their assessment and they had documented the contractures in her hands. She further stated that she documented this in the Restorative/Nursing Rehab Notes within the Electronic Medical Record on 4/19/19. She provided the surveyor with a printed copy of the notes. On 06/26/19 at approximately 2:26 PM an interview with the Social Services Director and the Social Services Director in training who stated that when a resident is discharged from hospice the nurse and the Business Office are notified. She stated that she nor the SSD in training were aware the resident had been discharged for m hospice. At this time she was observed to call the facility's business office and asked can you tell me when (resident #44) was discharged from hospice and confirmed that the resident was discharged from hospice on 3/8/19 and that the SSD had not been aware. She reviewed the notes in the EMR from the SSD (4/17/19); Nursing (4/18/19) and the Dietitian (5/3/19) all stating the resident was on hospice case load. On 06/26/19 at approximately 5:07 PM an interview was conducted with the Regional Nurse Consultant during which he stated that when a resident is discharged for m hospice the hospice notifies the Social Services Office. The hospice nurse writes an order and once that order is put in the EMR the business office is notified. He further stated that this would be discussed in the daily morning meeting and that residents are provided restorative services and therapy services whether they are on hospice or not. On 06/27/19 at approximately 10:20 AM an interview was conducted with the hospice nurse who stated the resident was discharge from hospice on 3/8/19 as she was no longer terminally ill. This was the result of the hospice physician's face to face visit dated 2/18/19. She stated the facility was notified two weeks prior to the discharge as she states she spoke with the SSD and the Assistant Director of Nursing.

Based on observations, record reviews, staff interviews and policy reviews, the facility failed to implement the policy regarding contact isolation for 1 of 2 residents observed on contact isolation (resident #294) and failed to provide appropriate care for 1 of 1 residents with a peripherally inserted central catheter. (resident #38) The findings include: Resident #294: Observations of resident #294 were conducted on 6/24/19 at 2:57 PM and 6/25/19 at 12:26 PM, 2:10 PM and 3:46 PM. The resident was in her room and in bed. Personal protective equipment to include gowns and masks were observed hanging on the door of the resident's room. No signage was observed to be on the door or surrounding area to alert staff or visitors of the need for isolation precautions. Photographic evidence obtained. Review of resident #294's electronic medical record revealed a current physician order for [REDACTED]. Employee A observed the door to resident #294's room and confirmed there was no signage on the door and the resident is on contact precautions. She stated they usually have a see nurse sign on the door for residents with contact isolation. The facility policy for isolation precautions, categories of (Nov (YEAR)) was reviewed. The policy stated when isolation precautions are implemented, an appropriate isolation sign that may have the words Visitors: Please Report to the Nurses' Station before Entering printed on it must be placed at the entrance/doorway of the resident's room. Resident #38: Observation of resident #38 was conducted with employee C (licensed practical nurse) on 6/27/19 at 8:33 AM. Employee C observed and confirmed the resident had a peripherally inserted central catheter (PICC) line to his right upper arm and the transparent PICC dressing was dated 6/19/19. Review of the resident's record revealed he was readmitted from the hospital with the PICC line on 6/21/19. The record revealed no physician orders for dressing changes or other care of the PICC line. Employee C confirmed no physician orders for care of the PICC line. The hospital records revealed the PICC line was placed on 6/19/19. Review of the facility policy for care of central venous catheters including PICC lines (April 2019) revealed change central line catheter site dressing every week or as ordered by the physician.

Based on observation, record review and staff interviews the facility failed to ensure coordination of care and communication between the facility and hospice provider to maintain the highest practicable physical well-being for 1 of 1 residents sampled who were discharged from hospice services (#44). Findings Include: On 6/24/19 at approximately 2:42 PM, an observation was made of resident #44 during which she was sitting upright in bed with her chin resting on her chest. She had a bluish tint to her lips and the area surrounding her mouth. She was noted to be wearing oxygen via nasal cannula at 2 liters per minute. Follow up observations were made on 6/26/19 at 7:42 AM and 1:38 PM during which the resident was observed in the same position with similar color to her lips and mouth. On 6/25/19 a record review was conducted for resident #44 which revealed she had been admitted to the facility on [DATE] and was receiving hospice care at the time of admission. The review also revealed that the resident had been discharged from hospice services on 3/8/19 as evidenced by the Facility/Hospice Status Agreement which stated change of status - discharge date d 3/8/19. Review of the hospice plan of care revealed the resident had been receiving Range of Motion (ROM) services while on hospice services. On 6/26/19 at approximately 1:38 PM, an interview was conducted with the daughter of resident #44 during which she stated that she thinks the resident's neck leaning forward is effecting her breathing and that when she came off hospice they had been told that therapy would evaluate her but they never heard back. She reports the resident has always had issues with sleeping with her head tipped forward but since she spends so much time in bed that it has gotten worse. On 6/26/19 at approximately 2:01 PM, an interview was conducted with the Director of Therapy during which she stated that the resident was on hospice and not a candidate for therapy. She stated she referred the resident to restorative therapy but did not have anything in writing as she had just made a verbal referral. On 06/26/19 at approximately 2:10 PM, an interview was conducted with the Restorative Nurse during which she stated the resident was on hospice when they completed their assessment and they had documented the contractures in her hands. She further stated that she documented this in the Restorative/Nursing Rehab Notes within the Electronic Medical Record on 4/19/19. She provided the surveyor with a printed copy of the notes. On 06/26/19 at approximately 2:26 PM, an interview with the Social Services Director (SSD) and the Social Services Director in training was conducted, They stated that when a resident is discharged from hospice the nurse and the Business Office are notified. She stated that neither she nor the SSD in training were aware the resident had been discharged for m hospice. At this time she was observed to call the facility's business office and asked can you tell me when (resident #44) was discharged from hospice? The SSD confirmed that the resident was discharged from hospice on 3/8/19 and that the SSD had not been aware. She reviewed the notes in the EMR from the SSD (4/17/19); Nursing (4/18/19) and the Dietitian (5/3/19) all stating the resident was on hospice case load. On 06/26/19 at approximately 5:07 PM, an interview was conducted with the Regional Nurse Consultant during which he stated that when a resident is discharged from hospice the hospice notifies the Social Services Office. The hospice nurse writes an order and once that order is put in the EMR the business office is notified. He further stated that this would be discussed in the daily morning meeting and that residents are provided restorative services and therapy services whether they are on hospice or not. On 06/27/19 at approximately 10:20 AM, an interview was conducted with the hospice nurse who stated the resident was discharged from hospice on 3/8/19 as she was no longer terminally ill. This was the result of the hospice physician's face to face visit dated 2/18/19. She stated the facility was notified two weeks prior to the discharge as she states she spoke with the SSD and the Assistant Director of Nursing.

Based on observations and interviews the facility failed to maintain a comfortable and homelike environment for 2 of 20 sampled rooms observed. Findings include: On 6/24/19 at approximately 12:19 PM, an observation of room [ROOM NUMBER] was made during which the window sill above the residents air conditioner was noted to have several dead insects lying along the base of the window. The floor in the bathroom was noted to have dirt built up in the corners and cracked tiles along the base of the commode. Photographic evidence obtained. On 6/24/19 at approximately 12:31 PM, an observation of room [ROOM NUMBER] was made during which rust was noted along the bottom portion of the blinds hanging in the window, dried food particles were noted on the floor along the wall edge, a straw lay under the residents bed and salt packets were noted under the tray table. Photographic evidence obtained. On 6/27/19 at approximately 9:13 AM, an interview was conducted with the Maintenance Director during which he was shown the tiles in the bathroom of room [ROOM NUMBER] to which he stated metal grab bars were once secured to the floor and this is why the tile was cracked. He stated that they had not been replaced as they were not sharp and did not pose a trip hazard. He was asked to observe the blinds in room [ROOM NUMBER] in which he stated that the blinds were being replaced a few at a time and that they rust pretty quickly. He stated the blinds in room [ROOM NUMBER] were not on the list but they would be replaced now. On 06/27/19 at approximately 9:23 AM an interview was conducted with the Housekeeping Supervisor in which she stated the rooms are cleaned daily and that the housekeeping staff used a check list to ensure all items in the room were cleaned. Together with the surveyor and the maintenance Director she observed the window sill and the bathroom floor of room [ROOM NUMBER] and the floor in room [ROOM NUMBER] which remained as they had since the first observation on 6/24/19. The housekeeping supervisor stated they should have been cleaned during the daily housekeeping cleaning. She provided the surveyor with a blank copy of the check list the housekeeping staff used when they clean the rooms which included window sills, blinds, and floors. She stated that she would provide the surveyor with a copy of the forms submitted for hall A for the week.

Based on observation, record review, staff interview and policy review, the facility failed to provide appropriate treatment in an effort to prevent urinary tract infections for 1 of 2 sampled female residents observed during incontinent care. (#294) The findings include: An observation of incontinent care for resident #294 was conducted with employee B (certified nursing assistant) on 6/25/19 at 2:10 PM. Employee B was observed to cleanse the resident's anal area from back to front wiping towards the female genitalia. review of the resident's medical record revealed [REDACTED]. An interview was conducted with employee B on 6/25/19 at 3:02 PM. Employee B stated during female incontinent care you should wipe from front to back; she did not realize she wiped from back to front when the resident was turned over. Review of the facility policy for perineal care (Dec (YEAR)) revealed for a female resident wipe the rectal area thoroughly, wiping from the base of the labia and extending over the buttocks using the same technique as the perineal area.

Based on observation, record review and interview, the facility failed to ensure the medical record was complete and accurately documented for 1 of 3 residents sampled for skin conditions (Resident #2). The findings are: On (MONTH) 19, (YEAR) at approximately 9:12 am, resident #2 was observed to have a reddened abrasion on his left temple approximately 1.5 inches long with a thin membrane. The resident was unable to give an accurate description of how the abrasion occurred. Review of the medical record for resident #2 was conducted, to include review of nursing notes, weekly skin checks, physician orders, and exception reports. During the review of these records, there was no documented evidence of an injury to the resident's left temple. Additionally, the injury was not captured on the resident's most recent weekly skin assessment. On (MONTH) 19, (YEAR) at approximately 3:22 pm, an interview was conducted with Staff D, a Certified Nursing Assistant (CNA). She stated she noticed the abrasion on resident #2's left temple approximately a week ago and that she reported it to the nurse. On (MONTH) 19, (YEAR) at approximately 3:24 pm, an interview was conducted with Staff E, a CNA. She stated she noticed the abrasion around (MONTH) 10th or (MONTH) 11th and she reported it to the nurse. On (MONTH) 19, (YEAR) at approximately 3:29 pm, an interview was conducted with Staff F, a Registered Nurse. She stated that she never received a report about the abrasion, but she did notice the abrasion. She also stated that she did not document the abrasion in the resident's medical record. On (MONTH) 19, (YEAR) at approximately 3:33 pm, an interview was conducted with Staff G, the Assistant Director of Nursing. She stated she expected any mark found on a resident's body to be documented on the weekly skin assessment and in the progress notes. She also stated the CNA should report any skin issues to the nurse, the nurse should check the issue and notify the resident's family and doctor, and get a treatment order from the doctor if needed. She stated that she checked the resident's record and found these procedures had not been completed. On (MONTH) 20, (YEAR) at approximately 9:43 am, a follow-up interview was conducted with Staff G. She stated that she investigated the abrasion and stated the resident cut himself while attempting to shave. She stated the CNA reported it to a nurse. She further stated the nurse did not document the incident but did remove the razor.

Based on observation, interview and record review, the facility failed to implement the care plan for 1 of 1 resident (#51) sampled for communication and failed to develop a care plan for 1 of 2 residents (#7) sampled for respiratory care. The findings were: Resident #51 On 6/18/18 at 11:06am an interview was attempted with resident #51. The resident was able to answer some yes or no questions, but had obvious difficulties with communication. She was asked if there was a communication board or something that staff used to communicate with her and she shook her head no and said no. She appeared to be very upset during the interaction. On 6/20/18 at 1:58pm, an interview was conducted with Certified Nursing Assistant (CNA) J. At that time she was asked how she communicated with resident #51. She stated that she spoke to the resident to try to get her to understand. If she didn't understand she would repeat or rephrase in an attempt to get the resident to understand. The CNA confirmed there were no communication aides that she was aware of. On 6/20/2018 at 2:03pm, an interview was conducted with the Restorative Nurse. At that time, the nurse pulled up the resident's restorative care plan that showed an intervention for the use of a communication board. She then stated that they used a communication board to make it easier for the resident to get across what her needs were to staff. The nurse was asked to go to the room of resident #51 and see if she could locate the resident's communication board. She looked through the resident's drawers and closet and was unable to locate it. On 6/20/18 at 2:10pm, an interview was conducted with Licensed Practical Nurse (LPN) K who stated she was not aware of any communication aides to be used with resident #51. Resident #7 On 6/18/18 at 10:49am, a brief interview was conducted with resident #7. At that time, it was noted that the resident had oxygen running at 5 liters per minute (L/min) via a nasal cannula (tubing that delivers oxygen via the resident's nares). Review of the resident's medical record showed no current physician order [REDACTED]. that addressed the resident's need of supplemental oxygen. On 6/19/18 at 1:52pm the oxygen was noted running at 5L/min. On 6/20/18 at 9:33am the oxygen was noted running at 6L/min. On 6/20/18 at 9:52am the Director of Nursing (DON) was asked to review the resident's oxygen concentrator. At that time, the oxygen was on and running at 6L/min. The DON agreed that the oxygen was on and running and verified it was running at 6L/min.

Based on observation, interview and record review, the facility failed to provide necessary care and services to maintain the resident's level of communication for 1 of 1 resident (#51) sampled for communication. The findings were: On 6/18/18 at 11:06am an interview was attempted with resident #51. The resident was able to answer some yes or no questions, but had obvious difficulties with communication. She was asked if there was a communication board or something that staff used to communicate with her and she shook her head no and said no. She appeared to be very upset during the interaction. On 6/20/18 at 1:58pm, an interview was conducted with Certified Nursing Assistant (CNA) J. At that time she was asked how she communicated with resident #51. She stated that she spoke to the resident to try to get her to understand. If she didn't understand she would repeat or rephrase in an attempt to get the resident to understand. The CNA confirmed there were no communication aides that she was aware of. On 6/20/2018 at 2:03pm, an interview was conducted with the Restorative Nurse. At that time, the nurse pulled up the resident's restorative care plan that showed an intervention for the use of a communication board. She then stated that they used a communication board to make it easier for the resident to get across what her needs were to staff. The nurse was asked to go to the room of resident #51 and see if she could locate the resident's communication board. She looked through the resident's drawers and closet and was unable to locate it. On 6/20/18 at 2:10pm, an interview was conducted with Licensed Practical Nurse (LPN) K who stated she was not aware of any communication aides to be used with resident #51.

Based on observation, interview and record review, the facility failed to provide respiratory care in accordance with professional standards by failing to obtain an order for [REDACTED]. The findings were: On 6/18/18 at 10:49am, a brief interview was conducted with resident #7. At that time, it was noted that the resident had oxygen running at 5 liters per minute (L/min) via a nasal cannula (tubing that delivers oxygen via the resident's nares). Review of the resident's medical record showed no current physician order [REDACTED]. that addressed the resident's need of supplemental oxygen. On 6/19/18 at 1:52pm the oxygen was noted running at 5L/min. On 6/20/18 at 9:33am the oxygen was noted running at 6L/min. On 6/20/18 at 9:52am the Director of Nursing (DON) was asked to review the resident's oxygen concentrator. At that time, the oxygen was on and running at 6L/min. The DON agreed that the oxygen was on and running and verified it was running at 6L/min.