Hartford Health Care

In the surveyor’s words

From the most serious findings on record at Hartford Health Care, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF695Dec 14, 2023

  Based on observations, interviews, resident record review, and review of a facility policy Oxygen Administration, the facility failed to ensure respiratory care, specifically the provision of oxygen therapy, was not provided without a physician order for Resident Identifier (RI) #39. This had the potential to affect RI #39, one resident reviewed for respiratory care. Findings included: Review of a facility policy titled Oxygen Administration, effective August 2019, revealed the following: Policy Oxygen will be administered per physician's order. RI #39 was readmitted to the facility on on 1/20/2022 and had diagnoses that included Anxiety, Dyspnea, Obstructive Sleep Apnea, and Chronic Respiratory Failure with Hypoxia. […]

• No harm, potential for more than minimal, isolatedF812Dec 14, 2023

  Based on observation, interview, and review of a facility policy titled Labeling and Dating, the facility failed to label and date a bag of ground chicken observed in the refrigerator on 12/12/2023 during the initial tour of the kitchen. This had the potential to affect 18 of 76 residents who received Dysphagia Mechanical Soft (Dys Mech) and Dysphagia Advanced (Dys Adv) diet texture meals from the kitchen. Findings include: An undated facility policy titled Labeling and Dating, documented: . Importance of Labeling and Dating Proper labeling and dating ensures that all foods are stored, rotated, and utilized in a First In First Out (FIFO) manner. This will minimize waste and ensure that items that are passed their due date are discarded. […]

• No harm, potential for more than minimal, isolatedF880Dec 14, 2023

  Based on observations, interviews, and review of a facility policy titled, Infection Control Guide and a facility document titled, Standard Precautions, the facility failed to ensure: a staff member implemented Airborne Isolation Precautions in a manner to prevent the spread of infection. Airborne Isolation Precautions were clearly identified for Resident Identifier (RI) #278 the use of Personal Protection Equipment upon entering the room of , a resident for whom Airborne Isolation Precautions were clearly identified, This deficient practice affected RI #278, 1 of 3 residents reviewed for transmission based precautions. […]

• No harm, potential for minimal, widespreadF584Dec 14, 2023

  Based on observations, interviews, and review of a facility document titled Alabama Your Resident Rights and Protection Under State and Federal Law, and review of a facility policy titled Dining and Meal Service, the facility failed to ensure residents were offered the opportunity to eat meals in the dining room. Residents were only eating the lunch meals in the dining room Monday through Friday. A review of the mealtimes did not specify service for the dining room. This was observed on two days of the survey and had the potential to affect 78 of the 80 residents receiving meals from the kitchen. Findings include: Review of an undated facility document titled Alabama Your Resident Rights and Protection Under State and Federal Law revealed . Dignity and Respect. […]

• No harm, potential for minimal, widespreadF851Dec 14, 2023

  Based on record review, interview, and Payroll Based Journal (PBJ) Report, the facility failed to report accurate staffing data from July 01, 2023 - September 30, 2023, to Centers for Medicare & Medicaid Services (CMS). This affected one quarter of data reviewed during the survey. Findings include: The PBJ report generated for the quarter of 07/01/2023 through 09/30/2023 documented: . This Staffing Data Report identifies areas of concern that will be triggered . Metric . Excessively Low Weekend Staffing . Triggered = Submitted Weekend Staffing data is excessively low . On 12/14/2023 at 2:06 PM, an interview was conducted with the Human Resources (HR) Payroll Manager. […]