Hatley Health Care Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF658Jun 15, 2023

  Based on record reviews, interviews, review of the State Agency's Online Incident Reporting System Report, and a facility policy Medication Administration, the facility failed to ensure licensed staff clarified medication orders for Paxlovid for Resident Identifier (RI) #182. The resident received an order for Paxlovid on [DATE], the Medication Administration Record (MAR) did not match the medication pharmacy label instructions as to give two tablets twice a day; three nurses administered the medication at the incorrect dose for two days before it was determined to be incorrect dose. This affected one of one resident reviewed for receiving Paxlovid. […]

• No harm, potential for more than minimal, isolatedF690Jun 15, 2023

  Based on observations, interviews, review of the medical record and review of the facility policy titled, CATHETER CARE the facility failed to ensure that Resident Identifier (RI) #36's urinary catheter drainage bag was not hanging above the level of the bladder. This affected RI #36 one of two residents sampled for Catheter care. Findings include: A facility policy titled, CATHETER CARE with a revision date of 04/14/2020, revealed: . Policy: To prevent the spread of infection. To promote quality resident personal care. Policy Explanation and Compliance Guidelines: . 10. Catheter tubing should lay across the resident's leg and the bad (bag) should hang below the level of the bladder. […]

• No harm, potential for more than minimal, isolatedF580Sep 9, 2021

  Based on interviews and a review of the facility policy titled, [NAME] HEALTH CARE NARCOTIC POLICY, the facility failed to ensure Resident Identifier (RI) #1's medical doctor and sponsor were notified when the resident's 8:00 a.m. dosage of [MEDICATION(S)] and [MEDICATION(S)] were not given on 8/02/2021. This deficient practice had the potential to affect one out of six residents sampled. Findings Include: A review of a policy titled, [NAME] HEALTH CARE NARCOTIC POLICY, dated 1/02/2014, revealed the following: . ***Any discrepancy in the narcotic count must be immediately reported to the Supervisor. […]

• No harm, potential for more than minimal, isolatedF760Sep 9, 2021

  Based on interviews and review of facility policy titled, [NAME] HEALTH CARE NARCOTIC POLICY, the facility failed to ensure Employee Identifier (EI) #3 gave Resident Identifier (RI) #1's [MEDICATION(S)] and [MEDICATION(S)] as ordered by the physician. This had the potential to affect one of six residents sampled. Findings Include: A review of facility policy titled, [NAME] HEALTH CARE NARCOTIC POLICY, dated 1/02/2014 that revealed the following: PURPOSE: To provide an accurate count of the narcotic, . 6. The charge nurse must sign the book at the time the narcotic is removed from the locked box . The surveyor conducted an interview on 9/08/2021 at 4:09 p.m., with (EI) #2, Director of Nursing (DON). […]

• No harm, potential for minimal, widespreadF550Jun 15, 2023

  Based on observations, interviews, the Nursing Home Residents' Rights from the facility's admission packet, and the facility's policies for SERVING OF MEALS POLICY and RESIDENT DINING POLICY; the facility failed to ensure resident dignity by regularly serving meals on disposable dinnerware with disposable cutlery. This affected Resident Identifier (RI) #39 and RI #64 and had the potential to affect 81 of 81 residents receiving meals in the facility. Findings include: Nursing Home Residents' Rights, undated, from the facility's admission packet included the following: Residents of nursing homes have rights that are guaranteed to them under Federal and State laws. […]