Haven Convalescent Home, Inc

In the surveyor’s words

From the most serious findings on record at Haven Convalescent Home, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Dec 13, 2024

  Based on a review of clinical records, observations, and staff interviews, it was determined that the facility failed to follow acceptable infection control practices regarding enhanced barrier precautions (EBP) during observation of a wound and foley catheter (tubing inserted into the bladder to drain urine) for one of 19 residents reviewed (Resident R78). Findings include: No facility policy on EBP provided. Resident R78's clinical record revealed an admitted [DATE], with diagnoses that included chronic obstructive pulmonary disease (a lung disease that makes it difficult to breathe), anemia (low red blood cells in the blood which carries oxygen), hyperlipidemia (high levels of fats-cholesterol and triglycerides in the blood), and dementia (a disease affecting mood, behavior and… […]

• No harm, potential for more than minimal, patternF761May 7, 2021

  Based on observations, review of facility policies and clinical records, and staff interviews, it was determined that the facility failed to make certain that medications were secure and inaccessible to unauthorized staff and residents for two of three medication carts observed during medication pass. Findings include: The facility policy entitled Storage of Drugs and Biologicals Policy Updated 1/2020, revealed that all drug and biologicals are to be stored in locked compartments under proper temperature control. Only licensed nursing personnel are permitted access to this area and permitted to have keys for the locked drugs and biologicals. Observation of medication pass on 5/4/21, at 1:28 p.m. […]

• No harm, potential for more than minimal, isolatedF836May 7, 2021

  Based on review of facility policy, clinical records, Title 49. Professional and Vocational Standards, and staff interview, it was determined that the facility failed to assure that a Registered Nurse (RN) conducted and documented a comprehensive resident wound assessment for one of five residents reviewed with wounds (Resident R5). Findings include: The Title 49. Professional and Vocational Standards, Department of State Chapter 21, State Board of Nursing, dated 1/15/05, indicated that under Responsibilities of the RN, 21.11, General Functions. […]

• No harm, potential for more than minimal, isolatedF880May 7, 2021

  Based on observations, review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to implement measures to prevent the potential for cross contamination (transfer of germs from one location to another) during a dressing change for one of two residents (Resident R5) observed for wound care. Findings include: The facility policy entitled Wound Care Procedure for Major Wounds, dated 12/02/20, indicated that staff are to wash their hands and apply clean gloves prior to wound care, following the removal of a soiled dressing and prior to cleaning the wound, and change gloves prior to applying the clean dressing. Resident R5's clinical record revealed an admitted [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]