Health Care Center Lucy Corr

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF565Feb 7, 2023

  Based on Resident interviews, facility staff interviews and facility documentation review, the facility staff failed to permit the Resident Council to meet without a staff member being present which had the potential to affect Residents who attend resident council. The findings included: The facility staff attended Resident Council meetings without the approval of the group. On 1/31/23, Surveyor D met with the Resident Council President obtained permission to review the Resident Council meeting minutes. On 2/2/23 at 10:30 AM, the facility Administrator provided Surveyor D the Resident Council meeting minutes which were reviewed. This review revealed that during each meeting held, facility staff were in attendance. […]

• No harm, potential for more than minimal, patternF677Feb 7, 2023

  Based on Resident Interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide services to maintain personal hygiene for 2 Residents (#222, and #375) in a survey sample of 73 Residents. The Findings included: 1. For Resident #222, the bed ridden and incontinent Resident did not receive bathing nor personal hygiene care on multiple days. Resident #222 had an admission minimum data set assessment dated [DATE] which coded the Resident with a Brief Interview of Mental Status score of 1 indicating severe cognitive impairment. The Resident was incontinent of bladder and bowel, and was totally dependent on staff for transferring, toileting, hygiene and bathing. […]

• No harm, potential for more than minimal, isolatedF578Feb 7, 2023

  Based on interview and record review, the facility failed to ensure one Resident (R)141 out of one reviewed for advanced directives was provided written information of the right to accept or refuse medical or surgical treatment and formulate an advance directive. Findings include: On [DATE] at 3:30 PM the facility's policy and procedure was requested regarding Advanced Directives. None was provided by the time of the exit. Review of R141's admission Minimum Data Set (MDS) located in the resident's EMR under the RAI tab with an Assessment Reference Date (ARD) of [DATE], revealed the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated R141 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF582Feb 7, 2023

  Based on staff interview, facility documentation review and clinical record review, the facility staff failed to ensure written acknowledgement of the Notice of Medicare Non Coverage for two Residents (Resident # 81 and # 123) in a survey sample of 3 Residents reviewed for Beneficiary Notices. The findings included: 1. For Resident # 81, the facility staff failed to have the NOMNC (Notice of Medicare Non Coverage) form signed by the Resident and/or the Resident Representative. A copy of the form was not acknowledged by the beneficiary or beneficiary's representative. Review of the clinical record was conducted on 2/3/2023 and 2/6/2023. Review of the Beneficiary notices revealed the notice stated Skilled Nursing Services would end on 1/16/2023. […]

• No harm, potential for more than minimal, isolatedF622Feb 7, 2023

  Based on staff interview, facility documentation review and clinical record review, the facility staff failed to provide ensure that the appropriate information regarding a transfer was communicated to the receiving health care institution or provider for one Resident (Resident # 8) in a survey sample of 73 Residents. The findings included: For Resident # 8, the facility staff failed to document that the reason for the transfer to the hospital was communicated with the hospital staff. Review of the clinical record was conducted 2/3/2023 and 2/6/2023. Review of the Progress Notes revealed Resident # 8 was sent to the hospital on 3/16/2022 due to a change in condition related to involuntary muscle movement and confusion. […]