Heisinger Bluffs Healthcare Western Campus

In the surveyor’s words

From the most serious findings on record at Heisinger Bluffs Healthcare Western Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 20, 2023

  Based on observation, interviews, and record reviews, the facility staff failed to maintain the kitchen in a clean and sanitary manner, to cover kitchen trash cans when not in use, to utilize hair restraints appropriately, and to properly store open food to prevent cross contamination and outdated usage. This failure had the potential to affect all residents. The census was 53. 1. Review of the facility's daily Kitchen Cleaning List, undated, showed: - Sweep under all storage racks in dry storage; - Clean and organize freezer; - Clean seals around walk-in cooler; - Clean both ovens including the racks and doors; - Sweep under all tables and coolers; - Wipe under slicer and the shelf under slicer. […]

• No harm, potential for more than minimal, patternF656Apr 3, 2026

  Based on observation, interview and record review, facility staff failed to develop and implement a person-centered care plan to include use of compression stockings for edema for two residents (Residents #6 and #15), cleanliness and maintenance of oxygen equipment for two residents (Residents #15 and #81), and monitoring for risks of opioid administration for one resident (Resident #10) out of eight sampled residents. The facility census was 57.1. Review of the facility's policy titled Resident Centered Care Plan, dated 07/17/23, showed the facility will develop and implement a comprehensive care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and medical and psychosocial needs as identified throughout the comprehensive… […]

• No harm, potential for more than minimal, patternF658Oct 18, 2024

  Based on observations and interviews, facility staff failed to maintain a professional standard of care when staff left medications at the dining room table and failed to ensure the resident took the medications for three residents (Resident #7, #19 and #26) of 17 residents. The facility census was 58. 1. Review of the facility's Medication Administration policy, undated, showed: -Medication will be administered by persons licensed or permitted by this state to prepare, administer and document the administration of medications; -Medications will be administered in accordance with the orders, including any required time frame; -Residents may self-administer their own medications only if the attending practitioner, in conjunction with the Interdisciplinary Care Planning team, has determined… […]

• No harm, potential for more than minimal, patternF689Oct 18, 2024

  Based on observations, interviews, and record review, the facility staff failed to properly secure potentially hazardous chemicals and objects in three facility rooms on 100 hall and properly secure the medicine cart on 300 hall, in a manner to prevent accidents. Facility staff failed to transfer one resident (Resident #17) of three sampled residents safely in the mechanical lift. The facility census was 58. 1. Review of the facility's policies showed staff did not provide a storage of hazardous items policy. 2. Observation on 10/15/24 1:47 P.M. showed the 100 hall spa door open and unsecured and unattended. The spa contained a wound cleanser, adhesive remover and one tube of zinc oxide maximum strength cream. […]

• No harm, potential for more than minimal, patternF607Jul 20, 2023

  Based on interview and record review, the facility staff failed to properly screen six new employees out of ten employee files reviewed in accordance with their policy, prior to employment to determine if any had a Federal indicator with the Nurse Aide Registry (NAR), Employee Disqualification List (EDL), the Criminal Background Check (CBC) and/or the Family Care Safety Registry (FCSR). The facility census was 53. 1. Review of the facility's Residents rights to freedom from abuse, neglect, and exploitation policy and procedure, dated 2022, showed, it is the purpose of this facility to ensure that all of the facility residents are free from abuse, neglect, misappropriation of their property, and exploitation. […]