Hillsdale Hospital McGuire & Macritchie Long Term

In the surveyor’s words

From the most serious findings on record at Hillsdale Hospital McGuire & Macritchie Long Term, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 4, 2024

  Based on observation, interview and record review the facility failed to: 1.) ensure the safety of resident during staff assisted transfer, 2.) implement care-planned interventions, and 3.) provide timely assessment and treatment for 1 of 3 sampled residents (R3) reviewed for accidents, resulting in actual harm for R3's fall during staff assisted transfer with displaced right femur spiral fracture on 3/31/24, delay in assessment and treatment, pain, and transfer to the hospital for surgical repair of right femur and treatment for multiple pulmonary emboli. […]

• No harm, potential for more than minimal, widespreadF812Oct 4, 2023

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment effecting 31 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and decreased warewashing sanitization. Findings include: On 10/02/23 at 10:17 A.M., An initial tour of the food service was conducted with Director of Food Service (Registered Dietician) I. The following items were noted: The Walk-In Freezer was observed with ice [NAME] protruding from the ceiling and side wall surfaces. […]

• No harm, potential for more than minimal, patternF887Aug 16, 2022

  Based on interview and record review, the facility failed to ensure medical records included education regarding the benefits and potential risks associated with the COVID-19 vaccine and/or the refusal of the COVID-19 vaccine for four (Resident #6, #34, #184, and #186) of five reviewed, resulting in the potential for residents and/or resident representatives to not be fully informed of the benefits and potential risks associated with the COVID-19 vaccine. Findings include: Resident #6 (R6) Review of the medical record revealed R6 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 5/19/22 revealed R6 was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF880Sep 23, 2021

  Based on observation, interview and record review the facility failed to follow and implement infection control practices per the Centers for Disease Control and Prevention (CDC) guidelines to prevent the spread of COVID-19 for two (Resident #2 and #5) of five reviewed for Infection Control/COVID-19, resulting in the potential for COVID-19 spread to all 27 facility residents and facility staff. Findings include: Review of documentation provided by the facility reflected four employees with positive COVID-19 test results, with one employee positive case on each of the following dates: 8/20/21, 8/30/21, 9/7/21 and 9/12/21. […]

• No harm, potential for more than minimal, patternF947Jun 30, 2021

  Based on interview and record review, the facility failed to meet education requirements for all Nurse Aides, resulting in Nurse Aides not receiving required in-servicing related to dementia management, with the potential for improper and/or inappropriate care for six facility residents with the diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] Review of (name of computerized) in-service training since January 2020 for three randomly selected Nurse Aides (E, F and G) revealed Nurse Aide E and G did not receive training specifically related to the care of residents with dementia. […]