Idylwood Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Apr 11, 2025

  38573 Based on observation, interview and record review, the facility failed to maintain proper infection control practices when: 1. Resident 77 had an opened plastic bag with gastrostomy (GT, a surgical opening into the stomach for administration of nutrition and medications) syringe dated [DATE] and his urinary catheter attached to urinary catheter drainage bag (a urinary catheter is a thin, flexible tube used to drain urine from the bladder) was not properly positioned; 2. Resident 5's and 31's room had an opened and unlabeled GT syringe; 3. Resident 32 had an opened unlabeled plastic bag with enteral feeding tube (used to deliver nutrients directly into the stomach or small intestine, bypassing the mouth and swallowing process); 4. […]

• No harm, potential for more than minimal, widespreadF880Sep 15, 2021

  Based on observation, interview, and record review, the facility failed to follow and implement infection control measures and practices to properly prevent and/or contain the spread of COVID-19 (Coronavirus disease is an infectious disease, spread from person to person via respiratory droplets that can cause mild to severe illness) when: 1. Two staff did not perform the appropriate hand hygiene after touching/handling contaminated objects/surfaces. 2. One staff did not wear her faceshield (a Personal Protective Equipment (PPE, used to help mitigate/prevent the spread of infectious diseases from one person to another) correctly when performing resident care. 3. […]

• No harm, potential for more than minimal, widespreadF880May 7, 2021

  Based on observation, interview, and record review, the facility failed to maintain an effective infection control program when: 1. Resident 4's nasal cannula (a device consists of a lightweight tube which on one end splits into two prongs which are placed in the nostrils and from which a mixture of air and oxygen flows) was touching the floor; 2. Resident 6's nasal cannula was not kept in plastic and was touching the floor; 3. LVN P did not hand sanitize prior and after hand gloving after he wiped his sweat on forehead with a facial tissue; 4. CNA F was not wearing a glove on her left hand while picking up dirty linens in room A; 5. […]

• No harm, potential for more than minimal, patternF759Apr 11, 2025

  Based on observation, interview, and record review, the facility had a medication error rate of 18.75% when six medication errors occurred out of 32 opportunities during the medication administration for three out of seven residents (Resident 3, Resident 34, and Resident 139). The failures resulted in the nursing staff not following physician's orders and the facility's policy and procedures (P&P), and had the potential for medication complications or residents not receiving full therapeutic effects of the medication. Findings: 1. During the medication administration observation on 4/7/24 at 4:35 p.m., Licensed Vocational Nurse F (LVN F) was observed administering five medications for Resident 3. […]

• No harm, potential for more than minimal, patternF761Apr 11, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper medication storage and labeling of medications when: 1. Opened multi-dose vials/inhalers had no open date; 2. Expired medications were not removed from active stock; 3. A treatment cart was left unlocked and unattended. These failures had the potential for residents to receive medications with reduced efficacy and had the potential for residents to access the unlocked and unattended treatment cart. Findings: 1. During an inspection of a medication cart on 4/7/25 at 3:31 p.m., with Registered Nurse D (RN D), one opened bottle of Pepto Bismol (indication include diarrhea, heartburn, indigestions, nausea, and stomach upset) was identified. The bottle had an expiration of 3/2025. […]