Inn at Freedom Village,The

In the surveyor’s words

From the most serious findings on record at Inn at Freedom Village,The, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF684Sep 13, 2024

  Based on facility documentation and staff interview it was determined the facility failed to follow physician orders for bowel protocol for one of 16 residents reviewed. (Resident 15) Findings Include: Review of Resident 15's physician orders revealed an order dated August 31, 2022 for Milk of Magnesia (laxative), give 30 cc (cubic centimeter or milliliters) by mouth as needed for constipation if no BM (Bowel Movement) in 3 days: an order dated August 31, 2022 for Bisacodyl Suppository (laxative inserted rectally) 10mg (milligrams) as needed for constipation administer the next shift if no results from the Milk of Magnesia; and an order dated August 31, 2022 for Fleets Naturals Cleansing Enema (rectal cleanser), insert 1 unit rectally as needed for Constipation administer next shift if no… […]

• No harm, potential for more than minimal, isolatedF761Sep 13, 2024

  Based on observation, facility policy and procedure review, and staff interview it was determined the facility failed to properly label and date vials of insulin for one of three med carts reviewed. (second floor) Findings Include: Review of facility policy and procedure titled Medication Labeling and Storage, dated 2001, revealed Multi-dose vials that have been opened or accessed (e.g., needle puncture) are dated and discarded within 28 days unless the manufacturer specifies a shorter or longer date for the open vial. Observation on September 11, 2024 at 9:20 a.m. […]

• No harm, potential for more than minimal, isolatedF686Oct 20, 2023

  Based on a review of clinical and hospital records and staff interviews, it was determined that the facility failed to ensure wound treatment was initiated upon admission for two of the six residents reviewed (Resident 149 and 151). Findings include: Review of Resident 149's nursing progress notes dated October 13, 2023, revealed resident was admitted to the facility from the hospital with a diagnosis of Congestive Heart Failure (CHF-weakened heart condition that causes fluid buildup in the feet, arms, lungs, and other organs). Review of Resident 149's admission assessment, dated October 13, 2023, revealed resident was admitted with a Deep Tissue Pressure Injury (persistent non-blanchable deep red, maroon, or purple discoloration) to the coccyx (tail bone). […]

• No harm, potential for more than minimal, isolatedF610Dec 8, 2022

  Based on a review of the facility's policy, clinical record reviews, and staff interview, it was determined that the facility failed to investigate an injury of unknown origin for one of the 12 residents reviewed (Resident 8). Findings include: Review of the facility's policy titled Abuse Prevention Program, revised in July 2021, revealed that if the cause of the injury is unknown, the person gathering facts will document the injury, the location and time it was observed, any treatment given and whether the physician, responsible party and/or the Department of Health were notified. […]

• No harm, potential for more than minimal, isolatedF684Dec 8, 2022

  Based on clinical record reviews, staff, and resident interviews, it was determined that the facility failed to ensure the physician's order was followed for one of the 12 residents reviewed (Resident 9). Findings include: Review of Resident 9's diagnosis list revealed End Stage Kidney Disease (condition when your kidneys no longer work as they should to meet your body's needs). Interview with Resident 9 conducted on December 5, 2022, at 10:00 a.m., revealed that she/he goes to Hemodialysis (process of purifying the blood /remove toxins of a person whose kidneys are not working normally) every Monday, Wednesday, and Friday. The resident reported being picked up around 10:30 a.m. […]