Interfaith Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jul 29, 2021

  Based on interview and document review, the facility failed to ensure a system to identify a resident's resuscitation status was accurately reflected throughout the medical record and facility documents for 2 of 17 residents (R45, R223) who had elected a do not resuscitate (DNR) status but were documented as a cardio-pulmonary resuscitation (CPR) status. This resulted in an immediate jeopardy (IJ) situation for R45 and R223 who were at risk for serious bodily injury/harm if they were given CPR when they had elected DNR. The IJ began on [DATE], when it was determined the facility failed to ensure resident resuscitation status documentation reflected each resident's current resuscitation preferences and physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF692Jun 9, 2021

  Based on interview, and document review, the facility failed to complete accurate and ongoing weight monitoring and nutritional assessment for 1 of 3 residents (R1) reviewed for weight loss. This resulted in actual harm to R1, who experienced a 25% weight loss in 6 weeks. Findings include: R1's admission record printed 6/9/21, indicated R1's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R1's admission Minimum Data Set (MDS) dated [DATE], identified R1 had moderate cognitive impairment, and required extensive assistance with bed mobility, transfers, dressing, toileting, personal hygiene and bathing. The MDS identified R1 required set up assist for meals and supervision for eating. […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2022

  Based on observation, interview, and document review, the facility failed to ensure the dishwasher temperatures were at the correct temperatures for proper sanitization to prevent foodborne illness. In addition, the facility failed to properly maintain the dishwasher to ensure adequate water temperatures for the wash and rinse cycle. This had the potential to affect all 57 residents who received food prepared in the kitchen. Findings include: [NAME] manufacturer's instructions for C-Line A & AW Dishwashers revised 2/2006, indicated the minimum wash temperature should be 160 F and the minimum rinse temperature should be 180 F. During an observation and interivew on 10/17/22, at 2:09 p.m. the following was noted: --The dishwasher had two temperature gauges. […]

• No harm, potential for more than minimal, widespreadF563Jul 29, 2021

  Based on interview and document review, the facility failed to allow visitors without first making an appointment. This had the potential to affect all 74 residents who resided in the facility, and their families and friends. Findings include: On 7/26/21, at 11:45 a.m. upon entering the facility a sign was noted to be posted which had the following message: All Visits must be scheduled and confirmed through the Visitation schedule line 218-***-****. NON-scheduled visits(s) will be turned away. Another posted sign had the following message: Length of visit: All visits are no more than one hour (60 minutes), even if held outside. On 7/28/21, at 8:48 a.m. nursing assistant (NA)-G was interviewed. NA-G stated families had to call a special number to schedule visits. […]

• No harm, potential for more than minimal, widespreadF880Jul 29, 2021

  Based on observation, interview, and document review, the facility failed to follow the Centers for Disease Control (CDC) guidelines to prevent and/or minimize the transmission of COVID-19 related to the proper utilization of personal protective equipment (PPE) for 1 of 1 resident (R273) who was reviewed for infection control practices. In addition, the facility failed to ensure proper hand hygiene and glove use was completed during toileting cares for 1 of 2 residents (R39) observed during personal cares. Findings Include: R273's Face Sheet printed dated 7/29/2, indicated R273 was admitted to the facility on [DATE], and placed in quarantine. R273's quarantine period had been identified as ending 7/28/21. […]