Ivy Hall Nursing Home

In the surveyor’s words

From the most serious findings on record at Ivy Hall Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jan 5, 2021

  Based on review of Centers For Disease Control (CDC) guidelines, review of BINAX COVID-19 AG card (rapid [MEDICATION NAME] test for detecting active infections of COVID-19/coronavirus [MEDICAL CONDITION] that causes a respiratory illness) guidelines, review of N95 Particulate Respirator (face mask that filters at least 95% of airborne particles) manufacturer's instructions, facility policy review, review of the facility's testing documentation, review of the facility's Nursing Staff Tracking sheets, review of facility's employee screening sheets, review of the facility's census, observation, and interview, the facility failed to ensure staff adhered to proper infection control practices to prevent the spread of COVID-19, potentially affecting all 68 residents in the facility. […]

• No harm, potential for more than minimal, isolatedF688Feb 16, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure a splint was in place to prevent worsening of contractures for 1 resident (Resident #42) of 4 residents reviewed for splints. The findings include: Review of the facility policy titled, .Brace/Immobilizers/Splints .date revised 2/1/2022 revealed .Apply brace/immobilizer/splint to appropriate extremity per MD [medical doctor] order/Therapist instructions . Resident #42 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Medical record review of the Active Orders Report revealed an order dated 8/10/2021, for OT (occupational therapist) splint order resident to wear LT (left) resting hand splint day time hours on day shift. […]

• No harm, potential for more than minimal, isolatedF689Feb 16, 2022

  Based on facility policy review, medical record review, and interview the facility failed to prevent a fall for 1 resident (Resident #20) of 3 residents reviewed for falls. The findings include: Review of the facility policy titled, .Fall Prevention Program . dated 10/1/2021, revealed .The Fall Prevention Program is designed to ensure a safe environment for all Residents. Each Resident is evaluated by an RN [Registered Nurse]/ LPN [Licensed Practical Nurse] to assess his/her individual level of risk . Resident #20 was admitted to the facility on [DATE] with diagnoses including Chronic [CONDITION(S)], Heart Failure, and History of Falling. […]