Julian J Levitt Family Nursing Home

In the surveyor’s words

From the most serious findings on record at Julian J Levitt Family Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF656May 21, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who's comprehensive care plan indicated he/she required assistance of two staff members for bed mobility, the Facility failed to ensure staff implemented and followed interventions in his/her care plan, when on 04/28/24 Certified Nurse Aide (CNA) #1 provided care to Resident #1, who was in bed, without another staff member present to assist her. CNA #1 rolled Resident #1 on his/her side, away from her, Resident #1 rolled off the bed, fell on to the floor, landing on his/her right side and immediately complained of pain. […]

• Actual harm, isolatedF689May 21, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required assistance of two staff members for bed mobility, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and required assistive device (bilateral side rails) to maintain his/her safety and prevent an incident/accident resulting in an injury, when on 04/28/24 during the provision of care, Certified Nurse Aide (CNA) #1, who had not gotten another staff member to assist her, put the side rails down, rolled Resident #1 on to his/her side in bed, Resident #1 rolled off the bed onto the floor, landing on his/her right side and immediately complained of pain. […]

• Actual harm, isolatedF656Feb 23, 2023

  Based on records reviewed and interviews for one of three sampled residents (Resident #2), who was assessed to by nursing to be at an increased risk for falls and required extensive assistance from two staff members for safe transfers, the Facility failed to ensure they developed individualized plans of care that were consistent with his/her assessments, that care plan interventions were specific to his/her identified care needs related to level of staff assistance required during transfers to maintain his/her safety, and that interventions in place on his/her resident care card were consistently implemented by staff On 02/05/23, although Resident #2's Care Card (utilized by Certified Nurse Aides to determine level of assistance required by each resident) indicated he/she required… […]

• Actual harm, isolatedF689Feb 23, 2023

  Based on records reviewed and interviews for one of three sampled residents (Resident #2), who was assessed by nursing as being at an increased risk for falls, and who required extensive assistance from two staff members during transfers, the Facility failed to ensure he/she was provided with the necessary level of staff assistance during a transfer to maintain his/her safety in an effort to prevent an incident and/or accident resulting in an injury. On 02/05/23, during the day shift, Certified Nurse Aide (CNA) #2 transferred Resident #2 without a second staff member to assist her, Resident #2 lost his/her balance, fell , as was later transferred to the Hospital Emergency Department where he/she was diagnosed with a right distal femur (thigh bone) fracture, he/she was admitted and required… […]

• No harm, potential for more than minimal, patternF880May 7, 2025

  Based on interviews, and record reviews, the facility failed to implement a system of surveillance for infection tracking, placing residents at risk for inadequate infection monitoring and spread of infections. Specifically, the facility failed to: -Maintain an up-to-date infection line listing for tracking incidents of infection in the facility when the facility's Infection Prevention and Control Plan indicated an up-to-date infection line listing would be maintained. -Include required information on the infection line listing for infection monitoring and tracking. […]