Karlstad Healthcare Center Inc

In the surveyor’s words

From the most serious findings on record at Karlstad Healthcare Center Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 30, 2023

  Based on observation, interview and document review, the facility failed to test and implement transmission based precautions (TBP) for residents symptomatic for COVID-19 according to Centers for Disease Control and Prevention (CDC) for 3 of 3 residents reviewed for infections; failed to ensure hand hygiene was completed for 1 of 3 residents (R10) observed during personal cares. This had the potential to affect all residents currently residing in the facility. Findings include: COVID-19 Testing and TBP R10's annual Minimum Data Set (MDS) dated [DATE], identified R10 had moderate cognitive impairment and diagnoses of atrial fibrillation, coronary artery disease and hypertension. […]

• No harm, potential for more than minimal, patternF883Aug 30, 2023

  Based on interview and document review, the facility failed to provide the most recent Centers for Disease Control (CDC) education regarding the potential risks and benefits of the pneumococcal vaccine for 4 of 5 residents (R5, R10, R22, R26) reviewed for immunizations. Findings include: R5's quarterly Minimum Data Set (MDS) dated [DATE], identfied R5 was [AGE] years old and included diagnoses of diabetes and hypertension. R5's Immunization Report dated 8/30/23, identified R5 received pneumovax (type unknown) on 4/28/14, and a pneumococcal conjugate vaccine (Prevnar 13) on 9/8/16. […]

• No harm, potential for more than minimal, isolatedF677May 19, 2026

  Based on interview and document review, the facility failed to provide restorative ambulation services and respond to a decline in ambulation status for 1 of 3 residents (R26) reviewed for ADLs. Findings include:R26's quarterly Minimum Data Set (MDS) dated [DATE], identified R26 had mild cognitive impairment and required set up/clean up assistance for eating, substantial/maximal assistance for bathing and upper body dressing and was dependent on staff for all other care areas. Diagnoses included dementia, hypertension, diabetes, weakness, and chronic pain. R26's care plan revised [DATE], identified R26 had an ADL Self Care Performance Deficit related to weakness and malaise (a general feeling of discomfort, illness, or uneasiness whose exact cause is difficult to identify). […]

• No harm, potential for more than minimal, isolatedF688May 19, 2026

  Based on interview and document review, the facility failed to ensure range of motion (ROM) was completed in accordance with therapy recommendations to prevent the loss of mobility for 1 of 3 residents (R3) reviewed for restorative nursing services. Findings include:R3's quarterly Minimum Data Set (MDS) dated [DATE], identified R3 had mild cognitive impairment and was dependent on staff for all care areas. Diagnoses included diabetes, hemiplegia (paralysis affecting one side of the body) and hemiparesis (partial weakness affecting one side of the body). R3's Functional Abilities Care Area Assessment (CAA) dated 10/9/25, identified staff assisted R3 every 2-3 hours with toileting and repositioning. […]

• No harm, potential for more than minimal, isolatedF641Apr 17, 2025

  Based on interview and document review, the facility failed to accurately code the Minimum Data Set (MDS) for 1 of 2 residents (R8) reviewed for weight loss and 1 of 1 resident (R18) reviewed for falls. Findings include: R8: R8's significant change MDS dated [DATE], identified R8 had diagnoses of malnutrition and cancer. The MDS did not identify if there was a significant weight loss or gain. R8's recorded weights identified on 3/7/25, the resident weighed 132 lbs. On 3/28/25, the resident weighed 124 pounds which was a -6.06 % loss of weight. The MDS Resident Assessment Instrument (RAI) Manual dated 4/1/25 identified a loss of weight of 5% or more in the last month was a significant weight loss. […]