Katahdin Health Care LLC

In the surveyor’s words

From the most serious findings on record at Katahdin Health Care LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF655Feb 12, 2025

  Based on record reviews and interviews, the facility failed to ensure that baseline care plans were completely developed and implemented within 48 hours that included health care instructions needed to provide minimum healthcare for 4 of 4 residents reviewed that were admitted in the last 30 days (Resident #16 [R16], [R25], [R31], R37]). Findings: 1. On 2/10/25, R16's clinical record was reviewed which indicated that R16 was admitted to the facility on [DATE]. R16 was admitted with the diagnosis of diabetes mellitus receiving oral medication, heart failure and receiving a diuretic medication and blood thinner, oxygen dependent, limited physical mobility requiring activities of daily living assistant and was to receive therapy, and received a psychotropic medication for depression. […]

• No harm, potential for more than minimal, patternF684Feb 12, 2025

  Based on record reviews and interviews the facility failed to verify/clarify admission orders when residents returned from an Acute Care Hospital stay, the facility failed to get an order for the use of a Foley catheter and failed to follow a Physicians order for 3 of 4 Residents who returned from the hospital (Resident #3, [R3, R17 and R16]). Findings: 1. On 2/11/25, R3's clinical record was reviewed, documentation showed that R3 was sent to the hospital on 2/4/25 and returned to the facility on [DATE]. The discharge orders from the hospital were not clarified with a Provider and did not match the current medications R3 was currently receiving. […]

• No harm, potential for more than minimal, patternF812Feb 12, 2025

  Based on observations and interviews, the facility failed to label supplements with a thaw date that were located in the walk-in refrigerator and reach in refrigerator which were located in the kitchen, failed to label and date bags of cereal in the dry food storage area and failed to ensure kitchen staff properly wore hairnets by leaving hair uncovered and unrestrained for 2 of 3 days of survey (2/10/25, 2/11/25). Findings: On 2/10/25 at 10:30 a.m., during the initial kitchen tour, a surveyor observed in the walk-in refrigerator, on a shelf was a carton of 30 Vital Cuisine nutritional juice drinks that were thawed that were not labeled with a thaw date. Storage and handling instructions on the carton after thawing keep refrigerated, use within 14 days. […]

• No harm, potential for more than minimal, patternF842Feb 12, 2025

  Based on record reviews and interviews, the facility failed to ensure that clinical records were complete and contained accurate information for 4 of 12 sampled residents reviewed for code status or advanced directive for 4 of 12 sampled residents (Resident #6 [R6]), R23, R15, R25) and 1 of 3 reviewed for hospitalization (R16). Findings: 1. On 2/12/25, a reviewed of R6's electronic clinical record was completed. There was no evidence in the electronic record for information regarding R6's code status. A review of R6's current paper chart was completed and there was no evidence of a completed Physician Orders for Life-Sustaining Treatment (POLST) and did not have an Advanced Directive. […]

• No harm, potential for more than minimal, patternF883Feb 12, 2025

  Based on record reviews, facility policy review, and interviews, the facility failed to ensure residents were offered Pneumococcal vaccinations in accordance with the Centers for Disease and Prevention Control (CDC) recommendations for 2 of 5 residents reviewed for immunizations (Resident #20 ([R20] and R12). Findings: The facility's policy, Pneumococcal Vaccine, last revised 10/2023, indicated that administration of the pneumococcal vaccines or revaccinations will be made in accordance with current Centers for Disease Control and Prevention (CDC) recommendations. 1. On 2/11/25, R20's clinical record was reviewed. The surveyor could not find evidence that R20 was offered or had received the PCV20 vaccine, a type of pneumococcal vaccine. […]