Kirkwood by the River

In the surveyor’s words

From the most serious findings on record at Kirkwood by the River, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF641May 26, 2022

  Based on interview, record review, and a review of Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User ' s Manual, the facility failed to ensure Resident Identifier (RI) #3's Minimum Quarterly Data Set (MDS), with an Assessment Reference Date (ARD) of 04/07/22 was accurately coded to reflect RI #3's skin conditions. This deficient practice affected RI #3, one of three sampled resident's whose MDS's were reviewed. Findings Include: A review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User ' s Manual, dated October 2019, revealed: .Section M: Skin Conditions Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers/injuries. […]

• No harm, potential for more than minimal, isolatedF880Oct 7, 2021

  Based on observation, interview, and review of the facility's Infection Prevention and Control Program, the facility failed to ensure Employee Identifier (EI) #3, laundry staff, changed gloves and sanitized her hands between residents during delivery of resident clothing, and did not place small baskets on the residents' dressers and return them to the clean laundry cart. This occurred on 10/6/21, one of three days of survey, and was observed while EI #3 was delivering clothing to four resident rooms. Findings Include: The facility's Infection Prevention and Control Program dated 9/12/17 documented . D. Hand Hygiene Protocol: 1. All staff shall wash their hands when coming on duty, between resident contacts, after handling contaminated objects, . J. Linens: 1. […]