Labelle Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Labelle Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF677May 23, 2024

  Based on observation, review of facility policy and procedure, clinical record review, resident and staff interview, the facility failed to provide the necessary care and services to maintain personal hygiene for 3 (Residents #45, #57 and #63) of 4 residents reviewed for activities of daily living. The findings included: The facility policy Activities of Daily Living (ADL) implemented 11/2020 (revised 11/22/21) documented, The facility will, based on the residents comprehensive assessment and consistent with the resident's needs and choices, ensure a resident's abilities in ADL's do not deteriorate unless deterioration is unavoidable . Care and services will be provided for the following activities of daily living : bathing, dressing, grooming and oral care. […]

• No harm, potential for more than minimal, isolatedF578Feb 2, 2023

  Based on record review, staff interview and family interview, the facility failed to ensure advanced directives were accurately documented in the clinical record for 1 (Resident #29) of 3 residents reviewed for Advanced Directives from a total sample of 29 residents reviewed. This failure could impact quality of care at the end of life for the residents. The findings included: Review of Resident #29's Order Summary Report as of [DATE] revealed a Full Code order on [DATE], indicating the facility would initiate cardiopulmonary resuscitation (CPR) if Resident #29's heart stopped or if the resident stopped breathing. Review of Resident #29's Care Plan initiated on [DATE] revealed the Care Plan matched the Order Summary noting Resident #29 was a Full Code. […]

• No harm, potential for more than minimal, isolatedF677Feb 2, 2023

  Based on observations, record review, review of policies and procedures, resident and staff interviews, the facility failed to ensure 1 (Resident #39) of 3 residents reviewed for continuous activities of daily living (ADLs) received completed care on a routine basis. The findings included: On 1/30/23 at 2:15 p.m., Resident #39 was observed in his bed wearing a hospital gown. Via observation Resident #39's hair appeared uncombed, and his fingernails were long, extending approximately one quarter of an inch from the base, uneven, and had dark matter underneath each nail. On 1/30/23 at 2:15 p.m., Resident #39 said he doesn't remember the last time staff washed and comb his hair and doesn't remember the last time staff trimmed and cleaned under his fingernails. […]

• No harm, potential for more than minimal, isolatedF684Feb 2, 2023

  Based on observation, record review and staff interview, the facility failed to coordinate care and ensure 1 (Resident #33) of 1 sampled resident receiving intravenous antibiotics received care and services in accordance with professional standards of care and the physician's orders. The findings included: Resident #33 was admitted to the facility on [DATE] with diagnoses including a right sided mastectomy (surgical removal of the breast). The physician's orders with an effective date of 11/25/22 specified, No Blood Pressures or Blood Draw to right arm. Review of the progress notes revealed documentation Resident #33's blood pressure was taken on the right arm on 12/8/22, 12/9/22, 12/10/22, 12/11/22, 12/14/22, 12/16/22 and 12/17/22. […]

• No harm, potential for more than minimal, isolatedF688Feb 2, 2023

  Based on observation, interview, and record review, the facility failed to implement care and services to prevent a decline in range of motion for 1 (Resident #6) of 1 resident reviewed for the application of a splinting device. The findings included: Review of Resident #6's quarterly Minimum Data Set (MDS) dated [DATE] revealed resident #6 had paralysis on the left side of his body, required extensive assistance with dressing, and was cognitively intact with a Brief Interview for Mental Status (BIMS) of 15. Review of Resident #6's Order Summary Report as of 2/2/2023 revealed an active physician's order, As of 8/9/22, elbow splint to be worn 2 hours daily on the left elbow every day shift. […]