Langley Post Acute

In the surveyor’s words

From the most serious findings on record at Langley Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Oct 3, 2024

  Based on observation and staff interview, the facility staff failed to prepare, distribute, and serve food in a manner that would prevent foodborne illnesses. The wash cycle of the dish machine was not working properly. The findings include: The facility staff failed to ensure the dish machine was in working order. The wash cycle failed to reach a temperature of 120 degrees. On 10/01/24 at approximately 9:50 a.m., the surveyor observed two dietary staff (dietary employee #1 and #2) running the dish machine in the facility kitchen. The surveyor approached the staff and observed these staff to run the dish machine three additional times. During these observations the wash cycle never went over 112 degrees. The directions on the dish machine read minimum wash cycle 120 degrees. […]

• No harm, potential for more than minimal, patternF657Apr 29, 2021

  Based on observation, staff interview, clinical record review and facility document review, it was determined that facility staff failed to revise the care plan for 3 of 28 residents in the survey sample to reflect that Resident #26 was receiving hospice services; Resident #12's Foley catheter had been discontinued; and Resident #4, acquired left heel pressure ulcer The findings included: 1. The facility staff failed to revise the comprehensive care plan for to reflect hospice services for Resident #26. Resident #26 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #26's most recent MDS (minimum data set) assessment was a significant change assessment with an ARD (assessment reference date) of 3/5/21. […]

• No harm, potential for more than minimal, patternF689Apr 29, 2021

  Based on observations, clinical record review, staff and resident interviews, the facility staff failed to ensure interventions were in place and operational for 3 out of 28 residents (Resident #41, #355 and #24) to prevent falls. The facility staff failed to ensure Resident #41's and #355's bed/chair alarms were properly positioned and functional. The facility staff failed to ensure Resident #24's call light was within reach and functional; and that her bed was in the lowest position per fall plan of care. The findings included: 1. The facility staff failed to ensure Resident #41's chair alarm was properly positioned and functional to alert staff that the resident has changed position, increasing the risk for falling. […]

• No harm, potential for more than minimal, patternF758Apr 29, 2021

  Based on clinical record reviews, staff interviews and facility documentation, the facility staff failed to do a Gradual Dose Reduction (GDR) for 1 of 28 residents (Resident #35) in the survey sample who were receiving a PRN (as needed) [CONDITION(S)] medication. The findings included: 1. The facility staff failed to ensure a PRN (as needed) [CONDITION(S)] medication ([MEDICATION(S)]) was limited to 14 days for Resident #35. The physician did not do an evaluation of Resident #35 to extend the [CONDITION(S)] medication pass 14 days without documenting the rational and duration in the resident's medical record. Resident #35 was originally admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF578Oct 3, 2024

  Based on staff interview, clinical record review, and facility document review the facility staff failed to ensure that a resident and/or the resident representative had the opportunity to develop an Advanced Directive for 1 of 18 current residents, Resident #16. The findings include: The facility staff failed to provide evidence that they had offered Resident #16 and/or the resident representative the opportunity to develop an Advance Directive. Resident #16's diagnoses included chronic respiratory failure and adult failure to thrive. Section C (cognitive patterns) of Resident #16's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 07/09/24 included a brief interview for mental status (BIMS) score of 10 out of a possible 15 points. […]