Lgar Health And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Lgar Health And Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF689Aug 15, 2023

  Based on review of clinical records and facility investigation reports and staff interviews, it was determined that the facility failed to provide an environment that was free of accident hazards for residents who were at risk for falls two of four residents (Residents R3 and R4) when they were transferred with assistance of one staff not two as required and sustained a fall with no injuries. Findings include: During an interview on 8/15/23, at 8:35 a.m., with Nurse Aide (NA) Employee E1 and E2 indicated that transfer status of all residents is discussed with staff between shifts with report , it is on the kardex at the nurses station and updated as needed and also there are colored blocks of paper above each residents closet indicating transfer status, fluid consistency, and meal… […]

• No harm, potential for more than minimal, patternF585Nov 4, 2021

  Based on review of facility policy and facility documents, observations and resident and staff interviews, it was determined that the facility failed to provide a grievance box and concern forms on one of two nursing units (South) and failed to provide residents with the grievance official contact information (name, business address, email address, and business telephone number) on two of two nursing units (North and South unit). Findings include: A review of the facility policy Concerns or Grievances last reviewed 10/1/21, indicated the facility will have grievance boxes accessible to residents for anonymous concerns and post in prominent locations throughout the facility the contact information for the grievance official. During an observation on 11/4/21, at 11:30 a.m. […]

• No harm, potential for more than minimal, isolatedF610Oct 18, 2024

  Based on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to identify and investigate an incident of possible abuse and/or neglect for three of five incidents reviewed (Resident R6, R25, and R49). Findings include: A review of the facility policy Abuse, Neglect, Exploitation, Misappropriation or Resident Property and Prohibition Prevention reviewed 7/29/24, indicated the facility will do everything within its control to prevent and prohibit resident abuse, neglect, exploitation, or misappropriation of resident property. Staff will identify and observed or suspected occurrence, pattern, or here say, and report it to a supervisor for prompt investigation. […]

• No harm, potential for more than minimal, isolatedF689Oct 18, 2024

  Based on review of facility policy, clinical records and staff interview, it was determined that the facility failed to provide adequate supervision to prevent falls for one of five residents (Resident R16). Findings include: A review of the clinical record indicated Resident R16 was admitted to the facility on [DATE], with diagnoses that included Alzheimer's disease with late onset (a progressive disease that destroys memory and other important mental functions), hyperlipidemia, abnormal posture, muscle weakness, and difficulty walking. […]

• No harm, potential for more than minimal, isolatedF580Oct 26, 2023

  Based on review of facility policy, clinical records and staff interview, it was determined that the facility failed to make certain that residents were provided appropriate treatment and care to possibly prevent hospitalization for one of five residents (Resident R18). Findings include: Review of the facility policy, Change in Status/Resident Condition dated 7/17/23, indicated the facility will notify the physician and representative of changes in the resident ' s condition. Review of the Resident Assessment Instrument 3.0 User's Manual effective October 2019, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment. […]