Liberty Community Living CTR

In the surveyor’s words

From the most serious findings on record at Liberty Community Living CTR, in the surveyor’s own words.

• Immediate jeopardy, widespreadF725May 26, 2021

  Based on observations, resident interviews, staff interviews, and record review, the facility failed to have sufficient nursing staff to meet the needs of the facility residents as evidenced by failure to protect residents from abuse (Residents #1, #6, #9), worsening pressure ulcers (Residents #3, #5, #12, #17), failure to administer medications timely (Residents #1, #5, #8, #10, #11, #12,#15 and #17), delay in incontinent care (Resident #8), failure to use lift for transfer Residents #2, #14), for 13 of 24 sampled residents out of a total of 65 residents in the building. […]

• Immediate jeopardy, widespreadF835May 26, 2021

  MS CI # , # , # , # Based on interviews, record review, job description review, and plan of correction review from 12/04/20, the facility's Administration failed to (1) ensure the facility used its resources effectively, to sustain compliance for staffing to ensure adequate care of residents' needs; (2) implement abuse policies and procedures by recognizing escalating behaviors for prevention of resident to resident abuse and protection of residents; (3) report potential and actual abuse to State Survey Agency and local authorities; (4) ensure care of resident needs to prevent development and worsening of pressure ulcers; (5) ensure medications were available and administered to residents routinely and timely for 24 of 24 residents out of a total of 65 residents. […]

• Immediate jeopardy, widespreadF837May 26, 2021

  CI , CI , CI , CI Based on an interview the governing body failed to act on information reported by the facility's management regarding operation of the facility. The governing body failed to provide oversight for the facility's Quality Assurance Performance Improvement (QAPI) program and related facility concerns. The governing body failed to hold the Administrator accountable for the safe daily operations of the facility. This had the potential to affect 65 of 65 residents in the facility. […]

• Immediate jeopardy, widespreadF838May 26, 2021

  CI , CI , CI , CI Based on staff interview and record review the facility failed to develop a facility assessment to determine resources needed to competently care for the residents who resided in the facility. This failure resulted in non-compliance related to wounds not being assessed, medications not available for administration, not providing behavioral health services, failure to protect residents from abuse and neglect, and sufficient staff not available to care for residents. This had the potential to affect 65 of 65 residents in the facility. The facility failed to provide a policy or procedure on the development and implementation and utilization of the facility assessment. […]

• Immediate jeopardy, widespreadF841May 26, 2021

  CI , CI , CI , CI Based on interview, record review, and facility policy review, the facility failed to have an effective Medical Director to act on reported deficient practices for resident care policies, for current professional standards of practice related to abuse/neglect, remain free from avoidable accidents, wound care, behavioral health care, missed significant medications, competent and sufficient staffing, complete and accurate documentation of the medical records and following and revising resident care plans and to oversee the facility's policies and Quality Assurance Performance Improvement (QAPI) program prior to the State Agency (SA) entering the facility on 5/4/21, for the Complaint Investigation survey. […]