Liberty Nursing Center of Colerain Inc

In the surveyor’s words

From the most serious findings on record at Liberty Nursing Center of Colerain Inc, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 5, 2023

  Based on observation, medical record review, review of facility policy, review of hospital records, review of facility investigation, review of employee personnel files and staff and resident interview, the facility failed to ensure Resident #29 was provided adequate assistance and the use of required footrests during transport to prevent an avoidable injury. This resulted in Actual harm on 06/27/23 when Occupational Therapist (OT) #700 was transporting the resident in a wheelchair without proper footrests being in place. During the transport, the resident's right leg fell to the ground and went under the wheelchair. The resident complained of pain and was noted to have swelling to the area. […]

• Actual harm, isolatedF686Dec 6, 2022

  Based on record review, observation, staff interviews, review of facility policy, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to ensure physician-ordered and/or care planned interventions were implemented for the treatment of pressure ulcers, failed to thoroughly assess a resident's skin and failed to identify a resident's pressure ulcers until they had already reached an advanced stage. This resulted in Actual Harm to Resident #34 who was admitted to the facility without pressure ulcers and developed two avoidable unstageable pressure ulcers to the left foot. This affected one (#34) of three residents reviewed for pressure ulcers. The facility census was 68. […]

• Actual harm, isolatedF697Dec 6, 2022

  Based on record review, observations, staff interview, review of facility policy, review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), and review of an online resources regarding pain in dementia residents, the facility failed to provide pain management interventions in accordance with the resident's care plan. This resulted in Actual Harm to Resident #34 who had acute fractures to her right distal tibia/fibula and two unstageable pressure ulcers to her left foot and the resident was not medicated for pain prior to wound care which resulted in the resident exhibiting signs of severe pain. This affected one (#34) of one residents reviewed for pain management. The facility census was 68. […]

• Actual harm, isolatedF689Jul 28, 2022

  Based on medical record review, review of the hospital record, staff interview, review of the education, and review of the fall investigation, the facility failed to provide safe bed mobility during incontinence care. This resulted in Actual Harm when Resident #79 sustained a subdural hematoma requiring an emergency room visit, when State tested Nursing Assistant (STNA) #122 rolled Resident #79 away from her and the resident fell out of the raised bed onto the floor. This affected one resident (#79) of three residents reviewed for falls. The facility census was 80. Findings include: Review of the medical record revealed Resident #79 was admitted to the facility on [DATE]. Diagnoses included hypertension, depression, dementia, and anxiety. […]

• Actual harm, isolatedF689Mar 8, 2022

  Based on medical record review, staff and physician interviews, review of facility policies, review of facility investigation, and review of the hospital records, the facility failed to provide Resident #100 with necessary and appropriate assistance with bed mobility during incontinence care resulting in the resident falling out of bed. This resulted in Actual Harm when Nurse Aide (NA) #45 was providing incontinence care to Resident #100 without the appropriate level of assistance, the resident rolled out of the bed, was sent to the hospital, and subsequently sustained a fracture to right tibia and fibula which required surgical interventions. This affected one (#100) of the three residents reviewed falls. […]