Life Care Center of Aurora

In the surveyor’s words

From the most serious findings on record at Life Care Center of Aurora, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 27, 2024

  Based on record review and interviews, the facility failed to ensure the residents' environment remained as free from accident hazards as possible and prevent falls with major injury for two (#46 and #76) of four residents reviewed for falls out of 53 sample residents. Resident #46, who had a known history of falls, had a diagnosis of obesity which required the use of a bariatric (to support substantial weight) bed with extensions to enable the bed frame to be made larger. On 1/29/24, the resident sustained a witnessed fall from her bed when she was being rolled on her side with the assistance of staff during a bed bath. […]

• Actual harm, isolatedF689Dec 1, 2022

  Based on interviews, record review, document review, and facility policy review, the facility failed to ensure a resident was provided with an environment that was free of accident hazards and adequate supervision/assistance to prevent an accident for 1 (Resident #56) of 3 sampled residents reviewed for accidents. Specifically, Certified Nursing Assistant (CNA) #4 transferred Resident #56 on 12/09/2021 using a sit-to-stand lift (a mechanical device utilized to assist a person from a sitting to a standing position) when Resident #56 had not been assessed for the use of the lift. Additionally, CNA #4 performed the transfer without the assistance of a second staff member, when two staff were required for the transfer. […]

• Actual harm, isolatedF684Sep 21, 2022

  Based on record review and interviews, the facility failed to ensure residents received treatment and care which met professional standards of practice, was consistent with comprehensive assessments, and comprehensive care plans for one (#1) residents out of three sample residents. Specifically, the facility failed to prevent a fall out of the wheelchair for Resident #1 on 7/4/22. The resident was assessed by staff and noted to have suffered a skin tear to her left elbow and decreased range of motion and hand grasp strength to her left upper extremity. The staff informed the resident's physician and family of the fall and the skin tear. The resident experienced increased pain in her left wrist and elbow and x-rays were ordered on 7/5/22. […]

• Actual harm, isolatedF689Sep 21, 2022

  Based on record review and interviews, the facility failed to ensure that each resident received adequate supervision and assistance to prevent accidents for one (#1) out of three sample residents. Resident #1 admitted to the facility on [DATE] and was at risk for falls due to weakness and impaired balance. The facility failed to implement effective interventions due to the resident's fall risk and after she had a fall on 6/10/22 when she fell out of her wheelchair. The facility implemented a big disc call light due to her poor vision and she was reminded to use the call light. Resident #1 had a fall out of her wheelchair on 7/4/22 in a similar manner, when she fell out of her wheelchair trying to pick something up off the floor. […]

• No harm, potential for more than minimal, widespreadF880Dec 1, 2022

  Based on observations, interviews, and facility document review, the facility failed to ensure laundry staff wore the necessary personal protective equipment (PPE), including a gown, during, handling/sorting of soiled linens and avoided shaking/agitating soiled linens to the extent possible to prevent potential cross-contamination and spread of infection. The failed practices had the potential to affect all residents who resided in the facility. Findings included: Review of a facility document titled, Laundry Services Introduction, revised 06/04/2021, revealed that laundry service expectations included, Infection Control Knowledge of how to prevent and control spread of infections through linens and clothing. […]