Life Care Center of Boise

In the surveyor’s words

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

• Actual harm, isolatedF600Dec 3, 2021

  Based on policy review, record review, Incidents and Accidents (I&A) report review, and staff interview, it was determined the facility failed to ensure residents were free from abuse by other residents. This was true for 4 of 8 residents (#25, #30, #47 and #158) reviewed for abuse. This failure resulted in harm to Resident #47 when staff failed to supervise Resident #2 and he touched her breasts with his hands. Deficient practice also placed Residents #25, #30, #47 and #158, and all other residents in the facility at risk of psychosocial harm and/or physical harm. Findings include: The facility's policy and procedure, Protection of Residents: Reducing the Threat of Abuse and Neglect, revised 8/10/21, stated the facility practiced a hardline, zero-zero tolerance approach to resident abuse. […]

• Actual harm, isolatedF689Dec 3, 2021

  Based on policy review, record review, I&A report review, and staff interview, it was determined the facility failed to ensure adequate supervision of residents to prevent falls. This was true for 1 of 3 residents (Resident #23) reviewed for falls. This resulted in harm to Resident #23 when she had multiple falls and fractured her wrist and shoulder. Findings include: The facility's Fall Management policy, dated 6/4/20, documented the facility ensured the residents' environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistive devices to prevent accidents. Adequate supervision was defined as an intervention and means of mitigating the risk of accident. […]

• Actual harm, isolatedF684Apr 27, 2021

  Based on record review and policy review, it was determined the facility failed to ensure staff recognized and acted on signs and symptoms of a persistent [CONDITION(S)]. This was true for 1 of 2 residents (Resident #1) reviewed for urinary catheter care. Resident #1 was harmed when she required hospitalization for [CONDITION(S)] due to a [CONDITION(S)]. Findings include: Resident #1 was admitted to the facility on [DATE], with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #1's record documented she had an indwelling urinary catheter (a hollow partially flexible tube that collects urine from the bladder and leads to a drainage bag). […]

• No harm, potential for more than minimal, patternF578Dec 3, 2021

  Based on policy review, record review, and staff interview, it was determined the facility failed to ensure residents' advance directive information was periodically reviewed with the residents and/or their representatives and was accurate. This was true for 5 of 14 residents (#2, #10, #12, #20 and #27) whose records were reviewed for advanced directives. This failed practice created the potential for harm if the residents' documented wishes were not accurate and up-to-date regarding their advance care planning. […]

• No harm, potential for more than minimal, patternF880Apr 27, 2021

  Based on observation, policy review, and staff interview, it was determined the facility failed to ensure infection control prevention practices were consistently implemented to provide a safe and sanitary environment. This was true for 3 out of 3 residents (#5, #6, and #7) reviewed for transmission precautions, and 1 of 3 residents (Resident #8) observed for a blood glucose check. This failure created the potential for negative outcomes by exposing other residents and staff in the facility to the risk of infection and cross-contamination. Findings include: 1. The facility's Coronavirus (COVID-19) policy under the section titled Bed Management Strategies and Cohorting plan, revised 4/4/21, documented the Yellow Zone housed residents whose COVID-19 status was unknown. […]