Life Care Center of Burlington

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Mar 4, 2021

  The facility reported a census of 51 residents with eight selected for review, including six residents reviewed for quality of care. Based on interview and record review, the facility failed to identify lack of urinary output for Resident (R)1, failed to notify the physician in a timely manner regarding abnormal urine output, failed to collect a urine sample for analysis as ordered by the physician, placing the resident at risk for urosepsis (systemic infection as a result of a serious urinary tract infection), and failed to administer an antibiotic ordered for a urinary tract infection for three days following the order. This deficient practice placed the resident in immediate jeopardy. […]

• Actual harm, isolatedF686Jan 31, 2023

  - The Electronic Medical Record (EMR) documented R53 was admitted to the facility on [DATE] with diagnoses of diabetes mellitus type 2 (when the body cannot respond to the insulin), atrial fibrillation (an irregular, often rapid heart rate that commonly causes poor blood flow), chronic diastolic heart failure (a condition in which the hearts main pumping chamber becomes still and unable to fill properly), and pulmonary hypertension (high blood pressure). R53's Medicare 5 Day Minimum Data Set (MDS), dated [DATE], documented R53 had moderately impaired cognition and required extensive assistance of two staff for bed mobility, transfers, dressing, toileting, and limited assistance of one staff for ambulation. […]

• Actual harm, isolatedF689Jul 13, 2022

  The facility reported a census of 55 residents, which included three residents reviewed for accidents. Based on record review and interview, the facility failed to ensure Resident (R) 2, who staff assessed as a fall risk, remained free from accident hazards when staff failed to properly provide ambulatory assistance during toileting in the resident's room. On 05/21/22, at approximately 01:30 AM, Certified Nurse Aide (CNA) M assisted R2 with toileting needs and helped R2 ambulate, without the use of a gait belt (a device used to help prevent falls), out of the bathroom to go to bed. […]

• No harm, potential for more than minimal, widespreadF801Dec 11, 2024

  The facility had a census of 74 residents. Based on observation, interview, and record review the facility failed to provide the services of a full-time certified dietary manager for 73 residents who resided in the facility and received their meals from the kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 12/09/24 at 08:25 AM, observation in the facility's kitchen revealed staff preparing and serving breakfast. Dietary Staff (DS) BB assisted with serving the meals. On 12/09/24 at 08:30 AM, DS BB verified she was the Dietary Manager and stated she had not completed a state-approved dietary manager certification course or test. Upon request, the facility did not provide a policy regarding the Certified Dietary Manager. […]

• No harm, potential for more than minimal, widespreadF880Dec 11, 2024

  The facility had a census of 74 residents. The sample included 18 residents. Based on observation, record review, and interviews the facility failed to ensure a sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections when staff failed to provide sanitary catheter (a tube inserted into the bladder to drain urine) care and failed to implement Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) for Resident (R)40. The facility failed to implement an adequate water management program to prevent and /or mitigate risks from waterborne pathogens. […]