Life Care Center of Cape Girardeau

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jun 27, 2025

  Based on interview and record review, the facility failed to ensure an accurate and consistent system was in place to direct staff when to initiate basic life support for one resident (Resident #1), when on [DATE] at around 10:25 P.M., staff entered the resident's room and found the resident unresponsive with no respirations. Cardiopulmonary resuscitation (CPR - a procedure performed usually involving chest compressions and assisted breathing to revive a person's life) was initiated by facility staff with notification to emergency medical services (EMS) and hospice services. The resident's facility medical record showed a full code status order was entered on [DATE], without any documentation of the resident's wishes or consent for a full code status. […]

• Immediate jeopardy, isolatedF678Mar 18, 2025

  Based on record review and interview the facility failed to ensure an accurate and consistent system was in place to direct staff when to initiate basic life support for one resident (Resident #1) when on [DATE] the Phlebotomist came in around 5:00 A.M. and came to nurse's station and said the resident would not wake up. Licensed Practical Nurse (LPN) E went to the room and the resident did not have a pulse. LPN E and Certified Nurse Aid (CNA) C went to the nurse's station to check the report sheet for code status. The resident was a full code. LPN E returned to the room to begin Cardiopulmonary Resuscitation (CPR) while CNA C checked the electronic medical record for code status and called the code overhead. […]

• Actual harm, isolatedF697Dec 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure two residents (Residents #1 and #2) out of five sampled residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices related to pain management. The facility's census was 94. Review of the facility policy titled, Pain Assessment and Management, last revised 09/12/23, showed: - Facility must ensure that pain management is provided to residents who require such services consistent with professional standards of practice, the comprehensive-centered care plan, and the residents' goals and preferences; - Based on assessment, the facility in collaboration with the attending physician/prescriber, other health care professionals,… […]

• Actual harm, isolatedF689Nov 26, 2024

  Based on interview and record review, the facility failed to ensure the environment remained free of accident hazards by not ensuring staff utilized a hoyer lift and an appropriate vehicle to accommodate a wheelchair for one resident (Resident #1) resulting in increased pain and anxiety out of three sampled residents. The facility census was 99. The facility did not provide a policy for transfers. 1. Review of Resident #1's medical record showed: - An admitted [DATE]; - Diagnoses of muscle weakness, reduced mobility, history of falling, and chronic kidney disease (long standing disease of the kidneys); - No documentation of a lift assessment. […]

• Actual harm, isolatedF686Aug 22, 2024

  jw KW Based on observation, interview, and record review, the facility failed to identify and treat a facility acquired pressure ulcer (injury to the skin and underlying tissue from prolonged contact with pressure) for one resident (Resident #2) out of five sampled residents. The facility's census was 105. Review of the facility's policy titled, Skin Wound, dated 08/25/21, showed: - Based on comprehensive assessment of a resident, the facility must ensure that a resident receives care consistent with professional standards of practice to prevent pressure ulcers and does not develop pressure ulcers unless the individuals clinical condition demonstrates that they were unavoidable; - A resident with pressure ulcers receives necessary treatment and services consistent with professional… […]