Life Care Center of Elyria

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF644Apr 20, 2023

  Based on medical record review and staff interview, the facility failed to coordinate a level II assessment for a resident with a diagnosis of intellectual disabilities as required. This affected one (#316) of two residents reviewed for pre-admission screening and resident review (PASARR) status. The census was 92. Findings include: Review of Resident #316's medical record revealed an admitted [DATE] with diagnoses that included unspecified intellectual disabilities, impulse disorder, major depressive disorder, and anxiety disorder. Review of the PASARR form completed prior to admission revealed the form did not address any of Resident #316's mental illnesses or intellectual disability which would have required a referral for a level II evaluation to the state agency. […]

• No harm, potential for more than minimal, isolatedF646Apr 20, 2023

  Based on interview and record review, the facility failed to timely notify the appropriate state mental health authority when a resident with a level II mental illness had a significant change in condition. This affected one (#51) of four residents reviewed for Preadmission Screening and Resident Review (PASARR). The census was 92. Findings include: Review of Resident #51's medical record revealed an admission to the facility on [DATE] with diagnoses including major depressive disorder, anxiety disorder, impulse disorder, vascular dementia with agitation and mood disturbance, Moyamoya disease, and psychosis. Review of the Medicare Significant Change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #51 had moderate cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF685Apr 20, 2023

  Based on interview and medical record review, the facility failed to ensure residents had ophthalmologist recommendations followed up in a timely manner. This affected one (#54) of two reviewed for ancillary services. The census was 92. Findings include: Review of the medical record for Resident #54 revealed an admitted [DATE] and diagnoses including chronic kidney disease, congestive heart failure, dementia, and polyneuropathy. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #54 had intact cognition and had adequate vision with corrective lenses. Review of progress note dated 01/17/23 revealed Resident #54 had a vision appointment. Review of an eye care provider note dated 01/17/23 revealed Resident #54 complained of blurry vision. […]

• No harm, potential for more than minimal, isolatedF692Apr 20, 2023

  Based on medical record review, staff interview, and review of a facility policy, the facility failed to provide timely nutritional supplements as ordered. This affected one (#305) of two resident reviewed for nutrition. The census was 92. Findings include: Review of the medical record for Resident #305 revealed an admitted [DATE]. Diagnoses included chronic kidney disease, moderate protein calorie malnutrition, psychosis, dementia, depression, bradycardia, anxiety disorder, and hypotension. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #305 was cognitively intact, required supervision for eating, and had an active diagnosis of malnutrition. […]

• No harm, potential for more than minimal, isolatedF699Apr 20, 2023

  Based on record review, resident and staff interview, and policy review the facility failed to ensure residents who were survivors of trauma were assessed and care planned appropriately to address such trauma to maintain the residents highest practical well being. This affected one (#4) of one resident reviewed for trauma informed care. The census was 92. Findings include: Review of Resident #4's medical record revealed and admission dare of 08/06/17 with diagnoses that included multiple sclerosis, bipolar disorder, and posttraumatic stress disorder (PTSD). […]