Life Care Center of Plainwell

In the surveyor’s words

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

• Immediate jeopardy, isolatedF610Sep 19, 2023

  This citation has two deficiency practice statements, A & B. Deficiency Practice Statement A This citation pertains to Intake # MI00139066. Based on interview, and record review, the facility failed to provide protection for a resident after an incident of staff to resident abuse in 1 of 1 resident (Resident #114) reviewed for abuse, resulting in an Immediate Jeopardy when on 7/18/23, Certified Nurse Aide (CNA) C restrained Resident #114 to his wheelchair for several hours and other staff and management were aware of the incident, but allowed CNA C continued access to Resident #114 and 57 additional vulnerable residents without any education for the staff or protection for the residents. […]

• Immediate jeopardy, isolatedF760Sep 19, 2023

  This citation pertains to Intake # MI00139098. Based on interview, and record review, the facility failed to ensure residents are free from significant medication errors in 1 of 6 residents (Resident #116) reviewed for medication administration resulting in an Immediate Jeopardy when, beginning on 8/15/23 at approximately 8:00 AM, Resident #116 was identified to have a decreased level of consciousness and was sent to the hospital. Resident #116 was found to have Methadone (an opioid) in her system, due to receiving another resident's 30 mg dose of Methadone, resulting in hospitalization in the ICU (Intensive Care Unit - provides care and life support for acutely ill/injured patients) on BiPAP (Bilevel Positive Airway Pressure - a device that helps with breathing) with a Narcan drip (a… […]

• Actual harm, isolatedF686Dec 11, 2023

  Based on observation, interview and record review, the facility failed to prevent the further development of pressure ulcers for 1 (Resident 78) of 3 residents reviewed for pressure ulcers, resulting in the development of 7 facility acquired pressure ulcers and worsening of existing pressure ulcers resulting in surgical intervention. Findings include: Review of an Admission Record revealed Resident #78 was a female with pertinent diagnoses which included pressure ulcer of sacral region, stage 4, pressure ulcer of right ankle, stage 3, pressure ulcer of left heal, unstageable, stiffness of right hand, contracture right foot, contracture left foot, multiple sclerosis, urosepsis, gangrene, chronic pain, and cognitive communication deficit. […]

• Actual harm, isolatedF604Sep 19, 2023

  This citation pertains to intake #MI00139066 Based on observation, interview, and record review the facility failed to prevent the use of a physical restraint in 1 (Resident #114) of 1 resident reviewed for restraint use, resulting in potential for injury, seclusion, and/or psychological harm. Findings include: Review of an Admission Record revealed Resident #114 had pertinent diagnoses which included repeated falls, dementia, Alzheimer's disease, and cognitive communication deficit. […]

• Actual harm, isolatedF684Sep 19, 2023

  This citation pertains to Intake # MI00139073. Based on observation, interview, and record review, the facility failed to ensure timely and appropriate wound care for a laceration obtained during a transfer in 1 of 3 residents (Resident #115) reviewed for accidents/hazards, resulting in delayed wound closure, hospitalization , and a wound infection. Findings include: .The health care provider (physician or advanced practice nurse) is responsible for directing medical treatment. Nurses follow health care providers' orders unless they believe that the orders are in error, violate agency policy, or are harmful to the patient . [NAME], [NAME] A.; [NAME], [NAME] Griffin; Stockert, [NAME]; Hall, [NAME]. Fundamentals of Nursing - E-Book (Kindle Locations 20717-20719). Elsevier Health Sciences. […]