Life Care Center of Plymouth

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Oct 14, 2022

  Based on policy review, observation, and interview, the facility failed to maintain professional infection control practices. Specifically, the facility failed to 1. Ensure staff removed dirty gloves prior to reaching into a clean linen cart; 2. Wear surgical masks for source control while in clinical areas of the facility; and 3. Maintain proper personal protective equipment (PPE) use while obtaining and handling BinaxNow COVID-19 testing samples. Findings include: 1. Review of the Centers for Disease Control and Prevention (CDC) guidelines for Hand Hygiene in Healthcare Settings, not dated, indicated hand hygiene reduces the spread of potentially deadly germs to patients. […]

• No harm, potential for more than minimal, patternF886Oct 14, 2022

  Based on policy review, document review, observation, and interview, the facility failed to perform BinaxNow, rapid antigen testing per manufacturer's guidelines. Findings include: The BinaxNOW COVID-19 Ag Card is a type of test called an antigen test. Antigen tests are designed to detect proteins from the virus that causes COVID-19 in respiratory specimens, for example nasal swabs. This is considered a form of rapid testing as the results are displayed in 15 minutes. Review of the BinaxNOW COVID-19 Ag Card product insert, revised April 2021, instructions for completing the test included but was not limited to the following: Precautions -Inadequate or inappropriate sample collection, storage, and transport may yield false positive or false negative results. […]

• No harm, potential for more than minimal, patternF880Apr 5, 2022

  Based on observation, interview, and policy review, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and potential transmission of communicable diseases and infections, including norovirus. Specifically, the facility failed to ensure staff: 1. Reported a Norovirus Outbreak; and 2. Discontinued enhanced barrier precautions when no longer warranted; and 3. Implemented the proper interventions for a resident with Clostridioides Difficile (C. diff) (bacterium which causes severe diarrhea and [CONDITION(S)] (inflammation of the colon)); and 4. Performed proper hand hygiene during a dressing change. […]

• No harm, potential for more than minimal, isolatedF558Apr 5, 2022

  Based on observation and interview, the facility failed to ensure one Resident (#53) could comfortably manipulate their surroundings from a wheelchair level, out of a total sample of 24 residents. Findings include: Resident #53 was admitted to the facility in November 2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . During an interview on 3/31/22 at 2:02 P.M., Certified Nurse Assistant #2 said Resident #53 gets up and dressed prior to, or at the very beginning, of the day shift and is independent with his/her care. During an observation with interview on 3/31/22 at 2:21 P.M., Resident #53 said that he/she had difficulty completing some of his/her tasks and experienced discomfort. […]

• No harm, potential for more than minimal, isolatedF637Apr 5, 2022

  Based on interviews and record review, the facility failed to initiate a significant change Minimum Data Set (MDS) for a Resident (#34) with significant weight loss and a new indwelling catheter. Findings include: Resident #34 was admitted to the facility in January 2022. Review of the medical record for Resident #34 indicated on 02/03/22, the Resident weighed 242.1 pounds and on 03/03/22, the Resident weighed 228.4 pounds which was a 5.66% significant weight loss in one month. Review of the medical record indicated Resident #34 complained of [CONDITION(S)] and Resident #34 returned from the Emergency Department on 2/26/22 with an indwelling catheter. Record review indicated the catheter was still in place at the time of the survey on 3/30/22. […]