Life Care Center of Post Falls

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Jul 5, 2024

  Based on policy review, review of the staffing record and staff interview, it was determined the facility failed to ensure an RN was on duty for eight consecutive hours per day. This failure created the potential for harm if routine and/or emergency nursing needs went unmet and had the potential to affect all 64 residents living in the facility. Findings include: The facility's Staffing policy, documented The facility maintains adequate staff on each shift to meet residents' needs, posts daily staffing data and furnishes staffing information to the state as specified in the Federal regulations. The Posting of Licensed and Unlicensed Direct Care Staff, dated 1/1/24 through 6/30/24, documented there was no RN coverage on 1/27/24, 2/4/24, 2/10/24, and 3/3/24. […]

• No harm, potential for more than minimal, isolatedF554Aug 14, 2025

  Based on observations, record review, interviews, and policy review, the facility failed to ensure medication was not left at bedside unless a medication administration assessment was conducted for one of one resident (Resident (R) 97) reviewed for medications at bedside of 25 sample residents. This failure had the potential to result in residents consuming excess medications. Findings include: Review of the admission Record located under the Profile tab of the electronic medical record (EMR) revealed R97 was admitted on [DATE] with diagnosis which included muscle weakness. […]

• No harm, potential for more than minimal, isolatedF578Aug 14, 2025

  Based on record review, interviews, review of the facility's policies, the facility failed to ensure the code status of one resident of 25 sample residents (Resident (R) 99) was updated in the electronic medical record (EMR) to match the code status ordered. The deficient practice could result in a resident receiving cardiopulmonary resuscitation that did not want to be resuscitated.Findings included:A review of R99's ''Profile'' screen located under the ''Profile'' tab and the ''Physician's Orders'' located under the ''Orders'' tab of the EMR on 08/11/25 at 4:33 PM revealed ''Full Code.'' The Profile screen of the EMR revealed R99 was her own responsible party.A review of R99's ''Idaho Physician's Orders for Scope of Treatment (POST)'' located under the ''MISC'' tab of the EMR, dated… […]

• No harm, potential for more than minimal, isolatedF726Aug 14, 2025

  Based on observations, record review, policy review and interviews, the facility failed to ensure competencies were completed for Registered Nurse (RN) 2 to administer ordered medications to residents for one of five nurses reviewed. The deficient practice resulted in one resident not receiving ordered insulin medication.Findings included:Review of R101's physician's orders, located under the EMR ''Orders'' tab, revealed an order dated 08/06/25 for ''Humalog injection solution, Inject as per sliding scale: . […]

• No harm, potential for more than minimal, isolatedF760Aug 14, 2025

  Based on record review, interviews, and facility policy review, the facility failed to ensure one of three residents reviewed for insulin of 25 sampled residents was free from significant medication errors when Resident (R) 101 did not receive Humalog (insulin medicine) on one occasion. This failure resulted in elevated blood sugar for R101.Findings include:Review of the facility's ''Administration of Medication'' policy, dated 02/13/23, revealed ''The facility will ensure medications are administered safely and appropriately per physician Order to address residents' diagnoses and signs and symptoms . […]