Life Care Center of Richland

In the surveyor’s words

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

• Immediate jeopardy, patternF684Feb 25, 2022

  Based on observation, interview and record review, the facility failed to; 1) identify changes in condition for three out of five residents (24, 30, 40) reviewed for quality of care, that experienced a significant decline in overall health conditions which resulted in hospitalization , 2) identify/act on a significant change in condition which resulted in the advancement of a cancerous lesion beyond curative treatment for one of five residents (29) reviewed for quality of care, and 3) facilitate a referral of a resident with three months of hematuria (blood in the urine) to a specialist (which resulted in delayed treatment for Hematuria) and provide care that met professional standards for the same resident with a new Nephrostomy (a tube that goes directly into the kidney to drain urine)… […]

• Immediate jeopardy, patternF726Feb 25, 2022

  Based on observation, interview, and record review, the facility failed to verify and ensure Licensed Nurses (LNs) had the appropriate competencies, skill sets and proficiencies to provide nursing and related services for each resident in the areas of identification and response to significant change in condition, assessment with appropriate interventions, lab review and reporting, reporting of change of condition to responsible parties and the physician and to assure resident safety. The lack of ongoing clinical assessments and timely identification of changes in condition to meet the resident's needs, resulted in a delay in timely intervention, medical care, and hospitalization s. […]

• Immediate jeopardy, isolatedF600Feb 25, 2022

  Based on observation, interview and record review, the facility failed to ensure three of five sampled residents (36, 7, 8) were free from abuse after the facility became aware of staff to resident abuse allegations. Additionally, the facility failed to immediately implement interventions towards protection of residents (36, 7) from further abuse when identified staff (E, F) reported to work with unsupervised access to resident, 13 hours after the allegation were reported to the facility. Resident 36 was observed with an emotionally distraught and fearful reaction once Staff E entered their room. These failures placed residents at risk for further physical/psychosocial harm and placed all the residents at risk for abuse. […]

• Actual harm, patternF841Feb 25, 2022

  Based on interview and record review the facility failed to effectively ensure, Staff L, Medical Director (MD) fulfilled their responsibilities with regulatory requirements related to the MD's coordination of adequate and appropriate medical care for facility residents which resulted in harm for five of five residents (24, 30, 40, 29, 26). The failure to ensure MD oversite of nursing staff and coordination of care caused; 1) residents to experience Substandard Quality of Care at an Immediate Jeopardy (IJ) level regarding Freedom from Abuse/Neglect and Quality of Care, 2) further risk of residents receiving unnecessary [CONDITION(S)] medications prescribed without the necessary indication for use/rational documented, along with a risk of adverse complications due to a delay in the timely… […]

• Actual harm, isolatedF684Jul 23, 2025

  Based on observation, interview, and record review the facility failed to 1) recognize a change in condition for 3 of 6 residents (Residents 39, 9 and 35) reviewed for quality of care, and 2) ensure residents received treatment and care in accordance with professional standards of practice and physician orders for 2 of 5 residents (Resident 8 and 71) reviewed for unnecessary medications. This failure placed residents at risk for a delay in treatment, unmet care needs, and negative health outcomes. Resident 39 experienced harm when the facility failed to recognize the immediacy of a change of condition and did not notify the physician with a resident who exhibited signs and symptoms of change in orientation, oxygen level, blood pressure and pulse which resulted in hospitalization. […]