Life Care Center of West Bridgewater

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Sep 9, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections for three Residents (#112, #40, and #53). Specifically, the facility failed: 1. For Resident #112, to ensure staff wore personal protective equipment (PPE) as required for Isolation/Droplet Precautions (infection control precautions used for residents who are infected with certain infectious agents including COVID-19 for which additional precautions are needed to prevent infection transmission) while entering the room and changing linen on the Resident's bed and transferring the Resident back to bed; 2. […]

• No harm, potential for more than minimal, patternF880Jan 6, 2021

  Based on observations, staff interviews, and review of the facility's infection control policies, the facility failed to ensure that staff implemented proper infection prevention and control practices to prevent the development and potential transmission of communicable diseases and infections, including Covid-19, in the facility. Specifically, the facility failed to ensure that all staff used Personal Protective Equipment (PPE) appropriately. On one of three units staff members failed to don (put on) isolation gowns correctly in order to cover their clothing completely, which increased the risk of their clothing becoming a vector of transmission of the COVID-19 virus. […]

• No harm, potential for more than minimal, isolatedF842Sep 24, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), the Facility failed to ensure they maintained a complete and accurate medical record, although Resident #1 no longer required the use of a bed alarm, nursing continued to document on it's function and placement on his/her Treatment Administration Record. Findings Include: Review of the Facility's Policy tilted Nursing Documentation, dated as last reviewed September 05, 2024, indicated the following: -the Facility will ensure nursing documentation is consistent with professional standards of practice, the state nurse practice act, and any state laws governing the scope of nursing practice -long-term care facilities maintain clinical records for each resident and these records must be complete and… […]

• No harm, potential for more than minimal, isolatedF658Sep 9, 2024

  Based on observation, interview, and record review, the facility failed to provide care and services consistent with accepted standards of clinical practice for two Residents (#91 and #282), out of a total sample of 26 residents. Specifically, the facility failed: 1. For Resident #91, to administer Eliquis (anticoagulant/blood thinner) and Tramadol (opioid narcotic for pain) per the physician's orders; and 2. For Resident #282, to follow orthopedic recommendations of touch down weight bearing (TDWB- weight-bearing status where a person's foot or toes can touch the ground to maintain balance, but they do not put any weight on the affected leg) for the left lower extremity (LLE). […]

• No harm, potential for more than minimal, isolatedF697Sep 9, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate pain control for one Resident (#282), out of a sample of 26 residents. Specifically, the facility failed to adequately assess and provide pain control, resulting in a three-day delay of additional pain medications being ordered by the Nurse Practitioner (NP). Findings include: Review of the facility's policy titled Pain Assessment and Management, dated 9/8/2022, indicated but was not limited to the following: -Based on the comprehensive assessment of a resident, this facility must ensure that residents receive the treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the resident's choices related to pain management. […]