Linley Park Post Acute

In the surveyor’s words

From the most serious findings on record at Linley Park Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observations, interviews, and record review, the facility failed to conduct kitchen operations in a safe and sanitary manner affecting all residents receiving food from the facility kitchen. Kitchen staff failed to wear a mask properly in one of one kitchens observed, three of six kitchen staff were observed wearing their masks improperly. Findings include: During the initial kitchen tour on 07/12/21 at 10:55 AM the following observations were made: Dietary Aide 1 was wearing his/her mask under his/her chin. Cook 1 was wearing his/her mask under his/her chin. Cook 2 was wearing his/her mask under his/her nose. On 07/12/21 at 11:15 AM, Kitchen Manager (KM) was heard asking all staff to wear mask correctly. […]

• No harm, potential for more than minimal, patternF760Jul 16, 2024

  Based on review of the facility policies observations, record reviews and interviews the facility failed to ensure Resident (R)125 was free of significant medication errors when he received a blood pressure medication outside the ordered parameter. R125 received the blood pressure medication multiple times in error for 1 of 5 residents reviewed for unnecessary medications. The facility further failed to ensure insulin via a flex pen was administered correctly by nurses for 3 out of 3 residents observed during medication administration. Review of the facility policy titled, Administering Medications. states, Medications are administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation: 4. […]

• No harm, potential for more than minimal, patternF584Sep 9, 2022

  Based on observations and interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment for 3 (Resident (R)42, R33, and R43) of 24 residents who resided on A Unit. Observations revealed the residents' rooms had areas of disrepair. Findings include: An interview with the Maintenance Director on 09/09/22 at 10:10 AM revealed the facility had no policy regarding a homelike environment. 1. During the initial tour, conducted on 09/06/22 between 9:00 AM and 10:00 AM, observations in R42's room revealed on the right outside wall corner, the ceiling had flaking paint that was hanging off the wall. Below the ceiling on the wall, the plaster/paint/drywall had broken away from the wall, creating a hole. […]

• No harm, potential for more than minimal, patternF880Sep 9, 2022

  Based on observations, interviews, record reviews, and the Centers for Disease Control and Prevention (CDC) guidelines, it was determined that the facility failed to implement an infection prevention and control program (IPCP) designed to provide a safe and sanitary environment to help prevent the possible development and transmission of Coronavirus (COVID-19) as well as other communicable diseases and infections. Specifically, the facility failed to: 1. Ensure unvaccinated/or partially vaccinated newly admitted residents were quarantined to their rooms for two (Resident (R)223 and R230) of 5 residents reviewed for transmission-based precautions. 2. […]

• No harm, potential for more than minimal, patternF655Jul 15, 2021

  Based on record review, interview and review of facility policy, the facility failed to develop a baseline care plan within 48 hours of admission for Residents #78, #283, #74 and #129, 1 of 1 sampled residents reviewed for death and 3 of 3 new admissions reviewed. The findings included: Record review of Resident #78's baseline care plan, on 07/13/21 at 03:27 PM revealed the resident was admitted on [DATE]. The baseline care plan indicated the completion date was 4/21/21. There was no other documentation to indicate the baseline care plan had been developed within 48 hours. Record review of Resident #129's baseline care plan, on 07/14/21 at 11:44 AM, revealed the resident was admitted on [DATE]. The section on the care plan for documenting the completion date was blank. […]