Every finding on record at Llano Nursing and Rehabilitation Center

Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed on 08/20/2026 when CNA A failed to practice hand hygiene during meal services while passing out meal trays in the dining room and the halls. CNA A failed to sanitize between passing each resident tray and helping open the items for each of the residents plates. These failures could place residents who received prepared meals from the kitchen at risk for food borne illness and cross-contamination.The findings included: During an observation on 08/20/26 at 12:00 PM beginning in the dining room, CNA A was observed as the primary staff handing out trays to multiple residents at separate tables. While passing out trays CNA A was observed touching items on their tray, opening containers and assisting residents as needed. CNA A did not sanitize in between residents. CNA A was then observed taking the remaining trays on the tray cart to the halls and passing them out to residents in their room, no sanitation observed. During an interview on 08/20/26 at 12:20 PM with CNA A, she stated she was an agency staff member and had been assisting at the facility for approximately 3 weeks. She stated that she knew the policy and procedure was to sanitize her hands in between passing meal trays to the residents during meal services. She stated it was important to sanitize because the purpose was to prevent germs from spreading. CNA A stated she forgot to sanitize her hands because she was following another staff member and their direction on who needed what tray. During an interview on 08/20/26 at 01:29 PM with the DON, she stated it was her expectation that hand hygiene was happening in between each resident when passing out meal trays, she stated the purpose was infection control to prevent residents from getting sick. During an interview on 08/20/26 at 01:54 PM with the ADM, he stated that hand hygiene was important and should be occurring in between meal trays when assisting with dining room services or hall trays. He stated the purpose was to ensure they were not spreading germs to residents and was infection control. He stated CNA A was agency but not new to the facility and should have known the procedures for passing meal trays. Record review of the facility policy titled Hand Washing dated 10/01/18 reflected: The facility recognizes that foodborne illness has the potential to harm elderly and frail residents. All nutrition and food service employees will practice good hand washing practices in order to minimize the risk of infection and foodborne illness. Hands should be washed after the following occurrences: assisting residents.The policy did not reflect guidance on the use of hand sanitizer.

Based on observation, interview and record review the facility failed to ensure safe storage of drugs and biologicals used in the facility for one of two carts observed for medication storage and security. The facility failed on 08/20/2026 when LVN A failed to ensure Medication Cart #1 located on the North 30/40's hall was locked and medications were secured and not accessible to other staff, residents, or visitors. This failure could place the resident's medication at risk of having unauthorized access by residents resulting in adverse reactions or by staff or visitors resulting in missing medications.Findings included: During an observation on 08/20/26 at 11:30 AM on the North hall housing rooms 31-44, Medication Cart #1 was observed against the wall with the drawers pointed outward; the cart was unlocked (lock observed popped out in the unlocked position), the doors were easily opened by surveyor and observed medications to include insulin and supplies such as lancets. The medication cart was unattended and accessible to multiple staff, residents, and visitors nearby. During an interview on 08/20/26 at 11:35 AM, LVN A arrived at Medication Cart #1 and stated it was his assigned cart and he was providing residents with medication. He stated that it was the procedure and policy that the medication cart was to be left locked and secured when walking away from it. He stated that failure to lock the medication cart could result in residents or anyone else who should not have access to the medication cart getting in and taking medication. LVN A stated he just forgot to lock it when walking away. During an interview on 08/20/26 at 01:29 PM with the DON, she stated it was her expectation that if staff members were away from their assigned medication carts that the medication cart would be locked and everything secured. She stated if the medication cart was left unlocked it could result in theft or a resident getting medication that is not theirs or taking something that could harm them. During an interview on 08/20/26 at 01:54 PM with the ADM, he stated it was procedure that the medication carts were to be locked before leaving them unattended. He stated the purpose of locking and securing the medication cart was to prevent unauthorized access and resident safety. When shown the picture of the medication cart being left unlocked and unattended, he stated it did not meet expectations. Record review of the facility policy titled, Medication Storage not dated reflected: Medications will be stored in a manner that maintains the integrity of the product ensures the safety of the residents and is in accordance with TX board of Pharmacy and Department of Health guidelines. With the exception of emergency drug kits, all medications will be stored in a locked cabinet, cart or medication room that is accessible only to authorized personnel as defined by facility policy.

Based on interview and record review, the facility failed to immediately consult with the resident's physician and the resident's representative when there was a significant change in the resident's physical, mental, or psychosocial status for 3 of 6 residents (Resident R#1, R#2, R#3) reviewed for notification of changes. The facility failed to ensure R#1's physician and residents' representative were notified on 2/27/26 and on 3/5/26 when resident alleged staff were abusive to her. The facility failed to ensure R#2 and R#3's physician and resident representative were notified on 2/20/26 when R#2 and R#3's were within hearing distance of a staff verbal altercation. These failures could place residents at risk of not receiving appropriate medical treatment, which could result in a decline in health.Findings included: Record review of R#1's face sheet, dated 03/19/26, revealed a [AGE] year old female, admitted [DATE] and re-admitted [DATE], with diagnoses that included hemiplegia and hemiparesis (one-sided paralysis or weakness of the face, arm and leg caused by brain, spinal cord or nerve problems), thrombocytopenia (low blood platelet count), and psychotic disorder with hallucinations (false perceptions of sensory experiences). Record review of a Quarterly MDS assessment, dated 02/13/26, for R#1's Cognitive Patterns were not documented on t02/13/26, R#1's functional abilities indicated she needed partial to moderate assistance with eating and she was dependent on assistance with dressing, showering, and person hygiene. Assessment of R#1's medications documented R#1 received antipsychotics on a routine basis. Record review of R#1's comprehensive care plan, dated 02/13/26, revealed the resident had socially inappropriate behaviors, ie, making false accusations toward staff members, s had difficulty comprehending complex information and making needs or wants known consistently due to dementia. R#1 took an antipsychotic medication due to socially inappropriate/disruptive behaviors, hallucinatory events, and episodes of delusion. During an observation and interview on 03/19/26 at 8:55 a.m., R#1 stated she was sick with a bug but everyone was treating her great. R#1 stated she had no recollection of any employee being rude or rough with her. R#1 stated she was getting showers and there were no concerns related to her medications. She stated she felt safe and was satisfied with her care. During an interview on 3/19/2026 at 1:02 p.m., the R#1's Responsible Party indicated he was not notified of any incidents regarding R#1 on 2/27/26 or 3/5/26. He stated he recalled speaking with a nurse discussing the idea of considering R#1 going on hospice. Record review of R#2's face sheet, dated 03/19/26, revealed an [AGE] year-old female, admitted [DATE], with diagnoses that included unspecified dementia without behavioral disturbance (A group of symptoms that affects memory, thinking and interferes with daily life.), psychotic disturbance (hallucinations), anxiety (feeling of uneasiness or worry) and language disorder (a persistent difficulty in using language, problems understanding). Record review of R#2's comprehensive care plan, dated 01/05/26, revealed R#2 exhibited aggressive responses during care due to increased threat perception as a result of dementia and staff were [NAME] ensure R#2's needs were met. Furthere record review revealed R#2 experienced fidgeting, fearfulness, wide eyes & trembling, staff will establish a trusting relationship with R#2. R#2 was on hospice and staff were to provide comfort measures. Record review of a Quarterly MDS assessment, dated 12/31/25, R#2's cognitive patterns were not documented on t12/31/25 R#2's functional abilities indicated she was dependent on assistance with eating, dressing, showering, toileting hygiene, and personal hygiene. Assessment of Medications documented R#2 received antidepressants and opioids on a routine basis. During an observation and interview on 3/19/26 at 9:08 a.m., R#2 was not able to verbalize answers while being interviewed. R#2 was observed with lifts legs and eyed opened, but did not respond to questions. R#2 was observed clean and dressed appropriately. Record review of R#3's face sheet, dated 03/19/26, revealed a [AGE] year-old female, admitted [DATE], with diagnose including essential hypertension (high blood pressure), major depressive disorder (persistent feelings of sadness), and generalized anxiety disorder (feeling of uneasiness or worry). Record review of R#3's comprehensive care plan, dates 12/09/25, revealed R#3 was on palliative care(Palliative care is designed to relieve symptoms, stress, and emotional burdens associated with serious or chronic illnesses, regardless of a patient's age or stage of disease.) and would experience death with dignity and physical comfort., R#3was at risk for muscle spasticity(disruption in muscle movement patterns that causes certain muscles to contract all at once when you try to move or even at rest.) and R#3 would be as comfortable as possible. Further record review revealed R#3 had impaired decision making related to dementia and would have positive experiences in daily routine without overly demanding tasks and without becoming overly stressed. Record review of a Quarterly MDS assessment, dated 12/31/25, for R#3's cognitive patterns were documented as a BIMS of 3, indicting severe cognitive impairment problems with thinking and memory. R#3's functional abilities indicated she was dependent on staff for assistance with eating, dressing, showering, toileting hygiene, and personal hygiene. Assessment of Medications document that R#3 was receiving antidepressants and anticonvulsants on a routine basis and the resident had not received antipsychotic medication since she was admitted to this facility. During an observation and interview on 3/19/26 at 10:00 a.m., R#3 was incoherent and she was not able to respond to questions. R#3 appeared clean and dressed appropriately. During an interview on 3/19/2026 at 10:15 a.m. the OT said she did not regularly work with R#1. She stated, this morning I assisted with serving breakfast to R#1 and she seemed fine. The OT stated she knew nothing about the incident involving R#1. During an interview on 03/19/2026 at 9:21 a.m., LVN A stated the facility protocol when an incident occurred included a nurse assessment of the residents involved, reporting the incident to ADM, DON, NP and family. When asked why the NP and family's representatives were not called, she stated .was not on duty when the incidents occurred involving R#1 on both 2/27/26 and 3/5/26 and I don't' know why they were not notified. During an interview on 3/19/26 at 10:24 a.m., LVN B stated the facility protocol for any incident was investigate, a nurse completed an assessment of the resident, provide proper care, call the ADM, DON, s\and later we were to call the NP and the residents representative. LVN B stated she was not working here during any of the incidents reported so she did not know why the NP or family representatives were not notified of the events. During an interview on 03/19/2026 at 2:30 p.m., the DON stated that staff were to report any incidents to the AC( ADM) if they suspected abuse. She stated the protocol for reporting any incident was as follows: 1. report to the AC by calling the number posted in the facility lobby, 2. AC reported to the state, 3. nurse assessed the resident(s), 4. call the NP to give notification of the incident, 5. notify the residents' representative, and 6. in-service the staff and do safe surveys by interviewing the residents. The DON stated an investigation of the incident involving R#1 on 2/27/26 was performed. She stated the NP and R#1's representative were not notified because it was not documented in the file. She stated that they missed that after the incident occurred. The DON stated an investigation of the incident on 2/20/2026 involving one CNA being abusive to another CNA. The DON stated R#2 and R#3 were within earshot of the altercation. The DON stated physical assessments were done for both residents and no injuries were noted The DON was not able to confirm that R#2's and R#3's representatives or NPs were notified of this event. The DON stated the abusive employee was suspended and staff were in-serviced on Abuse and Neglect During an interview on 3/19/26 at 12:15 p.m., the ADM stated they attempted to notified R#1's son by phonebut the son does not answer his phone. ADM stated the NP visited the facility once weekly. ADM said there was a process and documentation was expected to be included in the Provider Investigation Report. The Provider Investigation Report was reviewed and documentation explaining the event was in the report. ADM was not able to explain why the NP and residents' representatives were not contacted. ADM stated he will have to make a chart of the process for future events. Review of undated facility policy titled Accidents/Incidents (Employee) Policy StatementOur Center shall provide a safe and secure environment for staff and residents. Therefore, all accidents or incidents occurring on Center premises or to Center employees while performing their jobs shall be reported and investigated. The Nursing Supervisor and/or Charge Nurse shall:Examine all accident/ incident victims.Notify a residents' Attending Physician about the accident or incident; andIf necessary, obtain an order to transfer the injured person to the emergency room or medical treatment center. Policy Related In-service Topics:Every incident is to be documented as an event every time. Every time an event happens, family, DON, and provider need to be notified. Please ensure that these things are getting done so the events can be properly investigated.

Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen observed for food storage and sanitation. 1. The facility failed to properly store, label, and date all food items located in the walk-in refrigerator, freezer and in the dry food pantry area on 9/02/2025 and 9/03/2025. 2. The facility failed to discard expired food items located in the walk-in refrigerator and in the dry food pantry area on 9/02/2025 and 9/03/2025. 3. The facility failed to ensure the trash containers were covered with lids on 9/02/2025 and 9/03/2025. These failures could place residents who received meals from the kitchen at risk of foodborne illnesses. The findings included: Observation during the initial tour of the kitchen on 9/02/2025 beginning at 9:10 AM, revealed the following: Freezer:*1-gallon freezer bag labeled Philly meat, with an opened date of 6/14, no year or discard date.*1-gallon freezer bag labeled meat pies, with 7/9, no year, open date, no discard date.*1-gallon freezer bag labeled meat pies, with 7/9, no year, open date, no discard date. *1 quart freezer bag, labeled chicken enchiladas with 5/15, no year, use by or discard date*1 gallon freezer bag labeled chicken 7/1, item in a blue plastic inside freezer bag, no open or discard date.*1-gallon freezer bag labeled pork chop with date 8/22, no use by or discard date*1 gallon freezer bag labeled breaded Pork, dated 7/9, no use by or discard date. Walk-in refrigerator:*7 unlabeled bottles of liquid that appeared to look like tea*1 unlabeled and dated opened package of bread*1 unlabeled and dated opened package of buns*1 unlabeled and dated full package of buns*2 opened gallon containers of salad dressings*1 opened gallon container of tartar sauce with 12/4/24 written on outside (unsure if it's the received, open or discard date)*1 opened storage bag of sliced cheese dated only 9/1*1 opened bag of turkey breast dated 9/1 sitting on top of 2 packs of opened tortillas in a bowl with juices from the turkey dripped in the bottom.*1 container of sliced white cheese with a discard date of 8/27*1 open storage bag with parmesan cheese labeled open on 5/22/2025 with no discard date*1 open box containing 4 packages of tortillas with no labels*2 5-pound containers of potato salad with manufacturers use by date of 8/29/2025*1 large bag of opened breakfast links, no label or dates*4 loaves of bread, not labeled or dated Dry Food Pantry area:*2 large storage containers filled with different cereal dated 2/18, no discard dates*1 large storage open container marked macaroni dated 10/5/24*1 large storage container filled with spaghetti noodles dated 7/30*1 large storage container filled with egg noodles dated 7/30*1 large storage container filled with powder milk dated 5/7*1 powdered sugar dated 5/12 with open date of 8/12, no discard date*1 opened yellow cornbread mix opened 8/24, no discard date*1 opened container of sugar labeled 7/30, no discard date*1 opened package of muffin mix dated 4/12, no discard date*1 opened large container of corn meal with a use by date of 2/21/24*1 large container of flour dated 2/14, no discard date*5 boxes of scalloped potatoes with expiration date of 4/16/2025*1 Large bag of cornbread stuffing mix with expiration date of 8/20/25*1 bag of opened grits with open date of 1/14 and use by date of 1/6*4-32-ounce boxes of tomato juice with expiration date of 5/29/25*5 Boxes of Grits with expiration dates of 8/8/2025 *1- Trash can with trash observed with no lid in dishwashing area. Observation during follow up tour of kitchen on 9/03/2025 beginning at 2:03 PM, the following was observed: *1 container of uncovered smothered chicken from lunch sitting on food preparation table *1 pan of uncovered broccoli on food preparation table Freezer:*1-gallon freezer bag labeled Philly meat, with an opened date of 6/14, no year or discard date.*1-gallon freezer bag labeled meat pies, with 7/9, no year, open date, no discard date.*1-gallon freezer bag labeled meat pies, with 7/9, no year, open date, no discard date. *1 quart freezer bag, labeled chicken enchiladas with 5/15, no year, use by or discard date*1 gallon freezer bag labeled chicken 7/1, item in a blue plastic inside freezer bag, no open or discard date.*1-gallon freezer bag labeled pork chop with date 8/22, no use by or discard date*1 gallon freezer bag labeled breaded Pork, dated 7/9, no use by or discard date. Walk-in refrigerator:*9 unlabeled bottles of liquid that appeared to look like tea*1 unlabeled clear bottle of liquid appeared to be water*1 unlabeled and dated opened package of bread*1 unlabeled and dated opened package of buns*1 unlabeled and dated full package of buns*2 opened gallon containers of salad dressings*1 opened gallon container of tartar sauce with 12/4/24 written on outside (unsure if it's the received, open or discard date)*1 opened storage bag of sliced cheese dated only 9/1*1 opened bag of turkey breast dated only 9/1 sitting on top of 2 packs of opened tortillas in a bowl with juices from the turkey dripped in the bottom.*1 container of sliced white cheese with a discard date of 8/27*1 open storage bag with parmesan cheese labeled open on 5/22/2025 with no discard date*1 open box containing 4 packages of tortillas with no labels*2 5-pound containers of potato salad with manufacturers use by date of 8/29/2025 Dry Food Pantry area:*2 large storage containers filled with different cereal dated 2/18, no discard dates*1 large storage open container marked macaroni dated 10/5/24*1 large storage container filled with spaghetti noodles dated 7/30*1 large storage container filled with egg noodles dated 7/30*1 large storage container filled with powder milk dated 5/7*1 powdered sugar dated 5/12 with open date of 8/12, no discard date*1 opened yellow cornbread mix opened 8/24, no discard date*1 opened container of sugar labeled 7/30, no discard date*1 opened package of muffin mix dated 4/12, no discard date*1 opened large container of corn meal with a use by date of 2/21/24*1 large container of flour dated 2/14, no discard date*5 boxes of scalloped potatoes with expiration date of 4/16/2025*1 Large bag of cornbread stuffing mix with expiration date of 8/20/25*1 bag of opened grits with open date of 1/14 and use by date of 1/6*4-32-ounce boxes of tomato juice with expiration date of 5/29/25*5 Boxes of Grits with expiration dates of 8/8/2025 *1 trash can filled with trash observed next to stove with lid open *1- trash can with trash observed with no lid in dishwashing area. Observed 9/3/2025 at 2:27 PM, the 1 container of uncovered smothered chicken from lunch and 1 pan of uncovered broccoliwere still sitting on food preparation table. Observation on 09/03/2025 at 4:28 PM revealed the 1 container of uncovered smothered chicken stored in the refrigerator. Observation and interview conducted with the DM on 9/03/2025 at 4:55 PM, revealed DM has been in the position for 7 months at the facility. The DM stated she has not received training on kitchen policies, noting the facility has had high staff turnover. She reported food items are labeled with the date received, and once opened, they are labeled with the open date but not a discard date. She explained that leftovers are labeled with the date cooked and a use by date and are discarded after three days. She stated that expired items are always thrown away. The DM stated the dietitian comes monthly to check the kitchen and help her identify expired food items. She stated the potential harm of serving expired food could potentially cause foodborne illness or food poisoning, depending on the food item. The DM stated frozen items are placed in a plastic container on the bottom shelf of the refrigerator. She explained thawing turkey should be stored on the bottom shelf. The surveyor then led her to the thawing turkey in the refrigerator stored on top of tortillas. The DM stated the item was not stored properly and stated the night shift staff didn't know. The DM was asked about the smothered chicken and broccoli sitting out without a lid, the DM stated it was cooling down at the time. The DM explained an order had arrived that needed to be put away, and she did not get to covering the food right away. The DM stated they are required to label all items with the date received when stored. She stated when an item was opened, she expected them to date with open date and discard dates. The DM stated they should have lids and be always closed. Surveyor showed her the trash can without lid by the dishwasher, DM stated she not aware the trash can in the dishwashing area required a lid. The DM stated she will get a lid for it today. The DM stated the potential harm of not having trash properly covered could lead to food borne illnesses. On 9/03/2025 at 5:15 PM, kitchen food labeling policies were requested from ADM.Interview conducted 09/04/2025 at 4:20 PM, The DC stated she has been working at the facility for 2 months and was trained by the dietary manager on kitchen and dining procedures. DC stated she attempted to label and date all foods before storing them. She stated food should be labeled with the name, date received, and date opened. Interview conducted 09/04/2025, at 6:21 PM, the ADM stated all food items should be labeled each time they are opened with a sticker showing the date opened, expiration date, and name of the product. He further stated all food should also be labeled with the date received (day, month, and year). He reported that trash cans should always have lids and liners. The Administrator stated all expired food should be discarded immediately. He stated if expired food was served, residents could potentially experience negative side effects such as stomach aches or illness.Record review of facility policy named Food Safety Requirements dated 7/23/2025 revealed: Policy: It is the policy of this facility to procure food from sources approved or considered satisfactory by federal, state, and local authorities. Food will be stored, prepared, distributed and served in accordance with professional standards for food service safety. Policy Explanation and Compliance Guidelines:1. Safe thawing, cooking, cooling, holding, and reheating of food.2. Refrigerated storage-store raw meat on shelves below fruits, vegetable or other ready-to-eat foods so that meat juices do not drip onto these foods. 3. Label, date, refrigerated food, including, but not limited to leftovers, so it is used by its use-by date, or frozen/discard Record review of facility policy named Kitchen Sanitation and Cleaning Schedules revealed:1. Stock will be rotated first-in, first out. (FIFO) Foods will be used or discarded prior to the expiration date.2. All opened containers or leftover food is to be tightly wrapped or covered in clean containers. It should be labeled, dated with the opened or use by date. Review of the FDA Food Code revealed all food to be labeled and dated, and under 42 CFR S483.60 the facility ensures this standard is followed so that food is safe, sanitary, and never served past its use-by date.

Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that described the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being and document a care plan conference following a quarterly or annual MDS (minimum data set) for 6 (Resident #22, Resident #5, Resident #2, Resident #6, Resident #8, Resident #30) of 10 residents reviewed for care plan conferences. The facility failed to complete a comprehensive care plan for Resident # 30 in the required timeframe after the completion of the comprehensive MDS dated [DATE]. The comprehensive care plan for Resident # 30 was due to be completed by 8/31/25.The facility failed to conduct a care conference for Resident #22, Resident #5, Resident #2, Resident #6, and Resident #8. This failure could place residents at risk of not having their physical, mental and psychosocial needs met. Record review of undated admission Face Sheet for Resident # 30 reflected a [AGE] year-old female admitted on [DATE] with a diagnosis of traumatic subarachnoid hemorrhage (brain bleed as a direct result of a head injury) without loss of consciousness, anxiety disorder, insomnia, hypertension (high blood pressure), morbid obesity, repeated falls, syncope (fainting) and collapse. Record review of Resident # 30 Comprehensive MDS dated [DATE] reflected a BIMS score of 6 indicating severe cognitive impairment. Further review of section GG Functional Abilities reflected Resident # 30 required set up clean up assist for eating. Supervision touching assist required for oral hygiene. Partial moderate assist for toileting, bathing, dressing, and personal hygiene. Substantial maximal assist for all transfers. Record review of Resident # 30 Baseline Care Plan dated 8/21/25 reflected Baseline care plan will identify my care needs, risks, strengths, and goals for the first 48 hours. Approaches of activities and functional level for daily care I will receive necessary setup, cueing, support, and assistance level for activities of daily living. Approach nutrition: initial height/weight, physician/NP diet orders, functional assistance level with eating, swallowing precautions as needed will be maintained until further nutritional evaluation is completed. Approach safety fall risk evaluation will be completed to identify and minimize initial risk factors. Record review of Resident # 30 Care Conference Report undated reflected the only care conference recorded was dated 8/27/25. Record review of Resident # 30's clinical records revealed no comprehensive care plan documented in the records. Resident #22 Record review of undated admission Face sheet for Resident #22 reflected an [AGE] year-old female with an admission date of 05/14/21 and a readmission date of 10/02/24. Her diagnoses included type 2 diabetes (a long-term condition in which the body has trouble controlling blood sugar and using it for energy), whooping cough, generalized anxiety disorder, dysphagia (difficulty swallowing foods or liquids), cough, cognitive communication deficit, dysuria (difficult urination), depression, osteoarthritis of knee, muscle wasting and atrophy (shrinkage), unspecified dementia (a group of thinking and social symptoms that interferes with daily functioning), hyperlipidemia (fat particles in the blood), and hypertension (high blood pressure). Record review of Resident #22's Quarterly MDS assessment dated [DATE] reflected a BIMS score of 13, which indicated mild cognitive impairment. Further review of section GG Functional Abilities reflected Resident #22 required set-up or clean up assistance for eating and oral hygiene, and required partial/moderate assistance for personal hygiene, dressing, bathing, toileting, and transfers. Record review of Resident #22's Care Plan Conference Report undated reflected care conferences recorded were dated 05/01/25, 11/20/24, and 08/01/24. The facility did not have a care conference for Resident #22 between 11/20/24 and 05/01/25, and there had not been a care conference for Resident #22 between 05/01/25 and the date of survey, 09/04/25. Resident #5 Record review of undated admission Face sheet for Resident #5 reflected an [AGE] year-old female with an admission date of 11/19/21 and a readmission date of 07/15/25. Her diagnoses included cerebral palsy (a group of conditions that affect movement and posture. It's caused by damage that occurs to the developing brain, most often before birth), major depressive disorder (clinical depression), acute upper respiratory infection, iron deficiency anemia, osteoarthritis, hypokalemia (low potassium), dysphagia (difficulty swallowing foods or liquids), weakness, unsteadiness on feet, cognitive communication deficit (an inability to communicate effectively due to underlying problems with cognitive skills such as attention and memory), muscle wasting and atrophy (shrinkage), major depressive disorder (clinical depression), hypertension (high blood pressure) and insomnia. Record review of Resident #5's Quarterly MDS assessment dated [DATE] reflected a BIMS score of 10, which indicated mild to moderate cognitive impairment. Further review of section GG Functional Abilities reflected Resident #5 independent with eating with set-up assistance, and required total assistance for personal hygiene, dressing, bathing, toileting, bed mobility and transfers. Record review of Resident #5's Annual MDS assessment dated [DATE] reflected no changes in the care area assessment summary, and reflected it was signed on 08/19/25 for sections A, C, D, E GG, J, K M, N O, Q, and for section Z on 08/22/25, and there was no signature by the RN Assessment Coordinator. Record review of Resident #5's Care Plan Conference Report undated reflected the last care conference recorded was dated 06/26/24 (Quarterly). Care Plan Conference Report further reflected there had not been a care conference for Resident #5 from 06/26/24 to the date of annual MDS assessment dated [DATE]. Resident #2 Record review of undated admission Face sheet for Resident #2 reflected a [AGE] year-old female with an admission date of 10/20/24 and a readmission date of 11/01/24. Diagnoses of hemiplegia and hemiparesis (muscle weakness or partial paralysis) following cerebral infarction affecting left non-dominant side, unspecified dementia (a group of thinking and social symptoms that interferes with daily functioning), major depressive disorder (clinical depression), anxiety disorder, stage 2 pressure ulcer, lack of coordination, muscle wasting and atrophy (shrinkage), whooping cough, rheumatoid arthritis, aphasia (a language disorder that affects a person's ability to communicate), gastroesophageal reflux disease (acid reflux), dysphagia (difficulty swallowing foods or liquids), anemia (lack of blood), hypothyroidism (underactive thyroid), type 2 diabetes (a long term condition in which the body has trouble controlling blood sugar and using it for energy), hyperlipidemia (fat particles in the blood), chronic pain syndrome, hypertension (high blood pressure), atherosclerotic heart disease (damage or disease in the heart's major blood vessels), cerebral infarction (stroke), chronic obstructive pulmonary disease (group of lung diseases that block airflow and make it difficult to breathe), edema (swelling caused from fluid buildup in tissue), convulsions, and metabolic encephalopathy (brain dysfunction caused by underlying medical condition chemical imbalance). Record review of Resident #2 Quarterly MDS dated [DATE] reflected a BIMS score of 10 indicating moderate cognitive impairment. Further review of section GG Functional Abilities reflected Resident #2 required substantial maximal assistance needed for eating and was dependent on staff for personal hygiene, dressing, bathing, toileting, and transfers. Record review of Resident #2 Care Plan Conference Report undated reflected the only care conference recorded was dated 7/17/25 and did not state if this was an annual or significant change conference. Resident #6 Record review of undated admission Face sheet for Resident #6's reflected a [AGE] year-old female admitted on [DATE] and readmitted on [DATE]. Diagnoses of Alzheimer's disease, schizoaffective disorder bipolar type, urinary tract infection, cellulitis of right lower limb, muscle wasting and atrophy, whooping cough, need for assistance with personal care, macular degeneration of both eyes, unspecified dementia, severe protein calorie malnutrition, abnormalities of gait and mobility, schizophrenia, hypokalemia, anxiety disorder, gastro-esophageal reflux disease, hyperlipidemia, hypertension, lack of coordination, dysphagia, and metabolic encephalopathy. Record review of Resident #6's Quarterly MDS dated [DATE] reflected a BIMS score not recorded. Further review of section GG Functional Abilities reflected Resident # 6 required substantial maximal assistance with eating, oral hygiene, and transfer. Resident # 6 was dependent on staff for toileting, bathing, dressing, and personal hygiene. Record review of Resident #6's Care Plan dated 4/24/25 indicated the next care conference due 7/21/25. Record review of Resident #6's undated care conference report reflected care conferences conducted on 11/16/22, 2/8/23, 5/3/23, 10/25/23, 12/13/23, 3/13/24, 6/12/24, 9/18/24, and 4/24/25. Resident #8 Record review of Resident #8's Face sheet, 09/03/2025, reflected she was an [AGE] year-old female, who was admitted to facility on 07/15/2022 with a diagnosis of Alzheimer's disease with early onset, hyperlipidemia, Muscle wasting and atrophy, other speech and language deficits following other cerebrovascular disease, and Major depressive disorder, recurrent severe without psychotic features. Record review of Resident #8's MDS, dated [DATE], indicated she had a Brief Interview for Mental Status (BIMS) of 03, indicating severe impairment. Record Review of Resident #8's comprehensive care plan revealed comprehensive care plan conference was due for quarterly review on 07/06/2025. Record Review of Resident#8's MDS revealed there was no MDS recorded close to 7/6/2025. Record Review of Resident #8's care conference report undated reflected, Care Conferences were held 4/9/2025, 11/20/2024,8/21/2024, and 5/15/2024. Interview on 09/04/25 at 02:25 PM with the SW said he had worked here and at a sister facility for almost 6 months. The SW said the facility was supposed to conduct a care plan conference for each resident quarterly or as needed by families The SW said the purpose of a care plan was to identify each residents' needs, discharge planning, psychoactive medications, things that fully encompass the reasons the residents are here in the facility. The SW said he primarily handled the discharge planning by identifying recommendations from therapy such as discharge home with home heath or a conversion over to hospice care. The SW said the DON was responsible for completing resident care plans timely and accurately. The SW saidthe DON was supposed to conduct a baseline care plan within 48 hours of a resident admission, and the facility was supposed to conduct a care plan conference for each resident quarterly or as needed by families. He further said not completing care plans timely or accurately can affect the resident negatively because it does not encompass the reason the resident was in the facility. The SW said he had been trained on completing resident care plans timely and accurately, and it was a team effort between the DON and the entire IDT. The SW said he monitored resident psych behaviors and initiated psych services and assist with making psych referrals, along with cognitive testing and consent from family. Interview on 09/04/25 at 05:45 PM with the DON said she had been working here since 06/24/25. The DON said IDT meets once per week, and on the phone with social worker and dietary manager. She said they discussed what was not working at that time and strived to make it a more inclusive and working documents. Care plan is a road map and tells us everything we need to know and how ER can best meet their needs. First one within a couple of months, and then every 90 days/once per quarter. Generally, the care plan is completed by the MDS nurse and the DON, especially the initial care plan. This is a team process. Once baseline care plan is completed, the comprehensive cp is completed within 21 days of the baseline which is within 48 hours. The resident can be affected if the care plan is not completed timely and accurately, an example is a new resident has teeth, and then he might have a decline in dental health, nutrition. Also addresses the residents' loss of control, activities they like, and what is going on in their life. Said she has someone in corporate that helps her out, but no official training in this position. IDT meets once per week, and on the phone with social worker, dietary manager, and what is not working at that time, we strive to make it a more inclusive and working documents. Discussion during morning meetings. Said the maintenance man could be included also. DON said the facility had a PIP in place regarding resident care plans since they had not been being completed timely and accurately. DON said she had been working to get all the resident care plans accurate and up to date. Interview on 09/04/25 at 06:15 PM with the Administrator said he had been here for two months, 06/30/25. The Administrator said the care plan conference should be conducted within 90 days. The ADM said the purpose of a care plan was to make sure we address all residents' concerns. The ADM said the MDS nurse, and the DON were responsible for getting the initial care plan completed. He said the care plan conference should be conducted within 90 days, and the initial care plan should be completed in 72 hours. The ADM said after the baseline care plan, the comprehensive care plan should be completed in one week. He said a negative effect of care plans not being completed timely and accurately could affect the resident by staff missing the right care for the resident, and other problems or concerns of residents' care. The ADM said he had not officially received training on the importance of completing care plans timely and accurately. Review of the facility's PIP (Performance Improvement Plan) dated 08/18/25 reflected one of the reasons for the Performance Improvement Plan was not completing care plans in a timely manner. The PIP's improvement goals were to keep residents safe, follow up on all resident care, and have staff trained and qualified to take care of our residents. The PIP further reflected tools and training to be provided were in-services and trainings and follow up on all agency staff to ensure the complete orientation before getting on the floor. The PIP's completion date was 09/30/25. Review of the facility's Policy & Procedure Comprehensive Care Plans dated 07/2025 reflected, Policy: Policy Explanation and Compliance Guidelines: 1. The care planning process will include an assessment of the resident's strengths and needs and will incorporate the resident's personal and cultural preferences in developing goals of care. All services provided or arranged by the facility, as outlined by the comprehensive care plan, must meet professional standards of quality, and incorporate culturally competent and trauma-informed care as indicated. 2. The comprehensive care plan will be developed within 7 days after the completion of the comprehensive MDS assessment. All Care Assessment Areas (CAAs) triggered by the MDS will be considered in developing the plan of care. Other factors identified by the interdisciplinary team, or in accordance with the resident's preferences, will also be addressed in the plan of care. The facility's rationale for deciding whether to proceed with care planning will be evidenced in the clinical record. 3. The comprehensive care plan will describe, at a minimum, the following: a. The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. b. Any services that would otherwise be furnished but are not provided due to the resident's exercise of his or her right to refuse treatment. c. Any specialized services or specialized rehabilitation services the nursing facility will provide as a result of PASARR recommendations. d. The resident's goals for admission, desired outcomes, and preferences for future discharge. e. Discharge plans, as appropriate. f. Resident specific interventions that reflect the resident's needs and preferences and align with the resident's cultural identity, as indicated. If the resident is non-English speaking, the facility will identify how communication will occur with the resident. The care plan will identify the language spoken and tools used to communicate. g. Individualized interventions for trauma survivors that recognizes the interrelation between trauma and symptoms of trauma, as indicated. Trigger-specific interventions will be used to identify ways to decrease the resident's exposure to triggers which re-traumatize the resident as well as identify ways to mitigate or decrease the effect of the trigger on the resident. 4. The comprehensive care plan will be prepared by an interdisciplinary team, that includes, but is not limited to: a. The attending physician or non-physician practitioner designee involved in the resident's care, if the physician is unable to participate in the development of the care plan. b. A registered nurse with responsibility for the resident. c. A nurse aide with responsibility for the resident. d. A member of the food and nutrition services staff. e. The resident and the resident's representative, to the extent practicable. f. Other appropriate staff or professionals in disciplines as determined by the resident's needs or as requested by the resident. Examples include, but are not limited to: The RAI Coordinator Activities Director/Staff Social Services Director/Social Worker Licensed therapists Family members, surrogate, or others desired by the resident. Administration Discharge Coordinator Mental health professional Chaplain

Based on observation, interview, and record review, the facility failed to accommodate each resident's allergies, intolerances, and preferences for 4 of 7 residents (CR #1, CR # 2, CR # 3, CR # 4) reviewed for food and nutritional services. The facility failed to ensure CR # 1, CR # 2, CR # 3, and CR # 4 meal preferences were met- By not offering breakfast meal alternate.-By not offering a daily meal alternate for the lunch and dinner meals.-By not honoring food preferences on resident meal cards. These failures could place residents at risk of not having their food preference needs met. Findings included: Observation on 09/02/25 at 9:45 AM of menu posting revealed no alternate menu posted. Observation on 09/02/25 at 11:00 AM of menu posting revealed no alternate menu posted. Observation on 09/02/25 at 5:15 PM of menu posting revealed no alternate menu posted. During a confidential Resident Council meeting on 9/4/25 revealed CR # 1 stated they serve the same breakfast every day, so they do not eat it. CR #1 had sked for different breakfast choices, but nothing ever changed. CR #1 stated they receive the same old scrambled eggs and link sausage every single day. CR #1 would like fried egg, omelets, fruit sometimes. CR #1 stated they were supposed to have a meeting with kitchen person, and it never happened. CR #1 stated due to right side heart failure they were not to have salt in their diet and no precooked food. CR #1 stated food was brought in from the outside, by a family member every of day. CR # 1 stated their wounds cannot heal due to the salt. Stated the DM was very rude, DM will shut the door in your face, she is so d*** rude. CR # 2 stated they tried speaking to the DM and she was very disrespectful when ask for different food choice. Stated a couple of months ago, DM sent a choice for two days and afterwards she stopped. CR # 3 stated not liking the pimento cheese and the bologna and those are the only choices for sandwiches. All CR's stated they have asked for meal of the month, only got it once and it was lasagna which was something they already had severed. CR # 4 stated they continue to serve pork, spaghetti and fish, and they knew CR #4 do not like those foods. CR #4 stated if they wanted a bowl of soup as night, they should be able to get it if needed. In an interview on 09/03/25 at 3:53 PM revealed the DM had worked at the facility for 7 months. The DM stated the DM from a sister facility had come and provided 1 day of training. The DM stated Corporate and sister facility contacts provided for further training via email and phone. The DM stated she does not feel that they received enough hands-on training in the beginning but has since received more training and self-taught on some things. The DM stated the facility conducts training thru In-services and CBT. The DM stated alternate meal options are available to residents. and there was a posting of alternate meal option next to the menus. The DM stated the facility kept pimento cheese and chopped BBQ on hand. The DM stated the residents know they can come to the kitchen door to make request or tell their nurse. The DM stated it could negatively affect a resident if they did not receive meal options as it could emotionally affect them and make them feel as if their choices do not matter. The DM stated the DM are responsible for ensuring residents have meal options. The DM stated meal preferences are obtained from new admits and states several of the residents were already at facility prior to her starting and their preferences are updated at care plan meetings. The DM stated it could negatively affect a resident if their meal preferences are not obtained emotionally by making them feel that their preferences do not matter. In an interview on 09/03/25 at 5:46 PM the DON revealed they had worked at the facility for 4 months. The DON stated meal options are available to residents, and they do have residents ask for different items such as leftovers or sandwiches. The DON stated she was unsure if there was a printed alternate menu. The DON stated the resident has the option and availability to ask the nurse or CNA, what the alternative meal option was for the day. DON stated the alternate meal option of the day was now posted outside the kitchen next to the daily menu. DON stated it could negatively affect a resident if they did not have meal options by it could affect the resident eating and in turn their weight and nutrition. The DON stated Dietary or DM was responsible for ensuring the resident have meal options. The DON stated it was the responsibility of the RD or DM to obtain the resident meal preferences. The DON stated she was unsure how often resident meal preferences are obtained. In an interview on 09/04/25 at 6:15 PM revealed the ADM had worked at the facility for 2 months. The ADM stated the facility always has meal options available in the kitchen, but they do not have a set list of food items as it changes with their inventory. The ADM stated the CNAs are supposed to tell the residents the daily meal and the alternate. The ADM stated the daily meal, and the alternate are posted outside of the kitchen. The ADM stated it could negatively affect a resident by not having meal options by weight loss. The ADM stated the DM was responsible for ensuring there are meal options for the residents. The ADM stated the DM, or designee was responsible for obtaining resident meal options and preferences. The ADM stated resident meal preferences are obtained upon admission and at care plans. Record review of facility alternate meal policy undated reflected the alternate is to include starch, protein (2 oz at dinner, 3 oz at lunch), and vegetable serving are determined prior to the meal based on what is on the menu. For example, if chicken was on the menu, then the alternate would be a protein that was not also chicken. Or if potatoes were on the menu, then a noodle or rice would be the starch alternate.

Based on observations, interviews, and record reviews, the facility failed to treat each resident with respect and dignity in a manner and environment that promoted the maintenance or enhancement of quality of life for 1 (Resident #10) of 10 residents reviewed for dignity. 1. The facility failed to ensure Resident #10 was appropriately groomed without a brief showing during mealtime. This failure could place residents at risk of diminished dignity and affect their quality of life. Findings included: Resident #10Record review of Resident #10 Face sheet dated 09/03/2025, reflected she was a [AGE] year-old female, who was admitted to facility on 01/21/2025 with a diagnosis of Spastic quadriplegic cerebral palsy(arms, legs, trunk, and face affected by muscle stiffness), Muscle wasting and atrophy(muscles shrink and weaken), Cognitive communication deficit, Major depressive disorder, Generalized anxiety disorder, and Moderate intellectual disabilities. Record review of Resident # 10's MDS, dated [DATE], section C0100, indicated a Brief Interview for Mental Status (BIMS) should not be conducted, a Staff Assessment for Mental Status indicated (3) severely impaired (never/rarely made decisions). Record review of Resident # 10's care plan, dated 04/08/2025 revealed she was total assist for dressing and grooming. Observation of the facility's dining room on 9/3/2025 at 5:26 PM, revealed Resident #10 in dining area with her brief completely showing on one side. Observation also revealed another resident at the same table advising Resident #10 her brief was showing. That same resident pulled up Resident #10's blanket and covered the brief. Interview conducted 9/3/2025, at 6:36 PM, CNA A stated she has been a certified nursing assistant for over a year, she stated she was an agency CNA. She said she had worked at this specific facility often and was assigned to Resident #10 for the day. CNA A stated she did not bring Resident #10 to the dining area as she recalled. CNA A verified with LVN on who assisted Resident #10 to dining, LVN replied she escorted Resident #10 to dining room. CNA A stated Resident #10 was wearing a dress, but it had not been pulled down over her brief. CNA A stated the situation could be a rights issue and have a potential negative effect, as it could cause the resident to not feel well when her brief was exposed in the dining room. Interview attempted on 9/4/2025, at 3:30 PM, with LVN A, she was out. A telephone call was placed to LVN, and a voicemail was left. Interview conducted 09/04/2025 at 5:55 PM, The DON stated the facility always try to promote dignity. The DON stated residents should not be brought out in a gown or with unwashed/unclean clothing. The DON stated it was the responsibility of the CNAs and the nurses to check the residents before coming to dining. The DON stated yes she considered it a rights and dignity concern if a resident was seated in the dining room with a brief exposed. She stated, it would affect anyone to sit in public with their underwear showing. The DON stated respecting every resident's dignity is important. Interview conducted 09/04/2025 at 6:21 PM, the ADM stated he and the DON are responsible for training staff on resident rights and dignity policies. The ADM stated they make sure all residents are properly clothed before coming to dining. He further stated all staff are responsible if they see a resident, not dressed appropriately to go correct the issue. The ADM stated it was the responsibility of the CNA 's and the nurses to check residence appearance before bringing them to dining. The ADM stated he could see a dignity concern of a resident sitting in the dining room with their brief exposed. The ADM stated it could have a negative impact on the resident as it not only affects their dignity but also violate their privacy. Record review conducted 09/04/2025; Facility Policy on Resident Rights, revision dated February 2, 2022, stated, you have the right:2) to safe, decent, and clean conditions4) to be treated with courtesy, consideration, and respect.6) to privacy, including privacy during visits and telephone calls Record review conducted 09/04/2025; Facility Policy on Promoting and Maintaining Dignity, dated July 2025 read:It is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality.Compliance Guidelines:1. All staff members are involved in providing care to residents to promote and maintain dignity and respect resident rights. 5. When interacting with a resident, pay attention to the resident as an individual.9. Groom and dress residents according to resident preference.12. Maintain residents' privacy.

Based on observation, interviews, and record review the facility failed to provide special eating equipment for residents who needed them and appropriate assistance to ensure that the resident could use the assistive devices when consuming meals for 1 of 3 residents (Resident #4) reviewed for special eating equipment and assistance when consuming meals. The facility failed to ensure Resident #4 was provided with a Sippy Cup with built in straw to meet Resident #4's need for assistance while eating. This failure could place residents at risk for harm from weight loss, diminished independence, and self-esteem. The findings included: Record review of Resident #4 Face sheet, 09/02/2025, reflected she was a [AGE] year-old female, who was admitted to facility on 08/26/2023 with a diagnosis of unspecified dementia (loss of memory), dysphagia (difficulty swallowing food or liquids) and severe protein-calorie malnutrition (does not get enough protein and calories).Record review of Resident # 4 MDS assessment dated , 07/03/2025, indicated she had a Brief Interview for Mental Status (BIMS) of 01, indicating severe impairment. Eating ADL indicated limited assistance.Record review of Resident #4 Comprehensive Person-Centered Care Plan, 9/02/25 reflected that Resident #4 used a cup with built in straw and a scoop plate due to risk for alteration in nutrition. Record review of Resident #4's Diet Profile dated 7/22/25 reflected the resident was to have a Sippy Cup and Scoop Plate each meal. Observation of the facility's dining room on 09/03/2025 at 5:35 PM revealed Resident #4 was not provided her sippy cup for the dinner meal. Resident #4 received a regular cup with an unattached straw. The DON was observed to assist Resident #4 with adding sugar to her tea in the regular cup. An attempted interview was conducted on (date) at 5:58 PM, with Resident #4 ,she did not respond, shaking her head instead. Interview conducted 09/04/2025 at 3:18 PM, The DOR stated he has worked at the facility for almost 8 years. The DOR stated that all staff involved in meals share responsibility for ensuring residents have their prescribed adaptive equipment, with nurses checking trays and dietary staff as the first point of contact. He noted that failure to provide adaptive equipment could lead to aspiration, inadequate hydration, and loss of independence, affecting residents' quality of life. The DOR stated the systems in place include nurses checking trays at mealtimes and therapists observing when they are present to ensure compliance with physician or therapy orders. Interview conducted 09/04/2025 at 3:53 PM, The DM stated she has been working at the facility for 7 months. The DM stated she was trained on resident's adaptive feeding equipment by a dietary manager of a sister facility. The DM stated that the cook was responsible for ensuring residents have their adaptive equipment at all mealtimes. The DM stated she placed the adaptive cup on the tray for Resident #4 but noted that Resident #4 sometimes refused to use it. The DM was unsure if refusals are documented. She stated when the resident refuses, she is given a regular cup with a straw. The DM stated the resident could spill drink on herself or choke when given a regular cup with a straw. She stated that the system in place includes the adaptive equipment being printed on the meal card, with the nurse checking trays and other staff reviewing the cards when served. Interview conducted 09/04/2025 at 4:20 PM, The DC stated she has been working at the facility for 2 months and was trained by the dietary manager on dining procedures. The DC stated the kitchen staff was responsible for providing the adaptive equipment on the meal trays and then the nurses will check the trays afterwards. The DC stated that failure to provide adaptive equipment could potentially lead to choking or spills. Interview conducted 09/04/2025 at 5:55 PM, The DON stated she has not been trained on adaptive equipment at this facility, though she has received training in other facilities. The DON stated responsibility to train nursing staff on adaptive equipment, she assumed should come from therapy. She reported that she has never ordered adaptive equipment during her time at the facility. The DON stated the Dietary Manager is responsible for adaptive equipment at mealtimes, as the equipment should be on the tray card. She added that nurses are expected to check trays and make sure the correct equipment was provided. The DON stated in a morning meeting staff had discussed Resident #4 no longer needed a sippy cup, but the care plan had not yet been reassessed or updated. The DON stated potential risks if adaptive equipment, such as a prescribed sippy cup, was not provided a resident may not receive adequate fluids, spill fluids, choke, or aspirate. Record review conducted 9/04/2025, Facility Policy on Use of Assistive Devices dated July 2025 read:1. Assistive devices are tools, products, types of equipment, or technology that help individuals perform tasks and activities. They may help the individual move around, see, communicate, eat, or get dressed. Assistive devices include:g. Eating utensils 2. The use of assistive devices will be based on the resident's comprehensive assessment, in accordance with the resident's plan of care.6. A nurse with responsibility for the resident will monitor for the consistent use of the device and safety in the use of the device. Refusals of use, or problems with the device, will be documented in the medical record. Modifications to the plan of care will be made as needed.

Based on observations, interviews, and record review the facility failed to ensure results of the most recent surveys such as (surveys, certifications, and complaint/incident investigations) of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to survey were readily available to examine for 1 of 1 facility in that: 1. The required state survey documents were not posted in a location readily accessible and visible to all residents, their legal representatives, or family members as required.2. The facility failed to maintain the survey binder; the binder failed to include 3 previous years of required state visit results from 6/28/23, 1/17/25, and 4/9/25. This failure could place all residents of the facility at risk of limited' rights to access information regarding the facility's compliance with state and federal requirements.Findings included: An observation conducted throughout the facility on September 2, 2025, at 2:15 PM, revealed the facility's survey results book was not displayed in the entry foyer nor in any other location within the facility. An observation conducted throughout the facility on September 3, 2025, at 8:30 AM, revealed the facility's survey results book was not displayed in the entry foyer nor in any other location within the facility. An observation conducted throughout the facility on September 4, 2025, at 8:42 AM, revealed the facility's survey results book was not displayed in the entry foyer nor in any other location within the facility. During a confidential group interview conducted on undisclosed date and time, 7 residents interviewed stated they had not known where or how to access the survey results in the facility. Several of the residents stated they would have liked access to this information. They had not understood or been aware that the survey book existed or that they were able to review the results.Interview and observation conducted September 4, 2025, at 10:19 AM, the ADM escorted the surveyor to his office and stated he had removed the survey binder due to painting in the building. The ADM reported that painting had been ongoing for approximately two weeks. The ADM proceeded to retrieve the survey results book from a cabinet in his office. The book was labeled with facility name and 2024 Annual Survey Results and contained only the August 8, 2024, annual survey results; no other survey results were included. Observation revealed the wall identified as the normal posting location had not yet been painted.Interview conducted on September 4, 2025, at 10:30 AM, with the ADM, facility policy requested for survey book.Interview conducted September 4, 2025, at 3:40 PM, the BOM/AD stated she did not know at this time where the survey binder was located. The BOM/AD reported she had not received training regarding the survey binder or its contents. She further stated she has not spoken with any residents about the survey results at Resident Council meeting because she was not aware of the binder. The BOM/AD stated she was scheduled to receive training on regulations through the activities department. Interview conducted September 4, 2025, at 6:21 PM, the ADM stated that he was responsible for maintaining the survey results binder and for training staff on the binder and its contents. He reported the binder was required to include the three most recent surveys and the corresponding plans of correction. The ADM was informed that only the 2024 annual survey was present in the binder. The ADM stated that residents and their family representatives have the right to review the survey results, and that the binder should be posted in a location visible and accessible to residents and families. The ADM stated keeping the binder in a closed cabinet in his office was not considered a prominent and readily available location, the ADM stated it should be posted. He stated he accepted responsibility for removing the survey binder and stated the negative impact of not having the survey results binder available as residents and family members deserve to know the results.Record review conducted September 4, 2025; Facility Policy on Availability of Survey Results dated July 2025 read: 1. A readable copy of our company's most recent federal and/or state survey report and plan of correction for any identified deficiencies is maintained in a 3-ring loose-leaf binder titled Results of Most Recent Survey. 3. The survey binder is located (in the main lobby) and is available for review by interested persons who wish to review information relative to our company's compliance with federal or state rules, regulations, and guidelines governing our company's operation.3. A representative of management is assigned the responsibility of making weekly inspections of the survey binder to ensure that the binder contains current information, is located in its designated area(s), and is readily accessible without one having to ask staff members for the information.4. The facility will maintain reports of any surveys, certifications, and complaint investigations made respecting the facility during the 3 preceding years, and any plan of correction in effect with respect to the facility. This information will be available for any individual to review upon request.5. The facility shall not alter the survey results unless authorized by the state agency.6. Signs identifying the availability and location of our survey binder and availability of previous survey results are posted throughout the building and public bulletin boards. Record review conducted September 4, 2025; Facility Policy on Resident Rights, revision dated February 2, 2022, stated:16. The resident has a right to examine the results of the most recent survey of the Center conducted by Federal or State surveyors and any plan of correction in effect with respect to the Center.

Based on interview and record review the facility failed to ensure residents had the right to request, refuse, and/or discontinue treatment, to participate in experimental research, and to formulate advance directives for 2 of 4 residents (Residents #1 and #2) reviewed for advanced directives. 1. The facility failed to ensure that Resident #1's out of hospital do-not-resuscitate (OOH-DNR) was dated by the physician and was witnessed by two people or notarized. 2. The facility failed to ensure Resident #1 had a designated medical power or attorney (MPOA) documented via MPOA form. 3. The facility failed to ensure that Resident #2's out of hospital do-not-resuscitate (OOH-DNR) included second signatures by witnesses and the second signature of a guardian/agent/proxy/relative. These failures could place residents at-risk of having their wishes dishonored, delay necessary medical treatment or intervention due to confusion and not have medical decisions be made on their behalf by a legally authorized representative. Findings included: Review of Resident #1's face sheet reflected an [AGE] year-old female admitted on [DATE] with diagnoses of Alzheimer's disease (neurodegenerative disorder that gradually damages memory and thinking skills), cardiomyopathy (disease that affects the heart muscle, making is harder for the heard to pump blood effectively), unspecified hydronephrosis(a condition where the kidney becomes swollen due to a buildup of urine), gastrointestinal hemorrhage (bleeding that occurs within the digestive tract, from the mouth to the anus), dementia (a general term for memory loss and other cognitive decline that is severe enough to interfere with daily life), cognitive communication deficit (communication difficulties stemming from problems with underlying cognitive processes, rather than issues with speech or language production itself), aphasia (loss of ability to understand or express speech, caused by brain damage), major depression disorder (a mood disorder characterized by persistent sadness, loss of interest or pleasure in activities) and anxiety disorder (excessive worry, fear, and other physical and behavioral symptoms that interfere with daily life). Review also reflected resident's FM A listed as POA - health care. Review of Resident #1's significant change MDS dated [DATE] reflected no BIMS completed due to the resident was rarely or never understood. Further review reflected Resident #1 had a memory problem with her short-term and long-term memory and Resident #1 was moderately impaired for daily decision making. Review of Resident #1's care plan reflected her code status as do not resuscitate with a start date of 03/10/2025. Review of the resident's care plan dated 04/09/2025 reflected the resident's family members had difficulties getting along with the goal the resident will express/exhibit satisfaction and family members will be respectful of one another in her presence. The approach included Respect [FM B] decisions regarding hospice selection. Further review reflected Resident #1 had impaired judgement and though process related to dementia. Review of Resident #1's OOH-DNR order reflected the document was signed by the resident's adult child on 02-27-2025. Further review reflected there were no dated witnesses' signatures or notary signature, stamp and date. Review revealed the physician's signature was also not dated. Review of section All persons who have signed above must sign below, acknowledging that this document has been properly completed reflected that there was only one witness signature (not two) or notary signature. Review of Resident #1's medical chart reflected a Statutory Durable Power of Attorney (SDPOA) form in place dated 02/24/2020. Review of SDPOA form reflected this document does not authorize anyone to make medical and other health-care decision for you and designated FM A. Review of Resident #1's medical chart reflected there was not a medical power of attorney (MPOA) document. Review of Resident #1's admission agreement dated 02/26/2022 revealed The Resident designates the following persons to be notified of any significant changes in the Resident's condition: Agent/ Legal Representative/ Responsible Party/ Resident Representative (circle one). No option was circled, but FM A was named. Review of the section did not reveal the document to be a MPOA document and did not specify information regarding medical decision making. Review of Resident #1's progress note dated 02/15/2025 by RN D revealed an order was received by the MD for referral to [name] hospice for evaluation with family in agreement with same. Review of Resident #1's progress note dated 02/19/2025 by the DON revealed Resident #1's FM B was confused that FM A chose a different hospice provider. Further review reflected the DON provided FM A with choices. Review of Resident #1's OOH-DNR received via email from ADM on 04/10/2025 reflected previously reviewed OOH-DNR with notary stamp and signature that was undated and date of 02/27/2025 filled in by physician's statement signature. Review of section All persons who have signed above must sign below, acknowledging that this document has been properly completed included notary signature, one witness signature, guardian/agent/proxy/relative signature and physician's signature. During an interview on 04/09/2025 at 10:34 AM, FM B stated that there was an ongoing issue to make medical decisions by FM A. FM B stated there was an MPOA document completed but FM B had never seen it. FM B was not aware an MPOA document existed. FM B stated FM A handed him a SDPOA document. FM B stated there was a preference for a specific hospice company to care for Resident #1 due to Resident #1 being familiar with staff who worked with other residents in the facility. FM B stated they attempted to be involved in choosing the hospice provider but another provider was still chosen by FM A. During an interview on 04/09/2025 at 2:25 PM, the LMSW stated he had worked at the facility for two weeks. He stated that for residents who did not have a medical power of attorney and had a decline in cognition, the facility brought in a primary care physician and family who may have been able to guide decisions. The LMSW stated laws came down to whoever had medical power of attorney to make decisions. The LMSW stated for a resident who did not have an MPOA in place and was no longer able to make their own decisions, the facility brought in a doctor to complete an evaluation and discussed with their adult children. The LMSW stated an entity such as APS may have been brought in as well and ensured nothing legal was being brushed under the rug. The LMSW stated the SDPOA was able make decisions if it was designated in the document that they were able to make financial and medical decisions. The LMSW reviewed Resident #1's face sheet and stated that it appeared FM A was the power of attorney of health care. The LMSW stated from his understanding FM B did have MPOA, but that information was updated by the administration team a while ago. The LMSW stated he had not reviewed Resident #1's power of attorney document before. The LMSW reviewed Resident #1's SDPOA document and stated that the documented allowed whoever was designated the authority to make financial and medical decisions and stated FM A was listed. LMSW further reviewed Resident #1's SDPOA and stated he saw where the document reflected this power of attorney does not authorize anyone to make medical decision for you. The LMSW stated that due to Resident #1's cognitive status decisions would default to FM A. The LMSW stated it looked like the facility needed to review who had MPOA status because based on the SDPOA document FM A had financial power of attorney. Review of Resident #2's face sheet reflected an [AGE] year-old female readmitted on [DATE] with diagnoses of Alzheimer's disease (a progressive brain disorder that primarily affects memory, thinking, and reasoning abilities, ultimately leading to a loss of independence), essential hypertension (persistently elevated blood pressure), bipolar disorder (a mental illness characterized by extreme and persistent shifts in mood, energy, and activity levels, including periods of mania and depression), cognitive communication deficit (communication difficulties stemming from problems with underlying cognitive processes, rather than issues with speech or language production itself), anxiety disorder (excessive worry, fear, and other physical and behavioral symptoms that interfere with daily life), dysphagia (difficulty swallowing), and aphasia (loss of ability to understand or express speech, caused by brain damage). Review of Resident #2's annual MDS dated [DATE] reflected no BIMS score because resident was rarely or never understood. Review reflected resident had a short-term and long-term memory problem and Resident #3's cognitive skills for daily decision making were severely impaired. Review of Resident #2's care plan dated 03/27/2025 reflected she had impaired communication due to aphasia and dementia with decrease ability to comprehend complex information. Further review reflected code status as do not resuscitate date 03/27/2025. Review of Resident #2's OOH-DNR order dated 12/18/2020 reflected there was no second guardian/agent/proxy/relative signature and no second signatures from the two witnesses. During an interview on 04/09/2025 at 3:15 PM, RN C stated she was able to determine code status of a resident by her knowledge from having worked with the residents and stated she was aware of who was a DNR and who was not. She stated if she did not know, there was a list she viewed posted at the nurse's station. RN C stated she looked at the orders on the resident's chart too. She stated if a resident was new, she looked at the OOH-DNR document. RN C stated that the OOH-DNR document usually had POA signatures, physician and witnesses included. RN C stated it should have been dated. She stated if it was missing any of the mentioned it was not valid. RN C stated she was able to determine who to contact for medical decisions or a change of condition by who was listed on the resident's face sheet for an emergency contact or next of kin. She stated that the resident's documents were reviewed by a lot of people and that the facility was very small, so they had good communication. During an interview on 04/09/2025 at 3:47 PM, the LMSW stated that prior to his start at the facility, OOH-DNRs were reviewed by the business office manager and moving forward they would be his responsibility since he was familiar with the document. The LMSW stated that an OOH-DNR needed to contain witnesses (that did not have ties to inheritances or estates and could be confirmed as trust individuals), and also needed to be notarized. The LMSW stated typically the best way to go about the form was to get two doctors who did not provide direct care. The LMSW stated Texas had its own OOH-DNR. The LMSW stated the form required patient information, family information, witnesses or to have the document notarized. The LMSW reviewed Resident #1's OOH-DNR and stated it looked like it had everything it needed. The LMSW stated the risk of an incomplete document was that it would be an invalid document. The LMSW stated for example if the document were sent to a medical facility if emergency responders were not made aware of document and not aware of interventions but if provided interventions, there could be financial implications and could go against a resident's direct wishes. The LMSW stated he tried to audit advanced directives often but would try to audit them when he completed quarterly assessments and during care conference he also asked about code status. During an interview on 04/09/2025 at 5:03 PM, the DON stated that she was the interim DON at the facility. The DON stated that Resident #1's document was put into place when she was admitted to the facility. The DON stated she found Resident #1's SDPOA so she reached out to FM A and asked if FM A provided a document other than the SDPOA. The DON stated whomever uploaded the document in Resident #1's chart mislabeled it as MPOA and did not select SDPOA. The DON stated that Resident #1 signed her admission packet in 2020 and designated FM A to be notified of any changes of condition. The DON stated that the document signed in the admission packet listed who the facility should have contacted for decisions and changes because it was signed by Resident #1 when she admitted . The DON stated that there was disagreement on the hospice provider between FM A and FM B. She stated FM B's spouse was employed by a hospice agency and they wanted to go with that agency, but FM A did not want to mix family and the provider to avoid conflict. The DON stated that she believed Resident #1's OOH-DNR was obtained through hospice when Resident #1 was admitted to their service. The DON stated an OOH-DNR included resident representative or resident signature and witnesses (who were not employees that provided direct care). The DON stated Resident #1's form did not have witness signatures. The DON stated the facility could have gotten the form notarized because their business office manager was a notary and did not have direct resident care. The DON stated the facility could get Resident #1's OOH-DNR form regenerated. The DON stated ideally the LMSW would review advance directives but he had only been at the facility two weeks. During an interview on 04/09/2025 at 5:23 PM, the ADM stated any clinical documents such as advanced directives were reviewed by the DON. The ADM stated if an advanced directive was obtained during an admission, then the central intake team reviewed it. If it was obtained at the facility, it was reviewed by the DON. The ADM stated the DON reviewed residents' charts daily. The ADM stated she expected documents to be completed fully and accurately. The ADM stated if residents were no longer able to make medical decisions, the facility would reach out to the medical power of attorney. If there was not a MPOA, then the facility would call the representative listed on the face sheet in the resident's chart. The ADM stated upon admission, the representative was determined and selected by the resident. Review of the facility policy with revision date of 02.29.2024 and titled Advanced Directives reflected It is the policy of this facility to adhere to residents' rights to formulate advance directives. The presence of an Advanced Directive or any physician directives related to the absence or presences of an Advance Directive shall be communicated to Social Services as applicable. A code status audit will be conducted by the DON designee quarterly or as needed. Review of undated OOH-DNR form instructions for issuing an OOH-DNR order revealed the OOH-DNR order must be signed and dated by two competent adult witnesses. Optionally, a competent adult person or authorized declarant may sign the OOH-DNR Order in the presence of a notary public. Review of health and safety code 166.083(b)(4)(6) dated 09/01/1999 revealed an OOH-DNR order at minimum must contain statement that the physician signing the document is the attending physician of the person and that the physician is directing health care professionals acting in out-of-hospital settings, including a hospital emergency department, not to initiate or continue certain life-sustaining treatment on behalf of the person and places for the printed names and signatures of the witnesses or the notary public's acknowledgment and for the printed name and signature of the attending physician of the person and the medical license number of the attending physician Further review of health and safety code 166.089(3) dated June 16, 1995 revealed an OOH-DNR order form appears valid when it includes the signature or digital or electronic signature of the declarant or persons executing or issuing the order and the attending physician in the appropriate places designated on the form for indicating that the order form has been properly completed. Review of health and safety code 313.004 (a)(2) dated 09/01/1993 reflected If an adult patient of a home and community support services agency or in a hospital or nursing home, or an adult inmate of a county or municipal jail, is comatose, incapacitated, or otherwise mentally or physically incapable of communication and does not have a legal guardian or an agent under a medical power of attorney who is reasonably available after a reasonably diligent inquiry, an adult surrogate from the following list, in order of priority, who has decision-making capacity, is reasonably available after a reasonably diligent inquiry, and is willing to consent to medical treatment on behalf of the patient may consent to medical treatment on behalf of the patient: (1) The patient's spouse; (2) the patient's adult children

Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment requirement for one [dietary manager] of one kitchen staff reviewed for qualifications. The facility failed to have a qualified Dietary Manager. This failure could affect all residents whose nutritional needs are the food services manager responsibility placing them at risk of foodborne illness weight loss and compromising their health and well- being. Findings included: Record review of Dietary Manager Employee file revealed she was terminated on 12/24/2024. During an interview on 1/17/2025 at 3:43 pm, the HR staff stated she was not in charge of dietary, there has been no one in charge of the kitchen, she was just helping out as needed. The HR staff stated she did not have food handling certificate or the credentials of being a Dietary Manager. The HR staff stated the previous Dietary Manager was terminated in December of 2024. The HR staff stated since the Dietary Manager's termination, there has not been a corporate dietary manager visiting the facility. During an interview on 1/17/2025 at 4:10 pm the DON stated the facility had been out of a Dietary manager since the middle of December 2024 and the HR staff had been managing dietary, the schedule and training until they can get a new manager for the kitchen.

Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety in the facility's only kitchen. The HR staff was not wearing hair restraints while in the kitchen. The trashcan next to the handwashing station was overflowing and without liner. The Ice machine was dirty. An open and overflowing trash container was stored next to the ice machine. The ice scoop was stored with the mop pads, mop bucket, and brooms located over the Ice machine. The [NAME] failed to change gloves and perform hand hygiene after touching the trash can lid. The dishwasher water temperature was below the recommended temperature. The facility did not document temperatures for the food, dishwasher and refrigerators. These failures could place residents who ate food from the kitchen at risk of foodborne illness. Finding included: Observation on 01/17/2025 at 09:35 am revealed the following: *The HR staff in the kitchen, was not wearing her hair restraint properly. The HR staff hair was outside of the hair restraint from the back of her head to her neck area. *The trashcan next to the handwashing station was overflowing with trash and there was no liner in the trashcan. *The ice machine in the kitchen had black, white and greenish-like substances covering the inside and the edges of the machine and the lid. The HR staff wiped the ice machine lid with her finger and her finger became black. *A 32-gallon trashcan full to capacity, no top, was next to the ice machine. *A 4-tier mental shelve with multiple mop heads and a bucket containing the ice machine scoop next to the ice machine. Observation on 01/17/2025 at 10:15 am revealed the AD was operating the dishwasher. The wash temperature got to 102-degree Fahrenheit the first time and 110 degrees the second time. There was a sign by manufacture posted on the dishwasher indicating the minimum water temperature was 120-degree Fahrenheit. Review of facility's clipboard with temperature logs reflected the following: *The test strip log for 3-compartment sink last log dated 10/17/2024. *The refrigeration temperature last log dated 10/17/2024. *The Hot beverage temperature log for the month of December 2024 and was blank . *There were no temperature logs on the clipboard for holding of cold food, hot food, and holding temperatures. Observation on 01/17/2025 at 11:40 am revealed the [NAME] touched the trash can lid while putting trash in the container, did not change gloves or perform hand hygiene. The [NAME] used same soiled gloved hands to touch already cook chicken to put on the tray for re-heating. The [NAME] then removed gloves, performed hand hygiene, donned clean gloves, opened the oven and place the tray of chicken in the oven. The [NAME] with now soiled gloved hands from touching the oven, touch the biscuits by putting in the pan to serve. During an interview on 01/17/2025 at 1:29 pm, the DA stated she had been at the facility since 12/30/2024. She stated there had not been a dietary manager since she had been hired and the HR staff had been managing the kitchen. The AD stated she was trained by CMA A on how to operate the dishwasher. She stated the temperature for the dishwasher should reach 170 degrees and if the temperature was below the recommended temperature, the dishes would not be disinfected and that would impact the residents. She stated the dishwasher machine had been broken for couple of days and the HR staff was made aware. The DA stated she had not been documenting the dishwasher temperature. She stated, she had not seen the cooks check the food temperatures before today. The DA stated she realized the trash bin next to the ice machine was overflowing and was too close to the ice machine along with the mop bucket and mop heads. She stated the trash can, mop bucket and mop head had been in that location since she started at the facility, and it was not appropriate to keep the trash can next to the ice machine due to cross contamination. The AD stated the ice machine looked dirty, with a lots of build up on it. She stated she was in-serviced on 01/15/2025 on washing hands continuously, wearing gloves, changing gloves, washing hands with each glove's changes. She also stated they were in-serviced on temperature logs being required for the dishwasher, the food, refrigerator and assumed it was for sanitation reason. Stated the HR staff came up with schedule for cleaning the kitchen. She stated she knew hand hygiene was important to keep the residents from being sick. During an interview on 01/17/2025 at 1:50 pm the [NAME] stated he had been at the facility for 4 days but had been a cook for a while and was not familiar with the steam table. He stated he knew to wash hand when changing gloves, change gloves from one task to the other, wear gloves when handling food. He stated he should have changed his gloves and perform hand hygiene when he tapped the trash can lid due to infection control. He stated he should have changed gloves and performed hand hygiene when he touched the oven before touching the biscuits. The cook stated the black, white and greenish colors on the ice machine looked like mold and did not think it was safe for the residents to drink from due to infection control. The cook stated the overflowing trash next to the ice machine was not sanitary and the residents could get sick from that. The [NAME] stated he was aware that he had to check food temperatures after cooking and while on the steam table but did not know he had to log the temperatures. The cook stated he did not know they had to log the refrigerators temperatures also. He stated he had never seen temperature logs and had not log food or refrigerator temperatures. He stated the kitchen staff attended a meeting on 01/15/2025 and it was discussed the dishwasher machine temperature was not getting to the right temperature but was not sure what was done to fix it. He stated the dishwasher not getting to the right temperature could impact the residents because the temperature was not hot enough to clean the dishes and kill the bacteria, residents could get sick. The cook stated the trash in the kitchen was from the night. During an interview on 1/17/2025 at 2:21 pm, CMA A stated she was a CMA and there was no position for CMA in the facility at the moment, so she was helping out in the kitchen due to previous experience as a cook and dietary manager. CMA A stated the kitchen was filthy, food consistency was out of control, so she tried to train the [NAME] on her off days. CMA A stated she notified the acting HR staff who was the acting dietary manger on Monday 01/13/2025 that dishwasher machine had problems and the water was not getting hot enough. CMA A stated the HR staff stated she was aware of the situation and Corporate was getting a plumber to the facility to adjust the water temperature. CMA A stated the dishwasher machine water not getting hot enough could cause the dishes, utensils and cookware not to properly be clean or sanitized and can lead to bacteria and make residents sick. CMA A stated the [NAME] and other dietary should be responsible to clean, but it was not being done. She stated there was no cleaning schedule or log in the kitchen. CMA A stated the black, white and greenish substances on the ice machine looked disgusting, appeared to be mold or mildew and calcium build up. She stated the trash can next to the ice machine looked like it had not been cleaned for years. She stated they had always stored the dirty linen basket and the mop head next to the ice machine. She stated those things should not be stored next to the ice machine. During an interview on 1/17/2025 at 3:15 pm the Maintenance Director stated he had been employed at the facility for about a week. He stated he was not made aware of the dishwasher water temperature not getting to the appropriate or recommended temperature. The maintenance Director stated he would have turned on the temperature from the water heater if he had known He also stated it was important to keep the dishwasher water temperature at the recommended temperature to keep germs down and prevent the residents from getting sick. During an interview on 1/17/2025 at 3:43 pm, the HR staff stated she was not in charge of dietary, there has been no one in charge of the kitchen, she was just helping out as needed. The HR staff stated the dietary staff were checking food and refrigerator temperatures but were not logging it. She stated she in-serviced dietary staff on food and refrigerator temperatures. The HR staff stated she knew there was a problem with the sprayer on the sink and the maintenance from corporate was in the facility to adjust the water heater temperature. The HR staff stated she was not aware that the dishwasher water temperature was not getting to the right or appropriate temperature. She stated the dishwasher water not getting to the right temperature would cause the dishes not to be sanitize properly, bacteria would build up and she would not want to eat from a dirty plate. The HR staff stated the black, white and greenish substance on the ice machine, she was assuming it was dirt or grime, the lid was dirty, in the machine was stained. The HR staff stated, sanitation wise, the trash, mop bucket and head should be kept separately from the ice machine. She stated the ice machine should be clean once a month. She stated she printed out a cleaning schedule the day before and was supposed to post the schedule the day of the investigation. The HR staff stated she was adjusting her hair restraints when the surveyors got to the kitchen. She stated all of staff hair should be in the restraint to prevent hair from going into the resident's food. During an interview on 1/17/2025 at 4:10 pm the DON stated the facility had been out of a Dietary manager since the middle of December 2024 and the HR staff had been managing dietary, the schedule and training until they can get a new manager for the kitchen. She stated the interim Administrator started 01/06/2025 and there have been all new staff. The DON stated, Hand hygiene was performed anytime the staff change gloves, between task, when visibly soiled, after the restroom, from raw to cook change gloves and hand hygiene to prevent cross contamination and the spread of bacteria and viruses. She stated if the staff touched the touched the trash can with his gloved hands, he should have changed the gloves, performed hand hygiene, and wore clean gloves to prevent cross contamination. The DON stated the ice machine was gross, the trash can next to the ice machine was overflowing and touching the ice machine, the trash can, mob bucket and mop head should not be in that space due to cross contamination and infection. She stated the night shift in the kitchen were supposed to take the trash out. The DON stated the dietary staff were supposed to check food temperature to make sure it was not cold to grow bacteria or hot to burn the residents. The DON stated the dietary staff were supposed to log food, refrigerator, and dishwasher temperatures. The DON stated the recommended temperature for the dishwasher was on the dishwasher. She stated the facility had issues with their hot water and the maintenance from corporate was in the facility to fix it. The DON stated she was aware there was an issue with the dishwasher water not getting to the recommended temperature and she told the HR staff because she was in charge of dietary. The DON stated, If the water is not getting hot enough, you will run a problem of not being disinfect, running the risk of passing out infection from one resident to the other. During an interview on 01/17/2025 at 5:26 pm the Interim Administrator stated he had been in the facility for about 2 full weeks. He stated he had not been made aware that the dishwasher water was not reaching the appropriate temperature. He stated it was his expectation that staff let him know whenever something was broken. The interim Administrator stated it was a problem that the dishwasher water was not reaching the appropriate temperature, the dishes were not being sanitized appropriately and pathogens would build up. He stated the facility would have it fixed. The Surveyors requested document for the hot water heater being fixed and the interim Administrator stated he would get it to the survey team by 01/21/2025. The survey team did not get the documentation. Review of facility's document provided titled Ware washing in-service undated reflected: Low Temperature Dish Machine---Low temperature machines using chlorine as a chemical sanitizer should have a concentration between 50pm and 100ppm and be measured using the appropriate chemical test kits. o The wash & rinse cycle must maintain a minimum temperature of 120o. o Can damage flatware and plastics if chemicals are used at elevated concentrations. o Require the use of proper chemical test strips to measure the chemical concentration. Dishwashing Procedure Check to make sure machine is performing properly, reaching minimum temperatures & sanitizer ppm before starting procedure. Monitoring Requirements To ensure that the dishwasher is running effectively, monitor the following: Temperature: If the temperature doesn't reach the required minimum, then dishes are not being properly cleaned, which can lead to risk of food borne illness. Chemical Levels: If the chemicals for low temperature machines don't reach their required minimum, then dishes aren't being sanitized, which can lead to risk of food borne illness. A low temp system washes and rinses dishes at 120 F or higher and rinses them with a chemical sanitizing solution to neutralize any remaining bacteria or pathogens. Review of facility's Policy titled Food Handling revised June 1, 2019 reflected: Policy: To ensure that all food served by the facility is of good quality and safe for consumption, all food will be handled according to the state and US Food Codes and HACCP guidelines. 1. General Guidelines a. Use clean, sanitized surfaces, equipment and utensils. b. Wash hands properly before beginning food preparation. c. Prepare food with the least manual contact possible. Do not allow bare hands to touch raw food directly. d. Do not let surfaces, equipment or utensils that have been in contact with raw meat to come into contact with other food unless the items have been cleaned and sanitized first. e. Do not bring soiled food carts, food equipment or garbage containers through the food preparation area. Review of facility's policy titled Mechanical Cleaning and Sanitizing of Utensils dated October 1, 2018, reflected: Policy: The facility will follow the cleaning and sanitizing requirements of the state and US Food Codes for mechanical cleaning in order to ensure that all utensils and equipment are thoroughly cleaned and sanitized to minimize the risk of food hazards. 1. Use only an approved dish machine that is properly installed and maintained. Operate the dish machine as instructed in the manufacturer's directions 5. If a machine that uses chemicals for sanitizing is in use, follow these guidelines: a. The temperature of the wash water must be at least 120 F. Review of facility's policy titled Refrigerator and freezer Temperature revised June 1, 2019, reflected: Policy: To ensure that all food served by the facility is of good quality and safe for consumption, all food will be stored according to the state, federal and US Food Codes and HACCP guidelines. . Place a thermometer inside freezers near the door where the temperature is warmest. Check the temperature of all freezers using the internal thermometer to make sure the temperature stays at 0 F or below. Temperatures should be checked each morning and again on the PM shift. Record the temperatures on a log that is kept near the freezer. Review of facility's policy titled Taking Temperatures-Nutrition and Food Service Policies and Procedures Manual dated 2018 reflected: The facility realizes the critical nature of serving foods at the correct temperatures to ensure the health of its residents. The facility will take and record the temperatures of all foods prior to service. Foods not at the correct temperature will be corrected or discarded as necessary. Review of facility's policy titled Handwashing/Hand Hygiene revised 1/20/2023 reflected: Policy Statement This facility considers hand hygiene the primary means to prevent the spread of infections. Policy Interpretation and Implementation 1. All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infection to other personnel, residents, and visitors. 5. Hand hygiene must be performed prior to donning and after doffing gloves. 6. Hand hygiene is the final step after removing and disposing of personal protective equipment.

Based on observations, interviews, and record review the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 5 of 5 residents (Resident #6, Resident #8, Resident #11, Resident #13, and Resident #23) reviewed for resident rights. The facility failed to ensure Resident #6, Resident #8, Resident #11, Resident #13, and Resident #23's call lights was within reach on 08/05/2024, 08/06/2024 and 08/08/2024. This failure could place residents at risk of needs not being met. Findings included: Record review of Resident #6's Admission Record dated 08/06/24 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included Cerebral palsy (a group of conditions that affect movement and posture), Other specified disorders of teeth and supporting structures, Unsteadiness on feet, Weakness, seasonal allergies, severe protein-calorie malnutrition, Constipation, Cognitive communication deficit (problems with communication), insomnia (difficulty sleeping), quadriplegia (paralyzed), Spastic quadriparesis(a form of cerebral palsy that affect all four limbs), iron deficiency, anemia (not enough healthy red blood cells), lack of coordination, muscle wasting, muscle weakness, lack of coordination, dizziness and giddiness, Dysarthria and anarthria (severe speech sound disorder), symbolic dysfunctions (disorder that affects social skills), muscle spasm, heartburn, dysphagia (difficulty swallowing, hypertension (high blood pressure),hyperlipidemia (high cholesterol), and major depressive disorder. Record review of Resident #6's Quarterly MDS dated [DATE] revealed Resident #6 had a BIMS score of 11, indicating resident understood and could make self-understood most of the time. Resident #6's MDS also revealed that the resident needed extensive assistance with bed mobility, transfers, and toileting. Record Review of Resident #6's care plan 06/26/2024 revealed keep call light and personal items within reach. Keep call light within reach when sitting up in her room in her motorized scooter and when in bed. Encourage use of call light. Record review of Resident #8's Admission Record dated 08/06/24 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease (memory loss), dementia (memory, thinking, difficulty), Psychotic disturbance (altered perception, thinking, and behavior), mood disturbance, anxiety, hypertension (high blood pressure), muscle weakness, tachycardia (high resting heart rate), bipolar disorder (extreme mood swings), type 2 diabetes mellitus with diabetic chronic kidney disease (kidney disease due to high blood sugar), cholangitis (swollen bile duct), difficulty walking, unsteadiness on feet, muscle wasting, depressive episodes, Cognitive communication deficit (problems with communication), allergies, hyperosmolality (severe complications from diabetes), hypernatremia (high concentration of sodium in the blood), anxiety, behavioral syndromes, seizures, insomnia (difficulty sleeping), lack of coordination, and dysphagia (difficulty swallowing). Record review of Resident #8's Quarterly MDS dated [DATE] revealed Resident #8 had a BIMs score of 01 indicating that the resident cannot understand or make self-understood. Resident #8's MDS also indicated the resident is dependent on staff for toileting, transfers, and bed mobility. Record review of Resident #8's care plan dated 05/08/2024 stated encourage use of call light, always keep call light in reach. Advanced dementia unaware of how or when to use call light make frequent checks to meet needs. Record review of Resident #11's Admission Record dated 08/06/24 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included dementia (memory, thinking, difficulty), psychotic disturbance (altered perception, thinking, and behavior), mood disturbance, anxiety, hyperlipidemia (high cholesterol), urinary tract infection, major depressive disorder, dysphagia (difficulty swallowing), difficulty walking, unsteadiness on feet, Alzheimer's disease (memory loss), transient cerebral ischemic attack (brief stroke like attack), Cognitive communication deficit (problems with communication), respiratory disease, protein-calorie malnutrition, seasonal allergies, insomnia (difficulty sleeping), partial loss of teeth, glaucoma (eye disease), depressive episodes, constipation, anxiety, muscle weakness, muscle wasting, abnormalities of gait and mobility, lack of coordination, chronic pain, and gastroesophageal reflux disease without esophagitis (reflux). Record review of Resident #11's Quarterly MDS dated [DATE] revealed Resident #11 had a BIM score of 12 indicating the resident could understand and could make self-understood. The MDS also revealed that the resident needed supervision and touching assistance when toileting, bed mobility and transfers. Record review of Resident #11's care plan dated 05/15/2024 stated keep call light within reach at all times. Record review of Resident #13's Admission Record dated 08/06/24 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included dementia (memory, thinking, difficulty), psychotic disturbance (altered perception, thinking, and behavior), mood disturbance, nasal congestion, cough, dysphagia (difficulty swallowing), protein-calorie malnutrition, insomnia (difficulty sleeping), Cognitive communication deficit (problems with communication), dysuria (pain or burning when pee), muscle wasting, depression, constipation, muscle wasting, bipolar disorder (extreme mood swings), anxiety, abnormalities of gait and mobility, lack of coordination, glaucoma (eye disease), hypertension (high blood pressure), hyperlipidemia (high cholesterol), disorder of thyroid, type 2 diabetes mellitus without complications (high blood sugar), aphasia (unable to comprehend due to damage to the brain) and symbolic dysfunctions (disorder that affects social skills). Record Review of Resident #13's Quarterly MDS dated [DATE] revealed Resident #13 had a BIM score of 14 indicating resident could understand and make self-understood. Resident #13's MDS also revealed that Resident #13 needed supervision and touching assistance with toileting, transfers, and bed mobility. Record review of Resident #13's care plan dated 05/22/2024 stated encourage use of call light. Keep call light and personal items within reach. Record review of Resident #23's Admission Record dated 08/06/24 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included dementia (memory, thinking, difficulty), metabolic encephalopathy (change in brain function), dysphagia (difficulty swallowing), obsessive-compulsive disorders, difficulty in walking, aphasia (unable to comprehend due to damage to the brain), cough, muscle weakness, lack of coordination, osteoarthritis (joint disease), altered mental state, Cognitive communication deficit (problems with communication), abnormalities with gait and mobility. malaise (feeling of general discomfort), adult failure to thrive, hyperlipidemia (high cholesterol), muscle wasting, gout (swollen arthritis), kidney failure, visual field defect, hearing loss, hypertension (high blood pressure), hyperthyroidism (excessive production of thyroid hormones), protein-calorie malnutrition, and respiratory disease. Record Review of Resident #23's Quarterly MDS dated [DATE] revealed Resident #23 had a BIM score of 13 indicating the resident could understand and make self-understood. Resident #23's MDS also revealed that the resident needed assistance with set up and clean up for toileting, bed mobility and transfers. Record review of Resident #23's care plan dated 07/03/2024 stated keep call light in reach and encourage resident to request assist for toileting assist. Keep personal items and call light within reach. Observation of Resident #8's call light on 08/05/2024 at 10:34am revealed it was not in reach of the resident. Resident #8 was laying in her bed watching television. Her call light was hanging straight down to the floor. Attempted to interview Resident #8 and was unsuccessful. Observation of Resident #23's call light on 08/05/2024 at 10:40am revealed the call light was hanging straight down. Resident #23 was asleep in the bed the call light was approx. three feet away. Observation of Resident #13's call light on 08/05/2024 at 10:43am revealed it was tucked under the mattress and the button was hanging down towards the floor. Resident was sleeping in her bed and call light was approx. 3 feet away. Observation of Resident #11's call light on 08/05/2024 at 2:22pm revealed that her call light was hanging straight down behind furniture. Resident was sitting on her bed approx. 2 feet from the call light. Observation of Resident #6's call light on 08/06/2024 at 10:36am revealed that her call light was hanging down the wall to the floor. Resident was sitting in her wheelchair approx. 3 feet from the call light. Observation of Resident #6, Resident #8, Resident #13, and Resident #23's call lights on 08/08/2024 at 2:24pm revealed that the call lights were not in the residents reach. The call lights were in the same position as they had been when first observed them on 08/05/2024. An interview with Resident #11 on 08/05/2024 at 2:55pm revealed that she does not know if staff would answer her call light. She also stated she did not know where her call light was. An interview with Resident #6 on 08/06/2024 at 10:37am revealed her call light is normally hanging on her bed but sometimes it is not in her reach. She said it takes staff a long time to answer when she does have her call light. An interview with CNA C on 08/08/2024 at 3:07pm revealed she had been trained on resident rights. She said the training covered the resident's right to dignity and privacy. She stated the call lights were to be always within the resident's reach. She said that if the resident is in a wheelchair in their room the call light was to be on the bed within reach of the resident. She said that it was important to have the call light within the resident's reach so the resident could call staff if they need anything or in case of an emergency. She said that if the call light is not in the resident's reach they may try to get up on their own and fall and break a hip. She said she did not know why the residents call lights were not within reach. An interview with CNA D on 08/08/2024 at 3:22pm revealed that she had been trained on resident rights. She said the training covered the rights of the residents that live in the facility. She stated the policy for call light placement was the call light should be always in the resident's reach. She said that the aides were responsible for ensuring the call light was in the resident's reach. She said it was important for the call light to be in the resident's reach so the resident could call staff when they needed help. She said if the call light were not in the resident's reach the resident could fall or something happen and not be able to get help from staff. She said she did not know why the call lights were not in the reach of the residents. An interview with RN G on 08/08/2024 at 3:44pm revealed she had been trained on resident rights. She said the training covered the resident's right to refuse treatment, DNR and right to privacy. She said the policy for call light placement was to be in the resident's reach. She said it was everyone's responsibility to ensure the call light was in the reach of the resident. She stated it was a safety issue and the resident's right to have the call light within their reach. She said if the call light is not in the resident's reach the resident could fall. She said that it was possible that the call light was in the resident's reach and the resident knocked it down. An interview with MA E on 08/08/2024 at 4:12pm revealed that she had been trained on resident rights. She said the training covered the residents right to be treated with respect. She said the call light should be placed on the bed or where the resident could get to it. She said it was important to ensure the call light was in reach of the resident in case something happened to them, or the resident needed assistance. She stated if the call light were not in reach of the resident staff could get into trouble and that something could happen to the resident. She said she did not know why the call lights were not within the reach of the resident. An interview with the DON on 08/08/2024 at 4:26pm revealed he had been trained on resident rights. He said the training covered all the rights according to HHSC regulations. He stated call lights were to be kept in the reach of the resident. He said staff are expected to make sure the call lights are in the reach of the resident before they leave the resident's room. He said all staff members were responsible for placing the call lights in the reach of the residents. He said it was important for the call light to be in reach so the resident could get assistance when they need it. He said that if the call light were not in the reach of the resident, the resident could not get help when they need it. He said he did not know why the call lights were not in the reach of the residents. An interview with the ADM on 08/08/2024 at 4:40pm revealed she had been trained on resident rights. She said the training covered every right that the resident had while living at the facility. She stated residents are to have their call light within reach to always utilize it. She said if the resident required a special call light the facility was to provide it for the resident. She said all staff were responsible for ensuring that the call light was in the reach of the resident. She said that it was important for the call light to be in reach for resident's to get help when they need it. She said if the call light were not in reach the resident would not get their needs met and the resident could hurt themselves. She said that the call lights were not in reach of the residents because staff did not make sure to put it in reach before they left the resident's room. Record review of Answering the Call Light Policy dated March 2021 revealed if the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident.

Based on observation, interview, and record review, the facility failed to ensure residents had comfortable temperatures in the building, putting residents at risk of heat related illnesses. The facility failed to maintain comfortable and safe temperature levels when the temperatures in the facility exceeded 81 degrees. These failures could place residents at risk due to being in an environment that is unsafe or uncomfortable. The findings included: Observation of resident living room, dining room, resident rooms, hallway temperatures taken by the surveyor on the state issued Smartro SC42, on 08/05/2024 beginning at 2:20pm reflected a temperature of 82 degrees Fahrenheit in the east hallway, 82 degrees Fahrenheit in the west hallway, 83 degrees Fahrenheit in the conference room, 84 degrees Fahrenheit in a resident's room. Observation of the med room temperature revealed it was 83 degrees and 84 degrees if the door is closed. Observation of residents 0n 08/05/2024 at 1:00pm revealed that residents were not being offered water or assessing the residents for heat exhaustion. An interview with MS on 08/05/2024 at 3:21pm revealed the inside room temperature will stay between 83 to 85 degrees in the heat of the day and drops down to 80 degrees inside towards the end of the day. He stated that the ac subtracts on about 20 degrees of the outdoor temperature on average and that staff try not to keep residents in the main area due to it getting too hot. He stated that the system just cannot keep up and they are still working to try to resolve it. He said he did not have a temperature log. He said he would randomly check temperatures but did not record them. An interview and observation with Resident 23 on 08/05/2024 at 3:28pm revealed that it was hot. She stated that she walked down the hall to get the temperature. She stated the thermostat said it was 78 degrees. She stated that that was too hot. When surveyor check with our thermometer it read it was 83 degrees. An interview on 08/05/2024 at 3:44pm LVN stated that she had been working at the facility for [AGE] years and they have always had problems with the AC. She stated that currently this has been going on for months. She stated she had complained to the DON. She also said all staff have complained but nothing had been done. She stated she was not sure how hot it had gotten. LVN told the surveyors to wear something cool tomorrow because it will be hot tomorrow in the building. An interview with the MS on 08/05/2024 at 4:25pm and asked him to take temperatures with his thermometers, revealed that he did not know where they were. An interview with the ADM on 08/05/2024 at 4:30pm revealed that the maintenance supervisor informed her (right before Surveyor did the interview) the temperature was above 82 degrees . She stated that she has already started to reach out to local vendors to check the units and get portable fans. She stated one unit was replaced and she did not know that there was an issue with the other one until the maintenance supervisor told her. She stated staff have complained it was hot after the ac was replaced but the issue was the temperature was turned up to 75 degrees. She stated no staff had complained about it being hot. She also said that maintenance is responsible for monitoring temperatures. An interview with the RN on 08/05/2024 at 5:00pm revealed that it would be too hot in the medication room and the AC does not flow. She said if she did not need to go in there she would not. She stated that it was hotter in the medication room earlier in the day. She also said that it was hot sitting at the nurse station even with the fan and that at times it would be unbearable. She stated that maintenance was working on it and had already replaced one unit. An interview with Resident #6 on 08/06/2024 at 10:39am revealed that she was hot and complained to nursing staff. She said the facility took over a week to get her a fan. She said she had not said anything since she had gotten the fan because she figured staff already knew it was hot in her room. An interview with Resident #17 on 08/07/2024 at 1:01pm revealed that he had complained to the nurse several times that it was hot in his room. He said he sweats all night long and that maintenance opened his ac vent, but it does not work. He said he had asked for a fan but had not gotten one. Surveyor requested policies requested Temperature policy, Maintenance policy and Emergency policy for a/c outage , resident rights and homelike environment. Record review of the Weather Channel Ten Day Forecast for [NAME] revealed 08/06/2024 the high was going to be 100 and 08/07/2024 was going to be105 and 08/08/2024 was going to be 104 . Actual high temperatures for 08/06/2024 was 100, on 08/07/2024 was 104 and on 08/08/2024 was 102. An interview with Resident #17 on 08/07/2024 at 1:01pm revealed he was sweating all night long. He said maintenance opened the ac vent, but it did not work. He said he never got a fan and the facility had not done anything for him in terms of helping reduce the heat. He said he got ice from the hallway himself, and that staff did not offer ice often. He did state staff had been offering ice and water since the night before. Staff had been checking on his vitals and making sure he did not get dehydrated. The inside temperature had been the same as before and he said he liked to keep his room door shut. He said staff told him to leave it open for the airflow come in. He said he had his own AC vent that needed to be fixed. He stated he wanted a fan so that he could continue to have his privacy with his door closed. Record review of Homelike Environment Policy dated February 2021 revealed the facility staff and management maximizes, the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics included: comfortable and safe temperatures (71 - 81 degrees Fahrenheit). Record review of Maintenance Service Policy dated November 2021 revealed the maintenance department was responsible for maintaining the building, grounds, and equipment in safe and operable manner always. Function of maintenance personnel include, but not limited to maintaining the heating/cooling system, plumbing fixtures, wiring, in good working order.

Based on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater for when the facility had a medication error rate of 7.14% based on 2 of 28 opportunities, which involved 2 of 4 residents (Resident #24 and Resident #1) and 1 of 2 MA's (MA E) observed during medication administration. A) Resident #24 had a physician order for Lisinopril 20mg 1 tablet by mouth every day, with special Instructions to hold the medication if his systolic blood pressure was less than 110 and hear rate less than 60. MA E failed to check Resident #24's vital signs before administering the medication. B) Resident #1 had a physician order for Losartan Potassium tablet 50mg 1 tablet by mouth every day with a parameter to hold medication if her blood pressure was less than 140/90. MA E failed to check Resident #1's vital signs before administering the medication. These deficient practices could place residents at risk of not receiving therapeutic dosage of medications, could cause a decrease in blood pressure and/or pulse, a decline in resident health, hospitalization , and even death. Findings: Record review of Resident #24's undated face sheet indicated Resident #24 was a [AGE] year-old male, who admitted to the facility on [DATE]. He was diagnosed with Diabetes mellitus type 2, dementia, cognitive communication deficit, hypertension, difficulty walking, cellulitis left lower limb, and pressure ulcer left ankle stage 4. Record review of Resident #24's Quarterly MDS, dated [DATE], reflected a BIMS Score of 6/15 in Section C, which reflected a moderate to severe cognitive deficit, and a diagnosis of Hypertension in Section I. Record review of Resident #24's Care Plan dated 6/05/24 reflected ADLs Functional Status/Rehabilitation Potential - Resident #24 had self-care deficits due to increased weakness, impaired mobility, and impaired memories. Long-term goal was Resident #24's care needs would be met daily, and PRN by staff approaching him in a calm manner, explaining what they intend to do while providing care using simple communication and yes/no questions as able, and allow Resident #24 to make choices. Record review of Resident #24's Physician Orders dated 02/17/24 reflected, Lisinopril 20mg 1 tablet by mouth every day, with Special Instructions to hold the medication if his systolic blood pressure was less than 110 and hear rate less than 60. Record review of Resident #1's undated face sheet indicated Resident #1 was a [AGE] year-old female, who admitted to the facility on [DATE]. She was diagnosed with unspecified intellectual disabilities, hypertension, mixed incontinence, acute kidney failure, diabetes mellitus type 2, and cognitive communication deficit. Record review of Resident #1's Quarterly MDS, dated [DATE], reflected a BIMS Score of 13/15 in Section C, which reflected a mild cognitive impairment, and a diagnosis of Hypertension in Section I. Record review of Resident #1's Care Plan dated 6/10/24 reflected she had self-care deficits due to impaired mobility, impaired cognition, impaired memories, and disorientation to time due to intellectual disability, with a goal that all care needs would be met daily and PRN and Resident #1 would maintain an optimal level of functioning. Record review of Resident #1's Physician Orders dated 05/08/24 reflected, Losartan Potassium tablet 50mg 1 tablet by mouth every day with a parameter to hold medication if her blood pressure was less than 140/90. Observation on 08/07/24 at 09:18 AM of medication pass for Resident #1 with MA E revealed she did not check her vital signs including a blood pressure before administration of Losartan Potassium (a blood pressure medication) 50mg 1 tablet by mouth every day, with a parameter to hold the medication if Resident #1's blood pressure was over 140/90. Observation on 08/07/24 at 09:41 AM of medication pass for Resident #24 with MA E revealed she did not check his vital signs including a blood pressure or pulse before administration of Lisinopril (a blood pressure medication) 20mg 1 tablet PO QD for hypertension, with physician orders to hold medication for a systolic blood pressure less than 110, and a heart rate less than 60. Interview on 08/07/24 at 02:51 PM with MA E revealed she had not taken blood pressure per physician orders for Resident #24 and Resident #1. MA E stated she had forgotten to take the blood pressure for Resident #24 and the nurse had checked Resident #1's blood pressure earlier in the morning. MA E pulled up the vital signs for each resident in electronic health records and neither resident had a blood pressure documented for 8/07/24. MA E stated the importance of following physician orders was to ensure resident safety, and a potential outcome of not checking blood pressure before administering a blood pressure medication could be a decrease in blood pressure and pulse. Observation at 08/07/24 at 03:10 PM with MA E revealed she re-checked a set of vital signs for the following residents: Resident #24 - Blood pressure 149/73, Pulse 75 Resident #1 - Blood pressure 145/97, Pulse 92 Interview on 08/08/24 at 03:30 PM with RN G who stated it was important to follow physician orders because if we do not it can injure the resident and have a negative impact on the resident. RN G further stated if there were a question about a physician order, she would call the physician. RN G stated it was important to follow orders for blood pressure parameters when giving residents blood pressure medication because you could bottom their blood pressure out and it would have a negative impact on the resident. RN G stated all nurses were responsible for following physician orders and stated to not take another nurse's word for vital signs taken, and to check vital signs as part of the resident's assessment. Interview on 08/08/24 at 04:06 PM with MA E stated it was important to follow physician orders to ensure you are doing everything the physician wants you to do, and if physician orders were not followed it could lead to having to send a resident out to the hospital, especially if their blood pressure or blood sugar were out of range. MA E further stated it was important to follow physician orders for blood pressure parameters when administering blood pressure medications to resident, because if you check their vital signs including blood pressure before giving the medication it ensures the resident is safe and their blood pressure won't drop. MA E further stated nurses and medication aides were responsible for following physician orders. Interview on 08/08/24 at 04:19 PM with DON revealed he had been in facility as an interim DON for two weeks. DON stated it was important to follow physician orders, so the resident gets the appropriate treatment. DON stated some blood pressure medications require blood pressure/pulse check before administering because the resident could have a decline in condition. DON stated nurses, aides, and med aides were responsible for following physician orders, and all staff that have access to and provide care to the resident were responsible. DON stated the negative outcomes of not following a resident's physician orders could be a prolonged decline in residents, hospitalization , or even death, and all staff providing resident care were responsible for following physician orders in the facility. The DON stated his expectation was for physician orders to be followed timely and accurately as well. Interview on 08/08/24 at 04:35 PM with ADM revealed she had worked at the facility for the past 8 months. She stated it was important to follow physician orders because the doctor knows what is best for the resident, and if physician orders were not followed it can lead to serious negative outcomes. The ADM stated the DON has oversight on ensuring physician orders were followed, however, every charge nurse has a responsibility to follow all doctor's orders. The ADM stated her expectation for following physician orders was when the physician gives us an order, we should carry it out with no deviations, and for nurses to contact the physician if there are any questions or need for clarification. Review on 08/08/24 of Policy and Procedure for Medication Administration reflected under Preparation and General Guidelines reflected, Medications shall be administered in safe and timely manner and as prescribed .medications must be administered in accordance with the orders, including any required time frame .The individual administering the medications must check the label carefully to verify the right resident, right medication, right dosage, right time and right method of administration before giving the medication . B. Administration 2. Medications are administered in accordance with written orders of the prescriber. D. Documentation (including electronic) 7. if an electronic Medication Administration System is used, specific procedures required for resident identification, identifying medications due at specific times, and documentation of administration, refusal, holding of doses, and dosing parameter such as vital signs and lab values are described in the system's user manual . 49097

Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety for one (1) of one (1) kitchen reviewed for food safety and sanitation The facility failed to ensure food storage containers were properly secured, sealed, and labeled. This failure placed residents at risk of foodborne illness. Findings include: Observation of the kitchen pantry on [DATE], at 9:11AM revealed that one (1) of three (3) plastic dry food storage container lids was not secured and labeled. Observation of the kitchen pantry on [DATE], at 9:11AM revealed that two (2) of two (2) individually wrapped Glazed Honey Buns were not labeled and dated. Observation of the kitchen pantry on [DATE], at 9:11AM revealed that four (4) of four (4) bags of dehydrated smooth refried beans were expired. The manufacturer's Best If Used By date on each of the four (4) bags was [DATE]. One (1) of the four (4) bags of dehydrated smooth refried beans was opened and re-packaged in a Ziploc bag with the date of ,d+[DATE] written on the bag. Observation of the kitchen pantry on [DATE], at 9:13AM revealed an opened box containing individual bags of Roasted Turkey Gravy Mix with the date of ,d+[DATE] written on the outside of the box. Inside of the box, one (1) of one (1) package of Roasted Turkey Gravy Mix inspected was expired. The manufacturer's printed use by date was [DATE]. Observation of the kitchen pantry on [DATE], at 9:14AM revealed an opened box containing individual bags Pork Roast Gravy Mix that were not labeled or dated by facility staff. Inside of the box, one (1) of one (1) package of Pork Roast Gravy inspected was expired. The manufacturer's printed use by date was [DATE]. Observation of the kitchen pantry on [DATE], at 9:15AM revealed an opened box containing individually packaged bags of Peppered Biscuit Gravy Mix with the date of ,d+[DATE] written on the outside of the box. Inside of the box, two (2) of two (2) packages of Peppered Biscuit Gravy Mix inspected were expired. The manufacturer's printed use by date on each package was [DATE]. Observation of the kitchen pantry on [DATE], at 9:15AM revealed an opened box containing individual bags [NAME] Sauce Mix with the date of ,d+[DATE] written on the outside of the box. Inside of the box, two (2) of two (2) packages of [NAME] Sauce Mix inspected were expired. The manufacturer's printed use by date on each package was [DATE]. Observation of the kitchen pantry on [DATE], at 9:16AM, revealed an opened bag of Two-Way Yellow Cake Mix with the date of ,d+[DATE] written in black marker on the outside of the bag. The opened bag was improperly sealed and secured in a manner that would prevent contamination in that the bag was less than half full, folded close, and only secured with a piece of clear tape on the outside of the fold. Observation of the kitchen pantry on [DATE], at 9:16AM revealed an opened bag of Gingerbread Mix with the date of ,d+[DATE] written in red marker on the outside of the bag. The opened bag was improperly sealed and secured in a manner that would prevent contamination in that the bag was less than half full and only folded close. Observation of the kitchen pantry on [DATE], at 9:16AM revealed a round storage bin with contents inside that were improperly labeled and dated. A piece of clear tape, which appeared old, was affixed to the top of the lid that was not entirely legible. Legible writing on the tape read Cookies ,d+[DATE]. This did not correctly identify the contents inside of the container. Observation of the kitchen pantry on [DATE], at 9:18AM revealed an opened bag of breadcrumbs improperly sealed and secured in a manner that would prevent contamination in that the opened bag was less than half full, not dated, and folded close with a piece of clear tape adhering the package partially closed. Observation of the kitchen on [DATE], at 9:19AM revealed an opened bag of Tostitos Crispy Rounds Tortilla Chips improperly sealed and secured in a manner that would prevent contamination in that the opened bag was merely folded close. In addition, the date written on the outside of the package by kitchen staff read ,d+[DATE]. Observation of the kitchen refrigerator on [DATE], at 9:20AM revealed miscellaneous opened bags of food on a plastic tray improperly sealed, secured, and/or dated in a manner that would prevent contamination. An opened bag of Classic Mashed Potato (flakes) with the date of ,d+[DATE] written on the outside of the bag was observed. The bag was only folded closed. Also, two (2) of two (2) instant pudding mix package was observed to be opened, unlabeled, not dated, and improperly secured. Observation of the kitchen refrigerator on [DATE], at 9:21AM revealed sliced turkey sandwich meat that was improperly stored in that the opened package of turkey meat was placed in a Ziploc bag that was not sealed close. Observation of the kitchen refrigerator on [DATE], at 9:21AM revealed shredded cheese in a Ziploc bag that was open and not properly sealed, and that had not been dated. Observation of the kitchen freezer on [DATE], at 9:24AM revealed bags of frozen cauliflower florets and frozen broccoli that were undated. Observation of the kitchen freezer on [DATE], at 9:24AM revealed two(2) bags of unidentified meat products improperly stored in undated and unlabeled freezer bags with items in each of the bags containing ice crystals indicating freezer burn. Observation of the ice machine in the kitchen on [DATE], at 9:27AM revealed improper cleaning and sanitizing of the ice machine as evidenced by mold observed growing under the lid. Interview with KS I, on [DATE], at approximately 9:35AM revealed that the dietary manager is responsible for auditing the facility's food supply for expired goods and food items. KS I stated that the dietary manager was responsible for ordering food and supplies for the kitchen. KS I indicated that she was not aware that there were expired items in the kitchen pantry. KS I stated that all staff were responsible for sanitary practices within the kitchen, including keeping surfaces and equipment clean, but the dietary manager oversees the kitchen. KS I stated that the dietary manager does not work on Mondays and thus was not available for interview on this date. Interview with the DM on [DATE], at 9:41AM revealed that DM is responsible for the overall care and functioning of the kitchen, kitchen equipment and supplies. The DM stated that he was made aware of the expired items in the kitchen pantry that were observed by survey staff during the initial kitchen tour/observation, and he has now thrown those items in the trash. The DM stated the proper procedure for the storage and use of food is that items are labeled upon receipt and not used beyond the expiration date. The DM stated that he audits the kitchen pantry items weekly and uses the FIFO (first-in, first-out) method. When the DM was told that expired items in the kitchen pantry were well past their expiration dates, the DM provided no further explanation for this. The DM stated that his usual practice when preparing for the weekly menu preparation is looking at items on the menu two (2) days in advance to make sure he has all the menu items needed and that they are not expired. If he does not have the items needed for a scheduled menu, he will properly substitute the item(s) according to the kitchen's menu substitution approved list. Record review of the facility's Food Storage policy, Policy Number 03.003, states the following in part: Dry storage rooms To ensure freshness, store opened and bulk items in tightly covered containers. All containers must be labeled and dated. Refrigerators Date, label and tightly seal all refrigerated foods using clean, nonabsorbent, covered containers that are approved for storage. 50042

Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 (Resident #12, Resident #24, and Resident #21) of 6 residents reviewed for infection control. A) The facility failed to maintain infection control for Resident #12 during Foley catheter care by failing to perform appropriate hand hygiene while providing care. B) The facility failed to maintain infection control for Resident #24 during wound care by failing to perform appropriate hand hygiene while providing care. C) The facility failed to maintain infection control for Resident #21 while passing lunch trays on the hallway by failing to perform appropriate hand hygiene while providing care. These deficient practices could place residents in the facility at risk for infections that could lead to other facility-acquired infections, stalled wound healing, sepsis, hospitalization s, a diminished quality of life, and even death. Findings: Record review of Resident #12's undated face sheet indicated Resident #12 was an [AGE] year-old female, who admitted to the facility on [DATE]. She was diagnosed with Alzheimer's disease, urinary retention, neuromuscular dysfunction of bladder (when a person lacks bladder control due to brain, spinal cord or nerve problems), chronic kidney disease, urinary tract infection, and chronic atrial fibrillation (a type of heart arrhythmia that causes the top chambers of your heart, the atria, to quiver and beat irregularly). Record review of Resident #12's Quarterly MDS, dated [DATE] reflected in Section H Bowel and Bladder that Resident #12 did not have an indwelling catheter. Record review of Resident #12's Care Plan dated 6/10/24 reflected Resident #12 required an indwelling urinary catheter due to neurogenic bladder. Resident #12 will have catheter care managed appropriately as evidenced by not exhibiting signs of infection or urethral trauma. Record review of Resident #12's Physician Orders reflected, Foley Catheter: Provide catheter care every shift and as needed was initiated on 06/05/24 and was a current order, and Foley catheter: Change catheter and drainage bag as needed for indications of blockage, increased sediment, infection, displacement as needed was initiated on 06/05/24 and was current order. Record review of Resident #24's undated face sheet indicated Resident #24 was a [AGE] year-old male, who admitted to the facility on [DATE]. He was diagnosed with Diabetes mellitus type 2, dementia, cognitive communication deficit, hypertension, difficulty walking, cellulitis left lower limb (a skin infection caused by bacteria), and pressure ulcer left ankle stage 4 (full-thickness tissue loss with exposed bone, tendon, or muscle). Record review of Resident #24's Quarterly MDS, dated [DATE], reflected a BIMS Score of 6/15 in Section C, which reflected a moderate to severe cognitive deficit, and a diagnosis of Hypertension in Section I. Record review of Resident #24's Care Plan dated 6/05/24 reflected ADLs Functional Status/Rehabilitation Potential - Resident #24 had self-care deficits due to increased weakness, impaired mobility, and impaired memories. Long-term goal was Resident #24's care needs would be met daily, and PRN by staff approaching him in a calm manner, explaining what they intend to do while providing care using simple communication and yes/no questions as able, and allow Resident #24 to make choices. Record review of wound care orders dated 7/26/24 reflected: Cleanse Left Posterior Ankle with wound cleanser and pat dry. Apply calcium alginate (cut to wound size) and cover with dry dressing. M-W-F. Record review of Resident #21's undated face sheet indicated Resident #21 was a [AGE] year-old male, who admitted to the facility on [DATE]. He was diagnosed with Cerebral Infarction (which was a pathologic process that resulted in necrotic tissue in the brain, caused by disrupted oxygen and blood supply,) Alzheimer's disease, Urinary retention, Diabetes mellitus type 2, and a Cognitive communication deficit. Record review of Resident #21's Quarterly MDS, dated [DATE], reflected in Section H Bowel and Bladder that Resident #21 had an indwelling catheter. Record review of Resident #21's Care Plan dated 6/05/24 reflected Urinary incontinence/bowel and bladder incontinence/catheter care, and resident would establish an individual bowel/bladder routine. Record review of Resident #21's Physician Orders reflected, Foley catheter care every shift was initiated on 04/23/24 and discontinued on 06/10/24, and Foley catheter: Change catheter and drainage bag as needed for indications of blockage, increased sediment, infection, displacement as needed was initiated on 04/30/24 and discontinued on 06/10/24. Observation and interview on 08/06/24 at 11:37 AM with Resident #12 revealed she did have an indwelling catheter, which was covered with a privacy bag. Observation on 08/06/24 at 11:37 AM of peri-care and indwelling catheter care for Resident #12 with CNA B who sanitized bedside table with sanitizing wipes, and then donned gown for Enhanced Barrier Precautions due to presence of an indwelling catheter and conducted handwashing and donned gloves. Resident #12 was repositioned in bed and brief removed. CNA B cleansed the peri-area with wipes on each side and down the middle of peri area. CNA B then cleansed the tubing of indwelling catheter with a wipe with a back-and-forth motion from meatus and out approximately 6 inches two times during indwelling catheter care. CNA B then rolled Resident #12 on her side and place a new brief. There was no observation of hand sanitization or glove change done before CNA B began cleansing Resident #12's bottom with a wipe. CNA B then conducted handwashing, bedside table was disinfected, gown removed, and trash removed from room. Interview on 08/06/24 at 11:56 AM with CNA B revealed she would work on practicing better infection control when providing resident care, and not practicing good infection control put residents at risk for infection in the facility. CNA B stated a negative outcome for Resident #12 would be a urinary tract infection. 08/06/24 12:04 PM Lunch tray passed to Resident #21 by CNA A, and no hand sanitization observed before the tray was passed nor afterward. Observation on 08/08/24 at 01:30 PM of wound care for Resident #24 with RN G. Wound was documented in physician orders as a pressure ulcer to left posterior ankle, stage 4. The old dressing was removed and discarded immediately, which displayed the date 08/07/24 and initials CAR. Dirty gloves were removed and discarded. Hand hygiene was not performed properly before accessing clean supplies . Interview on 08/08/24 at 03:07 PM with CNA C who stated she had [AGE] years employment with the facility, and had received several in-services on enhanced barrier precautions, and on Foley catheter care. She further stated it was important to follow infection control practices to avoid giving someone a UTI. Interview on 08/08/24 at 03:19 PM with CNA D who stated she had worked in facility for about 1.5 years and stated she had received training on Foley catheter care and Infection control practices about 5 months ago. She further stated the importance of following infection control practices when providing resident care, so we don't spread any infections to them and other residents. CNA stated that she was responsible, and each of us were responsible for following infection control protocols. Interview on 08/08/24 at 03:30 PM with RN G who stated infection control protocols should be followed when caring for residents to help keep them from getting infections and becoming septic. She stated the importance of following infection control protocols when performing Foley catheter care is because urinary tract infections are the most common nosocomial infections. An infection in the resident's urinary tract can cause acute kidney injury and sepsis which can lead to hospitalization and even death. RN G further stated that Foley catheter care should be done every shift by cleaning the tube from the meatus (urethral opening) and out, and change wipe with each swipe. Interview on 08/08/24 at 04:06 PM with MA E stated it was important to follow infection control protocols when caring for residents to help protect the residents from infection, and making sure infection will not be transferred to the next person. MA further stated it was the responsibility of all staff to prevent the spread of infection. Interview on 08/08/24 at 04:19 PM with the DON revealed he had been in facility as an interim DON for two weeks. He stated it was important to follow infection control precautions when caring for residents, so we don't give them infection, or if they have an infection, we don't spread it to everyone else. The DON stated the negative outcomes of not following infection control protocols include prolonged decline in residents, hospitalization , or even death, and all staff were responsible for following infection control protocols in the facility. The DON stated his expectation was for physician orders, indwelling catheter care, and wound care to be followed timely and accurately as well. Interview on 08/08/24 at 04:35 PM with ADM revealed she had worked at the facility for the past 8 months. She stated it was important to follow infection control protocols because we don't want to spread viruses or bacteria to our residents or to ourselves, and a negative outcome of not following infection control protocols would be a resident could end up with another's infection which could cause a decline in their health and well-being. The ADM stated all staff who were working in facility that have been trained were responsible for infection control protocols, including the DON and herself. The ADM stated her expectation for staff following infection control protocols were that we have an obligation to provide training and validate staff understanding, and then we have obligation to monitor. Furthermore, staff have an obligation to carry out infection control protocols when providing resident care. Review on 08/08/24 of facility Policy and Procedure for Infection Control dated 03/2011 reflected, To maintain a safe, sanitary, and comfortable environment for personnel, residents, visitors, and the general public and To prevent, detect, investigate, and control infections in the facility. 49097

Based interviews and record review, the facility failed to ensure each resident was free from abuse, neglect, exploitation, and misappropriation of resident property for one (1) of five (5) residents reviewed. The facility failed to prevent the misappropriation of Resident #1's Ozempic 4MG/3ML Pen (1MG). Ozempic is a GLP-1 agonist that assists with weight loss and blood sugar regulation. This failure placed the resident at risk for not receiving their prescribed medication. Findings Include: Record review of Resident #1, on August 5, 2024, through August 7, 2024, reflected a 55yo male who was admitted to the facility on [DATE], with diagnoses including in part: Cellulitis, Diarrhea, Vitamin D deficiency, Hyperlipidemia, Morbid (severe) Obesity due to excess calories, Type 2 Diabetes with unspecified complications, Pain, and Muscle Wasting and Atrophy. Review of Resident #1 TL's most recent MDS, dated [DATE], revealed a BIMS score of 15, and no significant cognitive impairment. Review of Resident #1's Care Plan, last reviewed/revised on June 6, 2024, showed the resident was at risk for malnutrition related to prescribed weight loss regime. The approach included administering Ozempic as prescribed, Ozempic .5mg weekly, with the goal being that the resident not exhibit signs of malnutrition or dehydration. Additionally, a problem area identified in the Care Plan reviewed/revised on June 6, 2024, was the diagnosis of diabetes, with the goal being that the resident will have no complications due to diabetes and medication use, and the approach being in part, meds as ordered. In an interview on August 5, 2024, at 3:40PM, Resident #1 stated that he has never missed prescribed doses of ordered medications due to misappropriation of his medications, the medication not being available, and/or oversight by facility staff. Record review of the facility's investigation into Resident #1's missing Ozempic medication showed that on July 3, 2024, RN K administered the ordered medication to Resident #1 as ordered. On or about July 10, 2024, RN K noted that the medication could not be located. Nursing staff searched the medication room, medication cart, and disposed of medications. The missing medication was not found. Resident #1's PCP was notified and a new order for the medication was requested. On July 11, 2024, the NP came to the facility and assessed the resident. According to the investigation record, the charge nurse checked the resident's blood sugar, which was within a normal range and no concerns were noted. Review of the facility's investigation records revealed a written statement by MA J, which stated in summary that on July 7, 2024, MA J went to dispose of another resident's discontinued medications when she saw what she thought to be Resident #1's new insulin syringe. MA J wrote that she questioned to herself the presence of a new medication in the discontinued medication box but writes that she failed to outwardly question this. Review of the facility's investigation records revealed that an Inservice Training session was conducted by the ADM to include the prohibition of resident abuse/neglect, GLP-1 class medications, storage and count sheet process, and a new facility policy which states, .All GLP-1 class of medications must be stored in narcotic box in the medication room fridge. A medication count sheet must be initiated upon receiving these medications immediately. In an interview with the facility ADM on August 7, 2024, the ADM stated that immediately upon learning of the missing medication, an investigation was initiated, and Resident #1 was assessed, and the resident suffered no ill effects from the missing medication. The ADM stated that the medication was immediately re-ordered and received. The administration of the medication was immediately resumed with the resident's weekly administration of the medication delayed, but not missed. The ADM stated that during this time the facility had primarily utilized agency nursing staff and she believes this contributed to the misappropriation of the medication, but she cannot conclusively say what happened to the medication. A review of the facility's records show a Packing Slip Proof of Delivery dated July 13, 2024, in which Ozempic 4MG/3ML PEN (1MG) was received (as a replacement) for Resident #1. 50042 Investigation found substantiated Resident #26 FTag Initiation

Based on observation, interview, and record review the facility failed to ensure the resident assessment accurately reflected the resident's status for 2 of 9 residents (Resident #21 and Resident #12) who were reviewed for accuracy of assessments. Resident #21's MDS was coded as having an indwelling catheter which had been discontinued. This failure placed residents at risk of incorrect care and services necessary for their physical, mental, and psychosocial well-being. Findings included: Record review of Resident #21's undated face sheet indicated Resident #21 was a [AGE] year-old male, who admitted to the facility on [DATE]. He was diagnosed with Cerebral Infarction (which was a pathologic process that resulted in necrotic tissue in the brain, caused by disrupted oxygen and blood supply,) Alzheimer's disease, Urinary retention, Diabetes mellitus type 2, and a Cognitive communication deficit. Record review of Resident #21's Quarterly MDS, dated [DATE], reflected in Section H Bowel and Bladder that Resident #21 had an indwelling catheter. Record review of Resident #21's Care Plan dated 6/05/24 reflected Urinary incontinence/bowel and bladder incontinence/catheter care, and resident would establish an individual bowel/bladder routine. Record review of Resident #21's Physician Orders reflected, Foley catheter care every shift was initiated on 04/23/24 and discontinued on 06/10/24, and Foley catheter: Change catheter and drainage bag as needed for indications of blockage, increased sediment, infection, displacement as needed was initiated on 04/30/24 and discontinued on 06/10/24. Observation and interview on 08/05/24 at 11:08 AM with Resident #21 revealed he did not have an indwelling catheter. Interview on 08/08/24 at 02:40 PM with MDSN revealed she started work in facility two months ago. MDSN stated the MDS nurse was responsible for updating the residents MDS. Changes in resident condition were communicated by nursing staff in 24-hour report, change in conditions, and change of status from hospitalization which should be reviewed in morning meetings. MDSN stated she would then re-open a new quarterly MDS and make changes. MDSN stated she had not gone in to edit the MDS for Resident #21, and stated it was more like a modified assessment to reflect accuracy. MDSN further stated they don't always make changes to an MDS for a foley catheter. A review of orders, medication administration records, treatment notes, and progress notes should be made daily. MDSN stated it was a human error for not updating a Resident's MDS for presence or discontinuation of an indwelling catheter, and a negative outcome - it could affect the president's health and well-being. MDSN stated MDS nurses follow CMS and RAI guidelines as Policy and Procedure for all residents' MDS. Interview on 08/08/24 at 04:19 PM with the DON revealed he had been in facility as an interim DON for two weeks. The DON stated the MDS nurse was responsible for communicating changes/updates that needed to be made to a resident MDS, and updates in resident status were communicated verbally in morning meetings, staff meetings, or via email, and that was why we have morning meetings. The DON stated the MDS nurse was responsible for making changes and updates to the resident MDS, and his expectation was for changes and updates to the MDS to be made timely and accurately. The DON stated his expectation was for physician orders, indwelling catheter care, and wound care to be followed timely and accurately as well. Interview on 08/08/24 at 04:35 PM with ADM revealed she had worked at the facility for the past 8 months. The ADM stated the responsibility for communicating changes and updates that need to be made to a resident MDS started with charge nurses doing their documentation, and when they capture documentation in progress notes, physician orders and the 24-hour report, the ADON and DON can communicate changes and updates to the CCM/MDS nurse. The ADM stated there should be an RN that oversees the MDS nurse, and the RN would be responsible when changes and updates were not made to a resident's MDS. The ADM further stated her expectation for accuracy of the MDS was for the person who was doing the assessment lay eyes on the resident, and review the documentation supplied by providers caring for resident. Record review on 08/08/24 of the facility's MDS Assessment Coordinator Policy, dated November 2019, indicated, A registered nurse shall be responsible for conducting and coordinating the development and the completion of the resident assessment (MDS). The center staff must follow the MDS 3.0 RAI manual current version. 1. A Registered Nurse (RN) shall be designated the responsibility of conducting and coordinating each resident's assessment (MDS). 2. The Resident Assessment Coordinator must date and sign each assessment (MDS) to certify that the assessment has been completed. 3. Each individual who completes a portion of the assessment (MDS) must certify the accuracy of that portion of the assessment by: a. Dating and signing the assessment (MDS), and b. Identifying each section completed. 4. Any individual who willfully and knowingly certifies (or causes another individual to certify) a material and false statement in a resident assessment is subject to disciplinary action and such incident must be promptly reported to the Administrator. Record review on 08/08/24 of the facility Policy and Procedure for MDS completion and Submission Timeframes reflected, Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. 1. The Assessment Coordinator or designee is responsible for ensuring that resident assessments are submitted to CMS' QIES Assessment Submission and Processing (ASAP) system in accordance with current federal and state guidelines. 2. Timeframes for completion and submission of assessments is based on the current requirements published in the Resident Assessment Instrument [NAME]. 3. Submission of MDS records to the QIES ASAP is electronic. A hard copy7of each record submitted is maintained in the resident's clinical record for a period of fifteen (15) months from the date submitted. 49097

Based on observations, interviews, and record review,The facility failed to provide 1 of 3 (Resident #9) with care and services related to activities of daily living. Resident #9 had to wait an extended amount of time to get assistance with feeding. The facility failed to ensure that Resident #9 was feed his lunch in a timely manner. This failure placed residents at risk for not receiving adequate care and services to prevent infection, injury, and diminished quality of life. Findings included: Record review of Resident #9's Admission Record dated 08/05/2024 revealed the resident was a [AGE] year-old male, who was admitted to the facility on [DATE]. Resident #9's medical diagnoses included Cerebral palsy (a group of conditions that affect movement and posture), hypertension (high blood pressure), urinary tract infection, neuromuscular dysfunction of bladder (lack of bladder control), Dysuria (painful, uncomfortable urination), severe protein-calorie malnutrition, restless legs syndrome, functional quadriplegia (complete inability to move due to severe disability), epiphora due to insufficient drainage (watery eyes), stenosis of right lacrimal punctum (narrowing of the tear ducts), stenosis of left lacrimal punctum (narrowing of the tear ducts), insomnia (difficulty sleeping), seasonal allergies, constipation, dry eye, age-related nuclear cataract (cloudiness in the middle of the eye), contracture left knee (permanently bend), contracture right ankle (permanently bend), contracture left ankle (permanently bend), major depressive disorder, anxiety disorder, developmental disorders of speech and language, seizures, low back pain, muscle wasting, muscle weakness, dysphagia (difficulty swallowing, abnormalities of gait and mobility, lack of coordination, and dysarthria and anarthria (severe speech sound disorder). Record review of Resident #9's Quarterly MDS dated [DATE] revealed that Resident #9 had a BIMS score of 9 indicating the resident had a hard time understanding and make self-understood at times. The MDS also revealed that Resident #9 was total dependent on staff for eating. Record review of Resident #9's care plan dated 05/06/2024 revealed Resident #9 eats all meals in room and requires physical assist with all meals. Check mouth after meals or meds for pocketing of food. Observation of lunch hall tray pass on 08/05/2024 at 11:41am revealed that CNA A was went into Resident #9's room and put his meal tray on his bed side table in front of him. CNA A was then observed walking out of Resident #9's room and continued to pass meal trays. CNA A did not return to Resident #9 room until 12:02pm to feed him. An interview with Resident #9 on 08/05/2024 at 12:00pm revealed that staff always take a long time to feed him. He also said that sometimes the food is cold by the time staff feed him. He also said he gets upset when it takes a long time for them to feed him. Observation of lunch hall tray pass on 08/07/2024 at 11:55am revealed that CNA C put Resident #9's meal tray on his bed side table in front of him. CNA C was then observed walking out his room and finished passing trays. CNA C returned to Resident #9's room at 12:00pm to feed him. Observation of lunch hall tray pass on 08/08/2024 at 11:45am revealed CNA D put Resident #9's meal tray on his bedside table in front of him. CNA D was then observed walking out the room and finished passing meal trays. CNA D return to Resident #9's room at 11:54am to feed him. Temperatures were checked and food was still warm. An interview with CNA C on 08/08/2024 at 3:13pm revealed that when staff are passing hall trays, the staff will pass all trays to the ones who could feed themselves. She said then they would pass the meal trays to the residents who needed assistance with feeding. She said it was important to feed the resident when staff give them their tray so that their food will not get cold. She said if staff did not feed the resident when their tray was delivered the resident could knock over the tray. She said that by placing the tray in front of the resident and walking out and not feeding the resident could make the resident feel bad. She stated that the facility passes all meal trays and then goes back to feed the residents who need assistance. She said she does not know why Resident #9 had to wait so long for staff to come back and feed him. An interview with CNA D on 08/08/2024 at 3:25pm revealed that staff are to feed the residents as soon at their tray was delivered. She said that residents who feed themselves usually get their meal trays first. She said it was important to feed the resident when they get their meal tray so the resident's food would be warm. She stated that the facility had passed all the meal trays out and then go back after to feed resident's. She said that it does not make the resident feel good if a staff member puts their tray down in front of them and walk out. She said she did not know why Resident #9 had to wait so long for staff to come back and assist him. An interview with RN G on 08/08/2024 at 3:49pm revealed that staff were to feed the resident when the staff gave the resident his or her tray. She said usually the residents who feed themselves get their trays first then the residents who needed assistance would get their tray. She said if staff did not feed the resident when he or she got their meal tray the resident may try to feed themselves or could choke or aspirate. She said the resident might feel like staff do not care about them if they just left their meal tray in front of them and walked out without feeding the resident. She said she did not see anyone leave a meal tray in front of a resident without feeding them. She said a resident that needed assistance feeding should never be left alone with their meal tray. She said that there were three or four residents that required feeding assistance. she said they just look and see who still needs assistance with feeding when all meal trays are passed. An interview with the DON on 08/08/2024 at 4:29pm revealed that hall trays were to come out first. He said that after handing out the trays the staff were to assist the residents that needed assistance eating. He stated staff were to pass the meal trays and then go back and feed the residents who needed assistance. He also said that it was important to feed the resident when staff gave them their tray so that the resident's food would be warm . He said that if staff placed the food down and walked off without feeding the resident might not eat. He also stated he did not know how it would make the resident feel if staff put the resident's meal tray down in front of the resident and walked off without feeding the resident. An interview with the ADM on 08/08/2024 at 4:45pm revealed that best practice was if staff were taking the resident his or her meal tray then staff stay and feed the resident. She said staff were expected to feed the resident when he or she took the meal tray to the resident. She said it was important to feed the resident when he or she got her meal tray to ensure the food was at the correct temperature. She also said it did not make sense to have the resident's tray sitting in front of them and give them the desire to eat and they could not eat. She said the resident could attempt to feed him or herself, may spill the food or the resident could attempt to feed his or herself, choke, and staff not there to see the problem. She said the resident may feel like staff do not care if they put his or her tray in front of them and not feed them. She said the staff had an order they followed as to hand out the meal trays. She said the order staff was doing the meal trays were not the correct process and there was no excuse for staff putting a meal tray in front of a resident and making them wait to be feed. Record review of Assistance with Meals Policy dated March 2022 revealed that residents shall receive assistance with meals in a manner that meets the individual needs of each resident. Facility staff will serve resident trays and will help resident who require assistance with feeding.

Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse and neglect for 2 of 16 residents (Residents #1 and #2) reviewed for abuse/neglect. The facility failed to take sufficient protective measures after Resident #1 made verbal threats to other residents and was involved in multiple physical altercations with other residents. The facility failed to train staff in resident -to-resident altercations and failed to update Resident #1's care plans to include interventions for behaviors and resident altercations. An Immediate Jeopardy (IJ) was identified on 12/14/23. The IJ template was provided to the facility on [DATE] at 6:21 pm. While the IJ was removed on 12/15/23, the facility remained out of compliance at a severity of actual harm that is not immediate jeopardy and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems. This failure placed residents at risk of bodily, emotional, and psychosocial harm and neglect, including hospitalization or death. Findings included: Record review of Resident #1's face sheet undated revealed an [AGE] year-old male, on hospice, who initially admitted to the facility on [DATE] with a diagnosis including chronic obstructive pulmonary disease , heart failure, dementia, cognitive communication deficit, and episodic panic disorder . Record review of Resident #1's MDS dated [DATE] revealed a BIMS of 9 suggesting moderate cognitive impairment. He ambulated with a walker and a motorized wheelchair. Section E (Behaviors) reflected he had no behaviors. Record review of Resident #1's undated care plan revealed no care plan or interventions for behaviors or resident-to-resident altercations. Resident #1's progress note dated 04/18/2023 revealed a report of Resident #1 standing by [Resident #2]'s bed and stating that he is tired of the [Resident #2] yelling and If staff did not move the [Resident #2], Resident #1 would hit him or push him out of the bed. Resident #1 stated, I am telling you if you leave him (Resident #2) in here, he will be hurt. Resident #1's progress note dated 08/17/23 revealed Resident #1 attended 3-5 activities weekly and had some behavior issues with other residents (no description of behaviors included in progress note). Resident #1's progress notes date 08/23/23 revealed a referral sent to the APRN for psychological evaluation for Resident #1 because his FM stated during the care plan meeting that resident calls her in the evenings with more agitation. Resident #1 stated he had been getting frustrated with roommate but did not want to move at that time. Residents #1's progress notes date 10/02/23 revealed Resident #1 was heard with a raised voice in his room and when room was entered Resident #1 was standing beside his roommate's bed and Resident #1's roommate (now discharged ) was yelling back to Resident #1 who had a pair of scissors in his hand turned backwards holding, the handle with scissor part against the back side of his forearm. Resident #1 was re-directed to go with staff to sit in lobby. There was no injury to either Resident #1 or his roommate. Resident #1 was placed on 1-1 staff observation. Resident #1 changed his story about the events of the altercation several times. Resident #1 first reported he had not done anything, and he was trying to defend himself and did not get near the other resident and then stated he did try to stab the other resident. Resident #1 continued to change the version of altercation. Resident #1's progress notes date 10/03/23 revealed Resident #1 has had several episodes of telling staff that he was, going to finish the job with the white man and talked of cutting his throat. The progress note revealed that staff explained that Resident #1 couldn't do that, and the fight was over, and Resident #1 and the other man were in different rooms on opposite sides of the building. Resident #1 told the staff, I have a lot of patience and can wait. Staff progress note revealed, He [Resident #1] just grinned at me. Additional progress note on the same date revealed that the APRN did see Resident #1 as a threat. Resident #1's progress note dated 10/17/23 revealed that during Bingo Resident #1 was hit by a 3rd resident as Resident #1 was going towards a 2nd resident instigating a fight with the 2nd resident who flipped off Resident #1. As Resident #1 was instigating a fight with the 2nd resident, Resident #1 had his hands up defending himself from the 3rd resident. Additional progress notes from the same date reveal APRN recommended Resident #1 not to be allowed to go to group activities at that time and If he went to dining hall that he not be seated near other male resident and staff needed to be close by and if any further incidents, Resident #1 should be discharged . Resident #1's progress note dated 11/11/23 revealed Resident #1 was waiting to get coffee and Resident #2 moved Resident #1's coffee cup. Resident #2 yelled he has rights and was defending other residents. Resident #1 slapped Resident #2 in the back of his head. Resident #1's psychiatric progress note dated 10/17/23 revealed Resident #1 told the APRN he is not a candy ass and felt justified in defending himself and would do it again. Resident #1 admitted he was stubborn and had a history of fighting. Resident #1 said he understands the consequences of further incidents but will, not back down if he is feeling bullied. Progress note reveals that he told him former roommate he was, good with scissors after Resident #1 was in a verbal altercation with his former roommate and Resident #1 was holding scissors. Interview on 12/14/23 at 1:46 pm with the APRN revealed Resident#1 is not usually an instigator but during her conversations with Resident #1 he has said that he is not a [NAME] and if someone picks on him, he will give it back to them. He is impulsive at times and if he gets scissors again, she does not know what he will do with them. She cannot say for sure that he would not hurt anyone because of his impulsivity. She said that she sees that he has an enjoyment in these physical alterations. Interview on 12/14/23 at 3:58 pm with the Resident #2 about his altercation with Resident #1 revealed he feels trepidation getting coffee in the morning because he knows all those people are lined up for coffee and he feels exposed. He revealed he stays in his room mostly and is hyper aware of his surroundings. Interview on 12/15/23 at 1:11 pm with the ADON revealed that Resident #1's care plan should have been updated with the resident-to-resident altercations and behavioral issues because the care plan would talk about the resident and what the resident needed to be successful for themselves and other residents in the facility . Behavioral interventions should be a part of the care plan to prevent altercations between residents and to keep residents safe. It was important that everyone had the same knowledge and there should be continuity of care, so the resident gets what they need to be successful. If care plans are not up to date there are interruption of care, safety issues, and residents could be injured or die. The ADON said she had never received resident to resident altercations training at the facility. She revealed that that there was no training on identifying resident triggers. She revealed that 99% of the time there are no problems with resident behaviors but there is a 1% chance a resident could, fly off the handle and It was absolutely a problem that they were not trained in the resident-to-resident altercation policy. The ADON revealed she had only received abbreviated in-service trainings that consisted of a piece of paper with a sentence at the top of the in-service informing them either to remember to do or not to do something and to sign she had read the statement. She revealed that, while at the facility, she had never received an in-service with the entire facility resident to resident in-service policy with a discussion of how to proceed in different situations with an opportunity to ask questions. Interview on 12/15/23 at 1:51 pm with the CMA A revealed she did not feel she was trained or well prepared for the resident-to-resident altercations and had not received any resident-to-resident altercation training. She revealed it would have been important to have the training to look for the signs needed for intervention, and It was detrimental to the residents because the residents could have been seriously injured or could die without the proper interventions. She said she had access to the residents' care plans, and it would have been helpful for her to see behavioral interventions. She revealed staff need to be informed about behavioral and resident-to-resident altercations and interventions to be aware of what to look for and know what to do. She revealed that the facility has a lot of residents with behavioral issues that are not currently in the care plan and did not feel the care plans are up to date. She felt it was a recipe for disaster to have so many residents with behaviors and care plans that are not current. She feels that if the triggers that cause the behavior are not care planned with interventions behaviors could escalate to altercations harming the residents . Interview on 12/15/23 at 2:05 pm with Resident #1's Medical Director revealed he does not have a recollection if the facility called him and informed him of the resident-to-resident altercations at the facility because he gets so many telephone calls. He said he had no concerns about resident safety at the facility. He said he is marginally involved in resident care plans but revealed that resident-to-resident altercations and behaviors should be included in care plan to keep residents safe, and It could be detrimental to the safety of the residents if behaviors and resident-to-resident altercations are not included in the care plan . Interview on 12/15/23 at 2:25 pm with the DON who revealed she has been working at the facility for three days and she is responsible for the care plans and care plans are in place to identify specific interventions needed for the process of caring for the residents. The DON revealed that care plans are the process of learning about the resident and a guideline for individualized care. The DON revealed it is important to include resident-to-resident alterations in a care plan because it is detrimental to the resident if the staff did not have a guideline to care for the resident. The DON revealed harm could come to residents if the staff did not know how to approach someone with behaviors and someone could get hurt or injured or could die if the facility does not document how to proceed to protect the residents . Interview on 12/15/23 at 3:25 pm with CNA B who revealed she had access to Resident #1's care plan and she looked at it and She knew that Resident #1 had past behaviors but did not see that his behavior's had been included in his care plan. She revealed she thinks it is important to have information on resident behaviors in a care plan so staff can know at the beginning what behaviors to look for. She revealed that if Resident #1 had been care planned with interventions staff might have distanced him from other residents. She said she witnessed the coffee incident between Resident #1 and Resident #2, but she never saw the incident listed in Resident #1's care plan. It might have been helpful to include in the care plan to watch Residents #1 and #2 when they were in the dining room. She revealed there could be resident harm if the staff are not aware of resident behaviors . Interview on 12/15/23 at 4:08 pm with the ADM who revealed she has been at the facility for 30 days and the ADON is receiving training in care planning and the DON and ADM are responsible for care planning. The ADM revealed that care plans are important because they paint the picture of what the residents' needs are and where they need to go to have their needs meet. If a resident does not have a complete care plan the facility cannot meet the needs of the resident and it impacts the wellbeing of all the residents. The ADM revealed that by not having a care plan for resident-to-resident altercations, it could impact the resident involved in the altercations and other residents as well. The ADM revealed the resident behaviors and resident to resident altercations should have been included in the care plan . Review of facility resident-to-resident altercations policy dated 2016. All altercations, including those that may represent resident to resident abuse, shall be investigated and reported to the nursing supervisor, the director of nursing services and to the administrator. Policy interpretation and implementation 1. The facility will monitor residents for aggressive/ inappropriate behavior towards other residents, family members, visitors, or to the staff. Occurrences of such incidents shall be promptly reported to the nurse supervisor, director of nursing services, and to the administrator. 2. If two residents are involved in an altercation staff will: a. separate the residents, and institute measures to calm the situation; b. identify what happened, including what might have led to aggressive conduct on the part of one or more of the individuals involved in the altercation; c. notify each residen representative and attending physician of the incident; d. review the events with the nursing supervisor and director of nursing and possible measures to try to prevent additional incidents; e. Consult with the attending physician to identify treatable conditions such as acute psychosis that may have caused or contributed to the problems; f. make any necessary changes in the care plan approaches to any and all of the involved individuals; g. document in the resident clinical record all interventions and their effectiveness; h. consult psychiatric services is needed for assistance in assessing the resident, identifying causes, and developing a care plan for intervention and management as necessary or as may be recommended by the attending physician or interdisciplinary care planning team; i. complete a report of incident/accident form and document the incident, findings, needed corrective measures taken and the residents medical/clinical record; j. if, after carefully evaluating the situation, it is determined that care cannot be readily given within the facility, transfer the resident; and k. report incidents, findings, and corrective measures to appropriate agencies as outlined in our facilities abuse reporting policy. Review of Facility Abuse, Neglect, and Exploitation policy dated 10/2023 revealed the facility will provide protection for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property. Policy interpretation and implementation 1. The facility will develop and implement written policies and procedures that; a. Prohibit and prevent abuse, neglect, and exploitation of residence and misappropriation of resident property; and b. established policies and procedures to investigate any such allocations; and c. include training for new and existing staff on activities that constitute abuse, neglect, exploitation, and misappropriation of residence property, reporting procedures and dementia management and resident abuse prevention and d. established coordination with the QAPI program. 2. The facility will designate an abuse prevention of coordinator in the facility who is responsible for reporting allegations or suspected abuse, to collect, exploitation to the state survey agency and other officials in accordance with state law. 3. The facility will provide ongoing oversight with supervision of staff to ensure that its policies are implemented as written. Abuse Prohibition Plan Components 1. Screening B. prospective residents will be screened to determine whether the facility has the capability and capacity to provide the necessary care and services for each resident admitted to the facility. a. An assessment of the individual's functional and mood/ behavior status, medical acuity, and special needs will be reviewed prior to admission. 2. The facility will make individual determinations in consideration of current staffing patterns, staff qualifications, competency and knowledge, clinical resources, physical environment and equipment. Employee Training A. New employees will be educated on abuse, neglect, exploitation, and misappropriation of resident property during initial orientation. B. Existing staff will receive annual education through planned in- services and/or assigned web- based trainings as needed. C. Training topics will include; a. Aggressive and/or catastrophic reactions of residence; b. wandering or elopement- type behaviors; c. resistance to care; d. Outbursts or yelling out; and e. Difficulty to adjusting to new routine or staff. I. Prevention of Abuse, Neglect and Exploitation The facility will implement policies and procedures to prevent and prohibit all types of abuse, neglect, misappropriation of resident property and exploitation that achieves. D. Ensuring as assessment of the resources needed to provide care and services to all residents is included in the facility assessment; E. The identification, ongoing assessment, care planning for appropriate interventions and monitoring of residents with needs and behaviors with might lead ot conflict or neglect; Identification of abuse, neglect, and exploitation A. The facility will have written procedures to assist staff in identifying the different types of abuse -mental/verbal abuse, sexual abuse, physical abuse, and the deprivation by an individual of goods and services. The includes staff to resident abuse and certain resident to resident altercations. B. Possible indicators of abuse include, but are not limited to; 1. Resident, staff, or family report of abuse, 2. Verbal abuse of a resident overheard, 3. Physical abuse of a resident observed, 4. Sudden or unexplained changes in behavior and/or activities such as a fear of a person or place, or feelings of guilt or shame. Protection of Resident The facility will make efforts to ensure all residents are protected from physical and psychosocial harm as well as additional abuse, during and after the investigation examples include but are not limited to; A. Responding immediately to protect the alleged victim and integrity of the investigation. B. Examining the alleged victim for any sign of injury, including a physical examination or psychosocial assessment if needed; C. Increased supervision of the alleged victim and residents; D. Room or staffing changes, if necessary to protect the resident(s) from the alleged perpetrator; E. Protection from retaliation; F. Providing emotional support and counseling to the resident during and after the investigation, as needed and G. Revision to the resident's care plan if the resident's medical, nursing, physical, mental or psychosocial needs or preferences change because of an incident of abuse. Reporting/Response A. The facility will have written procedures that include: 1. Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes: a. Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury or b. No later than 24 hours of the events that [NAME] the allegation do not involve abuse and do not result in serious bodily injury. 2. Ensuring that reporters are free from retaliation or reprisal; 3. Promoting a culture of safe and open communication in the work environment prohibiting retaliation against any employee who reports a suspicious of a crime. The facility will post a conspicuous notice of employee rights, including the right to file a complaint with the State Survey Agency if the employee believes the facility has retaliated against him/her for reporting a suspected crime and how to file such a complaint. 5. Taking all necessary actions as a result if the investigation, which may include, but are not limited to, the following; a. Analyzing the occurrences(s) to determine why abuse, neglect, occurred and what changes are needed to prevent further occurrences; b. Defining how care provision will be changed and/or improved to protect residents receiving services; c. Training staff on changes made and demonstration of staff competency after training in implemented; d. Identification of staff responsibility for implementation of corrective action; e. The expected date for implementation, and f. Identification of staff responsible for monitoring the implementation for the plan. This was determined to be an Immediate Jeopardy (IJ) on 12/14/2023 at 6:21 pm. The ADM and the DOW were notified. The ADM as provided with the IJ template on 12/14/2023 at 6:21 pm. On 12/14/2023 an abbreviated survey was initiated at the facility. On 12/14/2023 the surveyor provided an Immediate Jeopardy (IJ) Template notification that the Regulatory Services has determined that the condition at the facility constitutes an immediate Jeopardy to resident health and safety. The following POR was accepted on 12/15/23 at 1:36 PM: The notification of Immediate Jeopardy states as follows: F600- Free from Abuse/Neglect Action (Immediate): Resident #1 has been placed on 1:1 until resident is deemed no longer a risk to self and/or others by one or more of the following: Interdisciplinary team (IDT) which must, at a minimum, include the Administrator and the Director of Nursing, and may also include the Social Services Director and/or other IDT members as appropriate, Medical Director or designated provider, Psychiatric services, after evaluation, treatment, and release from a psychiatric or medical facility and/or Psychiatric services consulted prior to removing a resident from 1:1 supervision. This may be done in person or via telehealth services. Resident #1's care plan will be updated immediately by the Clinical Company Leader to reflect the resident's history of aggressive events. Person(s) Responsible: Administrator and/or Director of Nursing Start Date: 12/14/2023 Completion Date: 12/14/2023 Action (Identification): All residents with behaviors documented as an event and/or in the progress notes for the previous 90 days will be reviewed to ensure care plans are in place and interventions are present. If any behavioral events are identified without care plans and interventions these will be placed immediately. Person(s) Responsible: Director of Nursing and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 Action (Prevention): Administrator, Director of Nursing, Assistant Director of Nursing will be educated by the Clinical Company Leader about care planning behavioral events with meaningful interventions. Person(s) Responsible: Clinical Company Leader Start Date: 12/14/2023 Completion Date: 12/14/2023 Action (Prevention): Education provided to all staff regarding-- Abuse and Neglect: Types of abuse and when/who to report to (immediately & the administrator- abuse coordinator) Resident to Resident: Recognizing behaviors, triggers, and how to effectively intervene and deescalate. Staff will be educated to immediately separate the residents and implement 1:1 observation until instructed otherwise by the Administrator and/or Director of Nursing. Nursing Staff (facility and agency) will be educated on the resident profile that will contain the updated care plans and interventions following behavioral events. Staff will be notified of behavioral events through shift-to-shift report and/or the Director of Nursing and/or Assistant Director of Nursing. Staff, facility and agency, assigned to the specific education, will complete prior to working their next shift. Person(s) Responsible: Administrator and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 Action (Monitoring): During daily meeting, x5 days weekly, Monday-Friday, Director of Nursing, Assistant Director of Nursing, and/or Designee will review all progress notes and event reports to ensure effective care plans/interventions are in place following behavioral events. If an incident occurs over the weekend, the Administrator and/or Director of Nursing will be notified by staff (staff will know to immediately notify through the education noted above), and interventions will be discussed and implemented, next shift staff will be notified of the interventions through report. Person(s) Responsible: Director of Nursing, Assistant Director of Nursing, and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 Action (QAPI): Medical Director informed of the Immediate Jeopardy for F-600 and [NAME] Nursing and Rehabilitation Center's plan to remove the immediacy. At this time no other recommendations have been made. Person(s) Responsible: Administrator Start Date: 12/14/2023 Completion Date: 12/14/2023 Action (Prevention): Education provided to all staff regarding-- Abuse and Neglect: Types of abuse and when/who to report to (immediately & the administrator- abuse coordinator) Resident to Resident: Recognizing behaviors, triggers, and how to effectively intervene and deescalate. Staff will be educated to immediately separate the residents and implement 1:1 observation until instructed otherwise by the Administrator and/or Director of Nursing. Nursing Staff (facility and agency) will be educated on the resident profile that will contain the updated care plans and interventions following behavioral events. Staff will be notified of behavioral events through shift-to-shift report and/or the Director of Nursing and/or Assistant Director of Nursing. Staff, facility and agency, assigned to the specific education, will complete prior to working their next shift. Person(s) Responsible: Administrator and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 The Surveyor monitored the POR on 12/15/23 as followed: Interview on 12/15/23 at 3:24 pm with the RDO reflected that Resident #1 had 1- 1 supervision from 6:00 pm on 12/14/23 until he was discharged with his son on 12/15/23 at 2:00 pm. Resident #1's care plan was updated prior to his discharge to reflect the resident's history of aggressive events. On 12/15/23 reviewed care plans for all residents with behaviors documented as an event and/or in the progress notes for the previous 90 days and confirmed interventions were present in the care plans. During interviews on 12/15/23 from 1:11 PM - 4:10 PM with the housekeeping supervisor, the ADON, a CNA, a CMA , and an LVN revealed they all stated they were in-serviced before their shifts on reporting abuse and were able to correctly list types of abuse and when/who to report to, how to recognize behaviors and how to intervene and deescalate residents' behaviors. They confirmed they were educated on the resident profile that contained the updated care plans and interventions following resident behavioral events. They stated all behaviors and interventions to behaviors should be resident care plans. During interview on 12/15/23 from 1:14 PM - 2:22 PM with four residents revealed they felt safe at the facility and had no concerns. Reviewed 12/15/23 in-service with the ADM, DON, and ADON regarding care planning meaningful behavioral interventions. Reviewed staff in-service dated 12/14/23 reflected staff were treained on using resident profile, resident to resident altercations, and abuse and neglect. Reviewed staff pre and posttest for the above in-services . Reviewed 12/14/23 QAPI notes with Medical Director. The ADM and DON were informed the Immediate Jeopardy was removed on 1215/23 at 5:33 pm. The facility remained out of compliance at a severity level of actual harm that is not immediate and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems that were put into place.

Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 2 of 16 residents (Residents #1 and #3) reviewed for care plans. Resident #1 and Resident #3 did not have completed comprehensive care plans for resident-to-resident behaviors and resident-to-resident altercations. An Immediate Jeopardy (IJ) was identified on 12/14/23. The IJ template was provided to the facility on [DATE] at 6:21 pm. While the IJ was removed on 12/15/23, the facility remained out of compliance at a severity of actual harm that is not immediate jeopardy and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems. This failure could place residents at risk of not having their care needs met. Findings included: Record review of Resident #1's face sheet undated revealed an [AGE] year-old male, on hospice, who initially admitted to the facility on [DATE] with a diagnosis including chronic obstructive pulmonary disease , heart failure, dementia, MDD, cognitive communication deficit, and episodic panic disorder . Record review of Resident #1's MDS dated [DATE] revealed a BIMS of 9 suggesting moderate cognitive impairment. He ambulated with a walker and a motorized wheelchair. Record review of Resident #1's care plan revealed no care plan or interventions for behaviors or resident-to-resident altercations. Record review of Resident #3's face sheet undated revealed a [AGE] year-old male who initially admitted to the facility on [DATE] and with return date of 12/05/23 and a diagnosis including metabolic encephalopathy (a problem in the brain. It is caused by a chemical imbalance in the blood), congestive heart failure, disruptive mood dysregulation disorder , impulse disorder, and conduct disorder. Record review of Resident #3's MDS dated [DATE] revealed a BIMS of 15 suggesting resident was cognitively intact. Record review of Resident #3's care plan revealed no care plan or interventions for resident-to-resident behaviors or altercations. Resident #1's progress note dated 04/18/2023 revealed a report of Resident #1 standing by his roommate's bed and stating that he is tired of the roommate yelling and if staff did not move the roommate, Resident #1 would hit him or push him out of the bed. Resident #1 stated, I am telling you if you leave him in here, he will be hurt. Resident #1's progress note dated 08/17/23 revealed Resident #1 attended 3-5 activities weekly and had some behavior issues with other residents (no description of behaviors included in progress note). Resident #1's progress notes date 08/23/23 revealed a referral sent to the APRN for psychological evaluation for Resident #1 because his daughter stated during the care plan meeting that resident calls her in the evenings with more agitation. Resident #1 stated he had been getting frustrated with roommate but did not want to move at that time . Residents #1's progress notes date 10/02/23 revealed Resident #1 was heard with a raised voice in his room and when room was entered Resident #1 was standing beside his roommate's bed and Resident #1's roommate (now discharged ) was yelling back to Resident #1 who had a pair of scissors in his hand turned backwards holding, the handle with scissor part against the back side of his forearm. Resident #1 was re-directed to go with staff to sit in lobby. There was no injury to either Resident #1 or his roommate. Resident #1 was placed on 1-1 staff observation. Resident #1 changed his story about the events of the altercation several times. Resident #1 first reported he had not done anything, and he was trying to defend himself and did not get near the other resident and then stated he did try to stab the other resident. Resident #1 continued to change the version of altercation. Resident #1's progress notes date 10/03/23 revealed Resident #1 has had several episodes of telling staff that he was, going to finish the job with the white man and talked of cutting his throat. The progress note revealed that staff explained that Resident #1 couldn't do that, and the fight was over, and Resident #1 and the other man were in different rooms on opposite sides of the building. Resident #1 told the staff, I have a lot of patience and can wait. Staff progress note revealed, He [Resident #1] just grinned at me. Additional progress note on the same date revealed that the APRN did see Resident #1 as a threat . Resident #1's progress note dated 10/17/23 revealed that during Bingo Resident #1 was hit by a 3rd resident as Resident #1 was going towards a 2nd resident instigating a fight with the 2nd resident who flipped off Resident #1. As Resident #1 was instigating a fight with the 2nd resident, Resident #1 had his hands up defending himself from the 3rd resident. Additional progress notes from the same date reveal APRN recommended Resident #1 not to be allowed to go to group activities at that time and if he went to dining hall that he not be seated near other male resident and staff needed to be close by and if any further incidents, Resident #1 should be discharged . Resident #1's psychiatric progress note dated 10/17/23 revealed Resident #1 told the APRN he is not a candy ass and felt justified in defending himself and would do it again. Resident #1 admitted he was stubborn and had a history of fighting. Resident #1 said he understands the consequences of further incidents but will, not back down if he is feeling bullied. Progress note reveals that he told him former roommate he was, good with scissors after Resident #1 was in a verbal altercation with his former roommate and Resident #1 was holding scissors . Resident #3's progress note dated 10/24/23 revealed Resident #3 was angry about another male resident because Resident #3 felt he stayed too long in the shower. Later Resident #3 saw the other resident on the house phone and went up behind him and tried to hit him because Resident #3 wanted to use the phone. Review of Resident #3's event report dated 10/10/23 revealed Resident #3 became upset when he witnessed another resident throw water in the face of a staff member and Resident #3 used his cane to hit the resident in resident's face causing the resident to bleed and the resident was sent to the hospital. Interview on 12/14/23 at 1:46 pm with the APRN revealed Resident#1 is not usually an instigator but during her conversations with Resident #1 he has said that he is not a [NAME] and if someone picks on him, he will give it back to them. He is impulsive at times and if he gets scissors again, she does not know what he will do with them. She cannot say for sure that he would not hurt anyone because of his impulsivity. She said that she sees that he has an enjoyment in these physical alterations. Interview on 12/15/23 at 1:11 pm with the ADON revealed that Resident #1's care plan should have been updated with the resident-to-resident altercations and behavioral issues because the care plan would talk about the resident and what the resident needed to be successful for themselves and other residents in the facility . Behavioral interventions should be a part of the care plan to prevent altercations between residents and to keep residents safe. It was important that everyone had the same knowledge and there should be continuity of care, so the resident gets what they need to be successful. If care plans are not up to date there are interruption of care, safety issues, and residents could be injured or die. The ADON said she had never received resident to resident altercations training at the facility. She revealed that that there was no training on identifying resident triggers. She revealed that 99% of the time there are no problems with resident behaviors but there is a 1% chance a resident could, fly off the handle and It was absolutely a problem that they were not trained in the resident-to-resident altercation policy. The ADON revealed she had only received abbreviated in-service trainings that consisted of a piece of paper with a sentence at the top of the in-service informing them either to remember to do or not to do something and to sign she had read the statement. She revealed that, while at the facility, she had never received an in-service with the entire facility resident to resident in-service policy with a discussion of how to proceed in different situations with an opportunity to ask questions. Interview on 12/15/23 at 1:51 pm with the CMA revealed she did not feel she was trained or well prepared for the resident-to-resident altercations and had not received any resident-to-resident altercation training. She revealed it would have been important to have the training to look for the signs needed for intervention, and It was detrimental to the residents because the residents could have been seriously injured or could die without the proper interventions. She said she had access to the residents' care plans, and it would have been helpful for her to see behavioral interventions. She revealed staff need to be informed about behavioral and resident-to-resident altercations and interventions to be aware of what to look for and know what to do. She revealed that the facility has a lot of residents with behavioral issues that are not currently in the care plan and did not feel the care plans are up to date. She felt it was a recipe for disaster to have so many residents with behaviors and care plans that are not current. She feels that if the triggers that cause the behavior are not care planned with interventions behaviors could escalate to altercations harming the residents . Interview on 12/15/23 at 2:05 pm with Medical Director revealed he does not have a recollection if the facility called him and informed him of the resident-to-resident altercations at the facility because he gets so many telephone calls. He said he had no concerns about resident safety at the facility. He said he is marginally involved in resident care plans but revealed that resident-to-resident altercations and behaviors should be included in care plan to keep residents safe, and It could be detrimental to the safety of the residents if behaviors and resident-to-resident altercations are not included in the care plan . Interview on 12/15/23 at 2:25 pm with the DON who revealed she has been working at the facility for three days and she is responsible for the care plans and care plans are in place to identify specific interventions needed for the process of caring for the residents. The DON revealed that care plans are the process of learning about the resident and a guideline for individualized care. The DON revealed it is important to include resident-to-resident alterations in a care plan because it is detrimental to the resident if the staff did not have a guideline to care for the resident. The DON revealed harm could come to residents if the staff did not know how to approach someone with behaviors and someone could get hurt or injured or could die if the facility does not document how to proceed to protect the residents . Interview on 12/15/23 at 3:25 pm with CNA who revealed she had access to Resident #1's care plan and she looked at it and She knew that Resident #1 had past behaviors but did not see that his behavior's had been included in his care plan. She revealed she thinks it is important to have information on resident behaviors in a care plan so staff can know at the beginning what behaviors to look for. She revealed that if Resident #1 had been care planned with interventions staff might have distanced him from other residents. She revealed there could be resident harm if the staff are not aware of resident behaviors . Interview on 12/15/23 at 4:08 pm with the ADM who revealed she has been at the facility for 30 days and the ADON is receiving training in care planning and the DON and ADM are responsible for care planning. The ADM revealed that care plans are important because they paint the picture of what the residents' needs are and where they need to go to have their needs meet. If a resident does not have a complete care plan the facility cannot meet the needs of the resident and it impacts the wellbeing of all the residents. The ADM revealed that by not having a care plan for resident-to-resident altercations, it could impact the resident involved in the altercations and other residents as well. The ADM revealed the resident behaviors and resident to resident altercations should have been included in the care plan . Facility Care plans, Comprehensive Person- Centered policy dated December 2020 revealed a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The services provided or arranged by the facility, as outlined by the comprehensive care plan, are provided by qualified persons, are culturally - competent and trauma-informed. Policy interpretation and implementation: 1. The interdisciplinary team in conjunction with the resident and his/her family or legal representative develops and implements a comprehensive, person- centered care plan for each resident. 2. The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment. 3. The interdisciplinary team may include but not limited to: a. the attending physician b. a registered nurse who has responsibility for the resident c. a nurse aide who has responsibility for the resident d. a member of the food and nutrition services staff e. the resident and the resident's legal representative f. other appropriate staff or professionals as determined by the resident's needs or as requested by the resident. The care planning process will include an assessment of the resident's strengths and needs. The comprehensive, person-centered care plan will include measurable objectives and time frames. Describe the services that are to be furnished to attain or maintain the resident's highest practicable physical/ mental, and psychosocial well-being. Describe services that would otherwise be provided for the above but are not provided due to the resident exercising his or her rights including the right to refuse treatment. Incorporate identified problem areas. Incorporate risk factors associated with identified problems and reflect treatment goals, timetables, and objectives in measurable outcomes. Identify the professional services that are responsible for each element of care. Aid in preventing or reducing decline in the resident's functional status and or functional levels. Enhance the optimal functioning of the resident by focusing on a rehabilitation program and reflect currently reorganize standards of practice for problem areas and conditions. Areas of concern that are identified during the resident assessment will be evaluated before interventions are added to the care plan. Identifying problem areas and their causes and developing interventions that are targeted and meaningful to the resident, are the end point of an interdisciplinary process. No single discipline can manage an approach in isolation and residence physician, or Primary Health provider is integral to the process. Care plan interventions are chosen only after careful data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem areas and their causes and relevant clinical decision making. When possible, interventions address the underlying sources of the problem areas not just addressing only symptoms or triggers. Care planning individual symptoms in isolation may have little if any benefit for the resident. Assessments of residents are ongoing and care plans are revised as information about the residents and the residents condition change. The interdisciplinary team must review, update the residence diagnosis within the clinical software system when a diagnosis is resolved, when a new diagnosis is established and reviewed at least quarterly in conjunction with the MDS assessment schedule. The interdisciplinary team must review and update the care plan when there has been a significant change to the residence condition, when the desired outcome is not met, when the resident has been readmitted to the facility from a hospital stay, and at least quarterly in conjunction with the required MDS assessment. This was determined to be an Immediate Jeopardy (IJ) on 12/14/2023 at 6:21 pm. The ADM and the DOW were notified. The ADM as provided with the IJ template on 12/14/2023 at 6:21 pm. On 12/14/2023 an abbreviated survey was initiated at the facility. On 12/14/2023 the surveyor provided an Immediate Jeopardy (IJ) Template notification that the Regulatory Services has determined that the condition at the facility constitutes an immediate Jeopardy to resident health and safety. The following POR was accepted on 12/15/23 at 1:36 PM: The notification of Immediate Jeopardy states as follows: F600- Free from Abuse/Neglect Action (Immediate): Resident #1 has been placed on 1:1 until resident is deemed no longer a risk to self and/or others by one or more of the following: Interdisciplinary team (IDT) which must, at a minimum, include the Administrator and the Director of Nursing, and may also include the Social Services Director and/or other IDT members as appropriate, Medical Director or designated provider, Psychiatric services, after evaluation, treatment, and release from a psychiatric or medical facility and/or Psychiatric services consulted prior to removing a resident from 1:1 supervision. This may be done in person or via telehealth services. Resident #1's care plan will be updated immediately by the Clinical Company Leader to reflect the resident's history of aggressive events. Person(s) Responsible: Administrator and/or Director of Nursing Start Date: 12/14/2023 Completion Date: 12/14/2023 Action (Identification): All residents with behaviors documented as an event and/or in the progress notes for the previous 90 days will be reviewed to ensure care plans are in place and interventions are present. If any behavioral events are identified without care plans and interventions these will be placed immediately. Person(s) Responsible: Director of Nursing and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 Action (Prevention): Administrator, Director of Nursing, Assistant Director of Nursing will be educated by the Clinical Company Leader about care planning behavioral events with meaningful interventions. Person(s) Responsible: Clinical Company Leader Start Date: 12/14/2023 Completion Date: 12/14/2023 Action (Prevention): Education provided to all staff regarding-- Abuse and Neglect: Types of abuse and when/who to report to (immediately & the administrator- abuse coordinator) Resident to Resident: Recognizing behaviors, triggers, and how to effectively intervene and deescalate. Staff will be educated to immediately separate the residents and implement 1:1 observation until instructed otherwise by the Administrator and/or Director of Nursing. Nursing Staff (facility and agency) will be educated on the resident profile that will contain the updated care plans and interventions following behavioral events. Staff will be notified of behavioral events through shift-to-shift report and/or the Director of Nursing and/or Assistant Director of Nursing. Staff, facility and agency, assigned to the specific education, will complete prior to working their next shift. Person(s) Responsible: Administrator and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 Action (Monitoring): During daily meeting, x5 days weekly, Monday-Friday, Director of Nursing, Assistant Director of Nursing, and/or Designee will review all progress notes and event reports to ensure effective care plans/interventions are in place following behavioral events. If an incident occurs over the weekend, the Administrator and/or Director of Nursing will be notified by staff (staff will know to immediately notify through the education noted above), and interventions will be discussed and implemented, next shift staff will be notified of the interventions through report. Person(s) Responsible: Director of Nursing, Assistant Director of Nursing, and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 Action (QAPI): Medical Director informed of the Immediate Jeopardy for F-600 and [NAME] Nursing and Rehabilitation Center's plan to remove the immediacy. At this time no other recommendations have been made. Person(s) Responsible: Administrator Start Date: 12/14/2023 Completion Date: 12/14/2023 Action (Prevention): Education provided to all staff regarding-- Abuse and Neglect: Types of abuse and when/who to report to (immediately & the administrator- abuse coordinator) Resident to Resident: Recognizing behaviors, triggers, and how to effectively intervene and deescalate. Staff will be educated to immediately separate the residents and implement 1:1 observation until instructed otherwise by the Administrator and/or Director of Nursing. Nursing Staff (facility and agency) will be educated on the resident profile that will contain the updated care plans and interventions following behavioral events. Staff will be notified of behavioral events through shift-to-shift report and/or the Director of Nursing and/or Assistant Director of Nursing. Staff, facility and agency, assigned to the specific education, will complete prior to working their next shift. Person(s) Responsible: Administrator and/or Designee Start Date: 12/14/2023 Completion Date: 12/15/2023 The Surveyor monitored the POR on 12/15/23 as followed: Interview on 12/15/23 at 3:24 pm with the RDO reflected that Resident #1 had 1- 1 supervision from 6:00 pm on 12/14/23 until he was discharged with his son on 12/15/23 at 2:00 pm. Resident #1's care plan was updated prior to his discharge to reflect the resident's history of aggressive events. On 12/15/23 reviewed care plans for all residents with behaviors documented as an event and/or in the progress notes for the previous 90 days and confirmed interventions were present in the care plans. During interviews on 12/15/23 from 1:11 PM - 4:10 PM with the housekeeping supervisor, the ADON, a CNA, a CMA , and an LVN revealed they all stated they were in-serviced before their shifts on reporting abuse and were able to correctly list types of abuse and when/who to report to, how to recognize behaviors and how to intervene and deescalate residents' behaviors. They confirmed they were educated on the resident profile that contained the updated care plans and interventions following resident behavioral events. They stated all behaviors and interventions to behaviors should be resident care plans. During interview on 12/15/23 from 1:14 PM - 2:22 PM with four residents revealed they felt safe at the facility and had no concerns. Reviewed 12/15/23 in-service with the ADM, DON, and ADON regarding care planning meaningful behavioral interventions. Reviewed staff in-service dated 12/14/23 reflected staff were treained on using resident profile, resident to resident altercations, and abuse and neglect. Reviewed staff pre and posttest for the above in-services . Reviewed 12/14/23 QAPI notes with Medical Director. The ADM and DON were informed the Immediate Jeopardy was removed on 1215/23 at 5:33 pm. The facility remained out of compliance at a severity level of actual harm that is not immediate and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems that were put into place.

Based on observation, interview, and record review, the facility failed to ensure the that its residents are free of any significant medication errors for 1 (Resident #1) of 5 residents reviewed for pharmaceutical services. The facility failed to provide pharmaceutical services for Resident #1 to include testing of her blood sugars and administration of insulin before meals as prescribed by her physician; the failure resulted in Resident #1 being found with low BS and unresponsive which required Resident #1 to be sent to the hospital 2 days in a row. This failure could place all residents at risk for not receiving the therapeutic effects from prescribed medications. The findings included: Record review of Resident #1's undated face sheet revealed a [AGE] year-old female admitted [DATE] with diagnoses including chronic pain, depression, anxiety, and type I diabetes. Record review of Resident #1's Admission MDS assessment dated [DATE] revealed the BIMS score section was not completed. It further revealed that insulin was injected on 7 of the prior 7 days. Record review of Resident #1's Care Plan dated 07/01/23 revealed no care plan for diabetes. Record review of Resident #1's August Orders revealed an order to check blood sugars before meals and before bed (7:00 am, 11:00 am, 4:30 pm, and 8:00 pm ). Record review of the facility dining times revealed: Breakfast 7:15 am Hall Trays 7:00 am Lunch 11:45 am Hall trays 11:30 am Dinner 5:15 pm Hall trays 5:00 pm Record review of Resident #1's MAR showed her blood sugars were not done as ordered on the following dates in August: 08/10/2023 6:28 pm before dinner 08/09/2023 before dinner not done 08/09/2023 8:33 am before breakfast 08/08/2023 5:48 pm before dinner 08/08/2023 11:50 am before lunch 08/06/2023 before breakfast not done 08/05/2023 before bed not done 08/04/2023 7:32 am before breakfast Record review of Resident #1's progress notes revealed on 08/10/23 at 12:47 am Resident #1 was found unresponsive with a blood sugar of 53 and was sent to the emergency room . Further review revealed on 08/11/23 at 4:51 am Resident #1 was found unresponsive with a blood sugar of 43 and was sent to the hospital. Record review of Resident #1's vital signs revealed on 08/10/23 her blood sugar was taken after dinner at 6:28 pm and dinner started at 5:00 pm by ADON and insulin was administered. Further review revealed on 08/09/23 her blood sugar was not taken and insulin was not given for her pre-dinner blood sugar and insulin. In an interview 08/11/23 at 12:30 pm with the ADON she stated that Resident #1 was taken back to hospital Friday (08/11/23) morning after being found unresponsive. She stated the Resident #1 eats lots of junk food and is non-compliant, so it was her fault that her blood sugar was so low. ADON stated Resident #1 was hospitalized on [DATE] and 08/11/23. ADON stated she did check Resident #1's blood sugar on 08/09/23 before dinner, but did not document it. In an interview on 08/14/23 at 3:15 pm with Clinical Resource Nurse she stated that it was the responsibility of everyone to follow physician orders. She further stated that the nurse was responsible for checking blood sugar before meals and before dinner and to report any abnormalities to the DON and physician. She stated that failure to follow the physician orders can cause illness, hospitalization and death. In an interview and observation on 08/14/23 at 8:30 am with Resident #1 , she stated that they gave her insulin without food and that made her sick. She told them not to do that multiple times, but the facility kept giving her insulin without food. She also said that when she went to the hospital the second time (08/11/23), they put the IV in her bone in her shoulder and it still hurt her. Resident #1 stated that she remembered feeling sick before she lost consciousness on both occasions, but she did not realize she had fallen. She said it scared her because she felt so sick. She was rubbing her shoulder while she spoke about them putting an IV in her shoulder; she also became tearful when discussing the hospitalization s and how fearful it made her. In an interview with the MD on 08/14/23 at 8:45 am, he stated that measuring blood sugar after a meal instead of before could lead to an over injection of insulin and low blood sugar. He was informed that Resident #1 was sent to the hospital, but he was not informed that both evenings before she was hospitalized the facility failed to administer her insulin before dinner. Record review of the facility's policy on Hypoglycemia Management, dated November 2020 revealed signs of hypoglycemia could be weakness, tachycardia, headaches, unconsciousness, and coma . administer glucagon, notify provider, monitor vital signs, recheck blood sugar in 15 minutes.

Based on observation, interview and record review, the facility failed to ensure all licensed nurses had the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for one (Resident #27) of two residents reviewed for catheter care. LVN A inserted a foley catheter into Resident #27 urethra instead of re-inserting in his suprapubic stoma site and caused trauma and bleeding to the urethral region. This failure caused trauma and bleeding to the urethral region of Resident #27 and has the potential to affect all residents with catheters. Findings included: A record review of Resident #27's face sheet dated 6/27/2023 reflected a [AGE] year-old male admitted on [DATE] with diagnoses of quadriplegia (paralyzed arms and legs), neuromuscular dysfunction of bladder (lack of bladder control), stage 4 pressure ulcer of sacral region (bedsore), depression, muscle wasting and atrophy (muscle breakdown), and non-compliance with medical treatment and regimen. A record review of Resident #27's MDS assessment dated [DATE] reflected a BIMS score of 14, which indicated no cognitive impairment. This assessment also reflected Resident #27 had an indwelling catheter and ostomy, and his primary reason for admission was traumatic spinal cord dysfunction. A record review of Resident #27's care plan last revised on 5/16/2023 reflected he had a suprapubic catheter (a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow) due to quadriplegia (paralyzed arms and legs) with neuromuscular bladder dysfunction (lack of bladder control) and tendency to refuse catheter care at times. Resident #27's care plan goal reflected his suprapubic catheter would be maintained by nursing staff without complications. A record review of Resident #27's physician order dated 6/12/2022 reflected he had an order to have his catheter tubing and drainage bag changed as needed for indications of blockage, increased sediment, infection or displacement. A record review or Resident #27's discontinued physician orders dated 5/272023-6/27/2023 reflected no orders for a foley (transurethral) catheter. During an interview and observation on 6/26/2023 at 3:06 p.m., Resident #27 was observed lying in bed. Resident #27 stated one week ago (6/19/2023) LVN A put Resident #27's catheter in his urethra even though he needed a suprapubic catheter. Resident #27 stated the Wound Care Physician was there last Monday (6/19/2023) and he took out the catheter that LVN A inserted. Resident #27 stated he was concerned about getting a UTI after what had happened. Resident #27 stated LVN A still worked at the facility but that he did not work with Resident #27 anymore. Resident #27 stated on 6/19/2023 he had asked LVN A to change his suprapubic catheter. Resident #27 stated LVN A had done it before but that time instead of putting it in his belly LVN A put in his urethra. During an interview on 6/26/2023 at 3:47 p.m., Resident #27 provided more details about the incident with LVN A on 6/19/2023. Resident #27 stated LVN A had come into his room on 6/19/2023 to reposition him and give him medication. Resident #27 stated he told LVN A his suprapubic catheter was getting clogged. Resident #27 stated LVN A took out his suprapubic catheter and had syringes ready to go but when he tried to insert it the first time, LVN A put the catheter in his suprapubic region and blew up the balloon but the balloon was faulty-instead of inflating in his belly, Resident #27 stated the balloon inflated outside his belly. Resident #27 stated he told LVN A to just get another one but LVN A stated there was no more saline. Resident #27 stated LVN A left the room to retrieve more supplies, came back and did the balloon, and he felt something stinging but he thought he just had to pee. Resident #27 stated he could not see where LVN A was inserting the catheter because LVN A's gown was covering it up. Resident #27 stated LVA A did not explain to him where he was inserting the catheter. Resident #27 stated LVN A had changed his suprapubic catheter a few times and he did not know why LVN A inserted it through the urethra. Resident #27 stated on 6/19/2023 he found out the catheter was in his urethra when TCNA E came to him and asked what was wrong with his catheter. Resident #27 stated the Wound Care Physician was also in his room on 6/19/2023 and when he went to turn Resident #27 to provide wound care, the Wound Care Physician told Resident #27 his catheter was in his urethra. Resident #27 stated he asked the Wound Care Physician to put the catheter in his suprapubic region. Resident #27 stated on 6/19/2023 he told the DOR and Administrator about the incident. Resident #27 stated the DON came in and saw that he was bleeding on 6/19/2023 and he told he wanted to see how it goes instead of going to the hospital. Resident #27 stated he had some imaging of his pelvic region done on 6/22/2023 but he did not have the results yet. Resident #27 stated LVN A still came in his room to work with his roommate but he did not trust him at all. During an interview on 6/26/2023 at 4:08 p.m., the DOR stated she always went in Resident #27's room throughout the day to maintain him with preventing contractures. The DOR stated he did not have contractures then but he was stiff. The DOR stated on 6/19/2023 she went into Resident #27's room and he had a towel underneath his groin area with plenty of blood. The DOR stated it was not gushing but you could tell he bled and stated approximately 1/3 of the bath towel was covered with blood. The DOR stated Resident #27 had asked LVN A to change his catheter and since he did not have a lot of feeling, he could not tell that LVN A had put it [the catheter] through the urethra. The DOR stated Resident #27 reported he got the Wound Care Physician to correct it. The DOR stated Resident #27 wanted to wait to be cleaned up until the DON and Administrator came in. The DOR stated she went to get the DON, told her she needed to see Resident #27, and returned back to Resident #27's room with the DON. The DOR stated in front of Resident #27, the DON stated, we'll educate our staff and personally, if something happens to you as a patient, that was not what a patient would want to hear. The DOR stated she filed a grievance on 6/19/2023 on Resident #27's behalf. The DOR stated she did not know whether LVN A had received any disciplinary action. The DOR stated Resident #27 had an ultrasound of the pelvis on 6/22/2023. The DOR stated Resident #27 wanted a scan instead of going to the hospital because he believed he had trauma and just needed to wait it out. During an interview on 6/27/2023 at 8:46 a.m., TCNA E stated she oftentimes went into Resident #27's room with the Wound Care Physician to assist. TCNA E stated she was in Resident #27's room on 6/19/2023 around 11:00 a.m. helping the Wound Care Physician and she asked Resident #27 what had happened to his catheter because it was usually in his abdomen and she saw it was not in his belly. TCNA E stated when her and the Wound Care Physician pulled back Resident #27's sheet they discovered the catheter was inserted into his penis instead of the suprapubic area. TCNA E stated when the Wound Care Physician took out the foley catheter from Resident #27's penis, it squirted out blood and it was enough that it alarmed her. TCNA E stated a towel was placed to help soak up the blood. TCNA E stated the Wound Care Physician told her pass on the information if Resident #27 got a fever, chills, or kept bleeding. TCNA E stated she passed this information along to LVN B around 11:00 a.m. on 6/19/2023. TCNA E stated she went back to Resident #27's room around 1:00 p.m. to check on him and there was splattered blood on a bath towel and his penis was still leaking blood. TCNA E stated LVN B was passing medications around 11:00 a.m. on 6/19/2023 and she was not sure whether LVN B went into Resident #27's room between 11:00 a.m. - 1:00 p.m. that day. TCNA E stated she worked 6/20/2023 and Resident #27's bleeding has stopped. During an interview on 6/27/2023 at 8:49 a.m. the Wound Care Physician stated on 6/19/2023 he was going to have another nurse take out Resident #27's foley catheter but Resident #27 did not want LVN A to do it because he did not trust LVN A. The Wound Care Physician stated he removed the catheter from Resident #27's penis since it was in the wrong place and then inserted a fresh sterile suprapubic catheter. The Wound Care Physician stated no that LVN A should not have placed the catheter through Resident #27's penis. The Wound Care Physician stated inserting a suprapubic catheter was pretty easy but if a nurse was having trouble and could not advance the catheter through the suprapubic, that would be the time to send someone else to do it. The Wound Care Physician stated when he removed the catheter from Resident #27's penis, there was some blood that returned and that could indicate some kind of trauma to the urethra. The Wound Care Physician stated he did not know the anatomy of Resident #27's urinary and whether he had a stricture (narrowing of the urethra) or scarring but Resident #27's urologist would know. During an interview on 6/27/2023 at 4:07 p.m., the DON stated Resident #27 refused to be followed by a urologist. During an interview on 6/28/2023 at 8:31 a.m., LVN A stated Resident #27 was pretty rough sometimes. LVN A stated he entered Resident #27's room on 6/19/2023 to administer medicine and Resident #27 told him to cath me. LVN A stated Resident #27 reported the night shift had not done this. LVN A stated, I know how to do a suprapubic, I've been doing them for [AGE] years and stated there was no bleeding when he cathed Resident #27 in his penis. LVN A stated he had received training on suprapubic catheter insertion in 2003 and another nurse had shown him how to do it when he started working in the facility two months ago. LVN A stated he had changed Resident #27's suprapubic one time before. When asked why he did not insert a suprapubic catheter into Resident #27, LVN A stated, he was yelling at me, I guess I forgot he had a suprapubic, and he had an erection. LVN A stated, when I hear 'cath,' I think of penis catheter. LVN A stated no Resident #27 did not have an order for a foley (urethral) catheter. When asked why he inserted a catheter through Resident #27's penis without an order, LVN A stated, he was yelling and we wanted to meet his needs. LVN A stated hardly any nurses went back and read the orders. LVN A stated he read through the orders but probably sped through it too quick. LVA A stated the DON had trained him on suprapubic catheter insertion the previous week but not on foley (urethral) insertion because I've already been trained. LVN A stated Resident #27 had asked him to insert the catheter into his penis and when asked why Resident #27 would ask this of him when he had a suprapubic catheter, LVN A stated, he is really demanding. When asked if he explained the process to Resident #27 as he was inserting the foley (urethral) catheter, LVN A stated, no, he was barking orders at me. LVN A stated no he did not tell Resident #27 where he was inserting the catheter. During an interview on 6/28/2023 at 9:14 a.m., LVN B stated she started working at the facility on 5/16/2023 and she mostly worked on the opposite side of the facility from where Resident #27 resided but she had taken care of Resident #27 here and there. LVN B stated she worked the previous Monday on 6/19/2023 and the only thing she knew was that TCNA E told her LVN A put Resident #27's catheter in his penis instead of suprapubic and LVN A asked her to take over Resident #27's treatments and medications that afternoon. LVN B stated TCNA E told her LVN A put Resident #27's catheter in the wrong place and Resident #27 was upset. LVN B stated she did not go into Resident #27's room because she got called down and she figured it was taken care of. LVN B stated she had not been trained on foley or suprapubic catheter insertion at that facility. During an interview on 6/28/2023 at 10:37 a.m., LVN A stated Resident #27's erection on 6/19/2023 had no significance other than that when he saw it, his first instinct was to put the catheter in the penis because the resident was saying cath me. During an interview on 6/28/2023 at 10:14 a.m., the DON stated there was no policy on following physician orders but she expected staff to follow orders. The DON stated licensed nurses were within their scope of practice to insert suprapubic catheters and that she had not trained LVN A on inserting suprapubic catheters. When asked how she ensured LVN A was competent, the DON stated, I will do in-services. The DON stated she had assessed LVN A on the floor and he's competent. The DON stated she had not assessed LVN A's competency on catheter insertion. During an interview on 6/28/2023 at 10:50 a.m., the DON stated Resident #27 refused to have a second ultrasound done because he did not like the x-ray technician. The DON stated Resident #27 refused to go to the hospital and he did not like the results of the first ultrasound because the results were normal. During an interview on 6/28/2023 at 2:39 p.m., the DON stated a doctor's order was needed in order to change a catheter. The DON stated she was not sure how Resident #27's suprapubic catheter came out. The DON stated there was a check off for catheter insertion and all nurses should have done it before she started working in the facility on 5/25/2023. The DON stated she believed nurses were assessed for their competency on inserting catheters annually. The DON stated she was not sure whether LVN A had done it but she would check. When asked what her expectation was for staff following orders, the DON stated LVN A should have called the physician for an order to insert the foley (urethral) catheter. The DON stated no there was not an order for Resident #27 to have a foley (urethral) catheter. When asked why LVN A inserted a foley catheter into Resident #27 without an order, the DON stated LVN A's side of the story was that [Resident #27] asked him to reinsert it into his penis instead of the suprapubic but [Resident #27] isn't the physician. The DON stated Resident #27 denied this. The DON stated it was never her understanding that LVN A tried to insert Resident #27's catheter into his suprapubic region. The DON stated LVN A's story was that when he went into Resident #27's room, the catheter was out of Resident #27's suprapubic site, Resident #27 did not know how it happened, and Resident #27 asked LVN A to put the catheter into his penis. The DON stated LVN A reported to her that he inserted the balloon into Resident #27's penis to inflate it but it did not work and at that point Resident #27's penis began to bleed so LVN A let some saline out and Resident #27 told LVN A to get out of his room. The DON stated to her knowledge, LVN A did not get anyone to help with the catheter insertion on 6/19/2023. The DON stated she was off on Monday 6/19/2023 but came to the facility later in the day. The DON stated Resident #27's suprapubic catheter was bloody and his penis was actively bleeding when she got to the facility but she did not say what time this was. When asked how Resident #27 was monitored after the incident, the DON stated she thought someone went in every hour to check on him but it was not documented. The DON stated she notified the PCP. The DON stated nursing staff were to communicate what they were doing during a catheter insertion by telling the resident step by step. When asked who was responsible for overseeing nursing staff to ensure they were changing catheter properly, the DON stated it had been the ADON but it will be me from now on. The DON stated she had a conversation with LVN A on 6/19/2023 about the incident but it was not written down and she did not make him sign anything. The DON stated LVN A was not suspended. The DON stated she started an in-service with staff on 6/19/2023 but it covered catheter care and not catheter insertion. The DON stated, you would think LVNs would already know and be cleared to do that. The DON stated she reeducated LVN A verbally on following physician orders and inserting foley (urethral) catheters. The DON stated she was having the LVN Consultant come to the facility the following week to train nursing staff on inserting suprapubic catheters. The DON stated if nurses were not competent in changing catheters it could cause damage or harm to the resident, irritate the bladder, damage the urethra, tear the penis, or cause a UTI. The DON stated there was potential for bleeding any time a catheter was inserted but with Resident #27, there was more blood than she would expect from a catheter change. The DON stated she was not sure if Resident #27 tore something on the inside and that she thought he needed to go to the hospital but he would not go. The DON stated the PCP did not come to the facility because the bleeding stopped and he was assessed by the Wound Care Physician on 6/19/2023. The DON stated the PCP had not ordered a UA yet because Resident #27 had not had signs or symptoms of a UTI. During an interview on 6/28/2023 at 4:33 p.m., the Administrator stated he expected staff to follow physicians' orders. The Administrator stated the DON monitored nursing staff to ensure they followed orders. When asked how nursing staff were monitored to ensure they followed order, the Administrator stated, they look at it, during clinical meetings, by educating them on things, ADON delegation, and reeducation with the regional nurse consultant. The Administrator stated the DON and ADON ensured nurses were competent in caring for residents by completing return demonstrations, through education, and random audits. The Administrator stated he was not sure if the DON had completed a return demonstration with LVN A on catheter insertion. The Administrator stated Resident #27 called him on 6/19/2023 to tell him what had happened. The Administrator stated he went into Resident #27's room after the Wound Care Doctor had put Resident #27's catheter in the right place and he observed blood in the tube. When asked what a potential negative resident outcome was if nurses provided care without and order, the Administrator stated it could cause discomfort and bleeding. During an interview on 6/282023 at 5:32 p.m., the PCP stated Resident #27 did not have a urologist because he refused. The PCP stated Resident #27 refused transport out of the facility. The PCP stated the facility did report to him the incident on 6/19/2023. The PCP stated in his mind, Resident #27 probably had some scar tissue and stenosis (abnormal narrowing) due to the fact that he did not have use from the bladder down. When asked if inserting a foley catheter could cause trauma, the PCP stated yes, if someone was not knowledgeable about the anatomy there. A record review of Resident #27's progress note dated 6/19/2023 authored by LVN A reflected the following: Res asked me to change FC today and Res was very rude and abrasive talking to me and ordering me how to do new FC change and rushing me and going against the way I was doing the procedure and ended up cath-ing Res thru penis and inserting 10cc into bulb with no urine return. DON went into Res room to assess bleeding from Res' penis. Res conts. to have some bleeding from penis and DON asked Res if we could call non-emergency AMB to take him to the hospital and Res refused at that time. A record review of a Concern Form dated 6/19/2023 authored by the DOR reflected a concern was initiated by Resident #27. The documentation of the concern reflected the following: Patient very upset and reported that nurse (LVN A) placed catheter through his urethra instead of suprapubic. Aide (TCNA E) noticed the issue and wound care Dr. corrected the placement. Therapist seen blood on patient and reported to Admin and DON. A record review of Resident #27's pelvic ultrasound results dated 6/22/2023 reflected the following: PELVIC ULTRASOUND LIMITED Results: Real time examination shows bladder catheter bladder now well visualized Conclusion: Normal limited pelvic ultrasound. A record review of the facility's document titled Competency assessment dated [DATE] reflected LVN A demonstrated competency to the Interim DON on suprapubic catheter replacement. A record review of the facility's in-services from June 2023 reflected nursing staff were trained on the facility's catheter care policy on 6/19/2023. There were no in-services on following physician's orders or inserting catheters. A record review of Resident #27's progress note dated 6/19/2023 authored by the Wound Care Physician reflected the following: Addendum: During course of visit was noted that the patient's urinary catheter was placed in his urethra instead of suprapubic position. Blood was noted from urethra and in catheter tubing. Patient was unaware of the placement due to his condition and paralysis. Patient requested that I replace suprapubic catheter with additional sterile catheter supplies in his room as I was a physician and he trusted me to perform the procedure after frustration of the error. The new catheter was placed in the suprapubic position through the present cystostomy with immediate return of urine and blood. Blood is likely result of traumatic insertion via urethra. A record review of the facility's policy titled Foley Catheter Insertion, Male Resident revised October 2010 reflected the following: Purpose The purpose of this procedure is to provide guidelines for the aseptic insertion of a urinary catheter. Preparation 1. Verify that there is a physician's order for this procedure. 2. Review the resident's care plan to assess for any special needs of the resident. Reporting 2. Notify the physician of any abnormalities (i.e., bleeding, obstruction, etc.). 3. Report other information in accordance with facility policy and professional standards of practice.

Based on observation, interview, and record review, the facility failed to ensure the right to be free from chemical restraint was provided for one (Resident #10) of five residents reviewed for chemical restraints, in that: The facility failed to attempt other interventions before administering [MEDICATION(S)] (anti-anxiety medication) to Resident #10 when he was yelling out. Resident #10 had physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #10 did not have an appropriate diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice placed residents at risk of being chemically restrained, sedation, and an altered mental status. Findings included: Review of Resident #10's undated face sheet reflected an [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #10's MDS, dated [DATE], reflected a BIMS was not conducted due to him rarely being able to be understood. It further reflected he had no potential indicators for [CONDITION(S)] or any behavioral symptoms. Review of Resident #10's care plan, revised 2/26/22, reflected he had behavioral symptoms of refusing medications and could be non-compliant with care with an approach of keeping the environment calm and relaxed. It further reflected he had socially inappropriate/disruptive behavioral symptoms such as hitting, kicking, grabbing, screaming with an approach of administering [MEDICATION(S)] 500 mg PO BID. Review of Resident #10's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] 1. [MEDICATION(S)] - 3 mg tablet every night for [CONDITION(S)], ordered 11/26/21. 2. [MEDICATION(S)] - 60 mg every day for major depressive disorder, single episode, ordered 10/26/21. 3. [MEDICATION(S)] - .5 mg PRN every six hours for anxiety disorder, ordered 4/18/22. 4. [MEDICATION(S)] - 50 mg PRN every six hours for moderate/severe pain, ordered 9/17/21. 5. [MEDICATION(S)] - 300 mg twice a day for major depressive disorder, single episode, ordered 11/26/21. 6. [MEDICATION(S)] - 500 mg twice a day for major depressive disorder, single episode, ordered 2/25/22. Observation on 4/26/22 at 8:02 AM revealed Resident #10 asleep in his room with his breakfast tray untouched on his bedside table. Observation on 4/26/22 at 9:10 AM revealed Resident #10 asleep in his room with his breakfast tray untouched on his bedside table. During an observation and interview on 4/26/22 at 11:44 AM revealed Resident #10 in the South dining room slumped in his wheelchair at a table, waiting for his meal. He stated he was tired and could hardly keep his eyes open. During an observation and interview on 4/26/22 at 12:02 PM revealed Resident #10 slowly ambulating in his wheelchair away from the dining room. His plate had at least 75% of his lunch remaining. He stated he was too tired to eat any more of his food and was going back to bed. He stated he had been so tired lately. Observation on 4/26/22 at 2:04 PM revealed Resident #10 asleep in his room. Review of Resident #10's MAR, on 4/26/22, reflected he was administered [MEDICATION(S)] .5 mg at 9:45 AM that morning by LVN D. It reflected the reasoning for administering the PRN medication was for a behavior issue of yelling out. The MAR further reflected he was administered [MEDICATION(S)] on 4/18/22 at 11:13 AM for agitation, on 4/20/22 at 9:44 PM for refusing his HS accu-check and insulin, and on 4/22/22 at 6:55 PM for yelling out. During an interview on 4/26/22 at 2:14 PM with LVN D, she stated she had administered [MEDICATION(S)] to Resident #10 earlier that morning because he was yelling out and attempted to get out of bed. She stated he often refused care like not allowing staff to change his brief. She stated after trying several times, they would administer [MEDICATION(S)] to calm him down. She stated no other interventions were tried. During an interview on 4/26/22 at 3:09 PM with CNA B, she stated Resident #10 had been sleeping more than often lately. She stated she had not seen him get up for many meals, and sometimes slept through them, especially breakfast. She stated that recently on most days, she removed his breakfast tray without him eating any of the meal, after trying to arise him. Review of Resident #10's progress notes in his EMR, dated 2/25/22 at 12:40 PM, reflected the following note documented by a nurse: Resident was sitting in his doorway out in the hall yelling help very loudly. This nurse and other staff member were with another resident at this time. Upon exiting the other resident's room, this nurse saw both of the residents slapping and hitting and cursing at each other. Review of Resident #10's progress notes in his EMR, dated 2/25/22 at 12:56 PM, reflected the following note documented by a nurse: Spoke to NP about resident behaviors, received order for [MEDICATION(S)] 500 mg BID. Observation on 4/27/22 at 9:16 AM revealed Resident #10 asleep in his room. Observation on 4/27/22 at 12:15 PM revealed Resident #10 asleep in his room. During a phone interview on 4/27/22 at 12:25 PM with Resident #10's physician, he stated [CONDITION(S)] medications could cause sedation. He stated the resident was on [MEDICATION(S)] for depression and [MEDICATION(S)] for anxiety. He stated he did not order the [MEDICATION(S)] and [MEDICATION(S)] and believed that psych ordered those medications. During a phone interview on 4/27/22 at 1:55 PM with Resident #10's FM G, he stated he was not aware or gave consent for him to be prescribed [MEDICATION(S)] and was not in agreeance that he should be on that medication as he did not even have a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . He seemed more lethargic, uncomfortable, and not himself. He stated he definitely believed the change was due to all of the sedating mediation he was prescribed. During an interview on 4/28/22 at 8:40 AM with the MDSC, she stated she was responsible for MDS'. When asked why Resident #10's most recent MDS, dated [DATE], reflected no behavioral issues, she stated she was not sure if the behaviors had continued after 2/25/22. She stated no resident should be given an anti-anxiety medication right away when yelling out or experiencing behaviors, but staff should try other interventions first, such as redirection. During an interview on 4/28/22 at 8:53 AM with the SW, she stated she did not have a medical background, but with her SW knowledge and experience, any kind of antipsychotic or [CONDITION(S)] medications should be the last resort when a resident was experiencing behaviors. She stated they should rule out other things such as being hungry, needing help, being in pain, or having a [CONDITION(S)]. During an interview on 4/28/22 at 10:47 AM with the consultant Pharmacist, she stated she had been monitoring Resident #10's medications. She stated she was working remotely and had just made a recommendation about the [MEDICATION(S)] three days ago although she did not say what the recommendation was. She stated Resident #10 was started on [MEDICATION(S)] in 12/21 and the dose was increased in 2/22. She stated both the [MEDICATION(S)] and the [MEDICATION(S)] could cause drowsiness. She stated those two medications were used as mood stabilizers and major depressive disorder was not an appropriate diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The Pharmacist went on to say that in general, just yelling out is not an appropriate reason to administer [MEDICATION(S)] but being a danger or severely disruptive would be a more appropriate reason. During an interview on 4/28/22 at 11:53 AM with the REGN, she stated psychotropics should be used when a resident was in a manic state. She stated if a resident was yelling out, she expected staff to attempt to redirect, offer food or fluids, or ask if they want to get out of bed. She stated a GDR should be attempted at least every six months. She stated a potential adverse outcome of receiving too many psychotropics/anti-depressants could be over-sedation or death. She stated there was an observation button that the nurses were supposed to be using after a resident had been started on a new [CONDITION(S)] medication, but they just were not doing it. During a phone interview on 4/28/22 at 12:16 PM with psych APRN, she stated she was following Resident #10. She stated recently she had discontinued Resident #10's PRN [MEDICATION(S)] but then reordered it and would reevaluate the effectiveness in 60 days. She stated the resident had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . She stated he was usually awake and able to wheel himself around in his wheelchair. During an interview on 4/28/22 at 12:21 PM with the ADM, he stated [CONDITION(S)] medications should only be used as a last resort. He stated they should not be administered just because a resident was yelling out. He stated the staff should try other interventions such as redirection. He stated a potential adverse outcome of being on too many psychotropics/anti-depressants could be over-dose or negative side effects. He stated his expectations were that if they were prescribed these types of medications, they would have a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the facility's incident/accident report, from 10/26/21 - 4/26/22, reflected Resident #10 had four falls during that time frame: 11/1/21, 11/12/21, 11/22/21, and 3/10/22. Review of the facility's GDR log, on 4/28/22, reflected the pharmacist had no recommendations for Resident #1's medications from 1/1/22 - 4/28/22. Review of the facility's in-services, on 4/28/22, reflected an in-service was given on Unmanageable Residents, dated 2022. Review of the facility's in-services, on 4/28/22, reflected an in-service was given on Dealing with Behaviors, dated 2022. The information given regarding the in-service reflected the following: Dealing with Resident Behaviors: One way to manage agitation is through environmental and atmosphere changes. Understanding Agitation Behavior: Al types of behavior are forms of communication. The resident is trying to tell you something even though the disease has robbed them of other ways (i.e. talking) of telling you. Perhaps the resident is depressed or in pan and does not know how to express it in words. Intervention by the caregiver will help a great deal in the beginning to combat behaviors: - Modify the environment to reduce known stressors - Note patterns of behavior and subtle (and not so subtle) clues that tension and anxiety are increasing (i.e. pacing, incoherent vocalization) - Dysfunctional behavior often increases at the end of the day as stress builds and the resident becomes tired. . What can be done: Music Therapy, Activities, Socialization, etc. Review of the facility's Medication Management Policy, dated 2007, reflected the following: Medication management is based on the care process and includes recognition or identification of the problem/need, assessment, diagnosis/cause identification, management/treatment, monitoring, and revising interventions . . Monitor the use of non-pharmacological approaches, unless contraindicated, to minimize the need for medications, permit use of the lowest possible dose, or allow medications to be discontinued. . Based on a comprehensive assessment of a resident, the facility must insure: Residents who have not used [CONDITION(S)] drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The intent of this requirement is for that each resident's entire drug/medication regimen is managed and monitored to promote or maintain the resident's highest practical mental, physical, and psychosocial wellbeing. Guidelines for [CONDITION(S)] Medication Monitoring: When a [CONDITION(S)] medication is being initiated or used to treat an emergency situation (i.e. acute onset or exacerbation of symptoms or immediate threat to health or safety of resident or others) related to a documented condition or diagnosis, a clinician in conduction with the IDT must evaluated and document the situation to identify and address any contributing and underlying causes of the acute condition and verify the need for a [CONDITION(S)] medication. . Potential Adverse Consequences: The facility assures that residents are being adequately monitored for adverse consequences such as: General: . excessive sedation

Based on observation, interview and record review the facility failed to prohibit neglect for one (1) of seven (7) residents (Resident #2) reviewed for neglect when the facility failed to ensure that the environment was free of hazards. On 08/27/13 Resident #2 entered her usual bedroom room [ROOM NUMBER]) that was unlocked and under construction. A metal bathroom door, that had been removed from its hinges and leaned against the wall fell on top of Resident #2 that resulted in Resident #2's hospitalization for: 1. cervical vertebral fractures of the C2, C6 and C7 vertebra; 2. non displaced fractures to the pelvis where the hip socket connects; 3. a 6 centimeter (cm) long laceration to the back of her head that was closed with sutures; 4. a contusion (an injury where the skin is not broken; a bruise) to the right knee with blistering; 5. various other bruising to the forearms and facial areas, and 6. muscle [MEDICAL CONDITION] and strain. This failure resulted in an Immediate Jeopardy (IJ) on 08/29/13. While the IJ was lowered to a non-immediate Jeopardy on 08/29/13 at 7:30 p.m., the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 28 residents identified as living in the north wing of the facility or identified as a wandering resident at risk for injury including falls, scrapes, cuts, skin tears, fractures, and possible death. Findings include: Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s most recent Annual Minimum Data Set (MDS), dated [DATE], reflected a Brief Interview for Mental status score of 13 out of 15 possible indicating that Resident #2 was cognitively intact. In response to " Has the resident wandered? " Resident #2 was coded as " Behavior not exhibited. " The functional status section reflected that Resident #2 was able to transfer, walk in room and corridor, dress, eat, toilet and bathe independently, with some setup help only. The MDS reflected use of a walker as a mobility device and that Resident #2 was " not steady, but able to stabilize without staff assistance " for the following activities: moving from a seated to standing position, walking, turning around, moving on and off toilet and surface to surface transfer. Resident #2 was coded as being continent of both bowel and bladder. A pain interview was conducted and Resident #2 responded as having no pain or hurting within the last 5 days. No falls were reported on this MDS. The skin condition section reflected Resident #2 not at risk for developing pressure ulcers and had no current skin conditions. The MDS also reflected that Resident #2 was not receiving any specialized rehabilitation services. Review of the Facility ' s Fall Report dated 08/27/13 reflected that Resident #2 " fell in room. Found with door laying on both lower extremities and head against wall. " What was resident doing just prior to fall? " Ambulating without walker, walker in hall outside room. " Was the fall witnessed? " No. " Does the resident exhibit pain or complain of pain related to the fall? " No. " Note any injury to the head, extremities, or trunk. " Abrasion right lower extremity, skin tear right forearm, other: Contusion - back of head. " Neurological check reflected strong muscle movement, equal pupils that were round/sluggish (slow to respond). Resident #2 had clear distinct, intelligible words and responded to her name. Does the resident exhibit any of the following as a change in mental status of new onset? Areas checked were, " anxiety, confusion and lethargy. " Possible contributing factors: describe if necessary. " Unwitnessed - Resident does not remember. " This section further reflected that Resident #2 had " no prior falls. " Resident #2 was transported to the hospital per emergency medical services (EMS). No witness statements or additional information was provided with the fall report. Review of a written statement of the Speech Language Pathologist (SLP), dated 08/27/13, reflected " I was working in the therapy room adjacent to Resident #2 ' s usual room (#36)which has been undergoing a remodel. Resident #2 called out " Help me! " several times. When I tried to open her room door more widely she was observed lying flat on her back with a door covering her ankles/feet/lower calf areas. I tried to wedge into the room but the door was partially blocking the room entrance door. Licensed Vocational Nurse (LVN) A was coming down the hall and LVN A managed to enter the room, check Resident #2 and we moved the door off her ankles/feet/lower calf areas. There was a small pool of blood noted adjacent to the wall. EMS was called. LVN A and the Director of Nursing (DON) stabilized Resident #2 and I went to get ice for her head/neck area. Vital signs were taken. Owner was present. Several Certified Nurse Aides (CNAs) were present. Once EMS arrived and took over, I exited from the situation. " Observation on 08/28/13 from 6:22 p.m. to 6:52 p.m. revealed the following: room [ROOM NUMBER] had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. The room smelled of paint and dust. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with Resident ' s personal bedding on the them. The room had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. There were loose screws on the floor. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with an overstuffed reclining chair turned over and rolling wooden nightstand on top of one bed. The second bed had a toilet chair, window blinds, two small trash cans on top of resident personal items including stuffed animals, wall boards with family photos and personal bedding. Two dressers were pushed up against the beds. The room had no baseboards. The room door was closed but not locked. room [ROOM NUMBER] room door was cracked open and had no lock on the handle. The room appeared to have random storage: a T.V., Christmas decorations, bed frames, shower bed and an assortment of screws on the sink. In an interview on 08/28/13 at 6:44 p.m. the Owner stated " We are remodeling, the plumber was here today and yesterday. No other remodeling work was done this week. " Observation on 08/29/13 at 11:50 a.m., at the hospital, revealed Resident #2 in bed with a cervical collar (neck brace) in place around her neck. Gauze padding with small amounts of dried blood stuck out from the cervical collar where it rested against the back of Resident #2 ' s head. Resident #2 ' s right forearm had black and purple bruising from two inches above the wrist and extended 5-6 inches up her arm with the center of the bruise covered with steri-strips and a large (2.5 inch) butterfly bandage. Resident #2 ' s left hand had contusions across the outer three knuckles where they connected to the top of her hand. Three steri-strips closed the wound and it was also covered by a large (2.5 inch) butterfly bandage, bruising extended past the bandage by another inch and down the tops of the tree fingers. Both of Resident #2 ' s palms, extending down the length of her fingers were bruised. The right knee contusion covered her whole knee cap and extended out 2-3 inches from the edges of the knee cap to form a circle 7-8 inches in diameter. On top of the right knee contusion were multiple dark yellow fluid filled blisters, the largest blister measured 1.5 x 2 inches. Multiple smaller fluid filled blisters surrounded the large blister. A second large blister had opened on the top of the knee cap and was draining fluid. Resident #2 ' s right eye was mostly closed and weeping. Above the eye at the end of the eyebrow were three steri-strips covering a large bruise that extended up to the middle of her forehead. Various smaller bruising was noted bilaterally down the length of both of her forearms, legs, and feet. Observation of the laceration to the back of Resident #2 ' s head was not able to be made due to her positioning and vertebral fractures. In an interview on 08/29/13 at 11:50 a.m., when asked how she was feeling, Resident #2 stated that she was having a couple of bad days. She stated that she was in pain but that she was receiving pain medication. When asked about the cause of her injuries Resident #2 stated that she went into her old room that was under construction to get some of her clothing. She stated that the facility did not transfer all of her clothing to her new room. She stated that she tried to open the bathroom door but it was off the hinges and fell over on her pinning her to the floor. In an interview on 08/29/13 at 11:50 a.m. Resident #2 ' s daughter stated that she had visited with Resident #2 the week before and they looked in room [ROOM NUMBER] to see the progress on the construction. She stated that she noted the bathroom door was off the hinges and leaned against the wall at that time. In an interview on 08/29/13 at 12:05 p.m. Resident #2 ' s Hospital Physician stated that Resident #2 had three vertebral fractures and two non-displaced fractures in the pelvic region. The Physician stated that due to Resident #2 ' s age she was not a candidate for surgical intervention. Resident #2 sustained extensive muscle injury in addition to her fractures. She continued that Resident #2 will be required to wear the cervical collar for at least a month and will require extensive physical and occupational therapies to assist in her recovery. The Physician stated that " Resident #2 will not be independent with dressing, showering, or walking independently for a long time. " She stated that Resident #2 ' s pain and cervical collar will likely limit her recovery ability. She stated that Resident #2 will not be able to have a full visual range due to the immobilization of her neck in the cervical collar and would not be able to see things in front of her on the floor creating a potential for further accidents or injuries. She stated that should Resident #2 be able to walk she would need stand by assistance at the very minimum. The Physician stated that she did not believe Resident #2 would be able to recover to her baseline prior to this injury due to her age, the extent of the injuries and the " downtime " needed to recover from the injuries. Observation on 08/29/13 from 4:15 p.m. to 4:35 p.m. reflected the following: room [ROOM NUMBER] was unlocked and open. The room contained two saw horses, a hoyer lift, a closet full of Resident #18 ' s clothing, door knob hardware on the sink in the room, an open clean linen cart and a black cable wire that came down from the wall and laid across three feet of the floor. room [ROOM NUMBER] was unlocked the closet was full of resident clothing. Tape on the closet shelf identified the clothing as belonging to Resident #2 and Resident #16. The bathroom door had paint damage to the center of the door and along the bottom. In an interview on 08/29/13 at 4:25 p.m., while in room [ROOM NUMBER], the room where Resident #2 ' s accident happened on 08/27/13, the Maintenance Director stated that he had to take the door off the hinges to cut the bottom as it was dragging across the newly installed bathroom tile. He stated that he had only put it back up a few days ago. He stated that he had locked room [ROOM NUMBER], #31, and # 33 last night after the surveyor left. In an interview on 08/29/13 at 4:37 p.m. the DON stated that construction workers had not been present in the building since last week and that the new plan is to take small groups of workers and remodel three rooms at a time. Rooms #31, #32 and #43 will be worked on tomorrow. The DON stated that some resident personal items were returned to residents ' original rooms but " nothing they use every day was put back in the rooms or closets. " In an interview on 08/29/13 at 4:50 p.m. the DON stated that room [ROOM NUMBER] ' s door was closed but not locked. She stated that Resident #2 " would go down to the room probably 10 times a day. " The DON stated that Resident #2 was very interested in the construction and the progress being made on her room. The DON stated that on 08/27/13 around 11 a.m. Resident #2 was found in room [ROOM NUMBER] laying on the floor with a door on top of her. She stated that when she arrived Resident #2 was on the floor, the door had been removed. She stated Resident #2 had a small amount of blood coming from a laceration to the back of her head. The DON stated that room [ROOM NUMBER] was not locked as there were no workmen that day. She stated that the bathroom door had been propped up against the side of the wall close to the bathroom. She stated that she could not figure out how Resident #2 pulled the door over on herself as " the door was so heavy, the owner had a hard time lifting it back up. " The DON stated " I think they took the door off to paint it as it was the last thing to do before the residents could move back it. I never would have thought the door to be a hazard. " The DON stated that she did not call to report the injury to the State even though it was " unwitnessed " because the DON knew how she fell and knew where her injuries came from. In an interview on 08/29/13 at 5:25 p.m. the Owner stated that the facility had been under construction and that last week they had pulled the construction crews out of the building to regroup. He continued that administrative staff were doing regular rounds to identify issues with the construction. He stated that room [ROOM NUMBER] was not locked as it was almost finished. He stated that the bathroom door had been taken off the hinges as it was dragging across the tile and the Maintenance Director was going to fix the door. The Owner stated that Resident #2 ' s fall in room [ROOM NUMBER] was not witnessed but it was heard by the therapy department across the hall. He stated that he did not feel the incident was reportable as they were able to determine the cause of the accident. He stated that just to be sure he consulted with some other regional nurses to ensure that the incident was not reportable. In a confidential interview it was stated that the owner had been previously told to put locks on doors to rooms that were under construction. The Owner did not do this and Resident #2 was injured. The interviewee stated that the Owner went and purchased locks after resident #2 fell for the doors that remained unlocked. The interviewee continued that the Owner informed staff that Resident #2's injury was not a reportable injury. Review of the Facility ' s Abuse and Neglect policy from the Nursing Policy and Procedure Manual 2003, dated revised 01/08/03, reflected: " The facility will provide and ensure the promotion of resident rights. It is each individual ' s responsibility to recognize, report, and promptly follow-up abuse or neglect allegations, suspicion of abuse or neglect, and situations that may constitute abuse or neglect to any resident in the facility. " Definitions ... 6. Neglect: Failure to provide essential needs or protection for a person incapable of providing for him/herself independently or harming or threatening with harm; can be committed by self or other. Neglect is defined in 40 TAC 19.101 (81). D. Identification The facility will identify and investigate events that may constitute abuse/neglect. The facility will determine the direction of the investigation based on a thorough examination of events. Opportunities to prevent abuse/neglect will be managed accordingly. 1. Any person having cause to believe an elderly or incapacitated adult is suffering from abuse, neglect or exploitation must report this to the DON, administrator, state and/or adult protective services. State law mandates that citizens report all suspected cases of abuse, neglect, or financial exploitation of the elderly or incapacitated persons. 3. Facility employees must report abuse and neglect including: exploitation of residents, serious accidental injuries to residents, and abuse/neglect conditions resulting in hospitalization of residents to the Texas Department of Aging and Disability (DADS). [PHONE NUMBER]. The Facility Owner was notified on 08/29/13 at 5:45 p.m., that an Immediate Jeopardy had been identified due to the above deficient practices. The facility submitted a Plan of Removal on 08/29/13 at 6:15 PM. The Plan of Removal was accepted on 08/29/13 at 7:00 p.m. and included: -All rooms being remodeled and rooms storing excess furniture will remain locked at all times if staff and workers aren ' t present to ensure resident safety. A daily log will be maintained with lock checks every hour signed off by staff and kept in the DON ' s office. -All staff will keep residents away from the remodeling and out of any areas that are taped off to prevent resident access. Areas under remodel will have postings in the area to make residents aware. Facility staff will ensure residents don ' t enter areas under remodel. -When modeling crews return, only small areas will be remodeled at a time. Rooms locked when unattended and the workmen will be reduced to ensure compliance is maintained. -Resident rooms being painted will be done with the door closed and locked if workers and staff are not present. -When flooring in corridors and common areas is being installed, the area will be taped off to restrict all access. All staff will keep residents away from the remodeling area. -Staff will be inserviced on the use and purpose of the locks placed on the doors. The surveyors confirmed the POR had been implemented sufficiently to remove the IJ by: Observation on 08/29/13 from 7:05 p.m. - 7:12 p.m. revealed the DON contacting facility staff via phone and conducting individual in-services. In an interview on 08/29/13 at 7:18 p.m. CMA D and LVN E stated that they were in-serviced today regarding door locks. Locking door handles were observed on rooms that were currently under construction, contained construction materials or other items that could pose risk to resident injury. The in-service documentation and logs were reviewed. In-service for facility staff included CNA's, Nurses, Administrative Staff, and Maintenance/Housekeeping Staff. On 08/29/13 at 7:30 p.m. the Owner and DON were informed the IJ had been removed however, the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. The DON provided a list of 23 residents residing in the North Hallway and 5 additional residents identified as having wandering behavior.

Based on observation, interview, and record review, the facility failed to implement their policies and procedures to report allegations of abuse and neglect to the state agency within the required time frames for one (1) of seven (7) residents reviewed for neglect (Resident #2) when: Facility administration failed to report to the state agency within the required time frames when Resident #2 entered her usual bedroom room [ROOM NUMBER]) on 08/27/13, that was unlocked and under construction. A metal bathroom door, that had been removed from its hinges and leaned against the wall fell on top of Resident #2 that resulted in Resident #2's hospitalization for: 1. cervical vertebral fractures of the C2, C6 and C7 vertebra; 2. non displaced fractures to the pelvis where the hip socket connects; 3. a 6 centimeter (cm) long laceration to the back of her head that was closed with sutures; 4. a contusion (an injury where the skin is not broken; a bruise) to the right knee with blistering; 5. various other bruising to the forearms and facial areas, and 6. muscle [MEDICAL CONDITION] and strain. This failure resulted in an Immediate Jeopardy (IJ) on 08/29/13. While the IJ was lowered to a non-immediate Jeopardy on 08/29/13 at 7:30 p.m., the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 28 residents identified as living in the north wing of the facility or identified as a wandering resident at risk for injury including falls, scrapes, cuts, skin tears, fractures, and possible death. Findings include: Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s most recent Annual Minimum Data Set (MDS), dated [DATE], reflected a Brief Interview for Mental status score of 13 out of 15 possible indicating that Resident #2 was cognitively intact. In response to " Has the resident wandered? " Resident #2 was coded as " Behavior not exhibited. " The functional status section reflected that Resident #2 was able to transfer, walk in room and corridor, dress, eat, toilet and bathe independently, with some setup help only. The MDS reflected use of a walker as a mobility device and that Resident #2 was " not steady, but able to stabilize without staff assistance " for the following activities: moving from a seated to standing position, walking, turning around, moving on and off toilet and surface to surface transfer. Resident #2 was coded as being continent of both bowel and bladder. A pain interview was conducted and Resident #2 responded as having no pain or hurting within the last 5 days. No falls were reported on this MDS. The skin condition section reflected Resident #2 not at risk for developing pressure ulcers and had no current skin conditions. The MDS also reflected that Resident #2 was not receiving any specialized rehabilitation services. Review of the Facility ' s Fall Report dated 08/27/13 reflected that Resident #2 " fell in room. Found with door laying on both lower extremities and head against wall. " What was resident doing just prior to fall? " Ambulating without walker, walker in hall outside room. " Was the fall witnessed? " No. " Does the resident exhibit pain or complain of pain related to the fall? " No. " Note any injury to the head, extremities, or trunk. " Abrasion right lower extremity, skin tear right forearm, other: Contusion - back of head. " Neurological check reflected strong muscle movement, equal pupils that were round/sluggish (slow to respond). Resident #2 had clear distinct, intelligible words and responded to her name. Does the resident exhibit any of the following as a change in mental status of new onset? Areas checked were, " anxiety, confusion and lethargy. " Possible contributing factors: describe if necessary. " Unwitnessed - Resident does not remember. " This section further reflected that Resident #2 had " no prior falls. " Resident #2 was transported to the hospital per emergency medical services (EMS). No witness statements or additional information was provided with the fall report. Review of a written statement of the Speech Language Pathologist (SLP), dated 08/27/13, reflected " I was working in the therapy room adjacent to Resident #2 ' s usual room (#36)which has been undergoing a remodel. Resident #2 called out " Help me! " several times. When I tried to open her room door more widely she was observed lying flat on her back with a door covering her ankles/feet/lower calf areas. I tried to wedge into the room but the door was partially blocking the room entrance door. Licensed Vocational Nurse (LVN) A was coming down the hall and LVN A managed to enter the room, check Resident #2 and we moved the door off her ankles/feet/lower calf areas. There was a small pool of blood noted adjacent to the wall. EMS was called. LVN A and the Director of Nursing (DON) stabilized Resident #2 and I went to get ice for her head/neck area. Vital signs were taken. Owner was present. Several Certified Nurse Aides (CNAs) were present. Once EMS arrived and took over, I exited from the situation. " Observation on 08/28/13 from 6:22 p.m. to 6:52 p.m. revealed the following: room [ROOM NUMBER] had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. The room smelled of paint and dust. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with Resident ' s personal bedding on the them. The room had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. There were loose screws on the floor. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with an overstuffed reclining chair turned over and rolling wooden nightstand on top of one bed. The second bed had a toilet chair, window blinds, two small trash cans on top of resident personal items including stuffed animals, wall boards with family photos and personal bedding. Two dressers were pushed up against the beds. The room had no baseboards. The room door was closed but not locked. room [ROOM NUMBER] room door was cracked open and had no lock on the handle. The room appeared to have random storage: a T.V., Christmas decorations, bed frames, shower bed and an assortment of screws on the sink. In an interview on 08/28/13 at 6:44 p.m. the Owner stated " We are remodeling, the plumber was here today and yesterday. No other remodeling work was done this week. " Observation on 08/29/13 at 11:50 a.m., at the hospital, revealed Resident #2 in bed with a cervical collar (neck brace) in place around her neck. Gauze padding with small amounts of dried blood stuck out from the cervical collar where it rested against the back of Resident #2 ' s head. Resident #2 ' s right forearm had black and purple bruising from two inches above the wrist and extended 5-6 inches up her arm with the center of the bruise covered with steri-strips and a large (2.5 inch) butterfly bandage. Resident #2 ' s left hand had contusions across the outer three knuckles where they connected to the top of her hand. Three steri-strips closed the wound and it was also covered by a large (2.5 inch) butterfly bandage, bruising extended past the bandage by another inch and down the tops of the tree fingers. Both of Resident #2 ' s palms, extending down the length of her fingers were bruised. The right knee contusion covered her whole knee cap and extended out 2-3 inches from the edges of the knee cap to form a circle 7-8 inches in diameter. On top of the right knee contusion were multiple dark yellow fluid filled blisters, the largest blister measured 1.5 x 2 inches. Multiple smaller fluid filled blisters surrounded the large blister. A second large blister had opened on the top of the knee cap and was draining fluid. Resident #2 ' s right eye was mostly closed and weeping. Above the eye at the end of the eyebrow were three steri-strips covering a large bruise that extended up to the middle of her forehead. Various smaller bruising was noted bilaterally down the length of both of her forearms, legs, and feet. Observation of the laceration to the back of Resident #2 ' s head was not able to be made due to her positioning and vertebral fractures. In an interview on 08/29/13 at 11:50 a.m., when asked how she was feeling, Resident #2 stated that she was having a couple of bad days. She stated that she was in pain but that she was receiving pain medication. When asked about the cause of her injuries Resident #2 stated that she went into her old room that was under construction to get some of her clothing. She stated that the facility did not transfer all of her clothing to her new room. She stated that she tried to open the bathroom door but it was off the hinges and fell over on her pinning her to the floor. In an interview on 08/29/13 at 11:50 a.m. Resident #2 ' s daughter stated that she had visited with Resident #2 the week before and they looked in room [ROOM NUMBER] to see the progress on the construction. She stated that she noted the bathroom door was off the hinges and leaned against the wall at that time. In an interview on 08/29/13 at 12:05 p.m. Resident #2 ' s Hospital Physician stated that Resident #2 had three vertebral fractures and two non-displaced fractures in the pelvic region. The Physician stated that due to Resident #2 ' s age she was not a candidate for surgical intervention. Resident #2 sustained extensive muscle injury in addition to her fractures. She continued that Resident #2 will be required to wear the cervical collar for at least a month and will require extensive physical and occupational therapies to assist in her recovery. The Physician stated that " Resident #2 will not be independent with dressing, showering, or walking independently for a long time. " She stated that Resident #2 ' s pain and cervical collar will likely limit her recovery ability. She stated that Resident #2 will not be able to have a full visual range due to the immobilization of her neck in the cervical collar and would not be able to see things in front of her on the floor creating a potential for further accidents or injuries. She stated that should Resident #2 be able to walk she would need stand by assistance at the very minimum. The Physician stated that she did not believe Resident #2 would be able to recover to her baseline prior to this injury due to her age, the extent of the injuries and the " downtime " needed to recover from the injuries. Observation on 08/29/13 from 4:15 p.m. to 4:35 p.m. reflected the following: room [ROOM NUMBER] was unlocked and open. The room contained two saw horses, a hoyer lift, a closet full of Resident #18 ' s clothing, door knob hardware on the sink in the room, an open clean linen cart and a black cable wire that came down from the wall and laid across three feet of the floor. room [ROOM NUMBER] was unlocked the closet was full of resident clothing. Tape on the closet shelf identified the clothing as belonging to Resident #2 and Resident #16. The bathroom door had paint damage to the center of the door and along the bottom. In an interview on 08/29/13 at 4:25 p.m., while in room [ROOM NUMBER], the room where Resident #2 ' s accident happened on 08/27/13, the Maintenance Director stated that he had to take the door off the hinges to cut the bottom as it was dragging across the newly installed bathroom tile. He stated that he had only put it back up a few days ago. He stated that he had locked room [ROOM NUMBER], #31, and # 33 last night after the surveyor left. In an interview on 08/29/13 at 4:37 p.m. the DON stated that construction workers had not been present in the building since last week and that the new plan is to take small groups of workers and remodel three rooms at a time. Rooms #31, #32 and #43 will be worked on tomorrow. The DON stated that some resident personal items were returned to residents ' original rooms but " nothing they use every day was put back in the rooms or closets. " In an interview on 08/29/13 at 4:50 p.m. the DON stated that room [ROOM NUMBER] ' s door was closed but not locked. She stated that Resident #2 " would go down to the room probably 10 times a day. " The DON stated that Resident #2 was very interested in the construction and the progress being made on her room. The DON stated that on 08/27/13 around 11 a.m. Resident #2 was found in room [ROOM NUMBER] laying on the floor with a door on top of her. She stated that when she arrived Resident #2 was on the floor, the door had been removed. She stated Resident #2 had a small amount of blood coming from a laceration to the back of her head. The DON stated that room [ROOM NUMBER] was not locked as there were no workmen that day. She stated that the bathroom door had been propped up against the side of the wall close to the bathroom. She stated that she could not figure out how Resident #2 pulled the door over on herself as " the door was so heavy, the owner had a hard time lifting it back up. " The DON stated " I think they took the door off to paint it as it was the last thing to do before the residents could move back it. I never would have thought the door to be a hazard. " The DON stated that she did not call to report the injury to the State even though it was " unwitnessed " because the DON knew how she fell and knew where her injuries came from. In an interview on 08/29/13 at 5:25 p.m. the Owner stated that the facility had been under construction and that last week they had pulled the construction crews out of the building to regroup. He continued that administrative staff were doing regular rounds to identify issues with the construction. He stated that room [ROOM NUMBER] was not locked as it was almost finished. He stated that the bathroom door had been taken off the hinges as it was dragging across the tile and the Maintenance Director was going to fix the door. The Owner stated that Resident #2 ' s fall in room [ROOM NUMBER] was not witnessed but it was heard by the therapy department across the hall. He stated that he did not feel the incident was reportable as they were able to determine the cause of the accident. He stated that just to be sure he consulted with some other regional nurses to ensure that the incident was not reportable. In a confidential interview it was stated that the owner had been previously told to put locks on doors to rooms that were under construction. The Owner did not do this and Resident #2 was injured. The interviewee stated that the Owner went and purchased locks after resident #2 fell for the doors that remained unlocked. The interviewee continued that the Owner informed staff that Resident #2's injury was not a reportable injury. Review of the Facility ' s Abuse and Neglect policy from the Nursing Policy and Procedure Manual 2003, dated revised 01/08/03, reflected: " The facility will provide and ensure the promotion of resident rights. It is each individual ' s responsibility to recognize, report, and promptly follow-up abuse or neglect allegations, suspicion of abuse or neglect, and situations that may constitute abuse or neglect to any resident in the facility. " Definitions ... 6. Neglect: Failure to provide essential needs or protection for a person incapable of providing for him/herself independently or harming or threatening with harm; can be committed by self or other. Neglect is defined in 40 TAC 19.101 (81). D. Identification The facility will identify and investigate events that may constitute abuse/neglect. The facility will determine the direction of the investigation based on a thorough examination of events. Opportunities to prevent abuse/neglect will be managed accordingly. 1. Any person having cause to believe an elderly or incapacitated adult is suffering from abuse, neglect or exploitation must report this to the DON, administrator, state and/or adult protective services. State law mandates that citizens report all suspected cases of abuse, neglect, or financial exploitation of the elderly or incapacitated persons. 3. Facility employees must report abuse and neglect including: exploitation of residents, serious accidental injuries to residents, and abuse/neglect conditions resulting in hospitalization of residents to the Texas Department of Aging and Disability (DADS). [PHONE NUMBER]. E. Investigation Comprehensive investigations will be the responsibility of the administrator and/or Task 5G Coordinator. All allegations of abuse will be investigated. 1. The administrators in consultation with the Risk Management Department will be responsible for investigating and reporting cases to the DADS. Reporting guidelines to DADS (Resident Variances) ... 16. Report: Neglect allegations. Report serious accidental injuries that result from a facility practice, action/inaction by staff, or circumstances within the facility. The facility must determine if the injury, harm, or death of the resident was due to facility failure to provide services, treatment, or care ... 18. Report: hospitalization resulting from facility practice. Report only when a resident has to be taken to a hospital or other emergency care facility for evaluation and/or treatment, regardless of whether or not treatment is rendered resulting from a facility practice, inaction/action by staff, or circumstance within the facility. The Facility Owner was notified on 08/29/13 at 5:45 p.m., that an Immediate Jeopardy had been identified due to the above deficient practices. The facility submitted a Plan of Removal on 08/29/13 at 6:15 PM. The Plan of Removal was accepted on 08/29/13 at 7:00 p.m. and included: -All rooms being remodeled and rooms storing excess furniture will remain locked at all times if staff and workers aren ' t present to ensure resident safety. A daily log will be maintained with lock checks every hour signed off by staff and kept in the DON ' s office. -All staff will keep residents away from the remodeling and out of any areas that are taped off to prevent resident access. Areas under remodel will have postings in the area to make residents aware. Facility staff will ensure residents don ' t enter areas under remodel. -When modeling crews return, only small areas will be remodeled at a time. Rooms locked when unattended and the workmen will be reduced to ensure compliance is maintained. -Resident rooms being painted will be done with the door closed and locked if workers and staff are not present. -When flooring in corridors and common areas is being installed, the area will be taped off to restrict all access. All staff will keep residents away from the remodeling area. -Staff will be inserviced on the use and purpose of the locks placed on the doors. The surveyors confirmed the POR had been implemented sufficiently to remove the IJ by: Observation on 08/29/13 from 7:05 p.m. - 7:12 p.m. revealed the DON contacting facility staff via phone and conducting individual in-services. In an interview on 08/29/13 at 7:18 p.m. CMA D and LVN E stated that they were in-serviced today regarding door locks. Locking door handles were observed on rooms that were currently under construction, contained construction materials or other items that could pose risk to resident injury. The in-service documentation and logs were reviewed. In-service for facility staff included CNA's, Nurses, Administrative Staff, and Maintenance/Housekeeping Staff. On 08/29/13 at 7:30 p.m. the Owner and DON were informed the IJ had been removed however, the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. The DON provided a list of 23 residents residing in the North Hallway and 5 additional residents identified as having wandering behavior.

Based on observation, interview and record review the facility failed to implement facility policies and procedures to prohibit neglect for one (1) of seven (7) residents (Resident #2) reviewed for neglect. On 08/27/13 Resident #2 entered her usual bedroom room [ROOM NUMBER]) that was unlocked and under construction. A metal bathroom door, that had been removed from its hinges and leaned against the wall fell on top of Resident #2 that resulted in Resident #2's hospitalization for: 1. cervical vertebral fractures of the C2, C6 and C7 vertebra; 2. non displaced fractures to the pelvis where the hip socket connects; 3. a 6 centimeter (cm) long laceration to the back of her head that was closed with sutures; 4. a contusion (an injury where the skin is not broken; a bruise) to the right knee with blistering; 5. various other bruising to the forearms and facial areas, and 6. muscle [MEDICAL CONDITION] and strain. This failure resulted in an Immediate Jeopardy (IJ) on 08/29/13. While the IJ was lowered to a non-immediate Jeopardy on 08/29/13 at 7:30 p.m., the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 28 residents identified as living in the north wing of the facility or identified as a wandering resident at risk for injury including falls, scrapes, cuts, skin tears, fractures, and possible death. Findings include: Review of the Facility ' s Abuse and Neglect policy from the Nursing Policy and Procedure Manual 2003, dated revised 01/08/03, reflected: " The facility will provide and ensure the promotion of resident rights. It is each individual ' s responsibility to recognize, report, and promptly follow-up abuse or neglect allegations, suspicion of abuse or neglect, and situations that may constitute abuse or neglect to any resident in the facility. " Definitions ... 6. Neglect: Failure to provide essential needs or protection for a person incapable of providing for him/herself independently or harming or threatening with harm; can be committed by self or other. Neglect is defined in 40 TAC 19.101 (81). D. Identification The facility will identify and investigate events that may constitute abuse/neglect. The facility will determine the direction of the investigation based on a thorough examination of events. Opportunities to prevent abuse/neglect will be managed accordingly. 1. Any person having cause to believe an elderly or incapacitated adult is suffering from abuse, neglect or exploitation must report this to the DON, administrator, state and/or adult protective services. State law mandates that citizens report all suspected cases of abuse, neglect, or financial exploitation of the elderly or incapacitated persons. 3. Facility employees must report abuse and neglect including: exploitation of residents, serious accidental injuries to residents, and abuse/neglect conditions resulting in hospitalization of residents to the Texas Department of Aging and Disability (DADS). [PHONE NUMBER]. E. Investigation Comprehensive investigations will be the responsibility of the administrator and/or Task 5G Coordinator. All allegations of abuse will be investigated. 1. The administrators in consultation with the Risk Management Department will be responsible for investigating and reporting cases to the DADS. Reporting guidelines to DADS (Resident Variances) ... 16. Report: Neglect allegations. Report serious accidental injuries that result from a facility practice, action/inaction by staff, or circumstances within the facility. The facility must determine if the injury, harm, or death of the resident was due to facility failure to provide services, treatment, or care ... 18. Report: hospitalization resulting from facility practice. Report only when a resident has to be taken to a hospital or other emergency care facility for evaluation and/or treatment, regardless of whether or not treatment is rendered resulting from a facility practice, inaction/action by staff, or circumstance within the facility. Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s most recent Annual Minimum Data Set (MDS), dated [DATE], reflected a Brief Interview for Mental status score of 13 out of 15 possible indicating that Resident #2 was cognitively intact. In response to " Has the resident wandered? " Resident #2 was coded as " Behavior not exhibited. " The functional status section reflected that Resident #2 was able to transfer, walk in room and corridor, dress, eat, toilet and bathe independently, with some setup help only. The MDS reflected use of a walker as a mobility device and that Resident #2 was " not steady, but able to stabilize without staff assistance " for the following activities: moving from a seated to standing position, walking, turning around, moving on and off toilet and surface to surface transfer. Resident #2 was coded as being continent of both bowel and bladder. A pain interview was conducted and Resident #2 responded as having no pain or hurting within the last 5 days. No falls were reported on this MDS. The skin condition section reflected Resident #2 not at risk for developing pressure ulcers and had no current skin conditions. The MDS also reflected that Resident #2 was not receiving any specialized rehabilitation services. Review of the Facility ' s Fall Report dated 08/27/13 reflected that Resident #2 " fell in room. Found with door laying on both lower extremities and head against wall. " What was resident doing just prior to fall? " Ambulating without walker, walker in hall outside room. " Was the fall witnessed? " No. " Does the resident exhibit pain or complain of pain related to the fall? " No. " Note any injury to the head, extremities, or trunk. " Abrasion right lower extremity, skin tear right forearm, other: Contusion - back of head. " Neurological check reflected strong muscle movement, equal pupils that were round/sluggish (slow to respond). Resident #2 had clear distinct, intelligible words and responded to her name. Does the resident exhibit any of the following as a change in mental status of new onset? Areas checked were, " anxiety, confusion and lethargy. " Possible contributing factors: describe if necessary. " Unwitnessed - Resident does not remember. " This section further reflected that Resident #2 had " no prior falls. " Resident #2 was transported to the hospital per emergency medical services (EMS). No witness statements or additional information was provided with the fall report. Review of a written statement of the Speech Language Pathologist (SLP), dated 08/27/13, reflected " I was working in the therapy room adjacent to Resident #2 ' s usual room (#36)which has been undergoing a remodel. Resident #2 called out " Help me! " several times. When I tried to open her room door more widely she was observed lying flat on her back with a door covering her ankles/feet/lower calf areas. I tried to wedge into the room but the door was partially blocking the room entrance door. Licensed Vocational Nurse (LVN) A was coming down the hall and LVN A managed to enter the room, check Resident #2 and we moved the door off her ankles/feet/lower calf areas. There was a small pool of blood noted adjacent to the wall. EMS was called. LVN A and the Director of Nursing (DON) stabilized Resident #2 and I went to get ice for her head/neck area. Vital signs were taken. Owner was present. Several Certified Nurse Aides (CNAs) were present. Once EMS arrived and took over, I exited from the situation. " Observation on 08/28/13 from 6:22 p.m. to 6:52 p.m. revealed the following: room [ROOM NUMBER] had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. The room smelled of paint and dust. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with Resident ' s personal bedding on the them. The room had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. There were loose screws on the floor. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with an overstuffed reclining chair turned over and rolling wooden nightstand on top of one bed. The second bed had a toilet chair, window blinds, two small trash cans on top of resident personal items including stuffed animals, wall boards with family photos and personal bedding. Two dressers were pushed up against the beds. The room had no baseboards. The room door was closed but not locked. room [ROOM NUMBER] room door was cracked open and had no lock on the handle. The room appeared to have random storage: a T.V., Christmas decorations, bed frames, shower bed and an assortment of screws on the sink. In an interview on 08/28/13 at 6:44 p.m. the Owner stated " We are remodeling, the plumber was here today and yesterday. No other remodeling work was done this week. " Observation on 08/29/13 at 11:50 a.m., at the hospital, revealed Resident #2 in bed with a cervical collar (neck brace) in place around her neck. Gauze padding with small amounts of dried blood stuck out from the cervical collar where it rested against the back of Resident #2 ' s head. Resident #2 ' s right forearm had black and purple bruising from two inches above the wrist and extended 5-6 inches up her arm with the center of the bruise covered with steri-strips and a large (2.5 inch) butterfly bandage. Resident #2 ' s left hand had contusions across the outer three knuckles where they connected to the top of her hand. Three steri-strips closed the wound and it was also covered by a large (2.5 inch) butterfly bandage, bruising extended past the bandage by another inch and down the tops of the tree fingers. Both of Resident #2 ' s palms, extending down the length of her fingers were bruised. The right knee contusion covered her whole knee cap and extended out 2-3 inches from the edges of the knee cap to form a circle 7-8 inches in diameter. On top of the right knee contusion were multiple dark yellow fluid filled blisters, the largest blister measured 1.5 x 2 inches. Multiple smaller fluid filled blisters surrounded the large blister. A second large blister had opened on the top of the knee cap and was draining fluid. Resident #2 ' s right eye was mostly closed and weeping. Above the eye at the end of the eyebrow were three steri-strips covering a large bruise that extended up to the middle of her forehead. Various smaller bruising was noted bilaterally down the length of both of her forearms, legs, and feet. Observation of the laceration to the back of Resident #2 ' s head was not able to be made due to her positioning and vertebral fractures. In an interview on 08/29/13 at 11:50 a.m., when asked how she was feeling, Resident #2 stated that she was having a couple of bad days. She stated that she was in pain but that she was receiving pain medication. When asked about the cause of her injuries Resident #2 stated that she went into her old room that was under construction to get some of her clothing. She stated that the facility did not transfer all of her clothing to her new room. She stated that she tried to open the bathroom door but it was off the hinges and fell over on her pinning her to the floor. In an interview on 08/29/13 at 11:50 a.m. Resident #2 ' s daughter stated that she had visited with Resident #2 the week before and they looked in room [ROOM NUMBER] to see the progress on the construction. She stated that she noted the bathroom door was off the hinges and leaned against the wall at that time. In an interview on 08/29/13 at 12:05 p.m. Resident #2 ' s Hospital Physician stated that Resident #2 had three vertebral fractures and two non-displaced fractures in the pelvic region. The Physician stated that due to Resident #2 ' s age she was not a candidate for surgical intervention. Resident #2 sustained extensive muscle injury in addition to her fractures. She continued that Resident #2 will be required to wear the cervical collar for at least a month and will require extensive physical and occupational therapies to assist in her recovery. The Physician stated that " Resident #2 will not be independent with dressing, showering, or walking independently for a long time. " She stated that Resident #2 ' s pain and cervical collar will likely limit her recovery ability. She stated that Resident #2 will not be able to have a full visual range due to the immobilization of her neck in the cervical collar and would not be able to see things in front of her on the floor creating a potential for further accidents or injuries. She stated that should Resident #2 be able to walk she would need stand by assistance at the very minimum. The Physician stated that she did not believe Resident #2 would be able to recover to her baseline prior to this injury due to her age, the extent of the injuries and the " downtime " needed to recover from the injuries. Observation on 08/29/13 from 4:15 p.m. to 4:35 p.m. reflected the following: room [ROOM NUMBER] was unlocked and open. The room contained two saw horses, a hoyer lift, a closet full of Resident #18 ' s clothing, door knob hardware on the sink in the room, an open clean linen cart and a black cable wire that came down from the wall and laid across three feet of the floor. room [ROOM NUMBER] was unlocked the closet was full of resident clothing. Tape on the closet shelf identified the clothing as belonging to Resident #2 and Resident #16. The bathroom door had paint damage to the center of the door and along the bottom. In an interview on 08/29/13 at 4:25 p.m., while in room [ROOM NUMBER], the room where Resident #2 ' s accident happened on 08/27/13, the Maintenance Director stated that he had to take the door off the hinges to cut the bottom as it was dragging across the newly installed bathroom tile. He stated that he had only put it back up a few days ago. He stated that he had locked room [ROOM NUMBER], #31, and # 33 last night after the surveyor left. In an interview on 08/29/13 at 4:37 p.m. the DON stated that construction workers had not been present in the building since last week and that the new plan is to take small groups of workers and remodel three rooms at a time. Rooms #31, #32 and #43 will be worked on tomorrow. The DON stated that some resident personal items were returned to residents ' original rooms but " nothing they use every day was put back in the rooms or closets. " In an interview on 08/29/13 at 4:50 p.m. the DON stated that room [ROOM NUMBER] ' s door was closed but not locked. She stated that Resident #2 " would go down to the room probably 10 times a day. " The DON stated that Resident #2 was very interested in the construction and the progress being made on her room. The DON stated that on 08/27/13 around 11 a.m. Resident #2 was found in room [ROOM NUMBER] laying on the floor with a door on top of her. She stated that when she arrived Resident #2 was on the floor, the door had been removed. She stated Resident #2 had a small amount of blood coming from a laceration to the back of her head. The DON stated that room [ROOM NUMBER] was not locked as there were no workmen that day. She stated that the bathroom door had been propped up against the side of the wall close to the bathroom. She stated that she could not figure out how Resident #2 pulled the door over on herself as " the door was so heavy, the owner had a hard time lifting it back up. " The DON stated " I think they took the door off to paint it as it was the last thing to do before the residents could move back it. I never would have thought the door to be a hazard. " The DON stated that she did not call to report the injury to the State even though it was " unwitnessed " because the DON knew how she fell and knew where her injuries came from. In an interview on 08/29/13 at 5:25 p.m. the Owner stated that the facility had been under construction and that last week they had pulled the construction crews out of the building to regroup. He continued that administrative staff were doing regular rounds to identify issues with the construction. He stated that room [ROOM NUMBER] was not locked as it was almost finished. He stated that the bathroom door had been taken off the hinges as it was dragging across the tile and the Maintenance Director was going to fix the door. The Owner stated that Resident #2 ' s fall in room [ROOM NUMBER] was not witnessed but it was heard by the therapy department across the hall. He stated that he did not feel the incident was reportable as they were able to determine the cause of the accident. He stated that just to be sure he consulted with some other regional nurses to ensure that the incident was not reportable. In a confidential interview it was stated that the owner had been previously told to put locks on doors to rooms that were under construction. The Owner did not do this and Resident #2 was injured. The interviewee stated that the Owner went and purchased locks after resident #2 fell for the doors that remained unlocked. The interviewee continued that the Owner informed staff that Resident #2's injury was not a reportable injury. The Facility Owner was notified on 08/29/13 at 5:45 p.m., that an Immediate Jeopardy had been identified due to the above deficient practices. The facility submitted a Plan of Removal on 08/29/13 at 6:15 PM. The Plan of Removal was accepted on 08/29/13 at 7:00 p.m. and included: -All rooms being remodeled and rooms storing excess furniture will remain locked at all times if staff and workers aren ' t present to ensure resident safety. A daily log will be maintained with lock checks every hour signed off by staff and kept in the DON ' s office. -All staff will keep residents away from the remodeling and out of any areas that are taped off to prevent resident access. Areas under remodel will have postings in the area to make residents aware. Facility staff will ensure residents don ' t enter areas under remodel. -When modeling crews return, only small areas will be remodeled at a time. Rooms locked when unattended and the workmen will be reduced to ensure compliance is maintained. -Resident rooms being painted will be done with the door closed and locked if workers and staff are not present. -When flooring in corridors and common areas is being installed, the area will be taped off to restrict all access. All staff will keep residents away from the remodeling area. -Staff will be inserviced on the use and purpose of the locks placed on the doors. The surveyors confirmed the POR had been implemented sufficiently to remove the IJ by: Observation on 08/29/13 from 7:05 p.m. - 7:12 p.m. revealed the DON contacting facility staff via phone and conducting individual in-services. In an interview on 08/29/13 at 7:18 p.m. CMA D and LVN E stated that they were in-serviced today regarding door locks. Locking door handles were observed on rooms that were currently under construction, contained construction materials or other items that could pose risk to resident injury. The in-service documentation and logs were reviewed. In-service for facility staff included CNA's, Nurses, Administrative Staff, and Maintenance/Housekeeping Staff. On 08/29/13 at 7:30 p.m. the Owner and DON were informed the IJ had been removed however, the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. The DON provided a list of 23 residents residing in the North Hallway and 5 additional residents identified as having wandering behavior.

Based on observation, interview and record review, the facility failed to ensure that the resident environment was free of hazards for one (1) of seven (7) residents (Resident #2) reviewed for incidents and accidents when: On 08/27/13 Resident #2 entered her usual bedroom Room #36) that was unlocked and under construction. A metal bathroom door, that had been removed from its hinges and leaned against the wall fell on top of Resident #2 that resulted in Resident #2's hospitalization for: 1. cervical vertebral fractures of the C2, C6 and C7 vertebra; 2. non displaced fractures to the pelvis where the hip socket connects; 3. a 6 centimeter (cm) long laceration to the back of her head that was closed with sutures; 4. a contusion (an injury where the skin is not broken; a bruise) to the right knee with blistering; 5. various other bruising to the forearms and facial areas, and 6. muscle edema and strain. This failure resulted in an Immediate Jeopardy (IJ) on 08/29/13. While the IJ was lowered to a non-immediate Jeopardy on 08/29/13 at 7:30 p.m., the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 28 residents identified as living in the north wing of the facility or identified as a wandering resident at risk for injury including falls, scrapes, cuts, skin tears, fractures, and possible death. Findings include: Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s most recent Annual Minimum Data Set (MDS), dated [DATE], reflected a Brief Interview for Mental status score of 13 out of 15 possible indicating that Resident #2 was cognitively intact. In response to " Has the resident wandered? " Resident #2 was coded as " Behavior not exhibited. " The functional status section reflected that Resident #2 was able to transfer, walk in room and corridor, dress, eat, toilet and bathe independently, with some setup help only. The MDS reflected use of a walker as a mobility device and that Resident #2 was " not steady, but able to stabilize without staff assistance " for the following activities: moving from a seated to standing position, walking, turning around, moving on and off toilet and surface to surface transfer. Resident #2 was coded as being continent of both bowel and bladder. A pain interview was conducted and Resident #2 responded as having no pain or hurting within the last 5 days. No falls were reported on this MDS. The skin condition section reflected Resident #2 not at risk for developing pressure ulcers and had no current skin conditions. The MDS also reflected that Resident #2 was not receiving any specialized rehabilitation services. Review of the Facility ' s Fall Report dated 08/27/13 reflected that Resident #2 " fell in room. Found with door laying on both lower extremities and head against wall. " What was resident doing just prior to fall? " Ambulating without walker, walker in hall outside room. " Was the fall witnessed? " No. " Does the resident exhibit pain or complain of pain related to the fall? " No. " Note any injury to the head, extremities, or trunk. " Abrasion right lower extremity, skin tear right forearm, other: Contusion - back of head. " Neurological check reflected strong muscle movement, equal pupils that were round/sluggish (slow to respond). Resident #2 had clear distinct, intelligible words and responded to her name. Does the resident exhibit any of the following as a change in mental status of new onset? Areas checked were, " anxiety, confusion and lethargy. " Possible contributing factors: describe if necessary. " Unwitnessed - Resident does not remember. " This section further reflected that Resident #2 had " no prior falls. " Resident #2 was transported to the hospital per emergency medical services (EMS). No witness statements or additional information was provided with the fall report. Review of a written statement of the Speech Language Pathologist (SLP), dated 08/27/13, reflected " I was working in the therapy room adjacent to Resident #2 ' s usual room (#36)which has been undergoing a remodel. Resident #2 called out " Help me! " several times. When I tried to open her room door more widely she was observed lying flat on her back with a door covering her ankles/feet/lower calf areas. I tried to wedge into the room but the door was partially blocking the room entrance door. Licensed Vocational Nurse (LVN) A was coming down the hall and LVN A managed to enter the room, check Resident #2 and we moved the door off her ankles/feet/lower calf areas. There was a small pool of blood noted adjacent to the wall. EMS was called. LVN A and the Director of Nursing (DON) stabilized Resident #2 and I went to get ice for her head/neck area. Vital signs were taken. Owner was present. Several Certified Nurse Aides (CNAs) were present. Once EMS arrived and took over, I exited from the situation. " Observation on 08/28/13 from 6:22 p.m. to 6:52 p.m. revealed the following: Room #31 had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. The room smelled of paint and dust. The room door was closed but not locked. Room #33 had two bedframes pushed together in the center of the room with Resident ' s personal bedding on the them. The room had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. There were loose screws on the floor. The room door was closed but not locked. Room #35 had two bedframes pushed together in the center of the room with an overstuffed reclining chair turned over and rolling wooden nightstand on top of one bed. The second bed had a toilet chair, window blinds, two small trash cans on top of resident personal items including stuffed animals, wall boards with family photos and personal bedding. Two dressers were pushed up against the beds. The room had no baseboards. The room door was closed but not locked. Room #42 room door was cracked open and had no lock on the handle. The room appeared to have random storage: a T.V., Christmas decorations, bed frames, shower bed and an assortment of screws on the sink. In an interview on 08/28/13 at 6:44 p.m. the Owner stated " We are remodeling, the plumber was here today and yesterday. No other remodeling work was done this week. " Observation on 08/29/13 at 11:50 a.m., at the hospital, revealed Resident #2 in bed with a cervical collar (neck brace) in place around her neck. Gauze padding with small amounts of dried blood stuck out from the cervical collar where it rested against the back of Resident #2 ' s head. Resident #2 ' s right forearm had black and purple bruising from two inches above the wrist and extended 5-6 inches up her arm with the center of the bruise covered with steri-strips and a large (2.5 inch) butterfly bandage. Resident #2 ' s left hand had contusions across the outer three knuckles where they connected to the top of her hand. Three steri-strips closed the wound and it was also covered by a large (2.5 inch) butterfly bandage, bruising extended past the bandage by another inch and down the tops of the tree fingers. Both of Resident #2 ' s palms, extending down the length of her fingers were bruised. The right knee contusion covered her whole knee cap and extended out 2-3 inches from the edges of the knee cap to form a circle 7-8 inches in diameter. On top of the right knee contusion were multiple dark yellow fluid filled blisters, the largest blister measured 1.5 x 2 inches. Multiple smaller fluid filled blisters surrounded the large blister. A second large blister had opened on the top of the knee cap and was draining fluid. Resident #2 ' s right eye was mostly closed and weeping. Above the eye at the end of the eyebrow were three steri-strips covering a large bruise that extended up to the middle of her forehead. Various smaller bruising was noted bilaterally down the length of both of her forearms, legs, and feet. Observation of the laceration to the back of Resident #2 ' s head was not able to be made due to her positioning and vertebral fractures. In an interview on 08/29/13 at 11:50 a.m., when asked how she was feeling, Resident #2 stated that she was having a couple of bad days. She stated that she was in pain but that she was receiving pain medication. When asked about the cause of her injuries Resident #2 stated that she went into her old room that was under construction to get some of her clothing. She stated that the facility did not transfer all of her clothing to her new room. She stated that she tried to open the bathroom door but it was off the hinges and fell over on her pinning her to the floor. In an interview on 08/29/13 at 11:50 a.m. Resident #2 ' s daughter stated that she had visited with Resident #2 the week before and they looked in room #40 to see the progress on the construction. She stated that she noted the bathroom door was off the hinges and leaned against the wall at that time. In an interview on 08/29/13 at 12:05 p.m. Resident #2 ' s Hospital Physician stated that Resident #2 had three vertebral fractures and two non-displaced fractures in the pelvic region. The Physician stated that due to Resident #2 ' s age she was not a candidate for surgical intervention. Resident #2 sustained extensive muscle injury in addition to her fractures. She continued that Resident #2 will be required to wear the cervical collar for at least a month and will require extensive physical and occupational therapies to assist in her recovery. The Physician stated that " Resident #2 will not be independent with dressing, showering, or walking independently for a long time. " She stated that Resident #2 ' s pain and cervical collar will likely limit her recovery ability. She stated that Resident #2 will not be able to have a full visual range due to the immobilization of her neck in the cervical collar and would not be able to see things in front of her on the floor creating a potential for further accidents or injuries. She stated that should Resident #2 be able to walk she would need stand by assistance at the very minimum. The Physician stated that she did not believe Resident #2 would be able to recover to her baseline prior to this injury due to her age, the extent of the injuries and the " downtime " needed to recover from the injuries. Observation on 08/29/13 from 4:15 p.m. to 4:35 p.m. reflected the following: Room #47 was unlocked and open. The room contained two saw horses, a hoyer lift, a closet full of Resident #18 ' s clothing, door knob hardware on the sink in the room, an open clean linen cart and a black cable wire that came down from the wall and laid across three feet of the floor. Room #36 was unlocked the closet was full of resident clothing. Tape on the closet shelf identified the clothing as belonging to Resident #2 and Resident #16. The bathroom door had paint damage to the center of the door and along the bottom. In an interview on 08/29/13 at 4:25 p.m., while in Room #36, the room where Resident #2 ' s accident happened on 08/27/13, the Maintenance Director stated that he had to take the door off the hinges to cut the bottom as it was dragging across the newly installed bathroom tile. He stated that he had only put it back up a few days ago. He stated that he had locked room #32, #31, and # 33 last night after the surveyor left. In an interview on 08/29/13 at 4:37 p.m. the DON stated that construction workers had not been present in the building since last week and that the new plan is to take small groups of workers and remodel three rooms at a time. Rooms #31, #32 and #43 will be worked on tomorrow. The DON stated that some resident personal items were returned to residents ' original rooms but " nothing they use every day was put back in the rooms or closets. " In an interview on 08/29/13 at 4:50 p.m. the DON stated that room #36 ' s door was closed but not locked. She stated that Resident #2 " would go down to the room probably 10 times a day. " The DON stated that Resident #2 was very interested in the construction and the progress being made on her room. The DON stated that on 08/27/13 around 11 a.m. Resident #2 was found in room #36 laying on the floor with a door on top of her. She stated that when she arrived Resident #2 was on the floor, the door had been removed. She stated Resident #2 had a small amount of blood coming from a laceration to the back of her head. The DON stated that room #36 was not locked as there were no workmen that day. She stated that the bathroom door had been propped up against the side of the wall close to the bathroom. She stated that she could not figure out how Resident #2 pulled the door over on herself as " the door was so heavy, the owner had a hard time lifting it back up. " The DON stated " I think they took the door off to paint it as it was the last thing to do before the residents could move back it. I never would have thought the door to be a hazard. In an interview on 08/29/13 at 5:25 p.m. the Owner stated that the facility had been under construction and that last week they had pulled the construction crews out of the building to regroup. He continued that administrative staff were doing regular rounds to identify issues with the construction. He stated that Room #36 was not locked as it was almost finished. He stated that the bathroom door had been taken off the hinges as it was dragging across the tile and the Maintenance Director was going to fix the door. The Owner stated that Resident #2 ' s fall in room #36 was not witnessed but it was heard by the therapy department across the hall. In a confidential interview it was stated that the owner had been previously told to put locks on doors to rooms that were under construction. The Owner did not do this and Resident #2 was injured. The interviewee stated that the Owner went and purchased locks after resident #2 fell for the doors that remained unlocked. The Facility Owner was notified on 08/29/13 at 5:45 p.m., that an Immediate Jeopardy had been identified due to the above deficient practices. The facility submitted a Plan of Removal on 08/29/13 at 6:15 PM. The Plan of Removal was accepted on 08/29/13 at 7:00 p.m. and included: -All rooms being remodeled and rooms storing excess furniture will remain locked at all times if staff and workers aren ' t present to ensure resident safety. A daily log will be maintained with lock checks every hour signed off by staff and kept in the DON ' s office. -All staff will keep residents away from the remodeling and out of any areas that are taped off to prevent resident access. Areas under remodel will have postings in the area to make residents aware. Facility staff will ensure residents don ' t enter areas under remodel. -When modeling crews return, only small areas will be remodeled at a time. Rooms locked when unattended and the workmen will be reduced to ensure compliance is maintained. -Resident rooms being painted will be done with the door closed and locked if workers and staff are not present. -When flooring in corridors and common areas is being installed, the area will be taped off to restrict all access. All staff will keep residents away from the remodeling area. -Staff will be inserviced on the use and purpose of the locks placed on the doors. The surveyors confirmed the POR had been implemented sufficiently to remove the IJ by: Observation on 08/29/13 from 7:05 p.m. - 7:12 p.m. revealed the DON contacting facility staff via phone and conducting individual in-services. In an interview on 08/29/13 at 7:18 p.m. CMA D and LVN E stated that they were in-serviced today regarding door locks. Locking door handles were observed on rooms that were currently under construction, contained construction materials or other items that could pose risk to resident injury. The in-service documentation and logs were reviewed. In-service for facility staff included CNA's, Nurses, Administrative Staff, and Maintenance/Housekeeping Staff. On 08/29/13 at 7:30 p.m. the Owner and DON were informed the IJ had been removed however, the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. The DON provided a list of 23 residents residing in the North Hallway and 5 additional residents identified as having wandering behavior.

Based on observation, interview and record review the facility was not admininstered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being for one (1) of seven (7) residents reviewed when; The facility Admininstrator failed to implement, execute and supervise staff on the previous Plan of Removal for an Immediate Jeopardy (IJ) identified on 07/31/13 through 08/01/2013 for remodeling the facility. On 08/27/13 Resident #2 entered her usual bedroom room [ROOM NUMBER]) that was unlocked and under construction. A metal bathroom door, that had been removed from its hinges and leaned against the wall fell on top of Resident #2 that resulted in Resident #2's hospitalization for: 1. cervical vertebral fractures of the C2, C6 and C7 vertebra; 2. non displaced fractures to the pelvis where the hip socket connects; 3. a 6 centimeter (cm) long laceration to the back of her head that was closed with sutures; 4. a contusion (an injury where the skin is not broken; a bruise) to the right knee with blistering; 5. various other bruising to the forearms and facial areas, and 6. muscle [MEDICAL CONDITION] and strain. This failure resulted in an Immediate Jeopardy (IJ) on 08/29/13. While the IJ was lowered to a non-immediate Jeopardy on 08/29/13 at 7:30 p.m., the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 28 residents identified as living in the north wing of the facility or identified as a wandering resident at risk for injury including falls, scrapes, cuts, skin tears, fractures, and possible death. Findings include: Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s most recent Annual Minimum Data Set (MDS), dated [DATE], reflected a Brief Interview for Mental status score of 13 out of 15 possible indicating that Resident #2 was cognitively intact. In response to " Has the resident wandered? " Resident #2 was coded as " Behavior not exhibited. " The functional status section reflected that Resident #2 was able to transfer, walk in room and corridor, dress, eat, toilet and bathe independently, with some setup help only. The MDS reflected use of a walker as a mobility device and that Resident #2 was " not steady, but able to stabilize without staff assistance " for the following activities: moving from a seated to standing position, walking, turning around, moving on and off toilet and surface to surface transfer. Resident #2 was coded as being continent of both bowel and bladder. A pain interview was conducted and Resident #2 responded as having no pain or hurting within the last 5 days. No falls were reported on this MDS. The skin condition section reflected Resident #2 not at risk for developing pressure ulcers and had no current skin conditions. The MDS also reflected that Resident #2 was not receiving any specialized rehabilitation services. Review of the Facility ' s Fall Report dated 08/27/13 reflected that Resident #2 " fell in room. Found with door laying on both lower extremities and head against wall. " What was resident doing just prior to fall? " Ambulating without walker, walker in hall outside room. " Was the fall witnessed? " No. " Does the resident exhibit pain or complain of pain related to the fall? " No. " Note any injury to the head, extremities, or trunk. " Abrasion right lower extremity, skin tear right forearm, other: Contusion - back of head. " Neurological check reflected strong muscle movement, equal pupils that were round/sluggish (slow to respond). Resident #2 had clear distinct, intelligible words and responded to her name. Does the resident exhibit any of the following as a change in mental status of new onset? Areas checked were, " anxiety, confusion and lethargy. " Possible contributing factors: describe if necessary. " Unwitnessed - Resident does not remember. " This section further reflected that Resident #2 had " no prior falls. " Resident #2 was transported to the hospital per emergency medical services (EMS). No witness statements or additional information was provided with the fall report. Review of a written statement of the Speech Language Pathologist (SLP), dated 08/27/13, reflected " I was working in the therapy room adjacent to Resident #2 ' s usual room (#36)which has been undergoing a remodel. Resident #2 called out " Help me! " several times. When I tried to open her room door more widely she was observed lying flat on her back with a door covering her ankles/feet/lower calf areas. I tried to wedge into the room but the door was partially blocking the room entrance door. Licensed Vocational Nurse (LVN) A was coming down the hall and LVN A managed to enter the room, check Resident #2 and we moved the door off her ankles/feet/lower calf areas. There was a small pool of blood noted adjacent to the wall. EMS was called. LVN A and the Director of Nursing (DON) stabilized Resident #2 and I went to get ice for her head/neck area. Vital signs were taken. Owner was present. Several Certified Nurse Aides (CNAs) were present. Once EMS arrived and took over, I exited from the situation. " Observation on 08/28/13 from 6:22 p.m. to 6:52 p.m. revealed the following: room [ROOM NUMBER] had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. The room smelled of paint and dust. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with Resident ' s personal bedding on the them. The room had closed cardboard boxes stacked along the wall identified by LVN B as medical supplies. There were loose screws on the floor. The room door was closed but not locked. room [ROOM NUMBER] had two bedframes pushed together in the center of the room with an overstuffed reclining chair turned over and rolling wooden nightstand on top of one bed. The second bed had a toilet chair, window blinds, two small trash cans on top of resident personal items including stuffed animals, wall boards with family photos and personal bedding. Two dressers were pushed up against the beds. The room had no baseboards. The room door was closed but not locked. room [ROOM NUMBER] room door was cracked open and had no lock on the handle. The room appeared to have random storage: a T.V., Christmas decorations, bed frames, shower bed and an assortment of screws on the sink. In an interview on 08/28/13 at 6:44 p.m. the Owner stated " We are remodeling, the plumber was here today and yesterday. No other remodeling work was done this week. " Observation on 08/29/13 at 11:50 a.m., at the hospital, revealed Resident #2 in bed with a cervical collar (neck brace) in place around her neck. Gauze padding with small amounts of dried blood stuck out from the cervical collar where it rested against the back of Resident #2 ' s head. Resident #2 ' s right forearm had black and purple bruising from two inches above the wrist and extended 5-6 inches up her arm with the center of the bruise covered with steri-strips and a large (2.5 inch) butterfly bandage. Resident #2 ' s left hand had contusions across the outer three knuckles where they connected to the top of her hand. Three steri-strips closed the wound and it was also covered by a large (2.5 inch) butterfly bandage, bruising extended past the bandage by another inch and down the tops of the tree fingers. Both of Resident #2 ' s palms, extending down the length of her fingers were bruised. The right knee contusion covered her whole knee cap and extended out 2-3 inches from the edges of the knee cap to form a circle 7-8 inches in diameter. On top of the right knee contusion were multiple dark yellow fluid filled blisters, the largest blister measured 1.5 x 2 inches. Multiple smaller fluid filled blisters surrounded the large blister. A second large blister had opened on the top of the knee cap and was draining fluid. Resident #2 ' s right eye was mostly closed and weeping. Above the eye at the end of the eyebrow were three steri-strips covering a large bruise that extended up to the middle of her forehead. Various smaller bruising was noted bilaterally down the length of both of her forearms, legs, and feet. Observation of the laceration to the back of Resident #2 ' s head was not able to be made due to her positioning and vertebral fractures. In an interview on 08/29/13 at 11:50 a.m., when asked how she was feeling, Resident #2 stated that she was having a couple of bad days. She stated that she was in pain but that she was receiving pain medication. When asked about the cause of her injuries Resident #2 stated that she went into her old room that was under construction to get some of her clothing. She stated that the facility did not transfer all of her clothing to her new room. She stated that she tried to open the bathroom door but it was off the hinges and fell over on her pinning her to the floor. In an interview on 08/29/13 at 11:50 a.m. Resident #2 ' s daughter stated that she had visited with Resident #2 the week before and they looked in room [ROOM NUMBER] to see the progress on the construction. She stated that she noted the bathroom door was off the hinges and leaned against the wall at that time. In an interview on 08/29/13 at 12:05 p.m. Resident #2 ' s Hospital Physician stated that Resident #2 had three vertebral fractures and two non-displaced fractures in the pelvic region. The Physician stated that due to Resident #2 ' s age she was not a candidate for surgical intervention. Resident #2 sustained extensive muscle injury in addition to her fractures. She continued that Resident #2 will be required to wear the cervical collar for at least a month and will require extensive physical and occupational therapies to assist in her recovery. The Physician stated that " Resident #2 will not be independent with dressing, showering, or walking independently for a long time. " She stated that Resident #2 ' s pain and cervical collar will likely limit her recovery ability. She stated that Resident #2 will not be able to have a full visual range due to the immobilization of her neck in the cervical collar and would not be able to see things in front of her on the floor creating a potential for further accidents or injuries. She stated that should Resident #2 be able to walk she would need stand by assistance at the very minimum. The Physician stated that she did not believe Resident #2 would be able to recover to her baseline prior to this injury due to her age, the extent of the injuries and the " downtime " needed to recover from the injuries. Observation on 08/29/13 from 4:15 p.m. to 4:35 p.m. reflected the following: room [ROOM NUMBER] was unlocked and open. The room contained two saw horses, a hoyer lift, a closet full of Resident #18 ' s clothing, door knob hardware on the sink in the room, an open clean linen cart and a black cable wire that came down from the wall and laid across three feet of the floor. room [ROOM NUMBER] was unlocked the closet was full of resident clothing. Tape on the closet shelf identified the clothing as belonging to Resident #2 and Resident #16. The bathroom door had paint damage to the center of the door and along the bottom. In an interview on 08/29/13 at 4:25 p.m., while in room [ROOM NUMBER], the room where Resident #2 ' s accident happened on 08/27/13, the Maintenance Director stated that he had to take the door off the hinges to cut the bottom as it was dragging across the newly installed bathroom tile. He stated that he had only put it back up a few days ago. He stated that he had locked room [ROOM NUMBER], #31, and # 33 last night after the surveyor left. In an interview on 08/29/13 at 4:37 p.m. the DON stated that construction workers had not been present in the building since last week and that the new plan is to take small groups of workers and remodel three rooms at a time. Rooms #31, #32 and #43 will be worked on tomorrow. The DON stated that some resident personal items were returned to residents ' original rooms but " nothing they use every day was put back in the rooms or closets. " In an interview on 08/29/13 at 4:50 p.m. the DON stated that room [ROOM NUMBER] ' s door was closed but not locked. She stated that Resident #2 " would go down to the room probably 10 times a day. " The DON stated that Resident #2 was very interested in the construction and the progress being made on her room. The DON stated that on 08/27/13 around 11 a.m. Resident #2 was found in room [ROOM NUMBER] laying on the floor with a door on top of her. She stated that when she arrived Resident #2 was on the floor, the door had been removed. She stated Resident #2 had a small amount of blood coming from a laceration to the back of her head. The DON stated that room [ROOM NUMBER] was not locked as there were no workmen that day. She stated that the bathroom door had been propped up against the side of the wall close to the bathroom. She stated that she could not figure out how Resident #2 pulled the door over on herself as " the door was so heavy, the owner had a hard time lifting it back up. " The DON stated " I think they took the door off to paint it as it was the last thing to do before the residents could move back it. I never would have thought the door to be a hazard. " The DON stated that she did not call to report the injury to the State even though it was " unwitnessed " because the DON knew how she fell and knew where her injuries came from. In an interview on 08/29/13 at 5:25 p.m. the Owner stated that the facility had been under construction and that last week they had pulled the construction crews out of the building to regroup. He continued that administrative staff were doing regular rounds to identify issues with the construction. He stated that room [ROOM NUMBER] was not locked as it was almost finished. He stated that the bathroom door had been taken off the hinges as it was dragging across the tile and the Maintenance Director was going to fix the door. The Owner stated that Resident #2 ' s fall in room [ROOM NUMBER] was not witnessed but it was heard by the therapy department across the hall. He stated that he did not feel the incident was reportable as they were able to determine the cause of the accident. He stated that just to be sure he consulted with some other regional nurses to ensure that the incident was not reportable. In a confidential interview it was stated that the owner had been previously told to put locks on doors to rooms that were under construction. The Owner did not do this and Resident #2 was injured. The interviewee stated that the Owner went and purchased locks after resident #2 fell for the doors that remained unlocked. The interviewee continued that the Owner informed staff that Resident #2's injury was not a reportable injury. Review of the Facility ' s Abuse and Neglect policy from the Nursing Policy and Procedure Manual 2003, dated revised 01/08/03, reflected: " The facility will provide and ensure the promotion of resident rights. It is each individual ' s responsibility to recognize, report, and promptly follow-up abuse or neglect allegations, suspicion of abuse or neglect, and situations that may constitute abuse or neglect to any resident in the facility. " Definitions ... 6. Neglect: Failure to provide essential needs or protection for a person incapable of providing for him/herself independently or harming or threatening with harm; can be committed by self or other. Neglect is defined in 40 TAC 19.101 (81). D. Identification The facility will identify and investigate events that may constitute abuse/neglect. The facility will determine the direction of the investigation based on a thorough examination of events. Opportunities to prevent abuse/neglect will be managed accordingly. 1. Any person having cause to believe an elderly or incapacitated adult is suffering from abuse, neglect or exploitation must report this to the DON, administrator, state and/or adult protective services. State law mandates that citizens report all suspected cases of abuse, neglect, or financial exploitation of the elderly or incapacitated persons. 3. Facility employees must report abuse and neglect including: exploitation of residents, serious accidental injuries to residents, and abuse/neglect conditions resulting in hospitalization of residents to the Texas Department of Aging and Disability (DADS). [PHONE NUMBER]. E. Investigation Comprehensive investigations will be the responsibility of the administrator and/or Task 5G Coordinator. All allegations of abuse will be investigated. 1. The administrators in consultation with the Risk Management Department will be responsible for investigating and reporting cases to the DADS. Reporting guidelines to DADS (Resident Variances) ... 16. Report: Neglect allegations. Report serious accidental injuries that result from a facility practice, action/inaction by staff, or circumstances within the facility. The facility must determine if the injury, harm, or death of the resident was due to facility failure to provide services, treatment, or care ... 18. Report: hospitalization resulting from facility practice. Report only when a resident has to be taken to a hospital or other emergency care facility for evaluation and/or treatment, regardless of whether or not treatment is rendered resulting from a facility practice, inaction/action by staff, or circumstance within the facility. The Facility Owner was notified on 08/29/13 at 5:45 p.m., that an Immediate Jeopardy had been identified due to the above deficient practices. The facility submitted a Plan of Removal on 08/29/13 at 6:15 PM. The Plan of Removal was accepted on 08/29/13 at 7:00 p.m. and included: -All rooms being remodeled and rooms storing excess furniture will remain locked at all times if staff and workers aren ' t present to ensure resident safety. A daily log will be maintained with lock checks every hour signed off by staff and kept in the DON ' s office. -All staff will keep residents away from the remodeling and out of any areas that are taped off to prevent resident access. Areas under remodel will have postings in the area to make residents aware. Facility staff will ensure residents don ' t enter areas under remodel. -When modeling crews return, only small areas will be remodeled at a time. Rooms locked when unattended and the workmen will be reduced to ensure compliance is maintained. -Resident rooms being painted will be done with the door closed and locked if workers and staff are not present. -When flooring in corridors and common areas is being installed, the area will be taped off to restrict all access. All staff will keep residents away from the remodeling area. -Staff will be inserviced on the use and purpose of the locks placed on the doors. The surveyors confirmed the POR had been implemented sufficiently to remove the IJ by: Observation on 08/29/13 from 7:05 p.m. - 7:12 p.m. revealed the DON contacting facility staff via phone and conducting individual in-services. In an interview on 08/29/13 at 7:18 p.m. CMA D and LVN E stated that they were in-serviced today regarding door locks. Locking door handles were observed on rooms that were currently under construction, contained construction materials or other items that could pose risk to resident injury. The in-service documentation and logs were reviewed. In-service for facility staff included CNA's, Nurses, Administrative Staff, and Maintenance/Housekeeping Staff. On 08/29/13 at 7:30 p.m. the Owner and DON were informed the IJ had been removed however, the facility remains out of compliance at a Severity level of Actual Harm and Scope of Isolated that is not IJ due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. The DON provided a list of 23 residents residing in the North Hallway and 5 additional residents identified as having wandering behavior.

Based on interview and record review the facility failed to prevent neglect for 1 of 7 residents (Resident #1) reviewed for neglect when the facility failed to ensure that the environment was free of hazards for residents for 4 of 4 hallways and 2 of 2 dining areas. 1.) One (1) of seven (7) residents reviewed for incidents and accidents, Resident #1, fell on [DATE] in a hallway that was being remodeled causing bruising to the Resident ' s wrist. 2.) The facility failed to ensure that four of four corridors, (the Northwest Hall, the Northeast Hall, the Southwest Hall and the Southeast Hall), and one of four exit doors (the Southwest exit door) were maintained free of all obstructions or impediments. 3.) The facility failed to secure construction equipment, chemicals and other hazardous objects for four of four corridors and common areas. 4.) Noise levels in the facility were loud enough that staff were unable to hear alarms and call light systems to promptly notify them of resident care needs. Construction dust set off fire alarm systems creating additional emergency alarms. 5.) The facility failed to properly ventilate paint and chemical fumes away from resident areas An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:50 p.m. While the IJ was lowered to a non-immediate Jeopardy on [DATE] at 8:40 p.m. The facility remained out of compliance at widespread with potential for more than minimal harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 52 residents identified as living in the facility at risk for injury and illness including falls, scrapes, cuts, skin tears, respiratory difficulties, headaches, dizziness, nausea, vomiting and possible death. Findings include: 1.) Observation on [DATE] at 10:15 a.m., 11:15 a.m., 1:00 p.m., 3:00 p.m. and 4:06 p.m., revealed that the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path, 3 feet 8 inches wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m. revealed two residents in wheel chairs attempting to navigate the Northwest corridor in different directions. The residents could not access the handrails because the handrails were blocked by the items in the corridor. The residents could not pass each other in the corridor because there was not enough clear space for both wheelchairs. One resident was overheard telling the other "you go ahead, I'll wait. There just isn't enough room for both of us." One resident allowed the other to pass through the narrowing of the hallway and then proceeded after the resident cleared. Observation on [DATE] at 10:17 a.m., 11:17 a.m., 1:02 p.m., 3:02 p.m. and 4:08 p.m., revealed that the Northeast corridor was obstructed by a wheel chair, a hoyer lift, two linen carts, a chair, a 30-gallon trash can, a medication cart, a hydration cart, two 5-gallon paint cans about half full of paint, a 2 foot x 1 foot tool kit, two 2 foot x 5 foot drop cloths, two fire extinguishers and a rolling cart. The items were on both sides of the corridor leaving only a narrow path, 3 feet 10 inches wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D stated that the wheelchair in the Northeast corridor belongs to Resident #3. Employee D stated that the resident used to be in room [ROOM NUMBER] and had a room to herself. Employee D stated that the resident is now in room [ROOM NUMBER] because of the construction and has to share a room so there is no room to store her wheelchair in the room. Employee D also said that "there is stuff everywhere and no room to put anything." Observation on [DATE] at 10:19 a.m., 11:19 a.m., 1:04 p.m., 3:04 p.m. and 4:10 p.m., revealed that the Southwest corridor was obstructed by a medication cart, a housekeeping cart, a 30-gallon trash can, a fire extinguisher, a rolling cart, two ladders, two wooden dressers, a plastic chair, a 5-gallon paint can about half full of pain, a 2 foot x 5 foot drop cloth and five boxes of flooring materials. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m., 11:20 a.m., 1:05 p.m., 3:05 p.m. and 4:11 p.m. revealed that the Southeast corridor was obstructed by two ladders, two fire extinguishers, plastic "wet floor" signs, one 2 foot x 5 foot drop cloth, one 5-gallon paint can, one 1-gallon paint can, a linen cart, a hydration cart and a hoyer lift. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D said "Last week they were just texturing. It was just a couple of workers and it wasn't so bad. This week there are workers everywhere. There is all kinds of stuff in the hallway making it difficult to get around. I wish they would add more staff during the remodeling. We are having to do extra, take extra precautions safety-wise and it's really hard to get everything done. Observation on [DATE] at 11:45 a.m. and 1:00 p.m. revealed that the exit door on the Southwest corridor was blocked by four pallets on construction materials (two pallets of gypsum board, one pallet of flooring materials in boxes and one pallet of cans of glue and bags or mortar). The exit door would open, but once outside the door you could not exit the immediate area. The pallets formed an "L" shape that blocked the area directly in front of the exit door and directly to the left of the exit door. Directly to the right of the exit door leads to the back side of the building and not to the public way. During an interview on [DATE] at 9:00 a.m. Employee B said "I am having a hard time getting stuff done because all this stuff is everywhere in the halls. Stuff like the painters' stuff and things they pulled out of the bedrooms." During an interview on [DATE] at 9:50 a.m. Employee B said "I don't understand why the updates are being done this way. I don't know why they didn't do half the building then the other half so the residents will be safe." She also said "all of the residents have been complaining to whoever will listen, but it doesn't seem like anyone is doing anything to change it." During an interview on [DATE] at 10:55 a.m. Employee L said "I told the Administrator why don't we do half the building then move everyone to the fixed up part and do the other half of the remodeling. He told me that the Owner is doing it this way (all over the building at the same time) and there is nothing he can do about it." During an interview on [DATE] at 11:20 a.m. Employee H said "My job is more difficult with all of the remodeling going on. I am the only aide for 16 residents on the South Hall. They are mostly independent except for three of the residents. All the stuff in the halls and all of the commotion makes it really hard to get anything done. It takes extra time to get my job done." During an interview on [DATE] at 11:50 a.m. Employee K said "It's so hectic and crowded right now. It's much harder to get my job done." She also said "None of the residents have complained to me about the changes, but I hear them mumbling to themselves saying 'it's too noisy' or 'it's too crowded' or 'that's in my way'." During an interview on [DATE] at 12:00 p.m. the Administrator said "we don't have the room to do half the facility at a time instead of all over at once. A lot of the empty rooms are full of materials and equipment for the remodeling. Plus the residents are used to having a room to themselves and they refuse to share a room. If the crews could store their materials off-site we might have room to empty half the facility and do all the work there, then move the residents to the finished part and do the other half." The Administrator also stated that he would get a trailer and move the old furniture out of the halls. During an interview on [DATE] at 2:00 p.m. the Social Worker said "There are paint cans and equipment everywhere and the fire extinguishers are off the walls. It's very chaotic. Last week they were just texturing and it wasn't so bad. This week there are many more painters here and the chaos is much worse." Observation on [DATE] at 1:05 p.m. revealed Resident #11 in the Southwest hallway ambulating down the hallway. The resident held on to handrails where they were unobstructed by items being stored in the hallway. When the handrail was not available he held onto furniture or equipment to steady himself as he continued down the hallway. During an interview on [DATE] at 2:36 p.m. Resident #11 said "I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It's very hectic." During an interview on [DATE] at 3:10 p.m. the Owner said "I chose this crew because they came highly recommended and have done remodeling on several nursing facilities before. We assumed they knew what they were doing and hoped they had a plan to accommodate the residents." During an interview on [DATE] at 3:40 p.m. Resident #4 said "I have been telling everyone that there is a problem, but no one is listening. They have made a big mess with these updates. There is equipment, tools and paint, all kinds of things all over the place. You can't go from one end to the other without something or someone in your way. Those painters are everywhere and really stinking up the place. The noise and confusion is so much that I can't even hear myself think. The staff are running around like chickens with their heads cut off." Observation on [DATE] at 4:28 p.m. revealed that the sidewalk outside the exit door on the Northeast corridor was partially blocked by toilets and other bathroom fixtures that had been removed from four resident rooms. During an interview on [DATE] at 5:15 p.m. the Administrator stated that he had to rent a storage unit for all of the furniture that was in the hallways because there was no room to store it in the facility. He also stated that two of the pallets of flooring material were too heavy for the floor jack and had to be broken down and moved by hand. He stated that the pallets were outside the Southwest exit door for longer than the rest of the materials because it took a while to unload and store the boxes of flooring material. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northeast corridor was obstructed by a 5 foot x 3 foot rolling cart with boxes of bathroom fixtures, a 2 foot x 1 foot tool kit, a hoyer lift, a linen cart, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northwest corridor was obstructed by three medication carts, a crash cart, the crash cart oxygen bottle, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint and two 4-foot ladders. Observation on [DATE] at 10:20 a.m. revealed the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path down the center of the corridor. 2.) Review of Resident # 7 ' s face sheet reflected a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #7 ' s social service notes, dated [DATE] reflected a Brief Interview for Mental Status (BIMS) score of 3 out of 15 possible indicating severe impairment of mental status. Review of Resident #7 ' s care plan dated [DATE] reflected a problem of " Resident #7 has a potential to attempt to elope due to senile dementia. " Approaches listed were: " Activities will be provided to distract resident from attempting to leave facility ... Staff will monitor resident location while mobile throughout facility. Resident will wear wanderguard to alert staff if resident attempts to leave facility. " In an interview on [DATE] at 1:59 p.m. the Maintenance Director was exiting the maintenance office and stated "I got a lady that likes to ' visit ' and I can't leave this door open. Oh, she wanders in and gets into stuff." He then stated that the "visiting lady" was the Resident #7 in room [ROOM NUMBER] across the hallway from the maintenance office and next door to resident room [ROOM NUMBER]. Observation on [DATE] at 2:05 p.m. revealed that the door to resident room [ROOM NUMBER] was not locked. (the door next to Resident room [ROOM NUMBER] which was identified to have a wandering resident)The following painting supplies were being stored in room [ROOM NUMBER]: a.) Six unopened cans of Kilz - Interior Oil Base, the label stated, " Danger: Flammable liquid and vapor. Harmful or fatal if swallowed. Vapor harmful. Eye irritant. " b.) One open can with approximately ? inch of product inside of Wood Pride Semi-Gloss Quick Dry Sanding Sealer - Oil Based. The label stated, " Danger: Flammable. Harmful or fatal if swallowed. " c.) Three unopened tubes of Dap Painters All Purpose Acrylic Latex Caulk. The label stated, "Warning: May cause eye and skin irritation." d.) In an unlocked cabinet inside room [ROOM NUMBER], one open tube of Kilz Upshot Overhead Stain Sealer Interior Oil Based the label stated, "Extremely flammable liquid and vapor. Vapors may cause flash fire. Contents under pressure. Irritates eyes, skin and respiratory tract." The cabinet also contained a large tape dispenser with metal blade approximately 5 inches long and paint scrapers e.) Various cans and bottles of energy drinks, 8 in total. During an interview on [DATE] at 3:00 p.m., the Painter stated that there is only one key to the door of room [ROOM NUMBER] and that after lunch it may have been unlocked when various people were going in and out of the room. He also stated that he "knows the door should be locked all the time" and that some of the crew "barely speak English" and may not understand the importance of keeping the door locked. 3.) Observation on [DATE] at 8:20 a.m. revealed that the work crews were using a jackhammer to remove the ceramic tile from the walls and floors in the bathroom on the Northwest Wing. The bathroom was full of white dust that was leaking out of the bathroom from under the door and from where the door was partially open to allow access for the extension cord being used to power the jackhammer. The noise was so loud that the chair alarm for Resident #4 could not be heard until the Administrator and the Life Safety Code Surveyor were standing directly in front of the open door to her room. Resident #4 was standing up between her wheelchair and her bed. The Administrator went into Resident #4 ' s room and asked her to sit down and then went to get two staff members to assist Resident #4. Observation on [DATE] at 9:10 a.m. revealed that the jackhammering was still occurring on the Northwest Wing. The Northwest corridor was hazy because of the dust coming from the bathroom where the crew was jackhammering. Whenever one of the work crew would open the door to the bathroom, white dust would billow out into the hallway. Observation on [DATE] at 9:10 a.m. revealed that the nurse call for room [ROOM NUMBER] was beeping and could not be heard over the jackhammering. When the Surveyor asked Employee D, who was sitting at the Nurse Station directly in front of the nurse call system, whether or not she could hear the beeping of the nurse call for room [ROOM NUMBER], she said "oh, I didn't even hear it. All this noise is driving me crazy." Observation on [DATE] at 9:11 a.m. revealed that the fire alarm was activated sounding the general alarm. The fire alarm control panel indicated that it was activated by an initiation device in " Zone 5 " which includes the Northwest Wing. There were no visible signs of a fire. The dust was so thick in the Northwest Hall that the smoke detector registered the dust in the air as being equivalent to smoke and activated the fire alarm. The zone map was not on the wall by the fire alarm control panel. Employee D pulled the zone map out of a stack of documents on the desk at the nurse station. The alarm was silenced and the dust was allowed to settle. When the fire alarm activated, several staff came running to the North Nurse Station. One staff member was overheard saying, " I can ' t find any of the other fire extinguishers. " A second staff member was overheard saying, " I would have brought a fire extinguisher, but I don ' t know where they are. " After a few minutes the fire alarm was reset and did not activate again. During an interview on [DATE] at 10:15 a.m., Employee D stated that the work crew was moving in equipment for about 15 minutes on [DATE]. The wanderguard alarm was constantly " going off " . A CNA had to stand at the door because they were worried that the remodeling workers may not know who was a resident and they may not stop the residents from getting out of the building. She also stated that they had one resident set off the wanderguard alarm at the other end of the hall just a few minutes earlier so they were "really concerned." During an interview on [DATE] at 9:45 a.m., the Administrator stated that the jackhammering was a one-time deal and would only be occurring today. He also stated that they work crew is done with the jackhammering "so we shouldn't have any more problems with the fire alarm." 4.) Observation on [DATE] between 7:55 a.m. and 4:30 p.m. revealed that there was a very strong paint smell noticeable upon entering the facility. The smell pervaded the entire facility from front to back and in all four wings, both dining areas and both living areas. When the painters were in an area actively painting, the smell of paint was even stronger. During an interview on [DATE] at 8:40 a.m., the DON said " I have a headache, I am sick to my stomach and my eyes are swollen because of the toxins in the paint they are using (especially the Kilz). There were wires and plastic things all over the floors. They started painting on Monday(two days prior). They were here last week, but they were only texturing so it wasn ' t too bad then. This week is a real mess. It ' s very loud, there is lots of dust and paint smell and everything is chaotic. I worry that my residents are going to suffer because everything is so hectic. " During an interview on [DATE] at 9:00 a.m. Employee B said " They were using turpentine to clean the paint off the floors and it smelled really bad. " Employee B also stated that the painters were painting on Monday in the larger Dining Room and " they were doing it right over two residents ' heads. It was about 12:30 p.m. because most of the residents had already eaten lunch but two of them are a little slower and they were still eating. " During an interview on [DATE] at 10:40 a.m., Resident #6 stated that he was moved from room [ROOM NUMBER] to room [ROOM NUMBER] on Monday. He had complained about the smell of mold in his old room to the Activities Director. He said " I am glad they are fixing the place up, but the paint smell is pretty strong. Some people can take it, I guess, but I can ' t. The smell of paint is really getting to me. " Review of Resident #6 ' s Minimum Data Set, dated dated [DATE], reflected he was a [AGE] year old man readmitted to the facility on [DATE]. Review of Resident #6 ' s face sheet reflected [DIAGNOSES REDACTED]. Observation on [DATE] at 10:46 - 10:55 a.m. revealed that there were 21 residents in the large dining room participating in exercise activities. Two painters were painting two different walls in the dining room. Each painter was less than five feet from the residents and had a 5-gallon can of paint about half full of paint. The smell of paint was very strong in the large dining room. During an interview on [DATE] at 10:55 a.m., Employee L said she was " having a really hard time at work yesterday " and that she " threw up because of the paint fumes and stress. " She also said " I don ' t think the residents are getting the care they need with all of the juggling around. " During an interview on [DATE] at 11:20 a.m., Employee H said " the paint fumes today are still bad, but not as bad as the other day when they were using Kilz (primer). Resident #13 had his window open because the smell was so bad. " During an interview on [DATE] at 2:12 p.m., Resident #15 said " I have a cough that won ' t quit. All this paint and dust just aggravates it. The noise is really bad too. I just stay in my room. " Review of Resident #15 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:20 p.m. Resident #13 said "the paint smell has been really bad. I had to open my window because of the smell. It made my room hot, but better than having to breathe all that paint. The noise and confusion is horrendous. I will just be glad when it is all done." Review of Resident #13 ' s face sheet reflected he was an [AGE] year old man admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:30 p.m., Resident #9 said " I had to move on Monday. It was just all of a sudden without warning. The paint and dust makes it hard for me to breathe. At least it is a little quieter over here (South Hall). The noise over there (North Hall) was really bad. I don ' t like all this mess and it is really hot all the time. I have a headache maybe from the noise or the smell. " Review of Resident #9 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:26 p.m., Resident #11 said " my eyes burn, head hurts, throat feels raw. I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It ' s very hectic. " Review of Resident #11 ' s face sheet reflected he was a [AGE] year old man admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:45 p.m., Resident #2 said "the other day, maybe Monday or Tuesday, the painters were working above my head painting and the smell was awful. My head started hurting, my throat was burning, my nose was burning and I felt really bad. I griped to the aides and the Nurse checked me out. She said I was okay, but I was really worried because I almost died of pneumonia 11 months ago. I am 97 and things are starting to break down. By the time I went to bed, I felt better. I don ' t know what they were painting with, but it was really strong. " Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s Nurses Notes, dated [DATE] at 4:30 p.m. reflected " Resident complained re. construction worker spraying in dining room during bingo. States that nose and eyes " burn a little " stated she smelled the paint fumed. Resident assessed per this nurse and DON. Lungs clear to auscultation. No redness noted to eyes. Vitals noted. " During an interview on [DATE] at 3:20 p.m., Resident #12 said " my head hurts from all the fumes and noise. My eyes and throat are burning. They really need to hurry up and get done. I don ' t like all this mess. " During an interview on [DATE] at 3:25 p.m., Employee M said " The painters were painting right over the residents. It was the first day (Monday) and about 12:30 p.m. Most of the residents had finished eating, but some of them eat slower and there were still about four people eating in the North Dining Room. There were two or three painters and they were just painting right over the residents ' heads while they were still eating. That's not right. The paint could get in their food and it could be bad for them. The painters should have waited until everyone was done. I think the changes will be nice, but it is too much, too fast. " During an interview on [DATE] at 3:30 p.m., Resident #5 said "my eyes really burn and my chest hurts; it's hard to breathe. I haven't told anyone because they are all so busy with all this and I don't want to be a complainer." Review of Resident #5 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observation on [DATE] at 3:15 p.m. revealed a paint smell prevalent at the front dining room and throughout the North Hall. Painting was occurring in the North Living Room and in the Service Hall connected to the North Hall. The North Living Room was " taped off " to restrict entry to the area, but the Service Hall was not " taped off. " No residents were noted in the area at the time of observation. No painters were in the area and there were open paint cans, rollers, paint brushes and drop cloths. The painters returned to the area at 3:25 p.m. on [DATE]. 5.) Review of Resident #1 ' s, outpatient history and physical, dated [DATE] reflected a [AGE] year old male with [DIAGNOSES REDACTED]. Review of Resident #1 ' s clinical record revealed he was admitted to the facility on [DATE]. Review of the Resident Incident Report dated [DATE] reflected that Resident #1 fell when he was walking in the hallway. The narrative of the incident states "This nurse was called to the northwest hallway and observed resident sitting on buttocks on the floor with walker in front of him. Stated 'I just slipped or my walker got caught but I lost my balance and fell on my bottom.' Neuro's checked and are stable. Denies any pain or discomfort. AROM in all ext. Shoes were on. Floor was dry but noted with debris, as hallway is being remodeled. Assisted up X 2 to standing position and ambulated back to room w/o difficulty." The wound assessment report reflected that the resident received a "bruise caused by wanderguard when attempting to break a fall." Review of Resident #1 ' s Daily Skilled Flowsheet, dated [DATE] at 2:00 p.m., reflected, " Bruise noted on right wrist from wanderguard, deep purple in color. " Resident states, " Yea I felt it hit there when I broke my fall. " During an interview on [DATE] at 2:05 p.m. the Social Worker said "Resident #1 fell last week. He has cognitive impairment, is hard of hearing, has adequate vision, but not great, his eyes are milky, and he is very weak physically. He had a bad fall at home and was admitted to the hospital, then his family member brought him here. He may not be able to see all the drop cloths in the hallways." During an interview on [DATE] at 5:45 p.m. Employee C stated that when Resident #1 fell on [DATE] there was a lot of debris in the hallway because of the remodeling. She also stated that after Resident #1 fell she spoke with the work crew and told them they had to remove their debris from the hallway. The work crew wanted to wait until later to pick up the debris, but the employee insisted they do it right away. Review of Resident #1 ' s Initial Interdisciplinary Care Plan reflected that Resident #1 was high risk for falls due to new environment, unsteady gait, history of falls and confusion. Approaches used were a " tattle tail " alarm, falling leaves protocol, and " other " was checked with no additional details. Review of the Facility ' s " Freedom from Abuse Notice to Employees Resident/Patient Abuse, Neglect and Mistreatment of [REDACTED]. " Review of the undated " Items Not Allowed in Resident Room " policy reflected: " NOTE: A good rule of thumb has been established by the Food and Drug Administration whereby any products labeled Keep out of reach of children or carries any type of caution label is merchandise that contains ingredients which are harmful if taken without supervision or used in a way not designated. Many of our residents, due to mental impairments or peer eyesight might inadvertently drink or eat some of the items causing irreparable harm. " The policy reflected that the facility does not allow the following items in resident rooms: SAFETY HAZARDS: -Aerosol cans of any products that are combustible; -Razors and blades, i.e. a razor with a band type cartridge where the blade cannot be removed is permitted under some circumstances; -Scissors or knives - only [MEDICATION NAME] edge scissors are permitted; -Excess papers or furnishings - those items that can cause fires or falls; and -Extension cords and multiple plugs are not allowed. Review of the Facility ' s " Statement of Resident Rights, " undated, reflected " You have a right to 1. All care necessary for you to have the highest possible level of health. 2. Safe, decent and clean conditions ... " The Administrator was notified on [DATE] at 4:50 p.m., that an Immediate Jeopardy situation was identified due to the above failures. The facility's Plan of Removal was accepted on [DATE] at 6:55 p.m. and included: 1.) Remove any items, debris and working materials from hallways and common areas. [DATE] 2.) Mount fire extinguishers using approved brackets in corridors. [DATE] 3.) All areas will be maintained and supervised by Administrator and DON. Charge nurses/CNA's and a

Based on interview and record review the facility failed to implement policies to prevent neglect for 1 of 7 residents (Resident #1) reviewed for neglect when the facility failed to ensure that the environment was free of hazards for residents for 4 of 4 hallways and 2 of 2 dining areas. 1.) One (1) of seven (7) residents reviewed for incidents and accidents, Resident #1, fell on [DATE] in a hallway that was being remodeled causing bruising to the Resident ' s wrist. 2.) The facility failed to ensure that four of four corridors, (the Northwest Hall, the Northeast Hall, the Southwest Hall and the Southeast Hall), and one of four exit doors (the Southwest exit door) were maintained free of all obstructions or impediments. 3.) The facility failed to secure construction equipment, chemicals and other hazardous objects for four of four corridors and common areas. 4.) Noise levels in the facility were loud enough that staff were unable to hear alarms and call light systems to promptly notify them of resident care needs. Construction dust set off fire alarm systems creating additional emergency alarms. 5.) The facility failed to properly ventilate paint and chemical fumes away from resident areas An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:50 p.m. While the IJ was lowered to a non-immediate Jeopardy on [DATE] at 8:40 p.m. The facility remained out of compliance at widespread with potential for more than minimal harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 52 residents identified as living in the facility at risk for injury and illness including falls, scrapes, cuts, skin tears, respiratory difficulties, headaches, dizziness, nausea, vomiting and possible death. Findings include: Review of the Facility ' s " Freedom from Abuse Notice to Employees Resident/Patient Abuse, Neglect and Mistreatment of [REDACTED]. " Review of the undated " Items Not Allowed in Resident Room " policy reflected: " NOTE: A good rule of thumb has been established by the Food and Drug Administration whereby any products labeled Keep out of reach of children or carries any type of caution label is merchandise that contains ingredients which are harmful if taken without supervision or used in a way not designated. Many of our residents, due to mental impairments or peer eyesight might inadvertently drink or eat some of the items causing irreparable harm. " The policy reflected that the facility does not allow the following items in resident rooms: SAFETY HAZARDS: -Aerosol cans of any products that are combustible; -Razors and blades, i.e. a razor with a band type cartridge where the blade cannot be removed is permitted under some circumstances; -Scissors or knives - only [MEDICATION NAME] edge scissors are permitted; -Excess papers or furnishings - those items that can cause fires or falls; and -Extension cords and multiple plugs are not allowed. Review of the Facility ' s " Statement of Resident Rights, " undated, reflected " You have a right to 1. All care necessary for you to have the highest possible level of health. 2. Safe, decent and clean conditions ... " 1.) Observation on [DATE] at 10:15 a.m., 11:15 a.m., 1:00 p.m., 3:00 p.m. and 4:06 p.m., revealed that the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path, 3 feet 8 inches wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m. revealed two residents in wheel chairs attempting to navigate the Northwest corridor in different directions. The residents could not access the handrails because the handrails were blocked by the items in the corridor. The residents could not pass each other in the corridor because there was not enough clear space for both wheelchairs. One resident was overheard telling the other "you go ahead, I'll wait. There just isn't enough room for both of us." One resident allowed the other to pass through the narrowing of the hallway and then proceeded after the resident cleared. Observation on [DATE] at 10:17 a.m., 11:17 a.m., 1:02 p.m., 3:02 p.m. and 4:08 p.m., revealed that the Northeast corridor was obstructed by a wheel chair, a hoyer lift, two linen carts, a chair, a 30-gallon trash can, a medication cart, a hydration cart, two 5-gallon paint cans about half full of paint, a 2 foot x 1 foot tool kit, two 2 foot x 5 foot drop cloths, two fire extinguishers and a rolling cart. The items were on both sides of the corridor leaving only a narrow path, 3 feet 10 inches wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D stated that the wheelchair in the Northeast corridor belongs to Resident #3. Employee D stated that the resident used to be in room [ROOM NUMBER] and had a room to herself. Employee D stated that the resident is now in room [ROOM NUMBER] because of the construction and has to share a room so there is no room to store her wheelchair in the room. Employee D also said that "there is stuff everywhere and no room to put anything." Observation on [DATE] at 10:19 a.m., 11:19 a.m., 1:04 p.m., 3:04 p.m. and 4:10 p.m., revealed that the Southwest corridor was obstructed by a medication cart, a housekeeping cart, a 30-gallon trash can, a fire extinguisher, a rolling cart, two ladders, two wooden dressers, a plastic chair, a 5-gallon paint can about half full of pain, a 2 foot x 5 foot drop cloth and five boxes of flooring materials. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m., 11:20 a.m., 1:05 p.m., 3:05 p.m. and 4:11 p.m. revealed that the Southeast corridor was obstructed by two ladders, two fire extinguishers, plastic "wet floor" signs, one 2 foot x 5 foot drop cloth, one 5-gallon paint can, one 1-gallon paint can, a linen cart, a hydration cart and a hoyer lift. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D said "Last week they were just texturing. It was just a couple of workers and it wasn't so bad. This week there are workers everywhere. There is all kinds of stuff in the hallway making it difficult to get around. I wish they would add more staff during the remodeling. We are having to do extra, take extra precautions safety-wise and it's really hard to get everything done. Observation on [DATE] at 11:45 a.m. and 1:00 p.m. revealed that the exit door on the Southwest corridor was blocked by four pallets on construction materials (two pallets of gypsum board, one pallet of flooring materials in boxes and one pallet of cans of glue and bags or mortar). The exit door would open, but once outside the door you could not exit the immediate area. The pallets formed an "L" shape that blocked the area directly in front of the exit door and directly to the left of the exit door. Directly to the right of the exit door leads to the back side of the building and not to the public way. During an interview on [DATE] at 9:00 a.m. Employee B said "I am having a hard time getting stuff done because all this stuff is everywhere in the halls. Stuff like the painters' stuff and things they pulled out of the bedrooms." During an interview on [DATE] at 9:50 a.m. Employee B said "I don't understand why the updates are being done this way. I don't know why they didn't do half the building then the other half so the residents will be safe." She also said "all of the residents have been complaining to whoever will listen, but it doesn't seem like anyone is doing anything to change it." During an interview on [DATE] at 10:55 a.m. Employee L said "I told the Administrator why don't we do half the building then move everyone to the fixed up part and do the other half of the remodeling. He told me that the Owner is doing it this way (all over the building at the same time) and there is nothing he can do about it." During an interview on [DATE] at 11:20 a.m. Employee H said "My job is more difficult with all of the remodeling going on. I am the only aide for 16 residents on the South Hall. They are mostly independent except for three of the residents. All the stuff in the halls and all of the commotion makes it really hard to get anything done. It takes extra time to get my job done." During an interview on [DATE] at 11:50 a.m. Employee K said "It's so hectic and crowded right now. It's much harder to get my job done." She also said "None of the residents have complained to me about the changes, but I hear them mumbling to themselves saying 'it's too noisy' or 'it's too crowded' or 'that's in my way'." During an interview on [DATE] at 12:00 p.m. the Administrator said "we don't have the room to do half the facility at a time instead of all over at once. A lot of the empty rooms are full of materials and equipment for the remodeling. Plus the residents are used to having a room to themselves and they refuse to share a room. If the crews could store their materials off-site we might have room to empty half the facility and do all the work there, then move the residents to the finished part and do the other half." The Administrator also stated that he would get a trailer and move the old furniture out of the halls. During an interview on [DATE] at 2:00 p.m. the Social Worker said "There are paint cans and equipment everywhere and the fire extinguishers are off the walls. It's very chaotic. Last week they were just texturing and it wasn't so bad. This week there are many more painters here and the chaos is much worse." Observation on [DATE] at 1:05 p.m. revealed Resident #11 in the Southwest hallway ambulating down the hallway. The resident held on to handrails where they were unobstructed by items being stored in the hallway. When the handrail was not available he held onto furniture or equipment to steady himself as he continued down the hallway. During an interview on [DATE] at 2:36 p.m. Resident #11 said "I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It's very hectic." During an interview on [DATE] at 3:10 p.m. the Owner said "I chose this crew because they came highly recommended and have done remodeling on several nursing facilities before. We assumed they knew what they were doing and hoped they had a plan to accommodate the residents." During an interview on [DATE] at 3:40 p.m. Resident #4 said "I have been telling everyone that there is a problem, but no one is listening. They have made a big mess with these updates. There is equipment, tools and paint, all kinds of things all over the place. You can't go from one end to the other without something or someone in your way. Those painters are everywhere and really stinking up the place. The noise and confusion is so much that I can't even hear myself think. The staff are running around like chickens with their heads cut off." Observation on [DATE] at 4:28 p.m. revealed that the sidewalk outside the exit door on the Northeast corridor was partially blocked by toilets and other bathroom fixtures that had been removed from four resident rooms. During an interview on [DATE] at 5:15 p.m. the Administrator stated that he had to rent a storage unit for all of the furniture that was in the hallways because there was no room to store it in the facility. He also stated that two of the pallets of flooring material were too heavy for the floor jack and had to be broken down and moved by hand. He stated that the pallets were outside the Southwest exit door for longer than the rest of the materials because it took a while to unload and store the boxes of flooring material. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northeast corridor was obstructed by a 5 foot x 3 foot rolling cart with boxes of bathroom fixtures, a 2 foot x 1 foot tool kit, a hoyer lift, a linen cart, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northwest corridor was obstructed by three medication carts, a crash cart, the crash cart oxygen bottle, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint and two 4-foot ladders. Observation on [DATE] at 10:20 a.m. revealed the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path down the center of the corridor. 2.) Review of Resident # 7 ' s face sheet reflected a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #7 ' s social service notes, dated [DATE] reflected a Brief Interview for Mental Status (BIMS) score of 3 out of 15 possible indicating severe impairment of mental status. Review of Resident #7 ' s care plan dated [DATE] reflected a problem of " Resident #7 has a potential to attempt to elope due to senile dementia. " Approaches listed were: " Activities will be provided to distract resident from attempting to leave facility ... Staff will monitor resident location while mobile throughout facility. Resident will wear wanderguard to alert staff if resident attempts to leave facility. " In an interview on [DATE] at 1:59 p.m. the Maintenance Director was exiting the maintenance office and stated "I got a lady that likes to ' visit ' and I can't leave this door open. Oh, she wanders in and gets into stuff." He then stated that the "visiting lady" was the Resident #7 in room [ROOM NUMBER] across the hallway from the maintenance office and next door to resident room [ROOM NUMBER]. Observation on [DATE] at 2:05 p.m. revealed that the door to resident room [ROOM NUMBER] was not locked. (the door next to Resident room [ROOM NUMBER] which was identified to have a wandering resident)The following painting supplies were being stored in room [ROOM NUMBER]: a.) Six unopened cans of Kilz - Interior Oil Base, the label stated, " Danger: Flammable liquid and vapor. Harmful or fatal if swallowed. Vapor harmful. Eye irritant. " b.) One open can with approximately ? inch of product inside of Wood Pride Semi-Gloss Quick Dry Sanding Sealer - Oil Based. The label stated, " Danger: Flammable. Harmful or fatal if swallowed. " c.) Three unopened tubes of Dap Painters All Purpose Acrylic Latex Caulk. The label stated, "Warning: May cause eye and skin irritation." d.) In an unlocked cabinet inside room [ROOM NUMBER], one open tube of Kilz Upshot Overhead Stain Sealer Interior Oil Based the label stated, "Extremely flammable liquid and vapor. Vapors may cause flash fire. Contents under pressure. Irritates eyes, skin and respiratory tract." The cabinet also contained a large tape dispenser with metal blade approximately 5 inches long and paint scrapers e.) Various cans and bottles of energy drinks, 8 in total. During an interview on [DATE] at 3:00 p.m., the Painter stated that there is only one key to the door of room [ROOM NUMBER] and that after lunch it may have been unlocked when various people were going in and out of the room. He also stated that he "knows the door should be locked all the time" and that some of the crew "barely speak English" and may not understand the importance of keeping the door locked. 3.) Observation on [DATE] at 8:20 a.m. revealed that the work crews were using a jackhammer to remove the ceramic tile from the walls and floors in the bathroom on the Northwest Wing. The bathroom was full of white dust that was leaking out of the bathroom from under the door and from where the door was partially open to allow access for the extension cord being used to power the jackhammer. The noise was so loud that the chair alarm for Resident #4 could not be heard until the Administrator and the Life Safety Code Surveyor were standing directly in front of the open door to her room. Resident #4 was standing up between her wheelchair and her bed. The Administrator went into Resident #4 ' s room and asked her to sit down and then went to get two staff members to assist Resident #4. Observation on [DATE] at 9:10 a.m. revealed that the jackhammering was still occurring on the Northwest Wing. The Northwest corridor was hazy because of the dust coming from the bathroom where the crew was jackhammering. Whenever one of the work crew would open the door to the bathroom, white dust would billow out into the hallway. Observation on [DATE] at 9:10 a.m. revealed that the nurse call for room [ROOM NUMBER] was beeping and could not be heard over the jackhammering. When the Surveyor asked Employee D, who was sitting at the Nurse Station directly in front of the nurse call system, whether or not she could hear the beeping of the nurse call for room [ROOM NUMBER], she said "oh, I didn't even hear it. All this noise is driving me crazy." Observation on [DATE] at 9:11 a.m. revealed that the fire alarm was activated sounding the general alarm. The fire alarm control panel indicated that it was activated by an initiation device in " Zone 5 " which includes the Northwest Wing. There were no visible signs of a fire. The dust was so thick in the Northwest Hall that the smoke detector registered the dust in the air as being equivalent to smoke and activated the fire alarm. The zone map was not on the wall by the fire alarm control panel. Employee D pulled the zone map out of a stack of documents on the desk at the nurse station. The alarm was silenced and the dust was allowed to settle. When the fire alarm activated, several staff came running to the North Nurse Station. One staff member was overheard saying, " I can ' t find any of the other fire extinguishers. " A second staff member was overheard saying, " I would have brought a fire extinguisher, but I don ' t know where they are. " After a few minutes the fire alarm was reset and did not activate again. During an interview on [DATE] at 10:15 a.m., Employee D stated that the work crew was moving in equipment for about 15 minutes on [DATE]. The wanderguard alarm was constantly " going off " . A CNA had to stand at the door because they were worried that the remodeling workers may not know who was a resident and they may not stop the residents from getting out of the building. She also stated that they had one resident set off the wanderguard alarm at the other end of the hall just a few minutes earlier so they were "really concerned." During an interview on [DATE] at 9:45 a.m., the Administrator stated that the jackhammering was a one-time deal and would only be occurring today. He also stated that they work crew is done with the jackhammering "so we shouldn't have any more problems with the fire alarm." 4.) Observation on [DATE] between 7:55 a.m. and 4:30 p.m. revealed that there was a very strong paint smell noticeable upon entering the facility. The smell pervaded the entire facility from front to back and in all four wings, both dining areas and both living areas. When the painters were in an area actively painting, the smell of paint was even stronger. During an interview on [DATE] at 8:40 a.m., the DON said " I have a headache, I am sick to my stomach and my eyes are swollen because of the toxins in the paint they are using (especially the Kilz). There were wires and plastic things all over the floors. They started painting on Monday(two days prior). They were here last week, but they were only texturing so it wasn ' t too bad then. This week is a real mess. It ' s very loud, there is lots of dust and paint smell and everything is chaotic. I worry that my residents are going to suffer because everything is so hectic. " During an interview on [DATE] at 9:00 a.m. Employee B said " They were using turpentine to clean the paint off the floors and it smelled really bad. " Employee B also stated that the painters were painting on Monday in the larger Dining Room and " they were doing it right over two residents ' heads. It was about 12:30 p.m. because most of the residents had already eaten lunch but two of them are a little slower and they were still eating. " During an interview on [DATE] at 10:40 a.m., Resident #6 stated that he was moved from room [ROOM NUMBER] to room [ROOM NUMBER] on Monday. He had complained about the smell of mold in his old room to the Activities Director. He said " I am glad they are fixing the place up, but the paint smell is pretty strong. Some people can take it, I guess, but I can ' t. The smell of paint is really getting to me. " Review of Resident #6 ' s Minimum Data Set, dated dated [DATE], reflected he was a [AGE] year old man readmitted to the facility on [DATE]. Review of Resident #6 ' s face sheet reflected [DIAGNOSES REDACTED]. Observation on [DATE] at 10:46 - 10:55 a.m. revealed that there were 21 residents in the large dining room participating in exercise activities. Two painters were painting two different walls in the dining room. Each painter was less than five feet from the residents and had a 5-gallon can of paint about half full of paint. The smell of paint was very strong in the large dining room. During an interview on [DATE] at 10:55 a.m., Employee L said she was " having a really hard time at work yesterday " and that she " threw up because of the paint fumes and stress. " She also said " I don ' t think the residents are getting the care they need with all of the juggling around. " During an interview on [DATE] at 11:20 a.m., Employee H said " the paint fumes today are still bad, but not as bad as the other day when they were using Kilz (primer). Resident #13 had his window open because the smell was so bad. " During an interview on [DATE] at 2:12 p.m., Resident #15 said " I have a cough that won ' t quit. All this paint and dust just aggravates it. The noise is really bad too. I just stay in my room. " Review of Resident #15 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:20 p.m. Resident #13 said "the paint smell has been really bad. I had to open my window because of the smell. It made my room hot, but better than having to breathe all that paint. The noise and confusion is horrendous. I will just be glad when it is all done." Review of Resident #13 ' s face sheet reflected he was an [AGE] year old man admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:30 p.m., Resident #9 said " I had to move on Monday. It was just all of a sudden without warning. The paint and dust makes it hard for me to breathe. At least it is a little quieter over here (South Hall). The noise over there (North Hall) was really bad. I don ' t like all this mess and it is really hot all the time. I have a headache maybe from the noise or the smell. " Review of Resident #9 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:26 p.m., Resident #11 said " my eyes burn, head hurts, throat feels raw. I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It ' s very hectic. " Review of Resident #11 ' s face sheet reflected he was a [AGE] year old man admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:45 p.m., Resident #2 said "the other day, maybe Monday or Tuesday, the painters were working above my head painting and the smell was awful. My head started hurting, my throat was burning, my nose was burning and I felt really bad. I griped to the aides and the Nurse checked me out. She said I was okay, but I was really worried because I almost died of pneumonia 11 months ago. I am 97 and things are starting to break down. By the time I went to bed, I felt better. I don ' t know what they were painting with, but it was really strong. " Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s Nurses Notes, dated [DATE] at 4:30 p.m. reflected " Resident complained re. construction worker spraying in dining room during bingo. States that nose and eyes " burn a little " stated she smelled the paint fumed. Resident assessed per this nurse and DON. Lungs clear to auscultation. No redness noted to eyes. Vitals noted. " During an interview on [DATE] at 3:20 p.m., Resident #12 said " my head hurts from all the fumes and noise. My eyes and throat are burning. They really need to hurry up and get done. I don ' t like all this mess. " During an interview on [DATE] at 3:25 p.m., Employee M said " The painters were painting right over the residents. It was the first day (Monday) and about 12:30 p.m. Most of the residents had finished eating, but some of them eat slower and there were still about four people eating in the North Dining Room. There were two or three painters and they were just painting right over the residents ' heads while they were still eating. That's not right. The paint could get in their food and it could be bad for them. The painters should have waited until everyone was done. I think the changes will be nice, but it is too much, too fast. " During an interview on [DATE] at 3:30 p.m., Resident #5 said "my eyes really burn and my chest hurts; it's hard to breathe. I haven't told anyone because they are all so busy with all this and I don't want to be a complainer." Review of Resident #5 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observation on [DATE] at 3:15 p.m. revealed a paint smell prevalent at the front dining room and throughout the North Hall. Painting was occurring in the North Living Room and in the Service Hall connected to the North Hall. The North Living Room was " taped off " to restrict entry to the area, but the Service Hall was not " taped off. " No residents were noted in the area at the time of observation. No painters were in the area and there were open paint cans, rollers, paint brushes and drop cloths. The painters returned to the area at 3:25 p.m. on [DATE]. 5.) Review of Resident #1 ' s, outpatient history and physical, dated [DATE] reflected a [AGE] year old male with [DIAGNOSES REDACTED]. Review of Resident #1 ' s clinical record revealed he was admitted to the facility on [DATE]. Review of the Resident Incident Report dated [DATE] reflected that Resident #1 fell when he was walking in the hallway. The narrative of the incident states "This nurse was called to the northwest hallway and observed resident sitting on buttocks on the floor with walker in front of him. Stated 'I just slipped or my walker got caught but I lost my balance and fell on my bottom.' Neuro's checked and are stable. Denies any pain or discomfort. AROM in all ext. Shoes were on. Floor was dry but noted with debris, as hallway is being remodeled. Assisted up X 2 to standing position and ambulated back to room w/o difficulty." The wound assessment report reflected that the resident received a "bruise caused by wanderguard when attempting to break a fall." Review of Resident #1 ' s Daily Skilled Flowsheet, dated [DATE] at 2:00 p.m., reflected, " Bruise noted on right wrist from wanderguard, deep purple in color. " Resident states, " Yea I felt it hit there when I broke my fall. " During an interview on [DATE] at 2:05 p.m. the Social Worker said "Resident #1 fell last week. He has cognitive impairment, is hard of hearing, has adequate vision, but not great, his eyes are milky, and he is very weak physically. He had a bad fall at home and was admitted to the hospital, then his family member brought him here. He may not be able to see all the drop cloths in the hallways." During an interview on [DATE] at 5:45 p.m. Employee C stated that when Resident #1 fell on [DATE] there was a lot of debris in the hallway because of the remodeling. She also stated that after Resident #1 fell she spoke with the work crew and told them they had to remove their debris from the hallway. The work crew wanted to wait until later to pick up the debris, but the employee insisted they do it right away. Review of Resident #1 ' s Initial Interdisciplinary Care Plan reflected that Resident #1 was high risk for falls due to new environment, unsteady gait, history of falls and confusion. Approaches used were a " tattle tail " alarm, falling leaves protocol, and " other " was checked with no additional details. Review of the undated "Items Not Allowed in Resident Room" policy reflected: " NOTE: A good rule of thumb has been established by the Food and Drug Administration whereby any products labeled Keep out of reach of children or carries any type of caution label is merchandise that contains ingredients which are harmful if taken without supervision or used in a way not designated. Many of our residents, due to mental impairments or poor eyesight might inadvertently d

Based on observation, interview and record review, the facility failed to ensure that the environment was free of hazards for residents for 4 of 4 hallways and 2 of 2 dining areas. when: 1.) The facility failed to ensure that four of four corridors, (the Northwest Hall, the Northeast Hall, the Southwest Hall and the Southeast Hall), and one of four exit doors (the Southwest exit door) were maintained free of all obstructions or impediments to evacuation preventing timely exit in the event of fire or other emergency. 2.) The facility failed to secure construction equipment, chemicals and other hazardous objects for four of four corridors and common areas for one of seven residents, Resident #7, reviewed for incidents and accidents were identified as having wandering behavior. 3.) Noise levels in the facility were loud enough that staff were unable to hear wanderguard alarms, chair alarms and call light systems to promptly notify them of resident care needs. Construction dust set off fire alarm systems creating additional emergency alarms. 4.) The facility failed to properly ventilate paint and chemical fumes away from resident areas and cause resident discomfort, headaches, sore throats, and nausea for 9 of 16 residents reviewed for environmental conditions (Resident #2, #4, #5, #6, #9, #11, #12, #13 and #15). 5.) One (1) of seven (7) residents reviewed for incidents and accidents, Resident #1, fell on [DATE] in a hallway that was being remodeled causing bruising to the Resident ' s wrist. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:50 p.m. While the IJ was lowered to a non-immediate Jeopardy on [DATE] at 8:40 p.m. The facility remained out of compliance at widespread with potential for more than minimal harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 52 residents identified as living in the facility at risk for prevention of timely exit in the event of fire or other emergency, injury and illness including falls, scrapes, cuts, skin tears, respiratory difficulties, headaches, dizziness, nausea, vomiting and possible death. Findings include: 1.) Observation on [DATE] at 10:15 a.m., 11:15 a.m., 1:00 p.m., 3:00 p.m. and 4:06 p.m., revealed that the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path, 3 feet 8 inches wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m. revealed two residents in wheel chairs attempting to navigate the Northwest corridor in different directions. The residents could not access the handrails because the handrails were blocked by the items in the corridor. The residents could not pass each other in the corridor because there was not enough clear space for both wheelchairs. One resident was overheard telling the other "you go ahead, I'll wait. There just isn't enough room for both of us." One resident allowed the other to pass through the narrowing of the hallway and then proceeded after the resident cleared. Observation on [DATE] at 10:17 a.m., 11:17 a.m., 1:02 p.m., 3:02 p.m. and 4:08 p.m., revealed that the Northeast corridor was obstructed by a wheel chair, a hoyer lift, two linen carts, a chair, a 30-gallon trash can, a medication cart, a hydration cart, two 5-gallon paint cans about half full of paint, a 2 foot x 1 foot tool kit, two 2 foot x 5 foot drop cloths, two fire extinguishers and a rolling cart. The items were on both sides of the corridor leaving only a narrow path, 3 feet 10 inches wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D stated that the wheelchair in the Northeast corridor belongs to Resident #3. Employee D stated that the resident used to be in room #51 and had a room to herself. Employee D stated that the resident is now in room #55 because of the construction and has to share a room so there is no room to store her wheelchair in the room. Employee D also said that "there is stuff everywhere and no room to put anything." Observation on [DATE] at 10:19 a.m., 11:19 a.m., 1:04 p.m., 3:04 p.m. and 4:10 p.m., revealed that the Southwest corridor was obstructed by a medication cart, a housekeeping cart, a 30-gallon trash can, a fire extinguisher, a rolling cart, two ladders, two wooden dressers, a plastic chair, a 5-gallon paint can about half full of pain, a 2 foot x 5 foot drop cloth and five boxes of flooring materials. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m., 11:20 a.m., 1:05 p.m., 3:05 p.m. and 4:11 p.m. revealed that the Southeast corridor was obstructed by two ladders, two fire extinguishers, plastic "wet floor" signs, one 2 foot x 5 foot drop cloth, one 5-gallon paint can, one 1-gallon paint can, a linen cart, a hydration cart and a hoyer lift. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D said "Last week they were just texturing. It was just a couple of workers and it wasn't so bad. This week there are workers everywhere. There is all kinds of stuff in the hallway making it difficult to get around. I wish they would add more staff during the remodeling. We are having to do extra, take extra precautions safety-wise and it's really hard to get everything done. Observation on [DATE] at 11:45 a.m. and 1:00 p.m. revealed that the exit door on the Southwest corridor was blocked by four pallets on construction materials (two pallets of gypsum board, one pallet of flooring materials in boxes and one pallet of cans of glue and bags or mortar). The exit door would open, but once outside the door you could not exit the immediate area. The pallets formed an "L" shape that blocked the area directly in front of the exit door and directly to the left of the exit door. Directly to the right of the exit door leads to the back side of the building and not to the public way. During an interview on [DATE] at 9:00 a.m. Employee B said "I am having a hard time getting stuff done because all this stuff is everywhere in the halls. Stuff like the painters' stuff and things they pulled out of the bedrooms." During an interview on [DATE] at 9:50 a.m. Employee B said "I don't understand why the updates are being done this way. I don't know why they didn't do half the building then the other half so the residents will be safe." She also said "all of the residents have been complaining to whoever will listen, but it doesn't seem like anyone is doing anything to change it." During an interview on [DATE] at 10:55 a.m. Employee L said "I told the Administrator why don't we do half the building then move everyone to the fixed up part and do the other half of the remodeling. He told me that the Owner is doing it this way (all over the building at the same time) and there is nothing he can do about it." During an interview on [DATE] at 11:20 a.m. Employee H said "My job is more difficult with all of the remodeling going on. I am the only aide for 16 residents on the South Hall. They are mostly independent except for three of the residents. All the stuff in the halls and all of the commotion makes it really hard to get anything done. It takes extra time to get my job done." During an interview on [DATE] at 11:50 a.m. Employee K said "It's so hectic and crowded right now. It's much harder to get my job done." She also said "None of the residents have complained to me about the changes, but I hear them mumbling to themselves saying 'it's too noisy' or 'it's too crowded' or 'that's in my way'." During an interview on [DATE] at 12:00 p.m. the Administrator said "we don't have the room to do half the facility at a time instead of all over at once. A lot of the empty rooms are full of materials and equipment for the remodeling. Plus the residents are used to having a room to themselves and they refuse to share a room. If the crews could store their materials off-site we might have room to empty half the facility and do all the work there, then move the residents to the finished part and do the other half." The Administrator also stated that he would get a trailer and move the old furniture out of the halls. During an interview on [DATE] at 2:00 p.m. the Social Worker said "There are paint cans and equipment everywhere and the fire extinguishers are off the walls. It's very chaotic. Last week they were just texturing and it wasn't so bad. This week there are many more painters here and the chaos is much worse." Observation on [DATE] at 1:05 p.m. revealed Resident #11 in the Southwest hallway ambulating down the hallway. The resident held on to handrails where they were unobstructed by items being stored in the hallway. When the handrail was not available he held onto furniture or equipment to steady himself as he continued down the hallway. During an interview on [DATE] at 2:36 p.m. Resident #11 said "I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It's very hectic." During an interview on [DATE] at 3:10 p.m. the Owner said "I chose this crew because they came highly recommended and have done remodeling on several nursing facilities before. We assumed they knew what they were doing and hoped they had a plan to accommodate the residents." During an interview on [DATE] at 3:40 p.m. Resident #4 said "I have been telling everyone that there is a problem, but no one is listening. They have made a big mess with these updates. There is equipment, tools and paint, all kinds of things all over the place. You can't go from one end to the other without something or someone in your way. Those painters are everywhere and really stinking up the place. The noise and confusion is so much that I can't even hear myself think. The staff are running around like chickens with their heads cut off." Observation on [DATE] at 4:28 p.m. revealed that the sidewalk outside the exit door on the Northeast corridor was partially blocked by toilets and other bathroom fixtures that had been removed from four resident rooms. During an interview on [DATE] at 5:15 p.m. the Administrator stated that he had to rent a storage unit for all of the furniture that was in the hallways because there was no room to store it in the facility. He also stated that two of the pallets of flooring material were too heavy for the floor jack and had to be broken down and moved by hand. He stated that the pallets were outside the Southwest exit door for longer than the rest of the materials because it took a while to unload and store the boxes of flooring material. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northeast corridor was obstructed by a 5 foot x 3 foot rolling cart with boxes of bathroom fixtures, a 2 foot x 1 foot tool kit, a hoyer lift, a linen cart, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northwest corridor was obstructed by three medication carts, a crash cart, the crash cart oxygen bottle, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint and two 4-foot ladders. Observation on [DATE] at 10:20 a.m. revealed the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path down the center of the corridor. 2.) Review of Resident # 7 ' s face sheet reflected a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #7 ' s social service notes, dated [DATE] reflected a Brief Interview for Mental Status (BIMS) score of 3 out of 15 possible indicating severe impairment of mental status. Review of Resident #7 ' s care plan dated [DATE] reflected a problem of " Resident #7 has a potential to attempt to elope due to senile dementia. " Approaches listed were: " Activities will be provided to distract resident from attempting to leave facility ... Staff will monitor resident location while mobile throughout facility. Resident will wear wanderguard to alert staff if resident attempts to leave facility. " In an interview on [DATE] at 1:59 p.m. the Maintenance Director was exiting the maintenance office and stated "I got a lady that likes to ' visit ' and I can't leave this door open. Oh, she wanders in and gets into stuff." He then stated that the "visiting lady" was the Resident #7 in room 21 across the hallway from the maintenance office and next door to resident room number 22. Observation on [DATE] at 2:05 p.m. revealed that the door to resident room #22 was not locked. (the door next to Resident Room #21 which was identified to have a wandering resident)The following painting supplies were being stored in room #22: a.) Six unopened cans of Kilz - Interior Oil Base, the label stated, " Danger: Flammable liquid and vapor. Harmful or fatal if swallowed. Vapor harmful. Eye irritant. " b.) One open can with approximately ? inch of product inside of Wood Pride Semi-Gloss Quick Dry Sanding Sealer - Oil Based. The label stated, " Danger: Flammable. Harmful or fatal if swallowed. " c.) Three unopened tubes of Dap Painters All Purpose Acrylic Latex Caulk. The label stated, "Warning: May cause eye and skin irritation." d.) In an unlocked cabinet inside room #22, one open tube of Kilz Upshot Overhead Stain Sealer Interior Oil Based the label stated, "Extremely flammable liquid and vapor. Vapors may cause flash fire. Contents under pressure. Irritates eyes, skin and respiratory tract." The cabinet also contained a large tape dispenser with metal blade approximately 5 inches long and paint scrapers e.) Various cans and bottles of energy drinks, 8 in total. During an interview on [DATE] at 3:00 p.m., the Painter stated that there is only one key to the door of room #22 and that after lunch it may have been unlocked when various people were going in and out of the room. He also stated that he "knows the door should be locked all the time" and that some of the crew "barely speak English" and may not understand the importance of keeping the door locked. 3.) Observation on [DATE] at 8:20 a.m. revealed that the work crews were using a jackhammer to remove the ceramic tile from the walls and floors in the bathroom on the Northwest Wing. The bathroom was full of white dust that was leaking out of the bathroom from under the door and from where the door was partially open to allow access for the extension cord being used to power the jackhammer. The noise was so loud that the chair alarm for Resident #4 could not be heard until the Administrator and the Life Safety Code Surveyor were standing directly in front of the open door to her room. Resident #4 was standing up between her wheelchair and her bed. The Administrator went into Resident #4 ' s room and asked her to sit down and then went to get two staff members to assist Resident #4. Observation on [DATE] at 9:10 a.m. revealed that the jackhammering was still occurring on the Northwest Wing. The Northwest corridor was hazy because of the dust coming from the bathroom where the crew was jackhammering. Whenever one of the work crew would open the door to the bathroom, white dust would billow out into the hallway. Observation on [DATE] at 9:10 a.m. revealed that the nurse call for room #42 was beeping and could not be heard over the jackhammering. When the Surveyor asked Employee D, who was sitting at the Nurse Station directly in front of the nurse call system, whether or not she could hear the beeping of the nurse call for room #42, she said "oh, I didn't even hear it. All this noise is driving me crazy." Observation on [DATE] at 9:11 a.m. revealed that the fire alarm was activated sounding the general alarm. The fire alarm control panel indicated that it was activated by an initiation device in " Zone 5 " which includes the Northwest Wing. There were no visible signs of a fire. The dust was so thick in the Northwest Hall that the smoke detector registered the dust in the air as being equivalent to smoke and activated the fire alarm. The zone map was not on the wall by the fire alarm control panel. Employee D pulled the zone map out of a stack of documents on the desk at the nurse station. The alarm was silenced and the dust was allowed to settle. When the fire alarm activated, several staff came running to the North Nurse Station. One staff member was overheard saying, " I can ' t find any of the other fire extinguishers. " A second staff member was overheard saying, " I would have brought a fire extinguisher, but I don ' t know where they are. " After a few minutes the fire alarm was reset and did not activate again. During an interview on [DATE] at 10:15 a.m., Employee D stated that the work crew was moving in equipment for about 15 minutes on [DATE]. The wanderguard alarm was constantly " going off " . A CNA had to stand at the door because they were worried that the remodeling workers may not know who was a resident and they may not stop the residents from getting out of the building. She also stated that they had one resident set off the wanderguard alarm at the other end of the hall just a few minutes earlier so they were "really concerned." During an interview on [DATE] at 9:45 a.m., the Administrator stated that the jackhammering was a one-time deal and would only be occurring today. He also stated that they work crew is done with the jackhammering "so we shouldn't have any more problems with the fire alarm." 4.) Observation on [DATE] between 7:55 a.m. and 4:30 p.m. revealed that there was a very strong paint smell noticeable upon entering the facility. The smell pervaded the entire facility from front to back and in all four wings, both dining areas and both living areas. When the painters were in an area actively painting, the smell of paint was even stronger. During an interview on [DATE] at 8:40 a.m., the DON said " I have a headache, I am sick to my stomach and my eyes are swollen because of the toxins in the paint they are using (especially the Kilz). There were wires and plastic things all over the floors. They started painting on Monday(two days prior). They were here last week, but they were only texturing so it wasn ' t too bad then. This week is a real mess. It ' s very loud, there is lots of dust and paint smell and everything is chaotic. I worry that my residents are going to suffer because everything is so hectic. " During an interview on [DATE] at 9:00 a.m. Employee B said " They were using turpentine to clean the paint off the floors and it smelled really bad. " Employee B also stated that the painters were painting on Monday in the larger Dining Room and " they were doing it right over two residents ' heads. It was about 12:30 p.m. because most of the residents had already eaten lunch but two of them are a little slower and they were still eating. " During an interview on [DATE] at 10:40 a.m., Resident #6 stated that he was moved from room #53 to room #44 on Monday. He had complained about the smell of mold in his old room to the Activities Director. He said " I am glad they are fixing the place up, but the paint smell is pretty strong. Some people can take it, I guess, but I can ' t. The smell of paint is really getting to me. " Review of Resident #6 ' s Minimum Data Set, dated dated [DATE], reflected he was a [AGE] year old man readmitted to the facility on [DATE]. Review of Resident #6 ' s face sheet reflected [DIAGNOSES REDACTED]. Observation on [DATE] at 10:46 - 10:55 a.m. revealed that there were 21 residents in the large dining room participating in exercise activities. Two painters were painting two different walls in the dining room. Each painter was less than five feet from the residents and had a 5-gallon can of paint about half full of paint. The smell of paint was very strong in the large dining room. During an interview on [DATE] at 10:55 a.m., Employee L said she was " having a really hard time at work yesterday " and that she " threw up because of the paint fumes and stress. " She also said " I don ' t think the residents are getting the care they need with all of the juggling around. " During an interview on [DATE] at 11:20 a.m., Employee H said " the paint fumes today are still bad, but not as bad as the other day when they were using Kilz (primer). Resident #13 had his window open because the smell was so bad. " During an interview on [DATE] at 2:12 p.m., Resident #15 said " I have a cough that won ' t quit. All this paint and dust just aggravates it. The noise is really bad too. I just stay in my room. " Review of Resident #15 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:20 p.m. Resident #13 said "the paint smell has been really bad. I had to open my window because of the smell. It made my room hot, but better than having to breathe all that paint. The noise and confusion is horrendous. I will just be glad when it is all done." Review of Resident #13 ' s face sheet reflected he was an [AGE] year old man admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:30 p.m., Resident #9 said " I had to move on Monday. It was just all of a sudden without warning. The paint and dust makes it hard for me to breathe. At least it is a little quieter over here (South Hall). The noise over there (North Hall) was really bad. I don ' t like all this mess and it is really hot all the time. I have a headache maybe from the noise or the smell. " Review of Resident #9 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:26 p.m., Resident #11 said " my eyes burn, head hurts, throat feels raw. I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It ' s very hectic. " Review of Resident #11 ' s face sheet reflected he was a [AGE] year old man admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:45 p.m., Resident #2 said "the other day, maybe Monday or Tuesday, the painters were working above my head painting and the smell was awful. My head started hurting, my throat was burning, my nose was burning and I felt really bad. I griped to the aides and the Nurse checked me out. She said I was okay, but I was really worried because I almost died of pneumonia 11 months ago. I am 97 and things are starting to break down. By the time I went to bed, I felt better. I don ' t know what they were painting with, but it was really strong. " Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s Nurses Notes, dated [DATE] at 4:30 p.m. reflected " Resident complained re. construction worker spraying in dining room during bingo. States that nose and eyes " burn a little " stated she smelled the paint fumed. Resident assessed per this nurse and DON. Lungs clear to auscultation. No redness noted to eyes. Vitals noted. " During an interview on [DATE] at 3:20 p.m., Resident #12 said " my head hurts from all the fumes and noise. My eyes and throat are burning. They really need to hurry up and get done. I don ' t like all this mess. " During an interview on [DATE] at 3:25 p.m., Employee M said " The painters were painting right over the residents. It was the first day (Monday) and about 12:30 p.m. Most of the residents had finished eating, but some of them eat slower and there were still about four people eating in the North Dining Room. There were two or three painters and they were just painting right over the residents ' heads while they were still eating. That's not right. The paint could get in their food and it could be bad for them. The painters should have waited until everyone was done. I think the changes will be nice, but it is too much, too fast. " During an interview on [DATE] at 3:30 p.m., Resident #5 said "my eyes really burn and my chest hurts; it's hard to breathe. I haven't told anyone because they are all so busy with all this and I don't want to be a complainer." Review of Resident #5 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observation on [DATE] at 3:15 p.m. revealed a paint smell prevalent at the front dining room and throughout the North Hall. Painting was occurring in the North Living Room and in the Service Hall connected to the North Hall. The North Living Room was " taped off " to restrict entry to the area, but the Service Hall was not " taped off. " No residents were noted in the area at the time of observation. No painters were in the area and there were open paint cans, rollers, paint brushes and drop cloths. The painters returned to the area at 3:25 p.m. on [DATE]. 5.) Review of Resident #1 ' s, outpatient history and physical, dated [DATE] reflected a [AGE] year old male with [DIAGNOSES REDACTED]. Review of Resident #1 ' s clinical record revealed he was admitted to the facility on [DATE]. Review of the Resident Incident Report dated [DATE] reflected that Resident #1 fell when he was walking in the hallway. The narrative of the incident states "This nurse was called to the northwest hallway and observed resident sitting on buttocks on the floor with walker in front of him. Stated 'I just slipped or my walker got caught but I lost my balance and fell on my bottom.' Neuro's checked and are stable. Denies any pain or discomfort. AROM in all ext. Shoes were on. Floor was dry but noted with debris, as hallway is being remodeled. Assisted up X 2 to standing position and ambulated back to room w/o difficulty." The wound assessment report reflected that the resident received a "bruise caused by wanderguard when attempting to break a fall." Review of Resident #1 ' s Daily Skilled Flowsheet, dated [DATE] at 2:00 p.m., reflected, " Bruise noted on right wrist from wanderguard, deep purple in color. " Resident states, " Yea I felt it hit there when I broke my fall. " During an interview on [DATE] at 2:05 p.m. the Social Worker said "Resident #1 fell last week. He has cognitive impairment, is hard of hearing, has adequate vision, but not great, his eyes are milky, and he is very weak physically. He had a bad fall at home and was admitted to the hospital, then his family member brought him here. He may not be able to see all the drop cloths in the hallways." During an interview on [DATE] at 5:45 p.m. Employee C stated that when Resident #1 fell on [DATE] there was a lot of debris in the hallway because of the remodeling. She also stated that after Resident #1 fell she spoke with the work crew and told them they had to remove their debris from the hallway. The work crew wanted to wait until later to pick up the debris, but the employee insisted they do it right away. Review of Resident #1 ' s Initial Interdisciplinary Care Plan reflected that Resident #1 was high risk for falls due to new environment, unsteady gait, history of falls and confusion. Approaches used were a " tattle tail " alarm, falling leaves protocol, and " other " was checked with no additional details. Review of the undated "Items Not Allowed in Resident Room" policy reflected: " NOTE: A good rule of thumb has been established by the Food and Drug Administration whereby any products labeled Keep out of reach of children or carries any type of caution label is merchandise that contains ingredients which are harmful if taken without supervision or used in a way not designated. Many of our residents, due to mental impairments or poor eyesight might inadvertently drink or eat some of the items causing irreparable harm. " The policy reflected that the facility does not allow the following items in resident rooms: SAFETY HAZARDS: -Aerosol cans of any products that are combustible; -Razors and blades, i.e. a razor with a band type cartridge where the blade cannot be removed is permitted under some circumstances; -Scissors or knives - only blunt edge scissors are permitted; -Excess papers or furnishings - those items that can cause fires or falls; and -Extension cords and multiple plugs are not allowed. Review of the " Oxygen Administration " policy, dated [DATE], reflected that the policy requires the facility to, " Place NO SMOKING signs in area when oxygen is administered and stored. Store oxygen canister in an area free of flammable substances. Avoid the use of electrical appliances in the area of oxygen use as well. " The Administrator was notified on [DATE] at 4:50 p.m. that an Immediate Jeopardy situation was identified due to the above failures. The facility submitted their first plan of removal on [DATE] at 5:35 p.m. The facility's final Plan of Removal was accepted on [DATE] at 6:55 p.m. and included: 1.) Remove any items, deb

Based on observation and interview the facility failed to provide a safe, functional, sanitary and comfortable environment for residents for 4 of 4 hallways and 2 of 2 dining areas. 1.) The facility failed to ensure that four of four corridors, (the Northwest Hall, the Northeast Hall, the Southwest Hall and the Southeast Hall), and one of four exit doors (the Southwest exit door) were maintained free of all obstructions or impediments to evacuation preventing timely exit in the event of fire or other emergency. 2.) The facility failed to secure construction equipment, chemicals and other hazardous objects for four of four corridors and common areas for one of seven residents, Resident #7, reviewed for incidents and accidents were identified as having wandering behavior. 3.) Noise levels in the facility were loud enough that staff were unable to hear wanderguard alarms, chair alarms and call light systems to promptly notify them of resident care needs. Construction dust set off fire alarm systems creating additional emergency alarms. 4.) The facility failed to properly ventilate paint and chemical fumes away from resident areas and cause resident discomfort, headaches, sore throats, and nausea for 9 of 16 residents reviewed for environmental conditions (Resident #2, #4, #5, #6, #9, #11, #12, #13 and #15). 5.) One (1) of seven (7) residents reviewed for incidents and accidents, Resident #1, fell on [DATE] in a hallway that was being remodeled causing bruising to the Resident ' s wrist. An Immediate Jeopardy (IJ) situation was identified on 07/31/13 at 4:50 p.m. While the IJ was lowered to a non-immediate Jeopardy on 08/01/13 at 8:40 p.m. The facility remained out of compliance at widespread with potential for more than minimal harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 52 residents identified as living in the facility at risk for injury and illness including falls, scrapes, cuts, skin tears, respiratory difficulties, headaches, dizziness, nausea, vomiting and possible death. Findings include: 1.) Observation on 07/31/13 at 10:15 a.m., 11:15 a.m., 1:00 p.m., 3:00 p.m. and 4:06 p.m., revealed that the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path, 3 feet 8 inches wide, down the center of the corridor. Observation on 07/31/13 at 10:20 a.m. revealed two residents in wheel chairs attempting to navigate the Northwest corridor in different directions. The residents could not access the handrails because the handrails were blocked by the items in the corridor. The residents could not pass each other in the corridor because there was not enough clear space for both wheelchairs. One resident was overheard telling the other "you go ahead, I'll wait. There just isn't enough room for both of us." One resident allowed the other to pass through the narrowing of the hallway and then proceeded after the resident cleared. Observation on 07/31/13 at 10:17 a.m., 11:17 a.m., 1:02 p.m., 3:02 p.m. and 4:08 p.m., revealed that the Northeast corridor was obstructed by a wheel chair, a hoyer lift, two linen carts, a chair, a 30-gallon trash can, a medication cart, a hydration cart, two 5-gallon paint cans about half full of paint, a 2 foot x 1 foot tool kit, two 2 foot x 5 foot drop cloths, two fire extinguishers and a rolling cart. The items were on both sides of the corridor leaving only a narrow path, 3 feet 10 inches wide, down the center of the corridor. During an interview on 07/31/13 at 10:15 a.m. Employee D stated that the wheelchair in the Northeast corridor belongs to Resident #3. Employee D stated that the resident used to be in room #51 and had a room to herself. Employee D stated that the resident is now in room #55 because of the construction and has to share a room so there is no room to store her wheelchair in the room. Employee D also said that "there is stuff everywhere and no room to put anything." Observation on 07/31/13 at 10:19 a.m., 11:19 a.m., 1:04 p.m., 3:04 p.m. and 4:10 p.m., revealed that the Southwest corridor was obstructed by a medication cart, a housekeeping cart, a 30-gallon trash can, a fire extinguisher, a rolling cart, two ladders, two wooden dressers, a plastic chair, a 5-gallon paint can about half full of pain, a 2 foot x 5 foot drop cloth and five boxes of flooring materials. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. Observation on 07/31/13 at 10:20 a.m., 11:20 a.m., 1:05 p.m., 3:05 p.m. and 4:11 p.m. revealed that the Southeast corridor was obstructed by two ladders, two fire extinguishers, plastic "wet floor" signs, one 2 foot x 5 foot drop cloth, one 5-gallon paint can, one 1-gallon paint can, a linen cart, a hydration cart and a hoyer lift. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. During an interview on 07/31/13 at 10:15 a.m. Employee D said "Last week they were just texturing. It was just a couple of workers and it wasn't so bad. This week there are workers everywhere. There is all kinds of stuff in the hallway making it difficult to get around. I wish they would add more staff during the remodeling. We are having to do extra, take extra precautions safety-wise and it's really hard to get everything done. Observation on 07/31/13 at 11:45 a.m. and 1:00 p.m. revealed that the exit door on the Southwest corridor was blocked by four pallets on construction materials (two pallets of gypsum board, one pallet of flooring materials in boxes and one pallet of cans of glue and bags or mortar). The exit door would open, but once outside the door you could not exit the immediate area. The pallets formed an "L" shape that blocked the area directly in front of the exit door and directly to the left of the exit door. Directly to the right of the exit door leads to the back side of the building and not to the public way. During an interview on 07/31/13 at 9:00 a.m. Employee B said "I am having a hard time getting stuff done because all this stuff is everywhere in the halls. Stuff like the painters' stuff and things they pulled out of the bedrooms." During an interview on 07/31/13 at 9:50 a.m. Employee B said "I don't understand why the updates are being done this way. I don't know why they didn't do half the building then the other half so the residents will be safe." She also said "all of the residents have been complaining to whoever will listen, but it doesn't seem like anyone is doing anything to change it." During an interview on 07/31/13 at 10:55 a.m. Employee L said "I told the Administrator why don't we do half the building then move everyone to the fixed up part and do the other half of the remodeling. He told me that the Owner is doing it this way (all over the building at the same time) and there is nothing he can do about it." During an interview on 07/31/13 at 11:20 a.m. Employee H said "My job is more difficult with all of the remodeling going on. I am the only aide for 16 residents on the South Hall. They are mostly independent except for three of the residents. All the stuff in the halls and all of the commotion makes it really hard to get anything done. It takes extra time to get my job done." During an interview on 07/31/13 at 11:50 a.m. Employee K said "It's so hectic and crowded right now. It's much harder to get my job done." She also said "None of the residents have complained to me about the changes, but I hear them mumbling to themselves saying 'it's too noisy' or 'it's too crowded' or 'that's in my way'." During an interview on 07/31/13 at 12:00 p.m. the Administrator said "we don't have the room to do half the facility at a time instead of all over at once. A lot of the empty rooms are full of materials and equipment for the remodeling. Plus the residents are used to having a room to themselves and they refuse to share a room. If the crews could store their materials off-site we might have room to empty half the facility and do all the work there, then move the residents to the finished part and do the other half." The Administrator also stated that he would get a trailer and move the old furniture out of the halls. During an interview on 07/31/13 at 2:00 p.m. the Social Worker said "There are paint cans and equipment everywhere and the fire extinguishers are off the walls. It's very chaotic. Last week they were just texturing and it wasn't so bad. This week there are many more painters here and the chaos is much worse." Observation on 07/31/13 at 1:05 p.m. revealed Resident #11 in the Southwest hallway ambulating down the hallway. The resident held on to handrails where they were unobstructed by items being stored in the hallway. When the handrail was not available he held onto furniture or equipment to steady himself as he continued down the hallway. During an interview on 07/31/13 at 2:36 p.m. Resident #11 said "I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It's very hectic." During an interview on 07/31/13 at 3:10 p.m. the Owner said "I chose this crew because they came highly recommended and have done remodeling on several nursing facilities before. We assumed they knew what they were doing and hoped they had a plan to accommodate the residents." During an interview on 07/31/13 at 3:40 p.m. Resident #4 said "I have been telling everyone that there is a problem, but no one is listening. They have made a big mess with these updates. There is equipment, tools and paint, all kinds of things all over the place. You can't go from one end to the other without something or someone in your way. Those painters are everywhere and really stinking up the place. The noise and confusion is so much that I can't even hear myself think. The staff are running around like chickens with their heads cut off." Observation on 07/31/13 at 4:28 p.m. revealed that the sidewalk outside the exit door on the Northeast corridor was partially blocked by toilets and other bathroom fixtures that had been removed from four resident rooms. During an interview on 07/31/13 at 5:15 p.m. the Administrator stated that he had to rent a storage unit for all of the furniture that was in the hallways because there was no room to store it in the facility. He also stated that two of the pallets of flooring material were too heavy for the floor jack and had to be broken down and moved by hand. He stated that the pallets were outside the Southwest exit door for longer than the rest of the materials because it took a while to unload and store the boxes of flooring material. Observation on 08/01/13 at 8:50 a.m. and 9:21 a.m. revealed that the Northeast corridor was obstructed by a 5 foot x 3 foot rolling cart with boxes of bathroom fixtures, a 2 foot x 1 foot tool kit, a hoyer lift, a linen cart, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint. Observation on 08/01/13 at 8:50 a.m. and 9:21 a.m. revealed that the Northwest corridor was obstructed by three medication carts, a crash cart, the crash cart oxygen bottle, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint and two 4-foot ladders. Observation on 07/31/13 at 10:20 a.m. revealed the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path down the center of the corridor. 2.) Review of Resident # 7 ' s face sheet reflected a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #7 ' s social service notes, dated 06/12/13 reflected a Brief Interview for Mental Status (BIMS) score of 3 out of 15 possible indicating severe impairment of mental status. Review of Resident #7 ' s care plan dated 01/08/13 reflected a problem of " Resident #7 has a potential to attempt to elope due to senile dementia. " Approaches listed were: " Activities will be provided to distract resident from attempting to leave facility ... Staff will monitor resident location while mobile throughout facility. Resident will wear wanderguard to alert staff if resident attempts to leave facility. " In an interview on 08/01/13 at 1:59 p.m. the Maintenance Director was exiting the maintenance office and stated "I got a lady that likes to ' visit ' and I can't leave this door open. Oh, she wanders in and gets into stuff." He then stated that the "visiting lady" was the Resident #7 in room 21 across the hallway from the maintenance office and next door to resident room number 22. Observation on 08/01/13 at 2:05 p.m. revealed that the door to resident room #22 was not locked. (the door next to Resident Room #21 which was identified to have a wandering resident)The following painting supplies were being stored in room #22: a.) Six unopened cans of Kilz - Interior Oil Base, the label stated, " Danger: Flammable liquid and vapor. Harmful or fatal if swallowed. Vapor harmful. Eye irritant. " b.) One open can with approximately ? inch of product inside of Wood Pride Semi-Gloss Quick Dry Sanding Sealer - Oil Based. The label stated, " Danger: Flammable. Harmful or fatal if swallowed. " c.) Three unopened tubes of Dap Painters All Purpose Acrylic Latex Caulk. The label stated, "Warning: May cause eye and skin irritation." d.) In an unlocked cabinet inside room #22, one open tube of Kilz Upshot Overhead Stain Sealer Interior Oil Based the label stated, "Extremely flammable liquid and vapor. Vapors may cause flash fire. Contents under pressure. Irritates eyes, skin and respiratory tract." The cabinet also contained a large tape dispenser with metal blade approximately 5 inches long and paint scrapers e.) Various cans and bottles of energy drinks, 8 in total. During an interview on 08/01/13 at 3:00 p.m., the Painter stated that there is only one key to the door of room #22 and that after lunch it may have been unlocked when various people were going in and out of the room. He also stated that he "knows the door should be locked all the time" and that some of the crew "barely speak English" and may not understand the importance of keeping the door locked. 3.) Observation on 07/31/13 at 8:20 a.m. revealed that the work crews were using a jackhammer to remove the ceramic tile from the walls and floors in the bathroom on the Northwest Wing. The bathroom was full of white dust that was leaking out of the bathroom from under the door and from where the door was partially open to allow access for the extension cord being used to power the jackhammer. The noise was so loud that the chair alarm for Resident #4 could not be heard until the Administrator and the Life Safety Code Surveyor were standing directly in front of the open door to her room. Resident #4 was standing up between her wheelchair and her bed. The Administrator went into Resident #4 ' s room and asked her to sit down and then went to get two staff members to assist Resident #4. Observation on 07/31/13 at 9:10 a.m. revealed that the jackhammering was still occurring on the Northwest Wing. The Northwest corridor was hazy because of the dust coming from the bathroom where the crew was jackhammering. Whenever one of the work crew would open the door to the bathroom, white dust would billow out into the hallway. Observation on 07/31/13 at 9:10 a.m. revealed that the nurse call for room #42 was beeping and could not be heard over the jackhammering. When the Surveyor asked Employee D, who was sitting at the Nurse Station directly in front of the nurse call system, whether or not she could hear the beeping of the nurse call for room #42, she said "oh, I didn't even hear it. All this noise is driving me crazy." Observation on 07/31/13 at 9:11 a.m. revealed that the fire alarm was activated sounding the general alarm. The fire alarm control panel indicated that it was activated by an initiation device in " Zone 5 " which includes the Northwest Wing. There were no visible signs of a fire. The dust was so thick in the Northwest Hall that the smoke detector registered the dust in the air as being equivalent to smoke and activated the fire alarm. The zone map was not on the wall by the fire alarm control panel. Employee D pulled the zone map out of a stack of documents on the desk at the nurse station. The alarm was silenced and the dust was allowed to settle. When the fire alarm activated, several staff came running to the North Nurse Station. One staff member was overheard saying, " I can ' t find any of the other fire extinguishers. " A second staff member was overheard saying, " I would have brought a fire extinguisher, but I don ' t know where they are. " After a few minutes the fire alarm was reset and did not activate again. During an interview on 07/31/13 at 10:15 a.m., Employee D stated that the work crew was moving in equipment for about 15 minutes on 07/30/13. The wanderguard alarm was constantly " going off " . A CNA had to stand at the door because they were worried that the remodeling workers may not know who was a resident and they may not stop the residents from getting out of the building. She also stated that they had one resident set off the wanderguard alarm at the other end of the hall just a few minutes earlier so they were "really concerned." During an interview on 07/31/13 at 9:45 a.m., the Administrator stated that the jackhammering was a one-time deal and would only be occurring today. He also stated that they work crew is done with the jackhammering "so we shouldn't have any more problems with the fire alarm." 4.) Observation on 07/31/13 between 7:55 a.m. and 4:30 p.m. revealed that there was a very strong paint smell noticeable upon entering the facility. The smell pervaded the entire facility from front to back and in all four wings, both dining areas and both living areas. When the painters were in an area actively painting, the smell of paint was even stronger. During an interview on 07/31/13 at 8:40 a.m., the DON said " I have a headache, I am sick to my stomach and my eyes are swollen because of the toxins in the paint they are using (especially the Kilz). There were wires and plastic things all over the floors. They started painting on Monday(two days prior). They were here last week, but they were only texturing so it wasn ' t too bad then. This week is a real mess. It ' s very loud, there is lots of dust and paint smell and everything is chaotic. I worry that my residents are going to suffer because everything is so hectic. " During an interview on 07/31/13 at 9:00 a.m. Employee B said " They were using turpentine to clean the paint off the floors and it smelled really bad. " Employee B also stated that the painters were painting on Monday in the larger Dining Room and " they were doing it right over two residents ' heads. It was about 12:30 p.m. because most of the residents had already eaten lunch but two of them are a little slower and they were still eating. " During an interview on 07/31/13 at 10:40 a.m., Resident #6 stated that he was moved from room #53 to room #44 on Monday. He had complained about the smell of mold in his old room to the Activities Director. He said " I am glad they are fixing the place up, but the paint smell is pretty strong. Some people can take it, I guess, but I can ' t. The smell of paint is really getting to me. " Review of Resident #6 ' s Minimum Data Set, dated dated [DATE], reflected he was a [AGE] year old man readmitted to the facility on [DATE]. Review of Resident #6 ' s face sheet reflected [DIAGNOSES REDACTED]. Observation on 07/31/13 at 10:46 - 10:55 a.m. revealed that there were 21 residents in the large dining room participating in exercise activities. Two painters were painting two different walls in the dining room. Each painter was less than five feet from the residents and had a 5-gallon can of paint about half full of paint. The smell of paint was very strong in the large dining room. During an interview on 07/31/13 at 10:55 a.m., Employee L said she was " having a really hard time at work yesterday " and that she " threw up because of the paint fumes and stress. " She also said " I don ' t think the residents are getting the care they need with all of the juggling around. " During an interview on 07/31/13 at 11:20 a.m., Employee H said " the paint fumes today are still bad, but not as bad as the other day when they were using Kilz (primer). Resident #13 had his window open because the smell was so bad. " During an interview on 07/31/13 at 2:12 p.m., Resident #15 said " I have a cough that won ' t quit. All this paint and dust just aggravates it. The noise is really bad too. I just stay in my room. " Review of Resident #15 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on 07/31/13 at 2:20 p.m. Resident #13 said "the paint smell has been really bad. I had to open my window because of the smell. It made my room hot, but better than having to breathe all that paint. The noise and confusion is horrendous. I will just be glad when it is all done." Review of Resident #13 ' s face sheet reflected he was an [AGE] year old man admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on 07/31/13 at 2:30 p.m., Resident #9 said " I had to move on Monday. It was just all of a sudden without warning. The paint and dust makes it hard for me to breathe. At least it is a little quieter over here (South Hall). The noise over there (North Hall) was really bad. I don ' t like all this mess and it is really hot all the time. I have a headache maybe from the noise or the smell. " Review of Resident #9 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on 07/31/13 at 2:26 p.m., Resident #11 said " my eyes burn, head hurts, throat feels raw. I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It ' s very hectic. " Review of Resident #11 ' s face sheet reflected he was a [AGE] year old man admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. During an interview on 07/31/13 at 2:45 p.m., Resident #2 said "the other day, maybe Monday or Tuesday, the painters were working above my head painting and the smell was awful. My head started hurting, my throat was burning, my nose was burning and I felt really bad. I griped to the aides and the Nurse checked me out. She said I was okay, but I was really worried because I almost died of pneumonia 11 months ago. I am 97 and things are starting to break down. By the time I went to bed, I felt better. I don ' t know what they were painting with, but it was really strong. " Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s Nurses Notes, dated 07/29/13 at 4:30 p.m. reflected " Resident complained re. construction worker spraying in dining room during bingo. States that nose and eyes " burn a little " stated she smelled the paint fumed. Resident assessed per this nurse and DON. Lungs clear to auscultation. No redness noted to eyes. Vitals noted. " During an interview on 07/31/13 at 3:20 p.m., Resident #12 said " my head hurts from all the fumes and noise. My eyes and throat are burning. They really need to hurry up and get done. I don ' t like all this mess. " During an interview on 07/31/13 at 3:25 p.m., Employee M said " The painters were painting right over the residents. It was the first day (Monday) and about 12:30 p.m. Most of the residents had finished eating, but some of them eat slower and there were still about four people eating in the North Dining Room. There were two or three painters and they were just painting right over the residents ' heads while they were still eating. That's not right. The paint could get in their food and it could be bad for them. The painters should have waited until everyone was done. I think the changes will be nice, but it is too much, too fast. " During an interview on 07/31/13 at 3:30 p.m., Resident #5 said "my eyes really burn and my chest hurts; it's hard to breathe. I haven't told anyone because they are all so busy with all this and I don't want to be a complainer." Review of Resident #5 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observation on 08/01/13 at 3:15 p.m. revealed a paint smell prevalent at the front dining room and throughout the North Hall. Painting was occurring in the North Living Room and in the Service Hall connected to the North Hall. The North Living Room was " taped off " to restrict entry to the area, but the Service Hall was not " taped off. " No residents were noted in the area at the time of observation. No painters were in the area and there were open paint cans, rollers, paint brushes and drop cloths. The painters returned to the area at 3:25 p.m. on 08/01/13. 5.) Review of Resident #1 ' s, outpatient history and physical, dated 07/16/13 reflected a [AGE] year old male with [DIAGNOSES REDACTED]. Review of Resident #1 ' s clinical record revealed he was admitted to the facility on [DATE]. Review of the Resident Incident Report dated 07/23/13 reflected that Resident #1 fell when he was walking in the hallway. The narrative of the incident states "This nurse was called to the northwest hallway and observed resident sitting on buttocks on the floor with walker in front of him. Stated 'I just slipped or my walker got caught but I lost my balance and fell on my bottom.' Neuro's checked and are stable. Denies any pain or discomfort. AROM in all ext. Shoes were on. Floor was dry but noted with debris, as hallway is being remodeled. Assisted up X 2 to standing position and ambulated back to room w/o difficulty." The wound assessment report reflected that the resident received a "bruise caused by wanderguard when attempting to break a fall." Review of Resident #1 ' s Daily Skilled Flowsheet, dated 07/23/13 at 2:00 p.m., reflected, " Bruise noted on right wrist from wanderguard, deep purple in color. " Resident states, " Yea I felt it hit there when I broke my fall. " During an interview on 07/31/13 at 2:05 p.m. the Social Worker said "Resident #1 fell last week. He has cognitive impairment, is hard of hearing, has adequate vision, but not great, his eyes are milky, and he is very weak physically. He had a bad fall at home and was admitted to the hospital, then his family member brought him here. He may not be able to see all the drop cloths in the hallways." During an interview on 07/31/13 at 5:45 p.m. Employee C stated that when Resident #1 fell on [DATE] there was a lot of debris in the hallway because of the remodeling. She also stated that after Resident #1 fell she spoke with the work crew and told them they had to remove their debris from the hallway. The work crew wanted to wait until later to pick up the debris, but the employee insisted they do it right away. Review of Resident #1 ' s Initial Interdisciplinary Care Plan reflected that Resident #1 was high risk for falls due to new environment, unsteady gait, history of falls and confusion. Approaches used were a " tattle tail " alarm, falling leaves protocol, and " other " was checked with no additional details. Review of the undated "Items Not Allowed in Resident Room" policy reflected: " NOTE: A good rule of thumb has been established by the Food and Drug Administration whereby any products labeled Keep out of reach of children or carries any type of caution label is merchandise that contains ingredients which are harmful if taken without supervision or used in a way not designated. Many of our residents, due to mental impairments or poor eyesight might inadvertently drink or eat some of the items causing irreparable harm. " The policy reflected that the facility does not allow the following items in resident rooms: SAFETY HAZARDS: -Aerosol cans of any products that are combustible; -Razors and blades, i.e. a razor with a band type cartridge where the blade cannot be removed is permitted under some circumstances; -Scissors or knives - only [MEDICATION NAME] edge scissors are permitted; -Excess papers or furnishings - those items that can cause fires or falls; and -Extension cords and multiple plugs are not allowed. Review of the " Oxygen Administration " policy, dated 02/13/07, reflected that the policy requires the facility to, " Place NO SMOKING signs in area when oxygen is administered and stored. Store oxygen canister in an area free of flammable substances. Avoid the use of electrical appliances in the area of oxygen use as well. " The Administrator was notified on 07/31/13 at 4:50 p.m. that an Immediate Jeopardy situation was identified due to the above failures. The facility submitted their first plan of removal on 07/31/13 at 5:35 p.m. The facility's final Plan of Removal was accepted on 08/01/13 at 6:55 p.m. and included: 1.) Remove any items, debris and working materials from hallways and common areas. 07/31/13 2.) Mo

Based on observation, interview and record review the facility administration failed to develop and implement a plan for facility remodeling in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for one of one facilities when: 1.) Construction crews entered the building and began painting and construction throughout the facility in all four hallways, two dining rooms and resident common areas. Residents were moved from their rooms without notice and their belongings along with facility furniture were set in the hallways creating accident and fall hazards. Fire exits and corridors were blocked with construction and facility equipment creating obstructions or impediments to evacuation preventing timely exit in the event of fire or other emergency. 2.) The facility failed to secure construction equipment, chemicals and other hazardous objects for four of four corridors and common areas for one of seven residents, Resident #7, reviewed for incidents and accidents were identified as having wandering behavior. 3.) Noise levels in the facility were loud enough that staff were unable to hear wanderguard alarms, chair alarms and call light systems to promptly notify them of resident care needs. Construction dust set off fire alarm systems creating additional emergency alarms. 4.) The facility failed to properly ventilate paint and chemical fumes away from resident areas and cause resident discomfort, headaches, sore throats, and nausea for 9 of 16 residents reviewed for environmental conditions (Resident #2, #4, #5, #6, #9, #11, #12, #13 and #15). An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:50 p.m. While the IJ was lowered to a non-immediate Jeopardy on [DATE] at 8:40 p.m. The facility remained out of compliance at widespread with potential for more than minimal harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. This deficient practice placed 52 residents identified as living in the facility at risk for injury and illness including falls, scrapes, cuts, skin tears, respiratory difficulties, headaches, dizziness, nausea, vomiting and possible death. Findings Include: During an interview on [DATE] at 12:00 p.m., the Administrator stated that they talked to staff and residents around the end of June, before the new Owner took over on [DATE] to let them know the remodeling was going to happen and that the residents might have to move temporarily during the remodeling. The Administrator said, "I knew they were going to start painting on Monday, but I totally dropped the ball and forgot to let people know that rooms #50, #51, #52 and #53 needed to be empty for the crew; with everything going on, I just forgot." The Administrator stated that nothing was put in writing to let the residents, their families or responsible parties know about the remodeling and that residents would have to move temporarily. During a continued interview on [DATE] at 12:00 p.m. the Administrator said "we don't have the room to do half the facility at a time instead of all over at once. A lot of the empty rooms are full of materials and equipment for the remodeling. Plus the residents are used to having a room to themselves and they refuse to share a room. If the crews could store their materials off-site we might have room to empty half the facility and do all the work there, then move the residents to the finished part and do the other half." The Administrator also stated that he would get a trailer and move the old furniture out of the halls. During an interview on [DATE] at 2:00 p.m. the Social Worker said "There are paint cans and equipment everywhere and the fire extinguishers are off the walls. It's very chaotic. Last week they were just texturing and it wasn't so bad. This week there are many more painters here and the chaos is much worse." During an interview on [DATE] at 3:10 p.m., the Owner said "I chose this crew because they came highly recommended and have done remodeling on several nursing facilities before. We assumed they knew what they were doing and hoped they had a plan to accommodate the residents." The Owner stated that the work crews would paint all of the common areas first, then, a separate gentleman would do the flooring. He also stated that when the work crews were ready to do the remodeling on the resident rooms, the residents would be temporarily moved while the work was being done in their rooms. The staff and residents were verbally told of the remodeling and need to move temporarily. During an interview on [DATE] at 5:15 p.m. the Administrator stated that he had to rent a storage unit for all of the furniture that was in the hallways because there was no room to store it in the facility. He also stated that two of the pallets of flooring material were too heavy for the floor jack and had to be broken down and moved by hand. He stated that the pallets were outside the Southwest exit door for longer than the rest of the materials because it took a while to unload and store the boxes of flooring material. 1.) Observation on [DATE] at 10:15 a.m., 11:15 a.m., 1:00 p.m., 3:00 p.m. and 4:06 p.m., revealed that the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path, 3 feet 8 inches wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m. revealed two residents in wheel chairs attempting to navigate the Northwest corridor in different directions. The residents could not access the handrails because the handrails were blocked by the items in the corridor. The residents could not pass each other in the corridor because there was not enough clear space for both wheelchairs. One resident was overheard telling the other "you go ahead, I'll wait. There just isn't enough room for both of us." One resident allowed the other to pass through the narrowing of the hallway and then proceeded after the resident cleared. Observation on [DATE] at 10:17 a.m., 11:17 a.m., 1:02 p.m., 3:02 p.m. and 4:08 p.m., revealed that the Northeast corridor was obstructed by a wheel chair, a hoyer lift, two linen carts, a chair, a 30-gallon trash can, a medication cart, a hydration cart, two 5-gallon paint cans about half full of paint, a 2 foot x 1 foot tool kit, two 2 foot x 5 foot drop cloths, two fire extinguishers and a rolling cart. The items were on both sides of the corridor leaving only a narrow path, 3 feet 10 inches wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D stated that the wheelchair in the Northeast corridor belongs to Resident #3. Employee D stated that the resident used to be in room [ROOM NUMBER] and had a room to herself. Employee D stated that the resident is now in room [ROOM NUMBER] because of the construction and has to share a room so there is no room to store her wheelchair in the room. Employee D also said that "there is stuff everywhere and no room to put anything." Observation on [DATE] at 10:19 a.m., 11:19 a.m., 1:04 p.m., 3:04 p.m. and 4:10 p.m., revealed that the Southwest corridor was obstructed by a medication cart, a housekeeping cart, a 30-gallon trash can, a fire extinguisher, a rolling cart, two ladders, two wooden dressers, a plastic chair, a 5-gallon paint can about half full of pain, a 2 foot x 5 foot drop cloth and five boxes of flooring materials. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. Observation on [DATE] at 10:20 a.m., 11:20 a.m., 1:05 p.m., 3:05 p.m. and 4:11 p.m. revealed that the Southeast corridor was obstructed by two ladders, two fire extinguishers, plastic "wet floor" signs, one 2 foot x 5 foot drop cloth, one 5-gallon paint can, one 1-gallon paint can, a linen cart, a hydration cart and a hoyer lift. The items were on both sides of the corridor leaving only a narrow path, 4 feet wide, down the center of the corridor. During an interview on [DATE] at 10:15 a.m. Employee D said "Last week they were just texturing. It was just a couple of workers and it wasn't so bad. This week there are workers everywhere. There is all kinds of stuff in the hallway making it difficult to get around. I wish they would add more staff during the remodeling. We are having to do extra, take extra precautions safety-wise and it's really hard to get everything done. Observation on [DATE] at 11:45 a.m. and 1:00 p.m. revealed that the exit door on the Southwest corridor was blocked by four pallets on construction materials (two pallets of gypsum board, one pallet of flooring materials in boxes and one pallet of cans of glue and bags or mortar). The exit door would open, but once outside the door you could not exit the immediate area. The pallets formed an "L" shape that blocked the area directly in front of the exit door and directly to the left of the exit door. Directly to the right of the exit door leads to the back side of the building and not to the public way. During an interview on [DATE] at 9:00 a.m. Employee B said "I am having a hard time getting stuff done because all this stuff is everywhere in the halls. Stuff like the painters' stuff and things they pulled out of the bedrooms." During an interview on [DATE] at 9:50 a.m. Employee B said "I don't understand why the updates are being done this way. I don't know why they didn't do half the building then the other half so the residents will be safe." She also said "all of the residents have been complaining to whoever will listen, but it doesn't seem like anyone is doing anything to change it." During an interview on [DATE] at 10:55 a.m. Employee L said "I told the Administrator why don't we do half the building then move everyone to the fixed up part and do the other half of the remodeling. He told me that the Owner is doing it this way (all over the building at the same time) and there is nothing he can do about it." During an interview on [DATE] at 11:20 a.m. Employee H said "My job is more difficult with all of the remodeling going on. I am the only aide for 16 residents on the South Hall. They are mostly independent except for three of the residents. All the stuff in the halls and all of the commotion makes it really hard to get anything done. It takes extra time to get my job done." During an interview on [DATE] at 11:50 a.m. Employee K said "It's so hectic and crowded right now. It's much harder to get my job done." She also said "None of the residents have complained to me about the changes, but I hear them mumbling to themselves saying 'it's too noisy' or 'it's too crowded' or 'that's in my way'." During an interview on [DATE] at 2:00 p.m. the Social Worker said "There are paint cans and equipment everywhere and the fire extinguishers are off the walls. It's very chaotic. Last week they were just texturing and it wasn't so bad. This week there are many more painters here and the chaos is much worse." Observation on [DATE] at 1:05 p.m. revealed Resident #11 in the Southwest hallway ambulating down the hallway. The resident held on to handrails where they were unobstructed by items being stored in the hallway. When the handrail was not available he held onto furniture or equipment to steady himself as he continued down the hallway. During an interview on [DATE] at 2:36 p.m. Resident #11 said "I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It's very hectic." During an interview on [DATE] at 3:40 p.m. Resident #4 said "I have been telling everyone that there is a problem, but no one is listening. They have made a big mess with these updates. There is equipment, tools and paint, all kinds of things all over the place. You can't go from one end to the other without something or someone in your way. Those painters are everywhere and really stinking up the place. The noise and confusion is so much that I can't even hear myself think. The staff are running around like chickens with their heads cut off." Observation on [DATE] at 4:28 p.m. revealed that the sidewalk outside the exit door on the Northeast corridor was partially blocked by toilets and other bathroom fixtures that had been removed from four resident rooms. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northeast corridor was obstructed by a 5 foot x 3 foot rolling cart with boxes of bathroom fixtures, a 2 foot x 1 foot tool kit, a hoyer lift, a linen cart, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint. Observation on [DATE] at 8:50 a.m. and 9:21 a.m. revealed that the Northwest corridor was obstructed by three medication carts, a crash cart, the crash cart oxygen bottle, two painters with 2 foot x 5 foot drop cloths and two 5-gallon buckets of paint and two 4-foot ladders. Observation on [DATE] at 10:20 a.m. revealed the Northwest corridor was obstructed by three wooden dressers, a wheel chair, a linen cart, two medication carts, a crash cart, the crash cart oxygen bottle, a wooden rocking chair, two plastic "wet floor" signs, a fire extinguisher, a 10-gallon trash can, a hoyer lift, a housekeeping cart, a hydration cart and an orange extension cord that was being used to power a jackhammer in the bathroom. The items were on both sides of the corridor leaving only a narrow path down the center of the corridor. 2.) Review of Resident # 7 ' s face sheet reflected a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #7 ' s social service notes, dated [DATE] reflected a Brief Interview for Mental Status (BIMS) score of 3 out of 15 possible indicating severe impairment of mental status. Review of Resident #7 ' s care plan dated [DATE] reflected a problem of " Resident #7 has a potential to attempt to elope due to senile dementia. " Approaches listed were: " Activities will be provided to distract resident from attempting to leave facility ... Staff will monitor resident location while mobile throughout facility. Resident will wear wanderguard to alert staff if resident attempts to leave facility. " In an interview on [DATE] at 1:59 p.m. the Maintenance Director was exiting the maintenance office and stated "I got a lady that likes to ' visit ' and I can't leave this door open. Oh, she wanders in and gets into stuff." He then stated that the "visiting lady" was the Resident #7 in room [ROOM NUMBER] across the hallway from the maintenance office and next door to resident room [ROOM NUMBER]. Observation on [DATE] at 2:05 p.m. revealed that the door to resident room [ROOM NUMBER] was not locked. (the door next to Resident room [ROOM NUMBER] which was identified to have a wandering resident)The following painting supplies were being stored in room [ROOM NUMBER]: a.) Six unopened cans of Kilz - Interior Oil Base, the label stated, " Danger: Flammable liquid and vapor. Harmful or fatal if swallowed. Vapor harmful. Eye irritant. " b.) One open can with approximately ? inch of product inside of Wood Pride Semi-Gloss Quick Dry Sanding Sealer - Oil Based. The label stated, " Danger: Flammable. Harmful or fatal if swallowed. " c.) Three unopened tubes of Dap Painters All Purpose Acrylic Latex Caulk. The label stated, "Warning: May cause eye and skin irritation." d.) In an unlocked cabinet inside room [ROOM NUMBER], one open tube of Kilz Upshot Overhead Stain Sealer Interior Oil Based the label stated, "Extremely flammable liquid and vapor. Vapors may cause flash fire. Contents under pressure. Irritates eyes, skin and respiratory tract." The cabinet also contained a large tape dispenser with metal blade approximately 5 inches long and paint scrapers e.) Various cans and bottles of energy drinks, 8 in total. During an interview on [DATE] at 3:00 p.m., the Painter stated that there is only one key to the door of room [ROOM NUMBER] and that after lunch it may have been unlocked when various people were going in and out of the room. He also stated that he "knows the door should be locked all the time" and that some of the crew "barely speak English" and may not understand the importance of keeping the door locked. 3.) Observation on [DATE] at 8:20 a.m. revealed that the work crews were using a jackhammer to remove the ceramic tile from the walls and floors in the bathroom on the Northwest Wing. The bathroom was full of white dust that was leaking out of the bathroom from under the door and from where the door was partially open to allow access for the extension cord being used to power the jackhammer. The noise was so loud that the chair alarm for Resident #4 could not be heard until the Administrator and the Life Safety Code Surveyor were standing directly in front of the open door to her room. Resident #4 was standing up between her wheelchair and her bed. The Administrator went into Resident #4 ' s room and asked her to sit down and then went to get two staff members to assist Resident #4. Observation on [DATE] at 9:10 a.m. revealed that the jackhammering was still occurring on the Northwest Wing. The Northwest corridor was hazy because of the dust coming from the bathroom where the crew was jackhammering. Whenever one of the work crew would open the door to the bathroom, white dust would billow out into the hallway. Observation on [DATE] at 9:10 a.m. revealed that the nurse call for room [ROOM NUMBER] was beeping and could not be heard over the jackhammering. When the Surveyor asked Employee D, who was sitting at the Nurse Station directly in front of the nurse call system, whether or not she could hear the beeping of the nurse call for room [ROOM NUMBER], she said "oh, I didn't even hear it. All this noise is driving me crazy." Observation on [DATE] at 9:11 a.m. revealed that the fire alarm was activated sounding the general alarm. The fire alarm control panel indicated that it was activated by an initiation device in " Zone 5 " which includes the Northwest Wing. There were no visible signs of a fire. The dust was so thick in the Northwest Hall that the smoke detector registered the dust in the air as being equivalent to smoke and activated the fire alarm. The zone map was not on the wall by the fire alarm control panel. Employee D pulled the zone map out of a stack of documents on the desk at the nurse station. The alarm was silenced and the dust was allowed to settle. When the fire alarm activated, several staff came running to the North Nurse Station. One staff member was overheard saying, " I can ' t find any of the other fire extinguishers. " A second staff member was overheard saying, " I would have brought a fire extinguisher, but I don ' t know where they are. " After a few minutes the fire alarm was reset and did not activate again. During an interview on [DATE] at 10:15 a.m., Employee D stated that the work crew was moving in equipment for about 15 minutes on [DATE]. The wanderguard alarm was constantly " going off " . A CNA had to stand at the door because they were worried that the remodeling workers may not know who was a resident and they may not stop the residents from getting out of the building. She also stated that they had one resident set off the wanderguard alarm at the other end of the hall just a few minutes earlier so they were "really concerned." During an interview on [DATE] at 9:45 a.m., the Administrator stated that the jackhammering was a one-time deal and would only be occurring today. He also stated that they work crew is done with the jackhammering "so we shouldn't have any more problems with the fire alarm." 4.) Observation on [DATE] between 7:55 a.m. and 4:30 p.m. revealed that there was a very strong paint smell noticeable upon entering the facility. The smell pervaded the entire facility from front to back and in all four wings, both dining areas and both living areas. When the painters were in an area actively painting, the smell of paint was even stronger. During an interview on [DATE] at 8:40 a.m., the DON said " I have a headache, I am sick to my stomach and my eyes are swollen because of the toxins in the paint they are using (especially the Kilz). There were wires and plastic things all over the floors. They started painting on Monday(two days prior). They were here last week, but they were only texturing so it wasn ' t too bad then. This week is a real mess. It ' s very loud, there is lots of dust and paint smell and everything is chaotic. I worry that my residents are going to suffer because everything is so hectic. " During an interview on [DATE] at 9:00 a.m. Employee B said " They were using turpentine to clean the paint off the floors and it smelled really bad. " Employee B also stated that the painters were painting on Monday in the larger Dining Room and " they were doing it right over two residents ' heads. It was about 12:30 p.m. because most of the residents had already eaten lunch but two of them are a little slower and they were still eating. " During an interview on [DATE] at 10:40 a.m., Resident #6 stated that he was moved from room [ROOM NUMBER] to room [ROOM NUMBER] on Monday. He had complained about the smell of mold in his old room to the Activities Director. He said " I am glad they are fixing the place up, but the paint smell is pretty strong. Some people can take it, I guess, but I can ' t. The smell of paint is really getting to me. " Review of Resident #6 ' s Minimum Data Set, dated dated [DATE], reflected he was a [AGE] year old man readmitted to the facility on [DATE]. Review of Resident #6 ' s face sheet reflected [DIAGNOSES REDACTED]. Observation on [DATE] at 10:46 - 10:55 a.m. revealed that there were 21 residents in the large dining room participating in exercise activities. Two painters were painting two different walls in the dining room. Each painter was less than five feet from the residents and had a 5-gallon can of paint about half full of paint. The smell of paint was very strong in the large dining room. During an interview on [DATE] at 10:55 a.m., Employee L said she was " having a really hard time at work yesterday " and that she " threw up because of the paint fumes and stress. " She also said " I don ' t think the residents are getting the care they need with all of the juggling around. " During an interview on [DATE] at 11:20 a.m., Employee H said " the paint fumes today are still bad, but not as bad as the other day when they were using Kilz (primer). Resident #13 had his window open because the smell was so bad. " During an interview on [DATE] at 2:12 p.m., Resident #15 said " I have a cough that won ' t quit. All this paint and dust just aggravates it. The noise is really bad too. I just stay in my room. " Review of Resident #15 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:20 p.m. Resident #13 said "the paint smell has been really bad. I had to open my window because of the smell. It made my room hot, but better than having to breathe all that paint. The noise and confusion is horrendous. I will just be glad when it is all done." Review of Resident #13 ' s face sheet reflected he was an [AGE] year old man admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:30 p.m., Resident #9 said " I had to move on Monday. It was just all of a sudden without warning. The paint and dust makes it hard for me to breathe. At least it is a little quieter over here (South Hall). The noise over there (North Hall) was really bad. I don ' t like all this mess and it is really hot all the time. I have a headache maybe from the noise or the smell. " Review of Resident #9 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE], and readmitted on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:26 p.m., Resident #11 said " my eyes burn, head hurts, throat feels raw. I can barely get around the building. There are workers everywhere and stuff all over the place. I am worried me or someone will get hurt. It ' s very hectic. " Review of Resident #11 ' s face sheet reflected he was a [AGE] year old man admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. During an interview on [DATE] at 2:45 p.m., Resident #2 said "the other day, maybe Monday or Tuesday, the painters were working above my head painting and the smell was awful. My head started hurting, my throat was burning, my nose was burning and I felt really bad. I griped to the aides and the Nurse checked me out. She said I was okay, but I was really worried because I almost died of pneumonia 11 months ago. I am 97 and things are starting to break down. By the time I went to bed, I felt better. I don ' t know what they were painting with, but it was really strong. " Review of Resident #2 ' s face sheet reflected she was a [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #2 ' s Nurses Notes, dated [DATE] at 4:30 p.m. reflected " Resident complained re. construction worker spraying in dining room during bingo. States that nose and eyes " burn a little " stated she smelled the paint fumed. Resident assessed per this nurse and DON. Lungs clear to auscultation. No redness noted to eyes. Vitals noted. " During an interview on [DATE] at 3:20 p.m., Resident #12 said " my head hurts from all the fumes and noise. My eyes and throat are burning. They really need to hurry up and get done. I don ' t like all this mess. " During an interview on [DATE] at 3:25 p.m., Employee M said " The painters were painting right over the residents. It was the first day (Monday) and about 12:30 p.m. Most of the residents had finished eating, but some of them eat slower and there were still about four people eating in the North Dining Room. There were two or three painters and they were just painting right over the residents ' heads while they were still eating. That's not right. The paint could get in their food and it could be bad for them. The painters should have waited until everyone was done. I think the changes will be nice, but it is too much, too fast. " During an interview on [DATE] at 3:30 p.m., Resident #5 said "my eyes really burn and my chest hurts; it's hard to breathe. I haven't told anyone because they are all so busy with all this and I don't want to be a complainer." Review of Resident #5 ' s face sheet reflected she was an [AGE] year old woman admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observation on [DATE] at 3:15 p.m. revealed a paint smell prevalent at the front dining room and throughout the North Hall. Painting was occurring in the North Living Room and in the Service Hall connected to the North Hall. The North Living Room was " taped off " to restrict entry to the area, but the Service Hall was not " taped off. " No residents were noted in the area at the time of observation. No painters were in the area and there were open paint cans, rollers, paint brushes and drop cloths. The painters returned to the area at 3:25 p.m. on [DATE]. Review of the undated "Items Not Allowed in Resident Room" policy reflected: " NOTE: A good rule of thumb has been established by the Food and Drug Administration whereby any products labeled Keep out of reach of children or carries any type of caution label is merchandise that contains ingredients which are harmful if taken without supervision or used in a way not designated. Many of our residents, due to mental impairments or poor eyesight might inadvertently drink or eat some of the items causing irreparable harm. " The policy reflected that the facility does not allow the following items in resident rooms: SAFETY HAZARDS: -Aerosol cans of any products that are combustible; -Razors and blades, i.e. a razor with a band type cartridge where the blade cannot be removed is permitted under some circumstances; -Scissors or knives - only [MEDICATION NAME] edge scissors are permitted; -Excess papers or furnishings - those items that can cause fires or falls; and -Extension cords and multiple plugs are not allowed. Review of the " Oxygen Administration " policy, dated [DATE], reflected that the policy requires the facility to, " Place NO SMOKING signs in area when oxygen is administered and stored. Store oxygen canister in an area free of flammable substances. Avoid the use of electrical appliances in the area of oxygen use as well. " The Administrator was notified on [DATE] at 4:50 p.m. that an Immediate Jeopardy situation was identified due to the above failures. The facility submitted their first plan of removal on [DATE] at 5:35 p.m. The facility's final Plan of Removal was accepted on [DATE] at 6:55 p.m. and included: 1.) Remove any items, debris and working materials from hallways and common areas. [DATE] 2.) Mount fire extinguishers using approved brackets in corridors. [DATE] 3.) All areas will be maintained and supervised by Administrator and DON. Charge nurses/CNA's and all staff will be in-serviced on [DATE]. They will be responsible for maintaining safety of items, equipment and egress in hallways during their work shifts. The Administrator and DON will monitor workers and hallways during their working shifts. The Administrator and DON will monitor workers and hallways at the beginning, middle and end of shift during the remodeling process. All in-services and daily rounds by Administrator and DON are documented and accessible in the DON's office. 4.) Letter sent to all resident's responsible party notifying them of remodeling and that residents will be relocated throughout the facility while their rooms are being remodeled. [DATE] 5.) Administrator, DON and Charge Nurse will monitor that working materials a