Longview Hill Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Longview Hill Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Feb 14, 2025

  Based on record review and interview the facility failed to consult with the physician when there was a significant change in residents' physical status that was life threatening for 2 of 7 residents (Resident #1 and Resident #2) reviewed for change in condition. The facility failed notify Resident #1's physician on 2/5/25 when his PICC continued to be dislodged and he was unable to receive his IV antibiotics. Resident #1 did not receive his IV antibiotic medication from 2/6/25 through 2/7/25 (a total of 6 doses). The facility failed to notify Resident #1's physician of his x-ray results that were ordered on 2/7/25 with results that indicated they were sent back to the facility on [DATE]. […]

• Immediate jeopardy, patternF684Feb 14, 2025

  Based on record review and interview the facility failed to provide care and treatment in accordance with professional standards of practice based on the comprehensive assessment for 2 of 7 residents (Resident #1 and Resident #2) reviewed for quality of care. The facility failed to ensure Resident #1 received IV antibiotics when his PICC line was dislodged on 2/5/25. Resident #1 did not receive his IV antibiotic medication from 2/6/25 through 2/7/25 (a total of 6 doses). The facility failed to address Resident #1's chest x-ray that was ordered and sent back to the facility on [DATE] until 2/10/25. The facility notified Resident #1's MD on 02/10/25 that Resident #1's x-ray indicated he had pneumonia, and he was transferred to the hospital. […]

• Immediate jeopardy, isolatedF760May 16, 2025

  Based on interview and record review the facility failed to ensure residents were free of any significant medication errors for 1 of 7 residents reviewed for medications. (Resident #1) The facility failed to ensure: 1. Resident #1 was administered his regular evening medication as ordered along with Resident #2's evening medication on the evening of 5/5/2025. Resident #1's medication included Gabapentin 200 mg at bedtime ( a medication used to treat peripheral neuropathy, chronic pain) Hemp gummies 20,000 2 gummies at bedtime ( a supplement used to treat anxiety, depression, pain, inflammation and improve sleep), Melatonin 9 mg at bedtime (a supplement to assist in sleep), Tamsulosin 0.4 mg at bedtime ( a medication used to treat an enlarged prostate), Docusate Sodium 100 mg twice daily (a… […]

• Immediate jeopardy, isolatedF684May 26, 2023

  Based on interview and record review the facility failed based on the comprehensive assessment to ensure residents received the care and services in accordance with professional standards of practice for 1 of 3 residents (Resident #2) reviewed for quality of care. The facility failed to assess the resident when she complained of pain or document where the pain was located. The facility failed to ensure the complete/accurate documentation of the resident's bowel elimination. Resident #1 was transferred to the hospital and diagnosed with fecal impaction. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 5/25/23 at 3:00 p.m. […]

• Immediate jeopardy, isolatedF686May 26, 2023

  Based on observation, interview, and record review the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services consistent with professional standards of practice to promote healing and prevent infection for 1 of 2 residents reviewed for pressure ulcers (Resident #1), in that: 1. The facility failed to turn and reposition Resident #1 for about 5 hours; 2. Resident #1 was left in her feces and urine for about 5 hours; 3. Resident #1 did not have the physician ordered bandage covering her wound on the right buttock which had prolonged exposure to urine and feces; 4. Resident #1's wound increased in size in 7 days, on 4/18/23 the wound measured 2.5 x 1x 0.3 and on 4/25/23 it measured 9 x8 x0.3 cm; 5. […]