Luxor Nursing & Rehabilitation at Mills Pond

In the surveyor’s words

From the most serious findings on record at Luxor Nursing & Rehabilitation at Mills Pond, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF804Jan 14, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 1/7/2025 and completed on 1/14/2025, the facility did not ensure each resident was served food and drinks that were palatable, attractive, and at a safe and appetizing temperature. This was identified for ten (Resident #186, Resident #197, Resident # 52, Resident # 16, Resident #142, Resident #200, Resident #50, Resident #12, Resident #128, and Resident #164) of ten residents during the Resident Council meeting. Specifically, during the Resident Council meeting held on 1/8/2025, ten of the ten residents in attendance complained of hot food being served at cold temperatures. […]

• No harm, potential for more than minimal, patternF812Jan 14, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 1/7/2025 and completed on 1/14/2025, the facility did not distribute and serve food in accordance with professional standards for food service safety. This was identified during the dining facility task and for ten (Resident #186, Resident #197, Resident # 52, Resident # 16, Resident #142, Resident #200, Resident #50, Resident #12, Resident #128, and Resident #164) of ten residents during the Resident Council meeting. […]

• No harm, potential for more than minimal, isolatedF880Jan 14, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 1/7/2025 and completed on 1/14/2025, the facility did not ensure that an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infection was implemented. This was identified for one (Resident #208) of six residents reviewed for Infection Control. Specifically, Resident #208 had a physician's order for contact precautions secondary to Conjunctivitis (eye infection). […]

• No harm, potential for more than minimal, isolatedF550Jul 13, 2023

  Based on observation, record review and interviews during the Recertification Survey initiated on 7/5/2023 and completed on 7/13/2023 the facility did not ensure that each resident is treated with respect and dignity and is cared for in a manner that promotes maintenance or enhancement of his or her quality of life. This was identified for two (Resident #129 and Resident #95) of two residents reviewed for dignity. Specifically, 1) Certified Nursing Assistant (CNA) #3 was observed abruptly wheeling Resident #129 into the bathroom without informing the resident before moving their wheelchair. Resident #129 was startled. 2) CNA #3 was again observed to abruptly move another resident (Resident #95) in bed onto their left side to position the resident for wound care. […]

• No harm, potential for more than minimal, isolatedF656Jul 13, 2023

  Based on observation, record review, and interviews during the Recertification Survey initiated on 7/05/2023 and completed on 7/13/2023, the facility did not develop and implement a Comprehensive Person- Centered Care Plan (CCP) for each resident that includes measurable objectives and time frames to meet a resident's nursing needs. This was identified for one (Resident #136) of two residents reviewed for Accident Hazards. Specifically, Resident #136 had no CCP developed for the independent use and storage of large nail clippers. The finding is: The Care Plans-Comprehensive Policy, revised 10/2019 documented that a comprehensive, person-centered care plan (CCP) is developed within seven days of the completion of the required comprehensive assessment. […]