M.M. Ewing Continuing Care Center

In the surveyor’s words

From the most serious findings on record at M.M. Ewing Continuing Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Jul 21, 2023

  Based on observations, interviews and record review conducted during the Recertification Survey from 7/17/23 to 7/21/23, it was determined that for one (Resident #8) of three residents reviewed for communication and sensory deficits, the facility did not ensure that each resident was treated with respect and dignity and care for each resident in a manner that promotes enhancement of their quality of life. Specifically, staff did not identify themselves as requested and per Resident #8's comprehensive care plan (CCP) and did not provide clear communication when providing care to the resident who has communication and sensory deficits. […]

• No harm, potential for more than minimal, isolatedF557Jul 21, 2023

  Based on observations, interviews and record review conducted during the Recertification Survey from 7/17/23 to 7/21/23, it was determined that for one (Resident #16) of three residents reviewed for choices, the facility did not ensure the resident's right to retain and use personal possessions as space permits unless to do so would infringe upon the rights or health and safety of other residents. Specifically, Resident #16 was not given permission to purchase a small personal item to keep in their room without a valid reason. This is evidenced by the following: The undated facility policy Residents Rights and Grievance Policy documented that residents have the right to have and use personal possession such as furniture, clothing, and electronics. […]

• No harm, potential for more than minimal, isolatedF658Jul 21, 2023

  Based on observations, interviews, and record reviews conducted during a Recertification Survey from 7/17/23 to 7/21/23, it was determined that for one (Resident #271) of one resident reviewed for edema (swelling due to excess fluid in the body's tissues, usually occurring in the lower extremities), the facility did not provide services, as outlined by the resident's person-centered comprehensive care plan (CCP) and physician orders, that met professional standards of quality. Specifically, Resident #271 was observed without [NAME] stockings (compressions stockings used for edema and to prevent blood clots in the lower extremities) as ordered by the physician. Additionally, staff documented that the [NAME] stockings were applied to the resident when they were not. […]

• No harm, potential for more than minimal, isolatedF656Nov 16, 2021

  Based on observations, interviews and record reviews conducted during a Recertification Survey, completed on 11/16/21, it was determined that for one (Resident #115) of five residents reviewed for unnecessary medications and one (Resident #19) of three residents reviewed for indwelling (Foley) catheter, the facility did not develop and implement a plan of care for each resident that included measurable goals and objectives to address the residents' medical, physical, mental, and psychosocial needs. […]

• No harm, potential for more than minimal, isolatedF692Nov 16, 2021

  Based on observations, interviews and record review conducted during a Recertification Survey, completed on 11/16/21, it was determined that for one (Resident #326) of one resident reviewed, the facility did not ensure that proper fluid intake was monitored and provided to maintain proper hydration and health. Specifically, physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This was evidenced by the following: Resident #326 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]