Medicalodges Dewey

In the surveyor’s words

From the most serious findings on record at Medicalodges Dewey, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Nov 5, 2024

  Based on observation and interview, the facility failed to ensure appropriate hand hygiene was performed during eye-drop administration and catheter care for three (#33, 1 and 9) of six residents reviewed for infection control. The MDS Coordinator identified seven residents receiving eye-drops and five residents with catheters. Findings: A facility policy titled Eye Drops dated 01/23, read in part, .Procedures .Perform hand hygiene .With a gloved finger, gently pull down lower eyelid . A facility policy titled Hand Hygiene dated 05/17, read in part, .Hand hygiene to be completed by staff .Before and after direct resident contact .Between glove changes during care or procedures . 1. […]

• No harm, potential for more than minimal, patternF602Aug 10, 2023

  Based on record review, observation, and interview, the facility failed to routinely reconcile controlled drugs for three (#19, 26, and #142) of three residents reviewed for misappropriation. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 41 residents resided in the facility. Findings: A controlled medication reconciliation policy, undated, read in part, .Controlled medications will be stored in accordance with state and federal requirements. Controlled medications will be reconciled at each sift change or with a change in licensed nurse responsibility for controlled medications. A Controlled Medication Inventory sheet will be utilized to deter diversion . 1. […]

• No harm, potential for more than minimal, patternF623Aug 10, 2023

  Based on record review and interview the facility failed to provide resident and resident representatives a written notice of transfer prior to transfer to acute hospitals for two (#4 and #6) of three residents reviewed for hospitalization s. The BOM reported 45 residents had transferred from the facility to a hospital between 01/01/23 and 08/11/23. Findings: 1. Resident #4 had diagnoses which included peripheral vascular disease. A nurses note, dated 04/01/23, documented the resident was transferred to an acute care hospital on that date. 2. […]

• No harm, potential for more than minimal, patternF755Aug 10, 2023

  Based on record review, observation, and interview the facility failed to ensure a resident's prescribed medication was available for administration for one (#15) of six residents reviewed for medication administration. The Resident Census and Conditions of Residents's form, documented 41 residents resided in the facility. Findings: Resident #15 had diagnoses which included diabetes mellitus with diabetic neuropathy. On 08/10/23 at 10:37 a.m., LPN #3 was observed during a medication pass for resident #15. LPN #3 was heard to tell the resident that their medication, gabapentin (a oral medication used for nerve pain) had not come in from the pharmacy and could not be given at that time. Resident #15 stated they were not happy about not having that particular medication. At 10:42 a.m. […]

• No harm, potential for more than minimal, patternF550Apr 22, 2021

  Based on observation, interview and record review, it was determined the facility failed to ensure privacy while providing resident care for one (#26) of five sampled residents who were observed while staff provided care. The facility census and condition identified 28 residents who were bedfast or in a chair all or most of the time and dependent on staff for care. This had the potential to affect all 32 residents who resided in the facility. Findings: 1. Resident #26 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An admission assessment, dated 03/19/21, documented cognition severely impaired, required extensive assistance for personal hygiene and bathing. […]