Medicalodges Paola

In the surveyor’s words

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

• Immediate jeopardy, patternF689Feb 1, 2022

  The facility reported a census of 65 and identified 13 residents at high risk of elopement (incident when a cognitive impaired resident with poor or impaired decision-making ability and safety awareness leaves the facility without the knowledge of staff). Based on observation, interview, and record review, the facility failed to maintain a secure environment for the 13 residents identified at high risk for elopement by the facility. Resident (R) 1 exited the facility without staff knowledge after staff turned the north hall exit door alarm off, which resulted in the exit alarm failure to sound when R1 exited the facility. […]

• Immediate jeopardy, isolatedF600Sep 4, 2024

  The facility reported a census of 65 residents. The sample included three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to prevent the neglect of Resident (R)1, when staff did not utilize appropriate transfer equipment to safely meet the needs of R1, who displayed signs of weakness during cares. On 08/28/24 at 02:40 PM, Licensed Nurse (LN) G, Certified Nurse Aide (CNA) M, CNA N, and Certified Medication Aide (CMA) R assisted R1 to stand, with use of a gait belt that was not the appropriate size for R1. As two of the staff members attempted to pull R1's incontinence brief up, R1's legs became weak, and staff lowered R1 to the floor. […]

• Immediate jeopardy, isolatedF609Sep 4, 2024

  The facility reported a census of 65 residents. The sample included three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to report the elopement (an incident in which a cognitively impaired resident with poor or impaired decision-making ability/safety awareness leaves the facility without the knowledge of staff) of Resident (R)2 to the State Agency, as required. On 08/27/24 at 08:48 PM R2 left the facility without staff knowledge or supervision and at approximately 10:41 PM, Law Enforcement called the facility to advise them they had received calls noting that R2 was walking on the highway, entered a gas station approximately 0.9 miles from the facility. […]

• Immediate jeopardy, isolatedF689Sep 4, 2024

  The facility reported a census of 65 residents. The sample included three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to protect Resident (R) 2 from possible harm when he exited the facility unsupervised and without staff knowledge (elopement) on 08/27/24 at 08:48 PM. At approximately 10:41 PM, Law Enforcement called the facility to inform them they received calls noting R2 was walking on the highway, then entered a gas station (approximately 0.9 miles from the facility), threatened a store clerk, and wanted to buy cigarettes with postage stamps. […]

• Immediate jeopardy, isolatedF689Nov 6, 2023

  The facility reported a census of 62 residents with 18 residents selected for review, which included two residents reviewed for elopement. Based on observation, interview, and record review the facility failed to ensure staff provided a safe and secure environment to include adequate supervision for cognitively impaired Resident (R) 44, who the facility care planned for 15-minute checks due to a history of making elopement statements. On 10/22/23 at 05:07 AM R44 left the facility and walked approximately 0.6 miles to a local grocery store (which opened at 06:00 AM). The resident was observed in the grocery store eating at the salad bar. […]