Medilodge at the Shore

In the surveyor’s words

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

• Immediate jeopardy, patternF695Jan 14, 2021

  This citation pertains to intake M 6194, M 6435, and MI 589 Based on observation, interview, and record review, the facility failed to provide oxygen or respiratory support for (Resident #2, Resident #3, Resident #16 and Resident #18) per physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The failure of the facility to follow physician orders, implement their established oxygen policy and procedures and lack of securing an oxygen canister, assessing, documenting, and administering oxygen to meet the needs of the resident put all residents requiring oxygen or respiratory support at a high risk for serious harm, injury, or death. […]

• Immediate jeopardy, isolatedF689Mar 23, 2021

  This citation pertains to intake MI 8336. Based on observation, interview and record review, the facility failed to prevent one resident (Resident 1) from becoming wedged on top of a heat vent for an unknown amount time when he was found on 2/15/21 by the CNA a little after 6 AM morning report, that resulted in a partial thickness (2nd degree) burn of his upper right arm. R1, who was assessed to be a risk for falls, an extensive assist of one for bed mobility, and known to roll to his right side, had his bed pushed up against the outer wall and heater vent that protruded several inches out from the wall that encased 170-degree hot water boiler lines that were used to heat the rooms (as an intervention to prevent falls). […]

• Immediate jeopardy, isolatedF607Jan 14, 2021

  This citation pertains to MI 589 and M 6435. Based on interview and record review, the facility failed to implement its established Abuse Prevention Program when it was alleged two Residents (Resident #3 and Resident #12) passed away after alleged nursing misconduct, abuse and neglect (intentionally removing physician ordered oxygen for extended periods of time and over-medicating with narcotics) while under the care of a Registered Nurse (RN E) resulting in an Immediate Jeopardy (IJ) that began on [DATE] when a Certified Nurse Aide (CNA) and other licensed nursing staff aware of the situation failed to immediately report alleged abuse to facility administration and when local police detectives made the facility Administration aware of an open investigation into a report of suspicious… […]

• Immediate jeopardy, isolatedF609Jan 14, 2021

  This citation pertains to MI 589 Based on observation, interview, and record review, the facility failed to ensure covered staff immediately report to administration, the State Agency, and local authorities, an allegation regarding the suspicious resident death of Resident #3 when there were allegations of a nurse, RN (Registered Nurse) E, intentionally removing oxygen from Resident #3 to hasten their death and resulting in an Immediate Jeopardy that began on [DATE] when the facility administration was then made aware of allegations surrounding another death of a different Resident (Resident #12) related to the same nurse, RN E, removing oxygen from Resident #12, hastening his death. […]

• Immediate jeopardy, isolatedF610Jan 14, 2021

  This citation pertains to MI 589 and M 6435. Based on observation, interview, and record review, the facility failed to investigate and operationalize abuse policies and procedures when it was alleged two Residents (Resident #3 and Resident #12) passed away after alleged nursing misconduct, abuse and neglect (intentionally removing physician ordered oxygen for extended periods of time and over-medicating with narcotics) while under the care of a Registered Nurse (RN E) resulting in an Immediate Jeopardy (IJ) that began on [DATE] when a Certified Nurse Aide (CNA) and other licensed nursing staff aware of the situation failed to immediately investigate and report alleged abuse to facility administration and when local police detectives made the facility Administration aware of an open… […]