Medilodge of Midland

In the surveyor’s words

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

• Immediate jeopardy, patternF684Aug 26, 2021

  This citation pertains to intake # MI00- 1, MI00- 4, MI00- 8, MI00- 7, MI00- 9 This citation has multiple (5) deficiency practice statements (DPS). DPS-A Based on observation, interview, and record review, the facility failed to (1) provide coordinated care with specialists for a new diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] #8), reviewed for quality of care, resulting in an Immediate Jeopardy (IJ) when, beginning on 03/18/2020, facility staff did not provide coordinated quality care for R8 causing a delay of administration of treatments and services, and exacerbating the potential irreversible progression of MS This deficient practice resulted in the high likelihood for residents with chronic treatable conditions to be at risk for serious harm, serious injury, and/or death. […]

• Actual harm, isolatedF689Jun 29, 2022

  Based on interview and record review, the facility failed to recognize an acute need for increased supervision and implementation of safety measures for one resident (Resident (R) 27) with escalating confusion and displays of at-risk behaviors, resulting in a fall with injury and the potential for all facility residents who are at risk for falls for delayed response to safety needs. Findings include: Review of the Electronic Medical Record (EMR) revealed R27 was originally admitted to the facility 7/21/21 with diagnoses that included Dementia, Alzheimer's Disease, and was Legally Blind. […]

• Actual harm, isolatedF684Dec 3, 2021

  This citation pertains to intake #MI 255 and #MI 513 Based on observation, interview, and record review, the facility failed to provide quality care for 3 residents (Resident #101, Resident #100, and Resident #108) out of 3 residents reviewed, resulting in (1) for Resident #101 (a) delayed wound care, (b) additional facility acquired skin concerns, (c) unmonitored and untreated decreased oxygen saturation, (d) significant drops in blood pressure not reported to the provider, (e) inability to accurately assess for weight gain/loss for a resident with [CONDITION(S)], and (f) unmonitored low blood sugars, (2) for Resident #100 (a) unassessed vomiting, (b) untreated constipation, (c) a decline in the ability to move independently with no access to the call system, and (d) the potential for… […]

• Actual harm, isolatedF656Aug 26, 2021

  This citation pertains to intake #MI00- 8 and MI00- 9 Based on observation, interview and record review the facility failed to develop and implement comprehensive resident focused care plans based on a comprehensive assessment for 3 residents (Resident #4, Resident #320 and Resident #9), resulting in unidentified care needs and hospitalization as the result of complications from inadequate provision of care according to standards of practice. Findings: Resident #320 (R320) Review of an Admission Record revealed Resident #320 (R320) was a [AGE] year-old female, originally admitted to the facility on [DATE] with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R320 was non-verbal. During an observation on 8/10/21 at 1:30 P.M. […]

• Actual harm, isolatedF686Aug 26, 2021

  This citation pertains to intake #MI00- 8 and #MI00- 9 Based on observation, interview and record review, the facility failed to prevent the development and worsening of pressure ulcers and implement treatments and monitoring for pressure ulcer prevention and healing for 3 residents (Resident #320, Resident #9, and Resident #4) resulting in infection, hospitalization and avoidable development and worsening of pressure ulcers. Findings: Resident #320 (R320) Review of an Admission Record revealed Resident #320 (R320) was a [AGE] year-old female, originally admitted to the facility on [DATE] with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R320 was non-verbal. Review of a Care Plan Report reflected R320 had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]