Medilodge of Mt. Pleasant

In the surveyor’s words

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

• Actual harm, isolatedF686Dec 6, 2023

  Based on observation, interview and record review, the facility failed to prevent the development and worsening of pressure ulcers for 1 resident (Resident #5) out of 2 residents reviewed for pressure ulcers. Findings: Review of an Admission Record reflected R5 admitted to the facility on [DATE] with diagnosis that included type 2 diabetes, seizures, adjustment disorder with mixed anxiety and depressed mood, mild intellectual disabilities, repeated falls, need for assistance with personal care, muscle weakness, difficulty walking and cognitive communication deficit. […]

• Actual harm, isolatedF697Aug 25, 2023

  Based on observation, interview and record review, the facility failed to assess/evaluate pain and its cause, intervene appropriately to find the root cause of the pain, manage, and prevent pain during care, update the care plan for onset of pain, and provide diagnosis/indication for newly prescribed pain medication for 1 (Resident #6), resulting in a lack of a root cause analysis for pain and the resident crying out in pain with movement, transfers, and cares. Findings include: Resident #6 (R6) Review of a Face Sheet revealed R6 originally admitted to the facility on [DATE] with pertinent diagnoses of chronic kidney disease (stage III), dementia and history of a kidney transplant. […]

• Actual harm, isolatedF656May 14, 2021

  Based on observation, interview and record review, the facility failed to develop and implement care plan for pressure ulcer prevention/healing and pain control for 1 Resident (R56) of 14 Residents reviewed for care, resulting in R 56 developing a pressure ulcer and having pain out of control during care. Findings include: Review of R 56's face sheet dated May 12, 2021 revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF686May 14, 2021

  Based on observation, interview, and record review, the facility failed to prevent and heal a pressure ulcer for 1 Resident (#56), of 4 Residents reviewed for pressure ulcers, resulting in R 56 developing an unstageable pressure ulcer. Findings include: Review of R 56's face sheet dated May 12, 2021 revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . She was not her own responsible party. Review of R 56's Brief Interview of Mental Status (BIMS) score dated 4/30/21 revealed a score of 5/15 indicating severe mental impairment. Review of R 56's admission Activities of Daily Living (ADL) assessment dated [DATE] revealed she required substantial/maximal assistance with transfers, toileting and hygiene. […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2023

  Based on observation, interview, and record review, the facility failed to maintain kitchen plumbing and properly cool potentially hazardous food, resulting in the potential for contamination of the physical facility and biological contamination of food products. These deficient practices affect all residents that consume food from the kitchen. Findings include: On 8/22/23 at 10:19 AM, water was observed to be leaking from under the dish machine onto the floor in two locations, the drain trough on the dish machine drain board, and the check valve on the water line underneath the right side of the dish machine drain board. […]