Mohawk Meadows

In the surveyor’s words

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

• Immediate jeopardy, widespreadF835Nov 21, 2023

  PART A. Refer to F684 Based on observations, interviews, review of medical records and review of facility documents on [DATE], [DATE], [DATE], and [DATE], it was determined that the Administrator failed to ensure that the facility policies on Medication Shortages/Unavailable Medications and Outbreak Response Plan was initiated and implemented to ensure all residents received the care and service needed to maintain their quality of life. The facility's LNHA and administrative staff were notified of the IJ for 835 s/s L on [DATE] at 5:02 p.m. The facility provided and acceptable removal plan on [DATE]. The survey team accepted the removal plan and verified the removal plan onsite on [DATE] during the survey. […]

• Immediate jeopardy, widespreadF880Nov 21, 2023

  Based on observation, interview, record review and review of pertinent documentation on 11/16/23, 11/17/23, 11/20/23, and 11/21/23, it was determined that the facility failed to ensure that Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) guidance was implemented to limit the spread of infectious disease. The facility failed to initiate contact tracing for the following: a.) A Certified Nursing Assistant (CNA #1), who provided care to 7 residents on 9/11/23 and 9/12/2023 and then tested positive on 9/13/2023; CNA #2, who came to work and was symptomatic and provided care to 2 residents on 9/20/23 and tested positive for COVID-19 on the same day. […]

• Immediate jeopardy, isolatedF684Nov 21, 2023

  Based on interview, record review, and review of facility documentation, it was determined that the facility failed to clarify a physician's order for Paxlovid (an antiviral medication used to treat COVID-19, a deadly virus) for a vaccinated resident (Resident #4), for it to be administered within 24 hours for one of 14 residents reviewed for COVID-19 care. The original order was for Paxlovid to be administered for five days was faxed to the pharmacy on [DATE] but failed to include a dosage amount. This caused the pharmacy to contact the facility three additional times for clarification of the Paxlovid order. Resident #4 was provided a different antiviral medication on [DATE] (3 days later) and expired at the facility on [DATE]. […]

• Immediate jeopardy, isolatedF580Jun 26, 2023

  REF: F600IJ Complaint #: NJ00164724 Based on interviews and record review, as well as the review of pertinent facility documents on [DATE], [DATE], and [DATE], it was determined that the facility failed to communicate the care needs and services to the Physician and related Practitioners of a change in the Resident's condition in accordance with the current standards of practice for a Resident who had a change in condition (CIC) for 1 of 3 residents (Resident #2) reviewed for significant CIC. On [DATE] at approximately 3:45 p.m., the Licensed Practical Nurse (LPN #1), who was at the nurse's station, did not respond immediately when Resident #2's roommate (Resident #1) reported that something might be wrong to Resident #2 in the Solarium. […]

• Immediate jeopardy, isolatedF600Jun 26, 2023

  Complaint #: NJ00164724 Based on interviews, review of medical records (MRs), and other pertinent facility documents on [DATE], [DATE], and [DATE], it was determined that the facility failed to provide services necessary to prevent neglect of a resident (Resident #2) after a seizure activity/change in condition (CIC), follow the facility's policies titled CHANGE OF CONDITION and Abuse Prevention and Prohibition Program, and the LICENSED PRACTICAL NURSE job description. On [DATE] at approximately 3:45 p.m., Resident #2's roommate (Resident #1) went to the Nurse's station and reported to the Nurse that something might be wrong with [Resident #2]. […]