Monsignor Bojnowski Manor, Inc

In the surveyor’s words

From the most serious findings on record at Monsignor Bojnowski Manor, Inc, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 16, 2025

  Based on clinical record review, observations, facility documentation review, facility policy review, and interviews for two of three residents (Resident #1, #2) reviewed for accidents, the facility failed to ensure the residents were transferred in accordance with the plan of care to prevent an injury. The findings include: a. Resident #1's diagnoses included osteoarthritis, non-thrombocytopenia purpura, and dermatitis. Review of the Nurse Aide (NA) care card dated 7/23/2024 directed transfers with assist of one (1), device needed walker. […]

• No harm, potential for more than minimal, patternF761Feb 4, 2025

  Based on observations, review of facility policy/procedures and interviews, the facility failed to ensure medications designated for destruction and/or return to pharmacy were secured. The findings include: Observation on 1/30/25 at 10:28 AM identified the DNS office door opened and unoccupied with a yellow basket located on top of the medication safe that contained several blister packs containing medications. The office is located on a nursing unit and opens to the resident corridor. There was one resident seated in a chair located next to the nurses' station approximately 20 feet from the opened door/office. Observation on 1/31/25 at 1:18 PM identified the DNS office door open with medications in sight. […]

• No harm, potential for more than minimal, patternF883Feb 4, 2025

  Based on review of clinical records, review of facility policy, review of facility documentation, and interviews for five of five sampled residents (Resident #12, Resident #31, Resident #43, Resident #46, and Resident #49) reviewed for immunizations, the facility failed to ensure that the pneumococcal vaccine was assessed/and administered and failed to offer the influenza vaccine to residents (Resident #12 and Resident #31). The findings include: Resident #12's diagnoses included hypertension, osteoarthritis, and hypercholesterolemia. Review of the Resident Vaccine Consent form which consists of the pneumococcal vaccine consent identified Resident #12 gave the facility permission to administer the pneumococcal vaccine on 4/21/24 and on 7/7/24. […]

• No harm, potential for more than minimal, patternF726Jan 24, 2023

  Based on review of facility documentation of licensed staff training for Intravenous (IV) Therapy, review of facility policy and interview, the facility failed to ensure that annual (IV) education and competencies were completed. The findings include: On 1/23/2023 at 10:55AM an interview and review of facility training/ education for licensed staff identified the initial IV Therapy training for licensed staff was completed. However, the facility failed to evidence that annual IV Therapy educational training or competencies were completed for 2022. The Infection Control Preventionist ( IP) identified she was unable to find any annual IV in servicing or competencies for the licensed personnel for 2022 and indicates she could not explain why they had not been completed. […]

• No harm, potential for more than minimal, patternF761Jan 24, 2023

  Based on observation and staff interview for 2 of 4 medication carts and refrigeration of medications, the facility failed to discard expired medications and store topical creams separately from medications. The findings include: a. Observation of the medication cart for the [NAME] Unit with LPN #3 on 1/24/23 at 10:35 AM identified the following: 1. Nitroglycerin 0.4 milligram (mg) tablets (tabs) with an expiration date of 5/2022 (25 tabs) 2. Lispro Kwikpen 100 Units (U) /1 milliliter (ml) with an expiration date of 12/22/22 3. An opened bottle of B-100% (B Complex) with an expiration date of 12/2022 Additionally, the following topical creams were also observed to be stored in the medication cart: 1. One tube of Preparation H 2. One tube of Triamcinolone Cream 3. […]