Mount Vernon Healthcare Center

In the surveyor’s words

From the most serious findings on record at Mount Vernon Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Sep 29, 2022

  Based on observation, Resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to protect 5 Residents from abuse (Resident #63, #322, Resident #70, #52, #21 ) and failed to protect 2 residents from neglect (Resident #35, Resident #217) in a sample size of 60 Residents. Immediate Jeopardy was called on 09/16/2022 at 4:34 P.M. On 9/21/22 at 12:15 P.M., the survey team verified the implementation of the removal Plan submitted by the facility and the scope and severity was lowered to E at that time. […]

• Actual harm, isolatedF602Sep 29, 2022

  Based on Resident interview, facility staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to ensure Residents' were free from misappropriation and exploitation for three Residents (Resident #35, 368 and 70) in a survey sample of 60 Residents. The findings included: 1. For Residents #35 and #368, who were married, were victims of financial misappropriation and were exploited of money in excess of $50,000 by a facility employee, which resulted in fear of economic hardship and mistrust, which constituted harm. On 9/12/22 at 3:07 PM, an interview was conducted with Resident #35. Resident #35 said, I had trouble when I first came here, thieves got hold of the books and it was a minor thing to them. […]

• Actual harm, isolatedF610Sep 29, 2022

  Based on Resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to investigate allegations of abuse, exploitation and mistreatment, and failed to take measures to protect residents, and failed to make corrections affecting 4 Residents (Resident #35, 368, 52, and 317) in a survey sample of 60 Residents. The failure to make corrections resulted in harm for Residents #35 and #368. The findings included: 1. For Residents #35 and #368, who were married and victims of financial misappropriation and were exploited for an excess of $50,000, the facility staff failed to make corrections/restitution, which resulted in fear of economic hardship and mistrust, which constituted harm. […]

• Actual harm, isolatedF658Sep 29, 2022

  Based on observation, interview, clinical record review and facility documentation the facility staff failed to ensure services were provided that meet professional standards of care for 3 Residents (#'s 217, 88, and 417) in a survey sample of 60 Residents, resulting in harm for Resident #217. The findings included: 1. For Resident #217, the facility staff failed to assess, monitor and treat for Diabetes resulting in Harm. Documentation in the hospital records on Admission to the facility showed orders for a Carbohydrate Controlled Diet and Glucerna Shake. Both of these were indications that Resident # 217 might have been a Diabetic. […]

• Actual harm, isolatedF684Sep 29, 2022

  Based on staff interview, family interview, and clinical record review, the facility staff failed to ensure the highest practicable well being. for two residents ( Residents # 217 and #23) in a survey sample of 60 residents. Findings: 1. For Resident #217, the facility staff failed to ensure the highest practicable well being resulting in Harm. Resident #217 was admitted to the facility on [DATE] with the diagnoses of, but not limited to, Asthma, Congestive Heart Failure (CHF), Chronic Kidney Disease Stage 3, Hypertension, Atrial Fibrillation, Obstructive Sleep Apnea (OSA), Infection due to Multi-resistant organism, and Morbid Obesity with BMI (Body Mass Index) ,d+[DATE]. […]