Mt Greylock Extended Care Facility

In the surveyor’s words

From the most serious findings on record at Mt Greylock Extended Care Facility, in the surveyor’s own words.

• Actual harm, isolatedF656Aug 30, 2022

  Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who was dependent for care needs, had limited mobility, and required extensive assistance of two staff members for bed mobility and positioning, the Facility failed to ensure staff implemented and followed interventions in Resident #1's plan of care related to staff assistance during positioning and bed mobility. On 7/20/22, while attempting to remove the mechanical lift pad that had been left underneath Resident #1, Certified Nurse Aide (CNA) #1 turned and repositioned Resident #1 in bed, without another staff member present to assist her, after rolling Resident #1 onto his/her side, Resident #1 fell out of bed onto the floor. […]

• Actual harm, isolatedF689Aug 30, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was dependent on staff for care needs, had limited mobility, and required extensive assistance of two staff members with bed mobility and positioning, the Facility failed to ensure he/she was provided with the necessary level of staff assistance to maintain his/her safety to prevent incidents/accidents resulting in injury. On 7/20/22, while attempting to remove the mechanical lift pad that had been left underneath Resident #1, Certified Nurse Aide (CNA) #1 turned and repositioned him/her in bed, without another staff member present to provide assistance, CNA #1 rolled Resident #1 onto his/her side, and Resident #1 fell out of bed onto the floor. […]

• Actual harm, isolatedF580Jun 10, 2022

  Based on records reviewed and interviews, for one of three sampled Residents (Resident #1), who on [DATE] experienced a change in medical status with decline, was noted by nursing to be lethargic with new onset of shortness of breath, the Facility failed to ensure the Physician and his/her Health Care Agent (HCA) or Representative, were immediately notified. Resident #1 continued to decline, he/she had poor intake and experienced a significant weight loss, however his/her physician and HCA were not immediately notified, until [DATE], when Resident #1 required transfer to the Hospital Emergency Department for acute [CONDITION(S)], where he/she was diagnosed with acute [CONDITION(S)], and bilateral pneumonia with [CONDITION(S)] (a blood infection). […]

• Actual harm, isolatedF692Jun 10, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed as being at increased risk for dehydration and weight loss, the Facility failed to ensure he/she maintained acceptable parameters of nutritional status during his/her admission. Resident #1 was admitted for short term rehabilitation, was in the Facility for just over three weeks, and in that time he/she experienced an undesired significant weight loss (greater than 8%) that went undetected by nursing until after he/she was transferred the Hospital Emergency Department (ED) for evaluation of an acute change in medical status, where it was also determined that Resident #1 was severely dehydrated. […]

• No harm, potential for more than minimal, patternF880Oct 4, 2022

  Based on observation, record review, and interview, the facility failed to ensure its staff: 1) Appropriately disposed of used personal protective equipment (PPE), in a manner that would not contaminate clean PPE on one unit (North 1) out of three units observed, and 2) Screened residents for signs and symptoms of COVID-19 every shift on a unit experiencing a COVID-19 outbreak for one Resident (#36) in a sample of three residents. Findings include: 1. On the North 1 Unit, facility staff failed to properly dispose of used PPE from an isolation room in a proper manner to prevent contamination of clean PPE. […]