Mt Vernon Nursing

In the surveyor’s words

From the most serious findings on record at Mt Vernon Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 7, 2023

  Based on interview and record review, facility staff failed to provide basic life support, including cardio-pulmonary resuscitation (CPR - an emergency procedure that is performed when a person's heartbeat or breathing has stopped) for one full code resident (Resident #47) when staff found the resident without a pulse or respirations. A sample of 17 residents was selected for review. The facility census was 43. The Administrator was notified on [DATE], at 3:00 P.M., of the Immediate Jeopardy (IJ) Past Non-Compliance which occurred on [DATE]. On [DATE], the Administrator became aware of the deficient practice to not administer CPR to a resident who wished to receive it. […]

• No harm, potential for more than minimal, widespreadF812Oct 10, 2024

  Based on observation, interview, and record review, the facility failed to keep food safe from potential contamination at all times when staff failed to ensure glasses were fully air dried before stored/used. The facility census was 43. Review of the facility policy, Dish and Utensil Handling, revised January, 2016, showed the following: -All silverware, dishes, and glasses shall be handled to ensure sanitary conditions and infection control; -Dishes, cups, and glasses will be air-dried prior to storing; -Flatware is to be washed twice and air-dried. Review of the 1999 Food Code, issued by the Food and Drug Administration, showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2023

  Based on interview, observation, and record review, the facility failed to keep food safe from potential contamination when dishes were stacked wet instead of air dried, potentially trapping water to promote bacteria growth. This deficient practice had the potential to affect all residents. The facility census was 43 . Review of the Food and Drug Administration (FDA) 2013 Food Code showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food; -Items must be allowed to drain and to air-dry before being stacked or stored. […]

• No harm, potential for more than minimal, widespreadF922Apr 7, 2023

  Based on interview, observation, and record review, the facility failed to have a process in place to ensure the facility staff knew how much water needed to be kept on-hand in case of emergency and where the emergency water was located. This deficient practice had the potential to affect all residents. The facility census was 43. Record review of the facility's Emergency Water Supply List, dated 11/09/18, showed phone numbers for local county/public contacts. The policy did not specify the amount of water that needed to be kept on-hand in case of emergency. […]

• No harm, potential for more than minimal, patternF623Oct 10, 2024

  Based on record review and interview, the facility failed to notify the resident and/or the resident's representative in writing of a transfer to the hospital for three residents (Residents #20, #40 and #36) of three sampled residents. The facility census was 43. Review of the facility form titled Resident Transfer Form to ER (emergency room ), dated December 2015, showed the following to be completed by facility staff: -Date of transfer to the ER; -Resident name, date of birth; -Next of kin or health care power of attorney name and telephone number and whether notified; -Resident's diagnosis, functional status; -Reason for transfer to ER. […]