Mystic Park Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Mystic Park Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF755Apr 28, 2024

  Based on interviews and record reviews, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving ,dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 6 residents (Resident #1) reviewed for pharmacy services. The facility failed to clarify orders for Digoxin regarding the need for parameters and labs. The facility failed to ensure the pharmacist performed a medication review every 30 days. The facility failed to monitor Digoxin levels of Resident #1 because he did not have an order. These failures resulted in the identification of an Immediate Jeopardy (IJ) on 4/26/2024 at 6:05 pm. The IJ template was provided to the facility on [DATE] at 6:05 p.m. […]

• Immediate jeopardy, patternF849Apr 28, 2024

  Based on interview and record review, the facility failed to collaborate with hospice representatives and coordinate the hospice care planning process for each resident receiving hospice services, to ensure quality of care for the resident, ensuring communication with the hospice medical director, the resident's attending physician and others participating in the provision of care for one (Resident #1) of one resident reviewed for hospice services. The facility failed to contact the hospice service medical physician or nurse to clarify physician orders for Digoxin to be given with parameters and if lab should be done for Resident #1 . This failure resulted in the identification of an Immediate Jeopardy (IJ) on 4/26/2024 at 6:05 pm. […]

• Immediate jeopardy, patternF600Aug 11, 2022

  Based on observation, interview and record review, the facility failed to ensure residents were free from abuse for 5 of 5 residents (Resident #'s 1, 2, 3, 4, and 5) reviewed for abuse, in that: 1. The facility failed to ensure processes were in place to ensure Residents received wound care services as ordered by a physician to Resident #1, #2, #3, and #5. The failure to provide wound care services as ordered by the wound care physician on a daily basis resulted in an infection to Resident #1's right foot and 5th toe which resulted in an infection, [CONDITION(S)] (infection of the bone), hospitalization and amputation of a portion of the right foot and 5th toe. 2. The facility failed to ensure identification and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . 3. […]

• Immediate jeopardy, patternF684Aug 11, 2022

  Based on observation, interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 of 5 residents (Resident #s 1 and 5) reviewed for treatment and services, in that: 1. The facility failed to ensure Resident #1 received: -weekly skin assessments as ordered by a physician -weekly pressure and non-pressure wound assessments, including wound size and description -wound care and dressing changes one time a day as ordered by a physician instead of 3 times a week -wound care on 7/28/2022 through 7/29/2022 which resulted in an infection to the diabetic foot, hospitalization for [CONDITION(S)], [CONDITION(S)] and amputation… […]

• Immediate jeopardy, patternF686Aug 11, 2022

  Based on the comprehensive assessment of a resident, the facility must ensure that a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 4 of 5 residents (Resident #'s 1, 2, 3, and 4) reviewed for pressure sores, in that: 1. The facility failed to ensure Resident #1 received: -weekly skin assessments as ordered by a physician -weekly pressure wound assessments, including wound size and description -wound care and dressing changes one time a day as ordered by a physician instead of 3 times a week. 2. […]