Nathan Littauer Hospital Nursing Home

In the surveyor’s words

From the most serious findings on record at Nathan Littauer Hospital Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Feb 19, 2025

  Based on observations, record review, and interviews during a recertification survey, the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. Specifically, residents were observed to be fed by staff wearing gloves in the west dining room and by the east nurses station. This is evidenced by: Policy titled Quality of Life- Dignity effective 05/2020 last reviewed 05/2024 documented each resident should be cared for in a manner that promoted and enhanced quality of life, dignity, respect, and individuality. […]

• No harm, potential for more than minimal, patternF584Feb 19, 2025

  Based on observation and staff interviews during a recertification survey, the facility did not ensure a safe, comfortable home-like environment and effective housekeeping and maintenance services were maintained for 2 (East and West) of 2 resident units. Specifically, (a.) the floors were soiled with dirt next to walls, in corners, along door thresholds, and where door frames meet the floor in the corridors on the East and [NAME] Units; (b.) door frames and doors were in disrepair for multiple resident rooms; walls in the East and [NAME] units were in disrepair with scrapes, smudge, chips, and marks; (c.) resident room NH. […]

• No harm, potential for more than minimal, patternF656Feb 19, 2025

  Based on observation, record review, and interviews conducted during a recertification survey, the facility did not develop and implemented a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframe's to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for 3 (Residents #s 3, 9, and 19) of 25 residents reviewed for Care Plans. […]

• No harm, potential for more than minimal, patternF759Feb 19, 2025

  Based on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure that its medication error rate did not exceed 5% for 2 (Resident #s 4 and 38) of 16 residents observed during a medication pass for a total of 25 observations. This resulted in a medication error rate of 8%. This is evidenced by: The facility's policy and procedure titled Medication Administration last revised ,d+[DATE] documented, all Registered Nurses and Licensed Practical Nurses must have successfully passed the written medication exam and the medication administration competency to administer medications as outlined below. […]

• No harm, potential for more than minimal, patternF761Feb 19, 2025

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for 1 (West Unit Team 1) of 2 medication carts reviewed. Specifically, (a.) opened medications had no open and or expiration dates (b.) open bottles of eye drops had no label identifying patient and had no open and or expiration dates. This is evidenced by: The facility's policy and procedure last revised ,d+[DATE] documented, Multiple-Dose Vials a. Multiple-dose vials would not be used beyond the manufacturer's expiration date. […]