National Church Residences Bristol Village

In the surveyor’s words

From the most serious findings on record at National Church Residences Bristol Village, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 17, 2022

  Based on observation, facility policy and procedure review and interview the facility failed to properly store, date (label), and prepare food to protect against contamination and/or spoilage. This had the potential to affect all 37 residents residing in the facility. Findings Include: 1. On 11/14/22 at 8:45 A.M. and 9:20 A.M. observation in the kitchen revealed three sealed/unopened packages of ham in a large plastic container in the walk in refrigerator. Two packages were thawed and cool to the refrigerator's temperature. One package still had frost/ice on the outside and was frozen to touch. Neither package had a date as to when it was delivered or when it was removed from the freezer to thaw for service. […]

• No harm, potential for more than minimal, isolatedF610Nov 7, 2023

  Based on record review, facility reported incident review, and interview, the facility failed to complete a thorough investigation for an allegation of physical abuse. This affected one resident (#75) of three residents reviewed for allegations of abuse. The facility census was 36. Findings included: Closed record review revealed Resident #75 was admitted to the facility on [DATE] with diagnoses including respiratory failure, chronic obstructive pulmonary disease, chronic systolic congestive heart failure, dysphagia, anemia, panic disorder, and gastro-esophageal reflux disease. […]

• No harm, potential for more than minimal, isolatedF692Nov 7, 2023

  Based on record review and interview, the facility failed to ensure nutritional interventions were provided to residents in a timely manner. This affected one resident (#74) of three residents reviewed for nutrition services. The facility census was 36. Findings included: Record review revealed Resident #74 was admitted to the facility on [DATE] with diagnoses including dementia, heart failure, chronic kidney disease stage 3, anemia, gastro-esophageal reflux disease, and atrial fibrillation. Review of a minimum data set (MDS) assessment collected on 11/02/22 revealed Resident #74 had mildly impaired cognition, no behaviors, required set up or clean up assistance with meals, and was receiving a therapeutic diet. […]

• No harm, potential for more than minimal, isolatedF623Nov 17, 2022

  Based on record review and interview the facility failed to ensure the State Ombudsman was notified of a transfer to the hospital involving Resident #16. This affected one resident (#16) of one resident reviewed for hospitalization . Findings Include: Record review for Resident #16 revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the 10/12/22 quarterly Minimum Data Set (MDS) 3.0 assessment revealed the resident was cognitively intact, required limited assistance from staff for dressing and supervision (from staff) for bed mobility, transfers, walking in room, eating, toilet use, and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF644Nov 17, 2022

  Based on record review and staff interview, the facility failed to ensure Resident #18's Pre-Admission Screening and Resident Review (PASARR) documents were accurate related to the resident's condition and diagnoses. This affected one resident (#18) of one resident reviewed for PASARR. Findings Include: Record review revealed Resident #18 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #18 PASARR document, dated 12/16/19 revealed under Section D, it indicated the resident had no mental health diagnoses. However, review of the resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) 3.0 assessment, dated 10/10/22 revealed the resident was cognitively intact. On 11/17/22 at 10:09 A.M. […]