New East Side Nursing Home

In the surveyor’s words

From the most serious findings on record at New East Side Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 22, 2022

  Based on observations, interviews, and record review conducted during the Recertification survey of 11/16/22 - 11/22/22, the facility did not ensure to store, prepare, distribute, and serve food in accordance with professional standards for food safety. This was evident during Kitchen observation. Specifically, 1) a Dietary Aide (DA) was not observed changing gloves or sanitizing hands when entering and exiting the walk-in refrigerator during tray service, and 2) the walls of the walk-in refrigerator were stained with a black substance. […]

• No harm, potential for more than minimal, isolatedF568Nov 22, 2022

  Based on interview and record review conducted during the Recertification survey conducted from 11/16/22 to 11/22/22, the facility did not ensure the individual financial record was made available to the resident through quarterly statements. Specifically, quarterly statements were not provided to residents or their representative. This was evident for 1 of 1 residents reviewed for Personal Funds out of a sample of 15 residents. (Resident #50) The findings are: The undated facility policy and procedure titled Resident Personal Funds documented that all residents of New East Side Nursing Home have the right to manage his or her financial affairs. […]

• No harm, potential for more than minimal, isolatedF641Nov 22, 2022

  Based on record review and interviews conducted during the Recertification survey from 11/16/2022 to 11/22/2022, the facility did not ensure that an assessment accurately reflected the resident's status. Specifically, the Minimum Data Set (MDS) 3.0 assessment inaccurately documented that 1). a resident (Resident # 22) did not have gradual dose reduction (GDR) and 2). a resident (Resident # 5) was receiving hospice care. This was evident for 2 out of 2 residents reviewed for Resident Assessment out of an investigative sample of 15 residents. The findings are: The undated facility policy & procedure titled MDS 3.0 Policy documented that MDS item completion assignments will be assigned to individual team members per facility administration. […]

• No harm, potential for more than minimal, isolatedF656Nov 22, 2022

  Based on observation, record review and staff interviews conducted during the Recertification survey from 11/16/22 to 11/22/22, the facility did not ensure that a person-centered comprehensive care plan (CCP) was developed and implemented to address the resident's medical, physical, mental, and psychosocial needs. Specifically, a CCP was not developed and implemented for a resident with a Hip Abduction device. This was evident for 1 of 1 resident reviewed for Position, Mobility (Resident #53), out of a sample of 15 residents investigated. […]

• No harm, potential for more than minimal, isolatedF657Nov 22, 2022

  Based on observation, interviews, and record review conducted during the Recertification Survey from 11/16/2022 to 11/22/2022, the facility did not ensure a resident's Comprehensive Care Plan (CCP) was reviewed and revised to reflect a change in the resident's status. This was evident for 1 (Resident #57) out of 15 total sampled residents. Specifically, the CCP related to falls was not reviewed and revised after Resident #57 had a fall. The findings are: The policy titled CCP was undated and documented acute changes in condition will be care-planned by the appropriate discipline in a timely manner. […]