NHC Healthcare - Parklane

In the surveyor’s words

From the most serious findings on record at NHC Healthcare - Parklane, in the surveyor’s own words.

• Actual harm, isolatedF697Apr 7, 2023

  Based on observation, interviews, record reviews, and facility policy review, the facility failed to ensure that pain management was provided for 1 Resident(R88) of 3 residents reviewed for pain. Specifically, the facility failed to provide R88 pain medication the resident had requested after a fall. This failure resulted in R88 being in pain for approximately six hours, from the time of their fall to the time they received pain medication. The resident's pain limited R88's ability to participate in activities of daily living (ADLs) and the resident was heard crying out in pain. Findings included: A review of a facility policy titled, Pain Management, reviewed in March 23, revealed, The goal of pain management is patient control of interventions for pain relief. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2021

  Based on observations, interviews, and review of facility policy and procedure, the facility failed to store and prepare food in accordance with professional standards for food service safety. This failure had the potential to cause food-borne illness to all 91 facility residents. The findings included: On 06/07/21 at 10:35 AM observation revealed the following: Six Chef salads with turkey, ham, cheese, and eggs in the kitchen refrigerator without a date denoting when prepared, five bagels in the kitchen freezer without a date, half a bag of Heath medium ground English toffee bits dated opened on 05/20/21, and a gray trash can with several dented food cans with no signage denoted for non- usage. […]

• No harm, potential for more than minimal, patternF677Apr 7, 2023

  Based on observation, interview, and record review, the facility failed to provide Activities of Daily Living (ADL) care to include showers for Resident (R)2 and R7. Further the facility failed to assist with the removal of unwanted facial hair for R9. Finding include: A request for the policy related to ADLs was made during the survey. It was not provided prior to the exit of the survey. R9 was admitted to the facility on [DATE] with diagnoses including, but not limited to; Alzheimer's disease, dementia with mood disturbance, major depressive disorder, insomnia, and cyclothymic disorder (depressive symptoms). […]

• No harm, potential for more than minimal, patternF761Apr 7, 2023

  Based on review of the facility policy titled Medication Storage in the Facility, observations and interviews, the facility failed to ensure an expired medication was removed from storage with resident medications that were in use and failed to remove 2 bottles of [NAME], Sterile, Plain Packing Strips, no longer sterile from 1 of 4 medication carts. The facility further failed to remove 1 bottle of [NAME], Sterile Plain Packing Strips opened and no longer sterile from 1 of 2 treatment carts. Findings include: Review of the facility policy titled, Medication Storage in the Facility, states, Policy, Medications and biological's are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. […]

• No harm, potential for more than minimal, patternF679Jun 9, 2021

  Based on observation, interview, record review, and review of facility activity calendar, the facility failed to ensure three (Residents 14, 31, 48) of four residents received ongoing program of activities to meet the individual needs and interest, which had the potential to negatively affect the well-being of the resident. The findings included: On 06/07/21 at 11:44 am Resident # 31 was asleep in a wheelchair in the main gathering room by the window upon initial tour and remained there until he/she was awakened at 12:54 pm for lunch. At 2:35 PM, the resident was awake and still sitting in the wheelchair with no activities noted during this period. Subsequent observation of Resident #31 at 11:42 am on 06/08/21 revealed he/she was sitting in a wheel chair in the main gathering room. […]