North Adams Commons Nursing & Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at North Adams Commons Nursing & Rehabilitation Cente, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF883Jul 19, 2024

  Based on interview, record and policy review, the facility failed to ensure that its staff offered the Pneumococcal (infections caused by bacteria called Streptococcus Pneumoniae, or Pneumococcus that can cause Pneumonia and blood stream infections) Vaccination as recommended to four Residents (#25, #46, #84, and #55), out of five applicable residents, out of a total sample of 19 residents. Specifically, the facility failed to ensure that Pneumococcal Vaccinations were offered to, received by, or declined by Residents #25, #46, #84, and #55, at the time of admission or shortly thereafter, putting the Residents at risk for developing facility acquired Pneumonia. […]

• No harm, potential for more than minimal, patternF657Dec 22, 2021

  Based on interviews and record reviews, the facility failed to ensure A.) the comprehensive plans of care were reviewed and/or updated quarterly by the Interdisciplinary Team (IDT), and/or B.) that the care plan meetings were held and that the Resident/Resident Representative were invited to participate, for five sampled Residents ( #3, #6, #8, #14 and #65), out of a total sample of 18 residents. Findings include: Review of the facility policy entitled Care Planning, revised 10/9/19, indicated that the facility will develop and implement a comprehensive person centered care plan for each resident consistent with the resident rights and measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychological needs that are identified in the comprehensive… […]

• No harm, potential for more than minimal, isolatedF656Jul 19, 2024

  Based on interview, record and policy review, the facility failed to ensure that one Resident (#84), out of five residents reviewed for unnecessary medications, out of a total sample of 19 residents, had a care plan developed for the use of an anticoagulant (anticoagulant or blood thinner medication used to prevent or treat blood clots in blood vessels and the heart) medication. Specifically, the facility failed to develop a care plan for Resident #84 for Eliquis (anticoagulant medication) that addressed the risks, potential side effects, and monitoring associated with the use of the medication. […]

• No harm, potential for more than minimal, isolatedF842Jul 19, 2024

  Based on observation, interview, record and policy review, the facility failed to ensure that one Resident (#66) had a complete and accurate medical record, out of a total sample of 19 residents. Specifically, the facility failed to accurately monitor and document Resident #66's total fluid intake during a 24-hour period to ensure that he/she was maintaining the 1500 cubic centimeter (cc- unit of measure) Fluid Restriction ordered by the Physician, putting the Resident at increased risk of dehydration, fluid overload and other medical complications. […]

• No harm, potential for more than minimal, isolatedF645Apr 13, 2023

  Based on interview and record review, the facility failed to ensure a Level I Preadmission Screening and Resident Review (PASRR- screen to determine if a resident has intellectual or developmental disabilities and/or serious mental illness and is in need of further evaluation) and a Level II PASRR (evaluation done if it was determined by the Level I screen that a resident had an intellectual or developmental disability and/or serious mental illness and if resident was in need of additional support services at the facility) for two Residents (#51 and #5) out of a total sample of 18 residents. Specifically, 1. For resident #51, the facility staff failed to complete a Level I PASRR screen prior to the Resident's admission, and 2. […]