North Hills Life Care and Rehab

In the surveyor’s words

From the most serious findings on record at North Hills Life Care and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Aug 22, 2024

  Based on observations, interviews, facility document review, and facility policy review, the facility failed to write the open date on medications for 4 (Resident #5, #32, #33, and #35) and maintained pharmacy packaging of a medication card for 1(Resident #5) of 2 medication carts observed for medication labeling and storage standards. The facility also failed to maintain possession of medication cart/room keys with authorized personnel for all residents in the facility. Findings include: A review of a facility policy titled, Medication Labeling and Storage, revised in February of 2023, indicated medications should remain stored in the packaging it was received from the pharmacy, multi-dose medication should be dated with the date it was opened, and only authorized personnel should have… […]

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on observations, interviews, and facility policy review, it was determined that the facility failed to date and maintain cold food temperature for pudding prepared in the facility's kitchen intended to be served to facility residents. Findings include: A review of a facility policy titled, Food Receiving and Storage, revised in October 2017, indicated all food items and snacks kept on the nursing units must be kept below 41 Fahrenheit and labeled with the use by date. During an observation on 08/20/2024 at 6:33 AM, a clear plastic container holding 20-25 vanilla and chocolate puddings in small plastic tubs with pop-on lids, was seen sitting at the central nurses' station. The container contained no ice and had no water to show where any ice had melted. […]

• No harm, potential for more than minimal, widespreadF812Jun 2, 2023

  Based on observation, record review, and interview, the facility failed to ensure food was served in a sanitary manner to prevent cross contamination for 2 (Residents #26 and #65) of 5 (Residents #22 #26, #52, #63 and #65) sampled residents who are served meals in the 400 Hall Dining Room. This failed practice had the potential to affect 19 residents (total census: 75) who are served meals in the 400 Hall Dining Room as documented on a list provided by the Administrator on 06/01/23 at 8:58 AM. The findings are: 1. On 05/30/23 at 12:35 PM, Certified Nursing Assistant (CNA) #1 removed plastic wrap from cups and served chocolate cake, water, and tea to Resident #26 with her fingers on the rim of the cups and bowl. 2. […]

• No harm, potential for more than minimal, patternF583Aug 22, 2024

  Based on observations, interviews, facility record review, it was determined that the facility failed to provide privacy during care for 1 (Resident #62) of 1 resident reviewed for privacy. Findings include: A review of the facility admission packet including the Resident Handbook, which provided the Arkansas Patient Rights Section 9, signed by the Resident #62 and Admission Director #5 on 07/20/2024, indicated, residents have the right to have privacy in treatment. A review of the Admission Record, indicated the facility admitted Resident #62 with diagnoses that included bacteremia and sepsis. […]

• No harm, potential for more than minimal, patternF684Aug 22, 2024

  Based on observation, record review, and interview, it was determined the facility failed to ensure physician orders were followed for 1 (Resident #62) of 1 resident observed receiving medications from 1 (Licensed Practical Nurse (LPN) #9) of 3 nurses observed during medication pass. Findings include: A review of a facility in-service titled, 7 Rights of medication Administration, dated 08/15/2024, indicated, Must Check All Before Administering Any Medication: 1. Right Resident 2. Right Medication 3. Right Dose 4. Right Route 5. Right Time 6. Right Documentation 7. […]