Northside Health Care

In the surveyor’s words

From the most serious findings on record at Northside Health Care, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF580Sep 13, 2022

  Based on observation, interviews, record review, and review of a facility policy titled, Notification of Patient/Resident Change, the facility failed to ensure the physician was notified when Resident Identifier (RI) #1 and RI #9 tested positive for COVID-19. This affected two of three residents sampled for testing positive for COVID-19. Findings included: Review of a facility policy titled, Notification of Patient/Resident Change, with an effective date of 11/01/2016, revealed, The center will consult the resident's physician, nurse practitioner or physician assistant, and if known notify the patient/resident's legal representative or an interested family member when there is: . (B) Acute illness or a significant change in the resident's physical, mental or psychosocial status . […]

• No harm, potential for more than minimal, isolatedF580Feb 11, 2022

  Based on interviews, medical record review, and a review of a facility policy titled, Notification of Patient/Resident Change, the facility failed to provide evidence that Resident Identifier (RI) #6's sponsor/family was notified when RI #6's medication, [MEDICATION(S)] (an antibiotic) was discontinued on 01/24/2022. This deficient practice affected RI #6, one of three sampled residents reviewed for notification. Findings Include: A review of the facility's policy titled, Notification of Patient/Resident Change, with an effective date of 11/01/2016 revealed: . The center will . notify the patient/resident's legal representative or . family member when there is: . (C) A need to alter treatment significantly . […]

• No harm, potential for more than minimal, isolatedF656Feb 11, 2022

  Based on interviews, record review and review of a facility policy titled Falls, the facility failed to ensure a fall care plan was developed for Resident Identifier (RI) #5, a resident who triggered for falls on their Admission Minimum Data Set (MDS) Care Area Assessment (CAA) Summary, dated 01/03/2022. This deficient practice affected RI #5, one of three residents sampled for falls. Findings include: Review of a facility policy titled Falls, dated 02/2017, revealed the following: Purpose To establish a process that identifies risk and establishes interventions to mitigate the occurrence of falls Process On admission . · When the risk is identified the intervention it is documented on the care plan . […]

• No harm, potential for more than minimal, isolatedF692Feb 11, 2022

  Based on interviews, medical record review and a facility policy titled, Weight Loss Intervention, the facility failed to ensure nutritional recommendations made by Employee Identifier (EI) #3 Registered Dietician (RD) on 02/02/2022, were addressed for Resident Identifier (RI) #6. The facility further failed to document RI #6's meal intake for nine days in January of 2022. This deficient practice affected RI #6, one of three residents sampled for weight loss. Findings Include: A facility policy titled Weight Loss Interventions, with an effective date of 3/16/2021 documented . PURPOSE To ensure adequate nutrition for those at risk for weight loss, . PROCEDURE . 3. When factors contributing to poor appetite have been identified, appropriate interventions will be implemented . […]