Norview Heights Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Norview Heights Rehabilitation and Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF580Oct 12, 2023

  Based on observation, staff interview, facility documentation review, the facility staff failed to inform the Resident and the resident's representative of the administration of expired insulin for 1 of 3 residents (Resident #2) in the survey sample. The findings include: The facility staff notify Resident #2 and her family that she was administered expired Insulin Lispro. Resident #2 was originally admitted to the facility [DATE] and readmitted [DATE] after an acute care hospital stay. The current diagnoses included Type 2 Diabetes Mellitus. The quarterly, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of [DATE] coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 9 out of a possible 15. […]

• No harm, potential for more than minimal, patternF684Oct 12, 2023

  Based on resident interview, staff interviews, clinical record review, and facility document review, the facility staff failed to provide routine wound care treatments for 1 of 3 residents (Resident #1) in the survey sample. The findings included: Resident #1 was originally admitted to the nursing facility on 07/10/21. Diagnosis for Resident #1 included but not limited to Quadriplegia, Type II Diabetes, Transmetatarsal Amputation (TMA - removal of toes) to the left and right foot, and morbid obesity. The Minimum Data Set (MDS - an assessment protocol) a quarterly assessment with an Assessment Reference Date (ARD) of 07/18/23 coded Resident #1 with a 15 out of a possible score of 15 on the Brief Interview for Mental Status (BIMS), indicating no cognitive impairment. […]

• No harm, potential for more than minimal, patternF658Oct 28, 2021

  Based on information gleamed during a complaint investigation, resident interview, staff interviews, and clinical record review, the facility staff failed to ensure clinical information and physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings included: Resident #9 was originally admitted to the facility 7/12/20, and was discharged from the facility 12/23/20, return not anticipated returning to the facility 9/22/20. Resident #9 diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 7/17/21 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 15 out of a possible 15. This indicated Resident #9's cognitive abilities for daily decision making were intact. […]

• No harm, potential for more than minimal, patternF686Oct 28, 2021

  Based on observations, resident interview, staff interviews and clinical record review, the facility staff failed to provide necessary care and services to prevent development of pressure injuries for 2 of 23 residents (Resident #8), in the survey sample. The findings included: 1. Resident #8 was originally admitted to the facility 8/29/20 and had never been discharged from the facility. The current diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 10/11/21 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 15 out of a possible 15. This indicated Resident #8's cognitive abilities for daily decision making were intact. […]

• No harm, potential for more than minimal, patternF580Aug 19, 2021

  Based on resident interview, staff interview, clinical record review, facility document review, and in the course of a complaint investigation, it was determined that facility staff failed to notify the physician and/or responsible party of an incident of unusual occurrence for one of 11 residents in the survey sample, Resident #2; of a change in resident condition related to a PICC line for one of 11 residents, Resident #1; AND regarding missed medications per physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings include: 1. Facility staff failed to notify the responsible party when a stranger outside the facility had entered the building and handed Resident #2 a weapon in the form of a shank (1). […]