Every finding on record at Oaks at Avon

Based on observations, interviews and record review, the facility failed to ensure all resident rooms had maintained and working call light/call light devices in one of two units and on three of three halls (100, 200, and 300) to include resident rooms 101, 102, 200, 202, 204, 209, 304, and 300.Findings include: On 1/20/2026 at 9:10 a.m. the following resident rooms were observed with the following concerns: *Resident room [ROOM NUMBER] call light was tested twice at 9:27 a.m. the light in the hallway above the room door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]a call light was tested twice at 9:13 a.m. the light in the hallway above the door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]a call light was tested three times at 9:28 a.m. the light in the hallway above the room door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]b call light was tested at 9:29 a.m the light in the hallway above the room door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]b call light was tested twice at 9:30 a.m the light in the hallway above the room door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]b call light was tested three times at 9:34 a.m. the light in the hallway above the room door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]b call light was tested twice at 9:47 a.m. the light in the hallway above the room door did not illuminate, nor did it enunciate.*Resident room [ROOM NUMBER]a and b call light was tested twice at 9:49 a.m. the call light would not reset by after initial activation. An interview was conducted with Staff A, Certified Nursing Assistant (CNA), on 1/20/2026 at 9:15 a.m. Staff A, CNA confirmed assignment included the 100 unit. Staff A, CNA confirmed resident room [ROOM NUMBER] call light above the door did not illuminate, nor enunciate at the nurse station. Staff A, CNA said in cases where the lights do not work, they will put in a work order through the electronic work order system, and the Maintenance Director will obtain the information and then fix the problem. Staff A said when the call lights are not working, they provide a small handheld bell for the residents to ring until the call light gets fixed. Staff A was not aware of any concerns with the call light system. An interview was conducted with the Director of Nursing (DON) on 1/20/2026 at 9:31 a.m. The DON stated there had been a problem on the North wing some time ago and it was fixed but did not believe there had been any issues on the current hall observed, South hall. The DON acknowledged the concern regarding the above resident room call lights. The DON said if a call light does not work, it should be brought to the attention of the maintenance department by way of the electronic work order system, and the maintenance staff are to work on the problem regarding call light repair immediately. The DON said all call lights should be in working order and placed within the residents' reach even if they do not or are not able to use them. The DON said if a call light is found not working, staff will provide a handheld bell for use until the call light is repaired. An interview was conducted with the Director of Maintenance (DOM) on 1/20/2026 at 9:37 a.m. The DOM confirmed the North unit had call light concerns a couple of months ago and they have since corrected the concern. The DOM said he had no idea there were issues on the South unit. The DOM said call lights in the building are to be functioning appropriately at all times. The DOM confirmed the resident room call lights noted above were not working. An interview was conducted with Staff B, Licensed Practical Nurse (LPN) on 1/20/2026 at 11:40 a.m. Staff B, LPN said if there are any call lights that are not functioning properly, it is brought to the attention of the Maintenance Department by their electronic work order system. Staff B, LPN said if it is brought to her attention either by staff or residents, she will report concern immediately. Staff B, LPN said the resident would be provided with a handheld ball to use until the system is corrected. An interview was conducted with Staff C, LPN/unit nurse on 1/20/2026 at 11:48 a.m. Staff C, LPN said she was not aware of any call lights on the unit not working. Staff C, LPN said staff and residents would let her know and she would report it to Maintenance. The Maintenance Director did not have a specific Call Light Maintenance Policy and procedure for review.

Based on observation and interview, the facility failed to ensure previous survey/inspection results were readily available for residents and families to review for a census of 95 residents. Findings included: On 06/11/24 at 10:06 a.m. an observation of the facility lobby area did not immediately reveal the location or presence of past survey information/availability for review. During an interview with the Regional Nurse Consultant (RNC) on 06/11/24 at 10:11 a.m., she stated The book must be in the Nursing Home Administrator's [NHA] office. The RNC went into the NHA's office and produced a binder titled Annual Surveys. Additionally, the RNC stated the book is normally kept on the lower shelf of a table by the facility's main entrance. On 06/11/24 at 10:15 a.m. review of the binder titled Annual Surveys revealed a recertification survey report dated 12/03/2021 and a Life Safety Code Federal Comparative survey report dated 01/11/2022; no additional reports of survey results were located in the binder. During an interview with the NHA on 06/11/24 at 10:21 a.m. , she confirmed those were the only survey reports located in the binder. The NHA stated the facility had not had any surveys since 2022; however, the NHA was reminded compliance surveys were conducted at the facility on 11/17/22, 07/20/23 and 01/06/24. During a subsequent interview with the NHA on 06/11/24 at 10:39 a.m. , she stated the previous NHA kept the survey results in his office as someone was removing them. Review of a facility-provided policy titled, Survey Results - State/Federal: Posting/Examination of, dated 01/01/2020, showed: 2. Assure they are placed in a readily accessible location so residents/patients and/or families do not have to ask to see them. 3. Provide unaltered survey results for examination in a readable form including, but not limited to the following: -Binder.

Based on record review and interview, the facility failed to ensure the Preadmission Screening and Resident Review form (PASRR) was completed to include accurate admission diagnoses, and updated when new diagnoses were added for five residents (#83, #86, #200, #201 and #74) of 15 residents sampled. Findings included: 1. Review of the Admission Record showed Resident #83 was admitted to the facility on [DATE], with diagnoses that included major depressive disorder and anxiety. Review of the care plan for Resident #83 showed: -[Resident #83] uses psychotropic medications r/t [related to] anxiety, date initiated: 02/05/2024. Review of the Medication Administration Record (MAR) for June 2024 showed: -Lexapro Oral Tablet 5 MG (milligrams) 1 tablet by mouth one time a day for Depression, date started: 05/07/2024, and -Clonazepam Oral Tablet 1 MG 1 tablet by mouth every 8 hours for Anxiety, date started: 02/15/2024. Review of a PASRR Level I for Resident #83, dated 02/02/2024 and located in the resident's hard chart and the resident's electronic medical record showed: Section IA - no diagnoses checked Section IB - no conditions checked Section II - all boxes checked no 5. Dementia checked no and related neurocognitive disorder checked no 6. Secondary diagnoses checked 'no' Section III - not a provisional admission was checked no. During an interview with the Director of Nursing (DON) on 6/11/24 at 1:34 p.m., she confirmed the diagnoses were not listed correctly on the PASRR for Resident #83, and confirmed he did have admission diagnoses that included anxiety and depression. 48441 2. A review of Resident #74's Admission Record showed an admitted [DATE] with diagnoses to includes other specified anxiety disorder and personal history of traumatic brain injury. A review of Resident #74's care plan Focus for Activities, initiated 7/30/23, showed [Resident #74] requires staff assistance with involvement of activities related to cognition: impaired cognitive function impaired thought processes related to traumatic brain injury, has problem with communication: rarely or never understood, unable to express ideas or want. Requires physical assistance to and from activities unable to complete interview for daily and activity preference in room activities. The goal for this focus is to provide in-room activities. The interventions included the resident needs assistance escort, to and from activity functions. A review of Resident 74's physician orders for June 2024 showed an order for side effects monitoring initiated on 7/20/2023. A review of resident 74's PASRR Level 1 with review date of 5/11/2024 showed in Section 1: PASRR Screen Decision- Making, Section A. Mental illness or Suspected Mental Illness had Resident 74's diagnosis of anxiety disorder checked as a mental illness and in Section B. Intellectual Disability or Suspected ID, Resident 74's traumatic brain injury was not checked. An interview was conducted on 6/11/24 at 3:30 p.m. with the DON. The DON confirmed upon review of Resident 74's Level 1 PASRR that the diagnosis of traumatic brain injury was not checked. 38007 3. Review of the Admission Record showed Resident #86 was admitted to the facility on [DATE], with diagnoses that included other insomnia. During and observation and interview on 6/10/24 at 1:09 p.m. Resident #86 was in bed and stated he was in bed and he doesn't attend activities by choice. He stated he just doesn't feel good. Review of the Order Summary Report as of 6/11/24 showed a physician order for the following: Lexapro Oral Tablet 10 MG (milligram) Give 1 tablet by mouth at bedtime for depression, start date of 4/16/24. Review of the Medication Administration Record (MAR) for June 2024 showed administration of: -Lexapro Oral Tablet 10 MG (milligrams) 1 tablet by mouth one time a day for Depression as ordered. Review of the care plan for Resident #86 showed: -[Resident #86] uses psychotropic medications r/t antidepressant to manage depression, date initiated: 4/18/24. Review of a new PASRR Level I for Resident #86, dated 5/27/24, showed: Section IA - no diagnoses checked Section III - not a provisional admission was checked no. During an interview on 6/11/24 at 3:16 p.m. the DON confirmed the PASRR Level I completed for Resident #86 on 5/27/24 was not revised correctly to include the new diagnosis of depression. She explained there was a full house sweep of PASRRs for current residents to determine if they were correct or needed revision. Resident #86's revised PASRR Level I was not correct. 4. Review of the Admission Record showed Resident #200 was admitted to the facility on [DATE], with diagnoses to include unspecified dementia, unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety. Review of the Order Summary Report as of 6/11/24 showed a physician order for the following: Psych evaluation due to increase anxiety and confusion, start date 5//18/24; Memantine HCI Oral Tablet 5 MG - give 1 tablet by mouth one time a day for dementia, start date 5/19/24; Mirtazapine Oral Tablet 7.5 MG - give 1 tablet by mouth one time a day for depression with poor appetite, start date 5/22/24. Review of the Medication Administration Record (MAR) for June 2024 showed Memantine HCI Oral Tablet 5 MG and Mirtazapine Oral Tablet 7.5 MG were administered as ordered. Review of the care plan for Resident #200 showed: -[Resident #200] uses psychotropic medications for treatment of depression with antidepressant, initiated on 5/20/24 and revised on 5/28/24. Review of a PASRR Level I for Resident #200, dated 5/8/24 showed: Section IA - no diagnoses checked Section IB - no conditions checked Section II - all boxes checked no 5. Dementia checked no and related neurocognitive disorder checked no 6. Secondary diagnoses checked 'no' Section III - not a provisional admission was checked no. During an interview with the DON on 6/11/24 at 3:20 p.m., she confirmed the diagnoses of dementia should have been checked as a secondary diagnosis and the Level I PASRR should have been revised with the new diagnosis of depression. 5. Review of the Admission Record showed Resident #201 was admitted to the facility on [DATE] and had an original admitted [DATE] with diagnoses to include major depressive disorder (11/3/21). Review of a PASRR Level I for Resident #201, dated 5/23/24 showed: Section IA - no diagnoses checked Section IB - no conditions checked Section II - all boxes checked no Section III - not a provisional admission was checked no. During an interview with the DON on 6/11/24 at 3:22 p.m., she confirmed Resident #201 had a diagnosis of major depressive disorder. She confirmed this diagnosis was not included on the Level I PASRR for Resident #201. She stated if diagnosis is their documentation then, yes, it should have been on the PASRR. A review of the facility's policy and procedure titled, PASRR Requirements Level I and Level II -Florida, effective February 2021, showed the following policy: Preadmission screening for mental illness and intellectual disability is required to be completed prior to admission to a nursing home. The screening is reviewed by admissions to ensure appropriate placement in the least restrictive environment and to identify any specialized services the applicant may need. PASRR screening applies to all new admissions into a Medicaid certified nursing facility regardless of payor source. Level 1 screening is typically done by discharge planners and hospital staff as a step in the discharge process. Procedure PASRR Level I showed: 1. During the admission process, Admissions or Business Development will communicate with the facility regarding prospective admissions and confirm a Level I PASRR has been completed. 2. Social services or RN (registered nurse) will review to determine if a Serious Mental Illness (SMI) and Intellectual Disability (ID) or both exist while reviewing the PASRR form. The existence of either, or both, condition trigger(s) the requirement for Level II review and will be provided to the appropriate state agency by the Social Services Director upon admission. The Social Services Director/Nursing Administration will review for completion and accuracy during the clinical meeting process. Recommendations will be implemented into the resident's plan of care then the document will be filed in the resident record. RN will follow the Florida 3008 form for completion of all sections prior to submission of the PASRR Level II for the review period.

Based on observation, interview and record review the facility failed to ensure the kitchen was maintained in a clean and sanitary manner related to not ensuring the dishwashing machine reached the required wash temperature, not sanitizing beverage carts prior to beverage service, not ensuring cookware was in good condition, and not ensuring expired food was removed from the walk in refrigerator that could potentially affect 87 residents of a census of 95. Findings included: An observation on [DATE] of the two dietary aides (Staff A and Staff E) at 9:58 a.m. revealed they were washing the dishes from the breakfast service. Observation of them processing a couple of dish racks of dirty dishes revealed the dishwashing machine showed the wash temperature varied between 130 and 140 degrees and the rinse was at 180 degrees each time. Staff A and Staff E did not rewash the dishes. Staff E was not able to confirm if the dishwashing machine was a high temperature or low temperature machine. She stated she looks at the dishes and if food is still on them that is when they know to do it again. Staff A and Staff E stated the wash temperature should be at 150 degrees. Observation of the machine showed it was an es2000 HT (high temperature) machine. Staff A, Dietary Aide confirmed they do receive training when they first start. An additional observation on [DATE] at 10:13 a.m. revealed Staff A and E washing dishes from the breakfast meal. Staff E stated they keep an eye on it (temperatures). Staff E was observed to push a dish rack of dirty dishes into the dishwasher and started the washing cycle. The washing temperature reached 140 degrees and the rinse temperature reached 180 degrees. Staff E glanced at the temperatures during the cycle. Staff A proceeded to remove the dish rack from the machine following the completion of the rinse cycle. The dishes were not redone. A continued observation on [DATE] revealed, in the same area as the dishwashing machine, a personal cell phone, and a bottle of [brand name] disinfectant cleaner on a shelf below a shelf containing five trays of approximately 20 clean bowls. In addition, a florescent green speaker was observed on the same tray of clean coffee mugs. (Photographic Evidence Obtained) Further observation of the kitchen revealed a beverage cart with containers of creams with drips of a light brown substance on the outside of the packaging. (Photographic Evidence Obtained) Later, during this tour of the kitchen, the Dietary Manager stated this was from the breakfast service and they would be discarded. An observation of the walk in refrigerator revealed an open bag of celery with some of the tips colored brown and the bag approximately ,d+[DATE] full of water and dated [DATE]. The Dietary Manager removed the bag at this time. A muffin pan was observed on the top shelf of a storage shelf near the three compartment sink and was noted to have a blackened staining on the outside of the individual muffin sections and within the exposed muffin sections there was brown staining. (Photographic Evidence Obtained) During the continued observation on [DATE] the Dietary Manager confirmed the wash temperature for the dishwashing machine should be at 150 degrees or above and the rinse should be 180. She explained if the machine isn't reaching the temperatures the staff should stop and let her know and she would contact [vendor name]. An observation on [DATE] at 10:40 a.m. revealed Staff A, Dietary Aide and Staff E, Dietary Aide washing dishes and the wash temperature did not hit 150 degrees. The Dietary Manager then instructed Staff A and Staff E to do the dishes again. The Dietary Manager stated sometimes it takes three times for the machine to hit the correct temperature. The Dietary Manager was informed at this time of the previous two observations of the temperatures not getting to the 150 degrees and Staff A and Staff E continued to process the next load of dishes each time. The Dietary Manager stated they should have redone the dishes. A continued tour of the kitchen revealed an observation of the toaster on [DATE] at 10:50 a.m., with a heavy coat of crumbs on the rungs of the toaster. The Dietary Manager stated they had toast for breakfast and she attempted to remove the coating with her finger and the crumbs did not come off. An observation on [DATE] at 12:09 p.m. of the lunch service in the main dining room revealed sixteen residents receiving beverage service. The beverage cart was observed to have creamers with drips of a light brown substance on the outside of the packaging on the cart. In addition, a top to one of the pitchers was placed on top of the creamers. On [DATE] at 4:05 p.m. the Dietary Manager stated [vendor name] serviced the dishwashing machine today and stated the representative from [vendor name] said the rinse and wash temperatures will fluctuate up and down and when it is in the 140s it is acceptable. Review of the [vendor name] ES 2000 HT sell sheet revealed the operating temperature for wash (minimum) is 150 F and for rinse (minimum) is 180 F. Review of the Culinary Department Daily/Weekly Cleaning Schedule for the week of [DATE] revealed the item Clean Toaster was done by the AM [NAME] on ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE] and ,d+[DATE]. The schedule also revealed the item of Coffee Carts Wipe Dwon/Clean Binders/Restock was completed by A3 on ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE], ,d+[DATE] and ,d+[DATE]. On [DATE] at 9:42 a.m. and observation of Staff C, [NAME] and Staff A, Dietary Aide revealed they were washing dishes from the breakfast meal. The dishwashing machine reached a wash temperature of 140 degrees. Staff C, [NAME] stated the wash temperature has to hit 150 degrees and sometimes she has to do it three times in a row for it to hit the number. On [DATE] at 11:35 a.m. an additional tour of the kitchen revealed six beverage carts with three pitchers on each and containers filled with creamers and sugar as well as a pitcher of lemonade, apple juice and tea. Staff C was wiping down each cart with a white rag dipped in soapy water in a clear pitcher. Staff C stated she got the soap from the dishwashing machine and filled the pitcher with hot water. Staff A, Dietary Aide was placing pitchers on the carts and then Staff C, [NAME] was observed removing the pitchers and placing them on the counter next to the beverage machine and the pitcher of soapy water. The tip of a white pitcher touched the clear pitcher and as she was rotating the pitchers from cart to counter a base of a black pitcher touched the clear pitcher of soapy water. As this cleaning continued, Staff C would ring out the white rag after dipping it into the clear pitcher of soapy water and carry the rag over the pitchers filled with beverages to be served to residents. At this time, the Dietary Manager was asked to confirm if the white pitcher of soapy water was sanitizer. The Dietary Manager asked Staff C if she used the sanitizer bucket and she stated she did not, that she filled the pitcher with the soap used for the dishwasher and then filled it with hot water. The Dietary Manager stated she needed to use the sanitizer bucket. Staff C, [NAME] proceeded to reclean two of the six carts with the sanitizer solution and Staff A, Dietary Aide pushed the carts out of kitchen. The other four carts were not recleaned with the sanitizer solution and were taken out of the kitchen by Staff A for beverage service. During an interview on [DATE] at 11:55 a.m. the Dietary Manager stated that she provides training to her staff monthly and annually. Review of the policy and procedure titled, Dish Machine, effective [DATE], revealed the policy as: o monitor dish machine temperatures and chemical saturation (parts per million [PPM]) for both high and low temperature machines each meal prior to dishwashing to assure proper cleaning and sanitizing of dishes. Review of the policy and procedure titled, Cleaning and Sanitizing, effective [DATE], revealed the policy as: The facility promotes a safe, clean and sanitary environment for its employees, residents and visitors. The Food and Nutrition Services team maintains clean and sanitary kitchen facilities. Walls, floors, ceiling, equipment, dishware and utensils are clean and/or sanitized and in good, working order. Procedure: 8. Dishes washed in dish machines will comply with one of the following guidelines: a. High temperature dish machine per manufacturer guideline plate or at ,d+[DATE] degrees F (Fahrenheit) wash and 180 degrees F final rinse (or in accordance with State regulations).

Based on interviews and record review the facility did not ensure the recommendations from a Level II Preadmission Screening and Resident Review (PASRR) were initiated for one resident (#7) out of 15 residents sampled. Findings included: Review of the Admission Record revealed Resident #7 had an initial admitted [DATE] with a readmitted [DATE]. Resident #7 had a primary diagnosis of hemiplegia and hemiparesis following non-traumatic intracerebral hemorrhage affecting the left non-dominant side. Resident #7 had secondary diagnoses to include unspecified psychosis not due to a substance or known physiological condition, schizoaffective disorder unspecified, impulse disorder unspecified, major depressive disorder recurrent moderate, need for assistance in personal care, bipolar disorder current episode depressed moderate, other specified anxiety disorders, and oppositional defiant disorder. A review of Resident #7's physician orders for June 2024 revealed an order for Fluoxetine HCL oral capsule 40 mg (milligrams) to give two capsules by mouth one time a day for depression, dated 8/31/2023; and Seroquel XR oral tablet extended release 24 hour 400 mg to give one tablet by mouth at bedtime for schizo-affective disorder dated 9/04/2023; with a new order for Seroquel XR oral tablet extended release 24 hour 300 mg to give one tablet by mouth at bedtime, dated 6/11/2024. A review of Resident 7's care plan revealed a Focus of Mood related to moderate depression initiated on 9/01/2023, with the following statement, PHQ 9 (Patient Health Questionnaire) score 10-14 (moderate to moderately severe depression), states feeling down, depressed, or hopeless, states/observed with insomnia-trouble falling asleep or staying asleep or sleeping too much, states/observed feeling tired or having little energy, states/observe with poor appetite or overeating, looks sad , pained or worried. The Goal for this focus area is to improve mood state or anxiety level by next review, minimize decline in ADLs (activities of daily living), participate in activities of choice and take medication as prescribed. Interventions for this goal included to administer psychotropic medications as ordered, observe for changes in mood /depression, notify physician and psychological services and observe/record/report to MD (medical doctor) prn (as needed) acute episode feelings or sadness, loss of pleasure and interest in activities, feelings of worthlessness or guilt, change in appetite/eating habits, change in sleep patterns, diminished ability to concentrate, change in psychomotor skills. A Focus area, initiated on 9/01/2023, [Resident #7] has a use of psychotropic medications related to antidepressant to manage depression and insomnia and antipsychotic to manage schizoaffective disorder. The Goal for this focus area is to have minimal side effects and for resident to be at the lowest dose required to reduce symptoms while minimizing adverse effects to ensure maximum functional ability both mentally and physically through the next review. Interventions included psychological services per order and as needed, psychiatry services per order, as needed, per protocol, consult with pharmacy, MD to consider dosage reduction when clinically appropriate, and use of psychotropic medications will be reviewed at least quarterly with the IDT (interdisciplinary team)/ MD to review continued need for the medication and ensure lowest dose. A Focus area of psychosocial, initiated on 9/01/2023, with the following statement, [Resident #7] has a history of psychosocial well-being problem related to (actual); Resident does not get along well with roommates at times. Resident unwilling at times to share or compromise with roommate at times. The Goal for this focus area will have resident adjust to roommate by next review and to share room space on a fair basis with roommate as evidenced by willingness to utilize only half of the floor space, not overcrowd room with personal belongings etc through the next review. Interventions included psychiatric services as needed. A review of Resident #7's Level II PASRR letter of determination, dated 5/23/2024, showed specialized services are deemed not necessary given the client does not appear to be in need of acute inpatient psychiatric care at this time. It is recommended that the following rehabilitative services, of a lesser intensity than specialized services, are added to the patient's Comprehensive Person-Centered Nursing Care Plan: Psychiatric medication management and supportive counseling. A review of Resident #7's progress notes in the electronic medical record, as well as the hard chart, did not show psychological or psychiatric entries regarding supportive counseling. On 6/10/24 at 3:43 p.m. an interview was conducted with the Social Services Director (SSD). The SSD stated she was unable to locate any psychiatry notes on Resident #7 in the electronic chart. The SSD confirmed Medical Records was unable to locate psychiatric notes for Resident #7 and deferred to the Director of Nursing (DON) for assistance. On 6/11/24 at 3:30 p.m. an interview was conducted with the DON, who confirmed there was no follow up with psychology/psychiatry based on the recommendations from the Level II PASRR for Resident #7. The DON stated, We have contacted psych ARNP [advanced registered nurse practitioner] today to establish visits. A review of the facility's policy and procedure titled, PASRR Requirements Level I and Level II -Florida, effective February 2021, showed the policy as: Preadmission screening for mental illness and intellectual disability is required to be completed prior to admission to a nursing home. The screening is reviewed by admissions to ensure appropriate placement in the least restrictive environment and to identify any specialized services the applicant may need. PASRR screening applies to all new admissions into a Medicaid certified nursing facility regardless of payor source . The procedure showed: PASRR Level I .2. Social services or RN (registered nurse) will review to determine if a serious mental illness (SMI) and intellectual disability (ID) or both exist while reviewing the PASRR form. The existence of either, or both, condition triggers the requirement for Level II review and will be provided to the appropriate state agency by the Social Services Director upon admission. The Social Services Director/Nursing Administration will review for completion and accuracy during the clinical meeting process. Recommendations will be implemented into the resident's plan of care then the document will be filed in the resident record.

Based on observation, interview and record review the facility failed to ensure respiratory care and services were provided in accordance with professional standards for two residents (#44 and #206) of ten residents sampled for oxygen therapy. Findings included: 1. A review of Resident #44's Admission Record revealed she was readmitted to the facility on [DATE] with diagnoses of acute respiratory failure with hypoxia (5/22/24), COVID-19 (5/22/24), and pneumonia (3/25/24). An observation on 6/8/24 at 1:39 p.m. of Resident #44 revealed the resident was receiving oxygen via a nasal cannula and the oxygen concentrator was set to 2.5 liters per minute (LPM). A review of Resident #44's physician orders, active as of 6/11/24, revealed an order, dated 5/23/24, for oxygen at 3 LPM via N.C. (nasal cannula) continuously for pneumonia every shift. An observation of Resident #44 on 6/9/24 at 4:13 p.m. revealed the resident was in bed and receiving oxygen via a nasal cannula. The oxygen concentrator was set at 2.5 LPM. Review of Resident #44's care plan, revised 5/23/24, revealed a Focus of Oxygen: [Resident #44] has Oxygen Therapy. Interventions included special equipment: Oxygen, initiated 6/6/24, administer oxygen as ordered, initiated 2/28/24. Review of Resident #44's Treatment Administration Record (TAR) for May 2024 revealed a check mark for the day, evening and night administration of oxygen at 3 LPM for 5/1/24 - 5/7/24 and 5/9/24 - 5/10/24. On 5/8/24 there was no documentation on the TAR for the day shift and a check mark for the evening and night shift. In an interview with Resident #44 on 6/10/24 at 3:50 p.m. it was observed that she was receiving oxygen via a nasal cannula at 2.5 LPM. She was observed with no signs or symptoms of distress. She stated the oxygen felt a little bit low. In an interview on 6/10/24 at 4:24 p.m. Staff B, Registered Nurse (RN) stated that it was the nurse's duty to monitor the oxygen for a resident and that it should be checked during med pass. She confirmed Resident #44 was to receive 3 LPM of continuous oxygen. At this time Staff B, RN and this surveyor entered Resident #44's room and Staff B confirmed Resident #44's oxygen concentrator was set at 2.5 LPM. 2. A review of Resident #206's Admission Record revealed he was admitted to the facility on [DATE] with diagnoses to include pneumonia. An observation on 6/8/24 at 3:29 p.m. of Resident #206 revealed the resident was in bed receiving oxygen via a nasal cannula and it was set to 2.5 liters per minute (LPM). A review of Resident #206's physician orders, active as of 6/11/24, revealed an order, dated 5/8/24, for oxygen at 2 LPM via nasal cannula PRN (as needed) for pneumonia as needed for shortness of breath. Review of Resident #206's care plan, initiated 5/7/24, revealed a Focus of Oxygen: [Resident #206] has Oxygen Therapy. Interventions included special equipment: Oxygen, and administer oxygen as ordered. In an interview on 6/11/24 at 10:22 a.m. the Director of Nursing stated the nurses should be checking the oxygen settings every shift. She confirmed if nurses are placing a check in the TAR that would indicate they checked the oxygen levels. Review of a policy titled, Oxygen Therapy, effective November 2023, revealed the policy as, Oxygen is provided to residents based on physician's orders to supplement oxygen as needed per disease process.

Based on observation, interview and record review the facility failed to maintain a safe and homelike environment related to an unsecured toilet in one bathroom (Rm 405) shared by two independent residents of a sample of 10 resident bathrooms. Findings included: An observation on 6/8/24 at 1:05 p.m. of the resident bathroom in room [ROOM NUMBER] revealed a toilet that was crooked and slightly facing towards the wall. (Photographic Evidence Obtained) During an interview on 6/9/24 at 11:08 a.m. with a resident who resided in room [ROOM NUMBER] revealed she was in her room in her wheelchair with uncontrolled bodily movements as she spoke during the interview. She stated, It moves. She confirmed she uses the restroom independently. She stated she has told facility staff and it was never fixed. She stated, It is a safety issue being disabled in a wheelchair. Review of the Maintenance Work Orders North Wing Log Book on 6/10/24 at 1:14 p.m. revealed one work order logged for a broken handle on a toilet on 4/6/24. The log book was silent of any work order requests to fix the toilet in room [ROOM NUMBER]. In an interview on 6/11/24 at 10:05 a.m. with Staff D, Certified Nursing Assistant (CNA) she stated she would go right to maintenance or housekeeping and tell them if there was a concern in a resident's room or a maintenance issue. She confirmed the resident in Bed A/Rm #405 uses the bathroom independently. She confirmed she was aware the toilet was not straight. She stated, She (resident) twists it. She pushes it. It is easier for her to do on a slant. She stated, I usually go in and push it back. Staff D also confirmed the resident in Bed B/Rm #405 was independent and uses the toilet herself as well. In an interview on 6/11/24 at 10:41 a.m. the Nursing Home Administrator (NHA) stated the facility has [electronic work order system] and everybody should use it. If they don't have access; a nurse can put it (concern in resident room) into the system. In an interview on 6/11/24 at 11:53 p.m. the Social Services Director stated if something needs to be fixed or repaired it should be put into [electronic work order system]. In an interview on 6/11/24 at 11:58 both residents in Bed A and Bed B were in room [ROOM NUMBER]. The resident in Bed B confirmed she used the toilet independently. She confirmed the toilet moves. She stated, I noticed that. The resident in Bed A stated, It affects me. An additional observation on 6/11/24 at 1:33 p.m. revealed the toilet was crooked and able to be moved when pushed. A review of the work orders provided by the NHA and generated from the electronic work order system showed no work orders for the months of April, May or June 2024 to secure the toilet in room [ROOM NUMBER]. During an interview with the NHA on 6/11/24 at 2:27 p.m. and the Director of Risk Management, they confirmed a review of the work orders generated from the electronic work order system included the months of April, May and June of 2024. They confirmed the work orders revealed one work order was generated for room [ROOM NUMBER] and it was for the toilet not flushing on 5/16/24 and that was fixed/completed on 5/17/24. In an additional interview with the NHA on 6/11/24 at 3:44 p.m. the photographic evidence was shared and the NHA stated this should have been placed into [electronic work order system]. Review of the policy titled, Physical Environment, effective 1/1/20, revealed the Policy as: A safe, clean, comfortable, and home-life environment is provided for each resident/patient, allowing the use of personal belongings to the greatest extent possible. Sufficient space and equipment in dining, health services, recreation, and program areas are provided to enable staff to provide resident/patients with needed services. All essential mechanical, electrical, and resident/patient care equipment is maintained in safe operating condition through the facility's Preventative Maintenance Program.

Based on observation, interview and facility record review, the facility failed to 1. maintain the kitchen and one (North) of two nourishment rooms in a clean and sanitary manner related to thick charred residue on baking sheets and reach in oven, charred aluminum foil in the reach in oven, staff item found in prep area and storage of a personal ice pack, and 2. date a food item, and 3. ensure evening dairy snacks were kept cold after delivery for two (North and South) of two nursing units. Findings included: 1. An initial kitchen tour was conducted on 03/03/20 at 9:15 a.m. with the Certified Dietary Manager (CDM) and the District Dietary Manager. During the initial tour at 9:49 a.m. an observation of the prep area revealed a cell phone charger on the stainless-steel counter. (Photographic Evidence Obtained) The CDM immediately removed the cell phone charger. Further observation of the prep area revealed stacked cooking sheets (10) to have a thick charred residue on the sides of the pans. (Photographic Evidence Obtained) The CDM informed the cook to clean the pans. At 10:02 a.m. on 03/03/20, a tour of the cook's area revealed a thick charred food residue on the inside door of the reach-in oven. (Photographic Evidence Obtained) Staff O, Cook, stated the oven was cleaned last week. The CDM verified the uncleanliness of the oven and stated she will have the oven cleaned tonight. A tour of the dry storage room at 10:18 a.m. revealed a 50 pound bag of flour opened/no date observed. The CDM stated that needs to be dated. (Photographic Evidence Obtained) A follow up tour of the main kitchen area was conducted on 3/5/20 at 11:40 a.m. An observation of the reach in-oven in the cook's area revealed the inside of the reach in oven had pieces of charred aluminum foil on the floor of the oven. (Photographic Evidence Obtained) Staff Member O, Cook, stated the door was cleaned and but she did not clean the bottom of the oven. At 12:02 p.m., a second observation of the cooking sheets revealed a thick charred residue on the sheets. The CDM stated she has ordered more cooking sheets and will discard the old ones. She verified the staff did not re-clean the old cooking sheets. An interview was conducted on 3/5/20 at 12:04 p.m., with Staff P, Cook. She stated they are not allowed to bring personal items into the work/prep areas. An interview was conducted on 3/5/20 at 12: 09 p.m., with the CDM and District Dietary Manager. The CDM verified the night cook delivers snacks to the North and South nursing stations at 7:00 p.m. and places the snacks on the nursing station counter. The labeled snacks included: egg salad sandwiches, chicken salad sandwiches, turkey sandwiches, puddings, potato chips, fruit cup, cereal with milk, apple sauce, Mighty Shakes, Magic Cups, and Ice Cream. On Monday (3/2/20), the CDM stated she told a certified nursing assistant on the South Unit to pass out the snacks as the tray was out on the nursing station counter. The CDM stated, Once the snack tray is delivered to the units, the nursing staff is responsible for passing the snacks out. The CDM stated the milk is supposed to be placed in the black ice container located in the freezers. The dietary staff is responsible for making sure the milk is placed on ice. The CDM verified that it is dietary's responsibility to place the milk or ice cream on ice. She stated her expectation is for staff to follow policy and be educated/in-serviced on the proper set-up for milk and ice cream. A tour of the North Nourishment Room was conducted on 3/5/20 at 12:30 p.m. with the CDM. An observation revealed an unlabeled black (hook and loop fastener) covered ice pack in the freezer compartment. (Photographic Evidence Obtained). Also revealed was a yellow plastic basin of water on the second shelf of the beverage cart. The CDM verified and stated the ice pack and a yellow basin filled with water should not be stored in the nourishment room and should be discarded. An interview was conducted on 3/5/20 at 12:37 p.m. with the Assistant Director of Nursing (ADON). The ADON verified the (hook and loop fastener) covered ice pack in the freezer in the North Nourishment Room. She stated, A family member probably placed it in there. The ADON stated, The expectation is the ice pack could be stored in the freezer but not the Velcro sleeve since it touches the resident's skin/body and the item should be labeled. She stated the facility does not use ice or hot packs. The ADON stated, her expectation for passing snacks would be that, The nursing staff immediately pass out the snacks and if they are not delivering the snacks when brought to the unit, staff should place the snacks in the refrigerator. An interview was conducted with the Administrator and Director of Nursing (DON) at 12:46 p.m. on 3/5/20. The Administrator stated his expectation was, The residents should receive cold items under 41 degrees. The DON verified it is the responsibility of the nursing staff to pass out the snacks. On 3/6/20 at 8:40 a.m., an interview was conducted with Staff Q, Dietary Aide. She stated, No personal items are allowed in the kitchen. On 3/6/20 at 8:42 a.m., a brief interview was conducted with Staff R, Cook. She stated the CDM talked about labeling everything with the open date, reviewed the correct scoop sizes to serve foods, and no personal items in the kitchen area at all. An interview was conducted on 3/6/20 at 8:49 a.m. with the District Dietary Manager. He stated the staff are orientated with a video that has what the dietary staff should do when working in the kitchen including wearing hair nets, beard guards, and use of personal items. The Dining Services Policy and Procedure Manual of the contracted dietary company on Snacks, revised 9/2017, revealed as policy, Snacks and beverages will be provided as identified in the individual plans of care. Bedtime (a.k.a. HS) snacks will be provided for all residents. The Procedures included #2, The Dining Services department assembles on a daily basis snack items (food and beverages) for delivery to each resident/patient area. #3. Snacks will be assembled, labeled, and dated in accordance with the individual plan of care for each resident and those items will be delivered to patient care areas in a timely manner. #6. Nursing Services is responsible for delivering the individual snacks to the identified residents and for offering evening snacks to all other residents. #7. All snacks will be properly stored for time and temperature control, as appropriate. The Dining Services Policy and Procedure Manual of the contracted dietary company on Receiving, revised 9/2017, revealed as policy, Safe food handling procedures for time and temperature control will be practiced in the transportation, delivery, and subsequent storage of all food items. For procedures, #5. stated, All food items will be appropriately labeled and dated either through manufacturer packaging or staff notification. The Dining Services Policy and Procedure Manual of the contracted dietary company on Food Storage: Dry Goods, revised 9/2017, revealed as policy, All dry goods will be appropriately stored will be appropriately stored in accordance with the FDA Food Code. The Procedures included #5. stated, All packaged and canned food items will be kept clean, dry, and properly sealed. #6. stated, Storage areas will be neat, arranged for easy identification, and date marked as appropriate. The Dining Services Policy and Procedure Manual of the contracted dietary company on Equipment, revised 9/2017, revealed as policy, All foodservice equipment will be clean, sanitary, and in proper working order. The Procedures included #3, All food contact equipment will be cleaned and sanitized after every use. #4. stated, All non-food contact equipment will be clean and free of debris. 2. On 3/2/20 at 7:30 p.m. evening snacks were observed on a tray at the South Unit nurses' station sitting on the counter. At 8:12 p.m. the evening snacks were observed on top of the residents' charts behind the nurses' desk. The evening snacks included approximately 12 sandwiches, 6 milks, one banana and 8 ice cream cups. At 9:20 p.m. the evening snacks were missing from the shelf. An interview conducted with Staff E, Registered Nurse (RN) at 9:20 p.m. revealed the snacks from the nurses' station were delivered to the residents. 3. Interview on 3/4/20 at 2:20 p.m. with a group of alert and oriented residents revealed that for their night time snack the snack items are delivered to the units by the kitchen staff, and that the aides are the ones who usually give out the snacks. The group reported that many times the milk is warm.

Based on observation and interview, the facility did not ensure that a clean and sanitary environment was maintained in 7 resident rooms (room [ROOM NUMBER], #108, #109, #310, #403, #503 and #509) of 8 sampled rooms of the 56-room facility for environmental cleanliness related to privacy curtains. Findings included: Random observations made between 3/3/20 and 3/6/20 of privacy curtains between the door (A) and window (B) beds throughout the facility revealed: - room [ROOM NUMBER] on 3/2/20 at 8:16 p.m. and 3/3/20 at 2:00 p.m.: Soiled with a large number of brown spots that look like something liquid was dropped on floor and splashed on the curtain. Multiple brown spots were seen on other parts of the curtain. All discolored areas were able to be seen from either side of the curtain. (Photographic Evidence Obtained) - room [ROOM NUMBER] on 3/3/20 at 2:03 p.m.: Soiled with multiple dark spots visible from both sides of the curtain. (Photographic Evidence Obtained) - room [ROOM NUMBER] on 3/3/20 at 2:05 p.m.: Soiled on the door side of the curtain with a smear of a red substance, and the side facing the window with a smear of a brown substance. (Photographic Evidence Obtained) - room [ROOM NUMBER] 3/2/20 at 8:41 p.m. and 3/3/20 at 8:41 a.m.: Soiled with a smear of a red substance, brown spots, and two large yellow areas visible from the window side of the curtain. (Photographic Evidence Obtained) - Room#403 on 3/6/20 at 9:55 a.m.: Privacy curtain between the beds is soiled with multiple smears and spots of a reddish-brown substance that appears to be blood visible from both sides of the curtain. (Photographic Evidence Obtained) - room [ROOM NUMBER] on 3/5/20 in afternoon: Soiled with several spots of a red substance that appears to be blood. (Photographic Evidence Obtained) - room [ROOM NUMBER] on 5/6/20 at 9:05 a.m.: Privacy curtain between the beds is soiled with several vertical brown lines that appear to be feces. (Photographic Evidence Obtained) On 3/4/20 at 12:36 p.m. in an interview with Staff C, Certified Nursing Assistant (CNA) and Staff T, Licensed Practical Nurse (LPN) they both said that they would report any issues with the curtains to the housekeeping supervisor. On 3/5/20 at 12:40 p.m. in an interview with Staff E, Registered Nurse (RN) she said that if anyone came to her and let her know that the curtains were dirty, she would let the housekeeping supervisor know directly. On 3/6/20 at 9:15 a.m. in an interview with Staff G, RN she said that the housekeeping supervisor is the one that is charge of cleaning the privacy curtains, and that if she ever found any that were soiled, she would let the housekeeping supervisor know. On 3/6/20 at 12:34 p.m. in an interview with the Assistant Director of Nursing (ADON) she said that the housekeeping supervisor was the one who was in charge of cleaning the privacy curtains, and that they get cleaned when rooms are deep cleaned. The facility has a concierge program where department heads are assigned rooms, and one of the things they are supposed to look at is cleanliness of the room, including the privacy curtains. She was surprised when she was shown pictures of the curtains found with stains and said that she would get a full house audit completed to check other privacy curtains in the facility. On 3/6/20 at 12:00 p.m. the Social Service Director brought a facility document about the concierge program. On the paper was a list of what they were to look at in the rooms in the morning. Curtain was on the list of things to look at. Approximately 1:45 p.m., the Administrator said that it was an internal document and that it could not leave the building. On 3/6/20 at 1:00 p.m. in an interview with the Housekeeping Supervisor, she said that rooms are deep cleaned on a schedule. She said that the facility is short on extra curtains, and they can only clean five curtains at a time. She does plan on ordering more curtains so she can clean more than five at a time. She said that anyone can let her know personally about a curtain that needs attention and she will take care of it.

Based on observation, interview, record review, and review of manufacturer's instructions, the facility did not ensure that infection control standards were maintained regarding the cleaning and sanitization of a glucometer after use on one resident (#11) out of two residents observed for blood glucose monitoring. Findings included: On 3/4/20 at 4:00 p.m. Staff B, Licensed Practical Nurse (LPN) was standing at her cart wiping a glucometer with a bleach wipe. She placed the glucometer into a plastic cup that was sitting on top of her cart. She was asked if she had any more (blood glucose monitoring) to complete and she said that she needed to get Resident #11's blood sugar. She gathered her supplies from the top drawer of her medication cart and grabbed the cup with the glucometer in it. She carried a container of testing strips, one alcohol wipe, the glucometer still inside the cup, and a lancet in her left hand to the room. She knocked on the door announcing herself and asked permission to enter the room. Upon entering, she took a pair of gloves from the box on the wall and put them on. After this, she pulled out a testing strip from the container of strips, put it into the glucometer, closed the lid on the container, and then put the container into her right scrub shirt pocket. She then wiped the resident's finger with the alcohol wipe, used the lancet to draw blood for the (blood glucose monitoring), and placed a drop of blood on the testing strip. The nurse said the resident did not need coverage. The nurse thanked the resident, removed and threw away her gloves, the alcohol wipe, and the used testing strip into the trash can. She walked out of the resident's room and back to her cart. She put the plastic cup she had taken into the room on top of her cart and placed the glucometer in it. She opened the bottom drawer of her medication cart and pulled a bleach wipe from a blue topped container and wiped down the glucometer for approximately 45 seconds. She placed the glucometer back into the cup on top of her cart and threw away the bleach wipe. She then opened the top drawer of the medication cart, took out a small plastic resealable bag, placed the glucometer in it, closed it, put it back into the drawer, and closed the drawer. At 4:04 p.m. Staff B, LPN was asked how long the glucometer was supposed to be wiped down for, she said it depended on the wipe. She said that the individual packaged wipes were 3 minutes. When she was asked about the bleach wipes she used on the glucometer she said 3 minutes, and pointed to an area on the container that indicated the wipe kills c-dif ([MEDICAL CONDITION]) in 3 minutes. When asked if she feels she wiped down the glucometer for 3 minutes, or if it was wet for 3 minutes, she said, It feels like it was. The nurse was also asked if she should have gotten a new cup to put the glucometer in after wiping it down, she stated, it's clean. She confirmed that it was the same cup she took into Resident 11's room. Staff B was then asked where the testing strips were, and she opened the top drawer of her medication cart looking for them. When she was asked if they were still in her pocket, she said, Oh, yes they are. The nurse was asked if they should have been taken into the room or be in her pocket and she said, No and placed them in top drawer next to the glucometer and shut the drawer. When she was asked if she thought she should have done something different, she said she would take only a couple of testing strips into the resident's room and would have wiped down the glucometer for longer. On 3/5/20 at 12:03 p.m. in an interview with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) it was made known that the ADON had just held a competency for all nurses regarding the (blood glucose monitoring) process, and that Staff B, LPN did not attend. The DON said that she expected the nurses to know the (blood glucose monitoring) process properly and expected them to follow that process. She also expected her nurses to wear gloves when handling bleach wipes. The ADON said that she would complete a full competency with Staff B the next time she was scheduled to work the floor, because she wanted to ensure that this was taken care of immediately. Review of the facility policy titled, Glucometer Cleaning and Disinfection Policy, dated October 2019, under the sub-heading of Policy Explanation and Compliance Guidelines #1 read, The facility will ensure blood glucometers will be cleaned and disinfected after each use and according to the manufacturer's instructions for multi-resident use. Review of the manufacturer's instructions in Section B Cleaning and Disinfecting the Meter the first sentence of the second paragraph on page 16 revealed, The meter should be cleaned and disinfected after use on each patient. On page 17 steps for cleaning (steps 1-4) and disinfecting (steps 5-9) are listed: Step 1: Wear appropriate protective gear such as disposable gloves. Step 3: Wipe the entire surface of the meter 3 times horizontally, and 3 times vertically using 1 towelette to clean blood and other body fluids. Step 4: dispose of the used towelette in a trash bin. Step 5: Open the towelette container and pull out 1 towelette and close the lid. Step 6: Wipe the entire surface of the meter 3 times horizontally and 3 times vertically to remove blood-borne pathogens. Step 8: Allow exteriors to remain wet for the appropriate contact time and then wipe the meter using a dry cloth.

Based on observation, interview and record review the facility failed to honor a resident's right for dignity for 2 residents (#21, #31) of 42 sampled residents, related to not ensuring a resident's privacy of their body (#21), and by not covering a urinary catheter bag (#31). Findings included: 1. On 3/05/20 at 3:09 p.m. while standing at the nurses' station on the 100 hall, a resident was heard screaming and shouting. Two nurses and an aide were noted at the nurses' station, but no one responded to the resident's screaming and shouting. On 3/05/20 at 3:10 p.m. Resident #21's door was observed to be open and the resident was still screaming and shouting profanities. From the hall, across from the open door, the resident was noted to be lying in her bed with her dress noted to be up at her chest, and her adult brief was off, and her knees were up in the air with her naked body from the chest down exposed. On 3/05/20 at 3:11 p.m. Resident #21 was noted to continue to shout out profanities. Staff B, Licensed Practical Nurse (LPN) was noted to leave a room from down the hall and walk past Resident 21's room, while the resident was still shouting profanities and her lower body was still exposed. The nurse took a half glance towards the room and continued walking to the nurses' station. Continued observation of Resident #21's room on 3/05/20 at 3:15 p.m. revealed that Staff U, Certified Nursing Assistant (CNA) walked down the hall, saw the open door, noted that the resident was exposed and said, Excuse me, an entered the room and closed the door. An interview on 3/05/20 at 3:16 p.m. with Staff B, LPN confirmed that she walked past the resident's room and reported that she heard the resident screaming and shouting, but, did not think anything of it; as the resident has behavior problems. She reported that she did not realize Resident 21's body was exposed. When asked what the process was to deal with this resident's behaviors, the nurse did not respond to the question. A review of Resident 21's Admission Record revealed an admission date of [DATE] and [DIAGNOSES REDACTED]. A review of the care plan initiated on 9/12/18 revealed a focus of, (Resident #21) has a behavior problem r/t (related to) OBS, Bi-Polar Disorder. Mental [MEDICAL CONDITION]. Resident verbally abusive toward staff during care. Difficult to redirect. Refuses medication at times. ** Repetitive verbalization, Inappropriate Language, Yells out at times. The interventions included, Approach in a calm manner ., Caregivers to provide opportunity for positive interaction, attention. Stop and talk with her as passing by. An interview on 3/05/20 at 3:20 p.m. with the Director of Nursing (DON) revealed that staff should have responded to the resident's screaming and shouting, and that all staff need to ensure privacy and dignity of all residents. Review of the Resident Bill of Rights, provided by the facility revealed, Quality of Life: Dignity/Self Determination and Participation. You have the right to receive care from the facility in a manner and in an environment that promotes, maintains, or enhances your dignity and respect in full recognition of your individuality. 2. During the initial tour of facility on 03/02/20 at 8:10 p.m., an interview with Resident #31 was conducted. Resident #31 stated she had just come back from the hospital. Further observation revealed a catheter bag on right side of bed that was not covered. (Photographic Evidence Obtained) A review of Resident #31's Admission Record documented an admission date of [DATE]. The [DIAGNOSES REDACTED]. A review of the Minimum Data Set (MDS) Quarterly Assessment, completed on 1/10/20, revealed in Section C for Cognitive Patterns a Brief Interview for Mental Status score of 13 out of 15 (cognitively intact). Further review of the MDS in Section H Bladder/Bowel revealed Resident #31 was coded for an indwelling catheter. An observation was made on 03/03/20 at 10:56 a.m. There was no privacy bag covering the catheter bag for Resident #31 as she was escorted to the physical therapy gym by the therapist. On 03/04/20 at 9:30 a.m., Resident #31was observed in bed asleep with an oxygen mask on and the catheter bag was on the floor, uncovered, and visible at the doorway. (Photographic Evidence Obtained) A review of the physician orders, dated 2/29/20, revealed, (indwelling) catheter to drainage bag for [MEDICAL CONDITION] 16fr/5ml (milliliters) (+/-). Observe Q (every) shift- every shift for observation. Irrigate (indwelling) catheter with 30 ml normal saline as needed for blockage/leaking or sluggishness as needed. Change (indwelling) catheter as needed for leakage/blockage or dislodgement- as needed document in residents record. Change catheter bag as needed, label with date- as needed. A review of the initial care plan did not include a focus for the indwelling catheter. A review of the care plan, initiated on 03/04/2020, included a focus for indwelling catheter care, (Resident #31) uses a Urinary catheter with risk for infection. The interventions included, Use catheter bag that promotes privacy/dignity. On 03/04/20 at 9:35 a.m., an interview was conducted with Staff M, LPN. She verified and stated she sees the (indwelling) catheter bag on the floor, and it should not be. She stated she will pick it off the floor. She reiterated the bag should not be on the floor. The LPN also stated that Resident #31 needs to have a privacy bag placed over the catheter bag. She stated the nurses are supposed to make sure the catheter bags are off the floor. She stated the CNAs empty the bags on every shift. An interview was conducted on 03/04/20 at 9:48 a.m. with Staff G, LPN/Unit Manager. She verified the catheter bag was on the floor with no privacy bag. She said, There is a chain of who is responsible to make sure it is done right. The CNAs and the nurses should see that the bag is on the floor, and you can see it from the doorway. She stated the staff has had in-services on privacy and dignity. On 03/04/20 at 9:55 a.m., Staff N, CNA, assigned to the resident verified and stated, The catheter bag was hung wrong, on the floor and no privacy bag. She stated it should be hung with the circle on the bed. Staff N readjusted the catheter bag with the clip underneath the resident's blanket. She stated she has had training once every two months on how to care for a resident with a catheter bag. An interview was conducted on 03/04/20 at 10:56 a.m. with the Director of Nursing (DON) and the Assistant Director of Nursing (ADON). The DON stated her expectation is that the nurse would have identified it (no privacy bag in place) and gotten a (name brand) catheter bag (when resident returned from hospital). Staff will initiate catheter training for CNAs and nurses. An interview was conducted on 03/04/20 at 11:10 a.m. with the Administrator. He stated his expectation is for staff to follow the facility policy for dignity and respect. The Administrator stated, The staff do have in-services on respect and dignity annually, and as needed. He said, The DON and ADON will begin retraining the nursing staff immediately.

Based on observation, interview, record review, and policy review, the facility did not ensure a medication error rate of less than 5 percent in regards to 3 errors in 32 opportunities for three residents Resident #78, Resident #237, and Resident #24 out of 7 residents sampled, resulting in a 9.38% medication error rate. Findings included: 1. On 3/3/2020 at 8:55 a.m., medication administration was observed with Staff A, Licensed Practical Nurse (LPN) for Resident #78. Staff A pulled a bottle of multivitamins from the drawer of the medication cart, removed a tablet, placed the tablet in a medication cup, replaced the lid and sat the bottle on top of the medication cart. When asked if it was a multivitamin, or multivitamin with minerals, she pulled a different bottle out of the top drawer of the medication cart that read, multivitamin with iron on the label and she said, I think just multivitamin, and put the other bottle back in the cart without taking out a tablet. A review of Resident #78's medical record revealed an admission date of [DATE] for a [DIAGNOSES REDACTED]. A review of the March 2020 physician orders [REDACTED]. On 3/3/2020 at 9:00 a.m. Staff A, LPN poured 17g (grams) of [MEDICATION NAME] powder into 4 ounces of water and stirred it until it dissolved. She took the [MEDICATION NAME] and the rest of Resident #237's medications into the resident's room and gave the resident her medications. A review of Resident #237's medical record revealed an admission date of [DATE] for a [DIAGNOSES REDACTED]. Other [DIAGNOSES REDACTED]. A review of the March 2020 physician orders [REDACTED]. Hold for diarrhea or loose stool dated 2/29/2020. In a facility policy titled, Medication Administration General Guidelines, dated 09/18 on page 3 under the subheading Medication Administration under #1, the first sentence stated, Medications are administered in accordance with written orders of the prescriber. On page 4, #9 stated, Verify medication is correct three (3) times before administering the medication. In an interview with the Assistant Director of Nursing (ADON) at 12:34 p.m. on 3/6/2020, she said that it was her expectation that medication orders be checked and followed by staff before administration. 2. During observation of medication administration on 3/3/2020 at 9:33 a.m. with Staff L, Registered Nurse (RN), for Resident #24, the nurse pulled out a bottle of aspirin 81 mg (milligrams) chewables and dispensed one tablet into the medicine cup. Staff L, RN stated the resident takes her medicine in pudding. She was going to give her the chewable aspirin, although she confirmed the order was for aspirin 81 mg [MEDICATION NAME] coated. Review of the March 2020 physician order [REDACTED].

Based on interview and record review the facility failed to provide assistance with showering and grooming for three residents (Resident #1, #2, and #3) of three residents surveyed resulting in the residents not receiving required daily grooming needs. Findings include: On 8/13/19 at 10:23 a.m. Resident #1 said staff leave her in the bathroom without assistance when she is toileting. Resident #1 said it had been 9 days since she had been assisted with a shower. Review of the P[NAME] (Point Click Care) Response History shows Resident #1 had not had one documented shower from 7/29/18 to 8/13/19. There is no documentation the resident refused care. On 8/13/19 Resident #2's daughter said her father was not receiving assistance from staff with showering, grooming, and toileting while he was at the facility. Review of the documentation provided by the facility showed Resident #2 did not receive a shower form 7/5/19 to 7/12/19. There was no documentation the resident had refused care. On 8/13/19 at 2:55 p.m. Resident #3 said he had only received one shower since he was admitted to the facility. He said he would like to have a shower daily. Review of the documentation provided by the facility showed Resident #3 had not received a shower from 8/1/19 until 8/9/19. On 8/13/19 at 3:10 p.m. the Director of Nursing said residents should receive a minimum of 2 showers weekly unless they refuse to shower.

Based on observations, interviews and record reviews, the facility failed to follow the greivance process related to resident's personal property missing for 1 (Resident #53) of 1 resident sampled for loss of personal property. Findings included: Resident #53 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. An interview with Resident #53 was conducted on 03/04/19 at 11:46 AM. Resident #53 stated that some of his clothes were missing. Resident #53 stated that he was missing 3 or 4 shirts and about 6 pairs of socks. Resident #53 stated that the nursing staff was told about the missing clothing, but the clothing items were never returned. Resident #53 was not sure how long the items were missing and cannot recall the names of staff members that were told about the missing items. A cell phone was also observed on Resident #53's bedside table and a pair of glasses. Resident #53 stated that the clothing items were brought in after admission by family, but the cell phone and glasses were present at the time of admission. Review of Resident #53's Inventory of Personal Effects sheet in the hard chart revealed that inventory of clothing and personal items was not taken. The only fields in the form that were filled out were Resident #53's name, room number, and a note that reads none next to the inventory item dentures. An interview was conducted with Staff Member H on 03/06/19 at 7:50 AM regarding Resident #53's Inventory sheet. Staff Member H stated that Resident #53 may not have been admitted to the facility with any personal items, so the Inventory sheet was never filled out. Staff Member H stated that sometimes if a resident does not have any personal items, a 0 or a line is put through the item line to signify that the resident does not have any items. Staff Member H stated that Resident #53's Inventory sheet needed to be updated and asked Staff Member I to update the sheet in Resident #53's chart. An interview was conducted on 03/06/19 at 04:17 PM with the facility Social Services Director (SSD) regarding Resident #53's missing items. SSD stated that a grievance was never filed for Resident #53's missing items and that no report of missing clothing was made. SSD stated that they would speak with Resident #53 about the missing clothing items and file the appropriate grievance. SSD provided a follow up on Resident #53's grievance on 03/06/19 at 04:40 PM. SSD spoke with Resident #53 regarding missing clothing items and was able to find the missing items with assistance from the Housekeeping Supervisor. 3 of Resident #53's missing items were in the laundry being washed and the rest of the items were inside of his closet. Resident #53 verified that missing items were accounted for. An interview was conducted with the facility Administrator on 03/07/19 at 09:15 AM regarding expectations of inventory of resident's personal belongings. The Facility Administrator stated that he expects the inventory sheet to be filled out upon admission and updated to account for new items that the resident brings into the facility by staff.

Based on observation, record review and interview, the facility failed to develop a comprehensive person-centered care plan care identifying interventions for oxygen therapy for one Resident (#21), the facility failed to monitor and document lung sounds for nebulizer treatments for one Resident (#65) and failed to follow physician orders [REDACTED].#21 and #65) of 3 resident's sampled for respiratory care. Findings Included: 1. Resident #21 was initially admitted to the facility on [DATE], with the most recent readmitted being 7/31/18 for a [DIAGNOSES REDACTED]. Other [DIAGNOSES REDACTED]. Observations of the resident's oxygen concentrator at the following times revealed that the resident's oxygen concentrator was set to deliver 1.5 LPM (liters of oxygen per minute): On 03/04/19 at 12:08 pm, 3:00 pm, and 5:00 pm. On 03/05/19 at 11:26 am and 5:23 pm, and on 03/06/19 at 12:42 pm. (Photographic Evidence Obtained) In a quarterly MDS dated [DATE], it was revealed that the resident had a BIMS (Brief Interview for Mental Status) of 4 indicating that the resident had severe cognitive impairment. The resident was assessed to require the assistance of 2 staff members for her ADL (Activities of Daily Living) care, and 1 staff member for eating. The resident was assessed to wear oxygen, but to not have had any shortness of breath. Review of the resident's physician orders [REDACTED]. Review of the resident's oxygen level for the past 30 days revealed that the resident's oxygen level did not fall below 97% while receiving supplemental oxygen. In the 4 months prior, the resident was only assessed on room air 4 times. On 2/16/19 it was 98%, on 2/4/19 it was 98%, and 1/19/19 it was 97%, and on 11/13/18 the resident was 97%. As of 03/06/19 at 5:05 pm there were no care plan focus areas, goals, or interventions concerning oxygen or its use. On 03/06/19 at 12:42 pm in an interview with Staff E, CNA: The resident likes to stay in bed with the curtains pulled. She always wears her oxygen. At 12:52 PM in an interview with Staff F, LPN: The resident likes to stay in bed, and she likes to have her curtains closed. She's usually non-verbal, but she screams when she wants something. The resident's oxygen order is PRN and is for 2 liters, but she wears it all the time. I've never seen her without her oxygen, and I've never seen her in respiratory distress. In an interview with the DON on 03/07/19 at 10:32 am: The resident's order is for PRN SOB. I'll call the physician, and see if the resident can just come off it (the oxygen) with an order to put it back in if her oxygen levels drop to a certain point. If her oxygen levels are this good on 1.5, then maybe we can just take her off, or at least wean her down. There is no care plan for the oxygen. I don't know why it's not there. The care plan team told me that it's a medication, so it doesn't need to be care planned. (The DON called the care plan team, and was looking for any indication of oxygen being mentioned on the resident's care plan.) The care plan team says that they have been care planning oxygen, but that this resident went on oxygen after the last care plan day, so it was never put on the care plan. The regional corporate nurse came into the DON's office during the interview, and at 10:40 am said that any oxygen needs to be care planned, that it did not matter if it was PRN or continuous. 2) Resident #65 was admitted on [DATE], with the most recent re-admit on 2/8/19 with a [DIAGNOSES REDACTED]. An interview and observation on 3/04/19 at 12:28 p.m. with Resident #65 revealed the resident was on 2 liters of oxygen via nasal cannula. Resident #65 stated he was feeling better after being hospitalized for [REDACTED]. An observation on 3/5/19 at 4:42 p.m. revealed Resident #65 lying in bed with oxygen flowing via nasal cannula at 2 liters. An observation on 3/6/19 at 9:20 a.m. revealed Resident #65 lying in bed with oxygen flowing via nasal cannula at 2 liters. During an interview on 3/6/19 at 11:53 a.m. with Staff Member G, LPN she stated, Resident #65 likes to stay in bed and receives oxygen at 2 liters via nasal cannula and nebulizer treatments. Staff member G, LPN stated she takes the resident's oxygen level every shift and he is on continuous oxygen. Resident #65 was re-admitted on [DATE] with a [DIAGNOSES REDACTED]. Reveiw of the physician order [REDACTED]. Review of the physician order [REDACTED]. Review of the Treatment Administration Record for (MONTH) revealed Oxygen at 2 liters per minute via nasal cannula as needed for shortness of breath with lung sounds, respirations, oxygen saturation blank. Review of the physician order [REDACTED]. Review of the physician order [REDACTED]. Review of Resident #65's minimum data set (MDS) for a brief interview of mental status (BIMS) dated 2/18/19 with a score of 13, meaning cognitively intact. Review of the resident care plan with a focus on altered respiratory status initated on 2/8/19 revealed a goal for no complications related to shortness of breath with interventions to provide oxygen as ordered, monitor for decreased pulse oximetry. Review of the care plan focus area for oxygen revealed a goal to participate in activities of choice with an intervention of special equiment: oxygen, administer oxygen as ordered, give medications as ordered by physician. Monitor, document side effects and effectiveness. Review of the radiology report, dated on 3/5/19, revealed the resident with xray chest 2 view - focal opacity along the lateral left lung base with the right lung clear. Left basilar infiltrate. During an interview with the DON on 3/619 at 3:09 p.m. she confirmed the oxygen therapy should be ordered as continuous and lungs should be auscultated and documented. Review of the policy and procedure for physician orders [REDACTED]. Review of the oxygen administration and therapeutics policy and procedure from Respiratory Practive Manual, 2/1/1, one page with effective date of (MONTH) 2013 revealed: The facility requires that a physcian's order be obtainted prior to the administration of oxygen. The goals of oxygen therapy are as follows: all orders for oxygen therapy must include: duration of use, specific weaning criteria.

Based on observations, interviews, and record reviews, the facility failed to provide ongoing monitoring for complications before and after [MEDICAL TREATMENT] treatments for 1 (Resident #64) of 1 resident sampled for [MEDICAL TREATMENT] care. Findings included: Resident #64 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. A review of Resident #64's physician orders [REDACTED].#64 does not have an order to monitor the access site for thrill and bruit, which assesses blood flow in the site. Review of the facility's [MEDICAL TREATMENT] contract reveals an effective date of 09/07/11. An interview with Resident #64 was conducted on 03/05/19 at 10:46 AM regarding [MEDICAL TREATMENT] appointments and care. Resident #64 stated that he had no issues with [MEDICAL TREATMENT] care and that staff look at the [MEDICAL TREATMENT] site often. Resident #64's [MEDICAL TREATMENT] site was observed in his left forearm and did not appear to have any signs or symptoms of infection. Resident #64 is aware of his modified diet, fluid restrictions, and medications related to his current diagnosis. A review of Resident #64's [MEDICAL TREATMENT] Communication Tools in the hard chart revealed that vital signs are taken before and after [MEDICAL TREATMENT] appointments. The thrill and bruit assessment was not completed after [MEDICAL TREATMENT] appointments on 01/23/19, 02/06/19, 02/08/19, 02/13/19, 02/15/19, 02/25/19, 03/01/19, and 03/04/19. A review of Resident #64's care plan reveals that the resident has [MEDICAL CONDITION] and receives [MEDICAL TREATMENT] treatments with an intervention to monitor the access site for thrill and bruit as ordered. A review of the facility's policy regarding [MEDICAL TREATMENT] management reveals completion of the [MEDICAL TREATMENT] Communication Tool before and after [MEDICAL TREATMENT] as part of the guidelines. An interview was conducted with Resident #64 on 03/07/19 at 09:06 AM regarding assessment of the [MEDICAL TREATMENT] site. Resident #64 stated that they do look at the site pretty often, but they don't listen to it very much to assess for thrill and bruit. Resident #64 stated that some nurses do, but most of them don't. An interview was conducted with Staff Member H on 03/07/19 at 09:09 AM regarding assessment of Resident #64's [MEDICAL TREATMENT] site. Staff Member H stated that they monitor the access site on their shift, including listening for thrill and bruit. Staff Member H stated that the assessment is documented on the [MEDICAL TREATMENT] Communication Tool, but could not find any documentation of the assessment on non-[MEDICAL TREATMENT] days. Staff Member H stated that assessment should be completed everyday. An interview was conducted with Staff Member J on 03/07/19 at 09:19 AM regarding assessment of Resident #64's [MEDICAL TREATMENT] site. Staff Member H stated that assessment of thrill and bruit in the [MEDICAL TREATMENT] site should be performed at least on [MEDICAL TREATMENT] days and stated that they would check it further in accordance with the facility policy.

Based on interview, and record review the facility failed to ensure hypertensive medications were administered as ordered by the physician for one resident (Resident #1) of three residents surveyed having a potential to have been a contributing factor in the resident having hypotensive episodes. Findings include: Resident #1 was admitted to the facility on [DATE] with a history of hypertension, Diabetes Mellitus, and End Stage [MEDICAL CONDITION]. A physicians order reads, [MEDICATION NAME] 0.1 MG give one tablet by mouth three times a day [MEDICAL CONDITION](Hypertension) *Hold for SBP (systolic blood pressure) less than 110 . Review of the (MONTH) Medication Administration Record (MAR) shows licensed practical nurse Staff A administered [MEDICATION NAME] 0.1 MG to resident #1 at 1:00 p.m. on 10/21/18. The blood pressure documented on the MAR shows Resident #1's blood pressure was 104/62 at the time of administration. A progress note dated 10/21/18 at 7:15 p.m. reads, Notified PCP (Primary Care Physician) of low BP Received orders to d/c (discontinue) [MEDICATION NAME] 0.1mg. As well as reduce dosage amount of Carvedilol from 12.5 to 6.25 with parameters . Review of the (MONTH) MAR shows on 10/22/18 at 9:00 a.m. Staff A documented administering Carvedilol 6.25 MG. The physician's orders [REDACTED]. There was no documented blood pressure recorded on the MAR or in the medical record at 9:00 a.m. on 10/22/18. A progress note dated 10/22/18 at 10:24 am reads, Therapy notified this nurse of LOW BP 89/29 . A progress note dated 10/22/18 at 12:51 pm shows Resident #1 was sent to the hospital via emergency medical services due to a blood pressure of 77/54. On 11/27/18 at 3:30 pm Staff A verified she had documented she had administered [MEDICATION NAME] 0.1 mg with a parameter to hold the medication with a SBP of less than 110. Staff A verified she had documented the resident's blood pressure at the time of the documented administration was 104/62. Staff A verified the progress note on 10/21/18 at 7:15 pm shows Resident #1 had a hypotensive episode. Staff A said she had held the medication and had mistakenly documented that she had administered the medication. Staff A verified she had Administered Carvedilol 6.25 mg on 10/22/18 at 9:00 a.m. Staff A verified there was no documented blood pressure in the medical record at the time the medication was administered. Staff A verified Resident #1 was sent to the hospital with a hypotensive episode. Staff A said she had taken Resident #1's blood pressure on 10/22/18 at 9:00 am and had failed to document it in the medical record.

Based on interview and record review the facility failed to notify the Ombudsman of three of three residents facility initiated discharges as soon as practicable. Findings include: On 10/9/18 at 1:30 p.m. the Director of Nursing (DON) said she had given Resident #1 a discharge notice on 10/2/18 after he had become combative with staff and he was a threat to the residents at the facility. Review of the Nursing Home Transfer and Discharge Notice shows the Baker Act discharge of Resident #2 was initiated on 2/19/18. Review of the Nursing Home Transfer and Discharge Notice shows the Baker Act discharge of Resident #3 was initiated on 1/30/18. On 10/9/18 at 2:10 p.m. the Manager of the Ombudsman said she had not been notified of the facility initiated transfers of Resident #1, #2 or #3. On 10/9/18 at 2:30 p.m. the Social Service Director verified that she could not provide documentation the Ombudsman had been notified of the facility initiated discharges of Resident #1, #2, and #3.

Based on the resident group interview and record review, the facility failed to ensure that 7 of nine residents interviewed knew how to access the grievance form in order to file a grievance with the facility for follow up and resolution. Findings included: During the resident council group interview conducted on 1/18/18 commencing at 10:32 A.M. the following was revealed: Seven of nine interviewable residents who participated in the resident council group interview (#24, 15, 35, 21, 23, 13, 29) confirmed that they did not know how to file a grievance. They were not aware of the grievance form process. Resident #24 stated that it was heartbreaking to her to see an item of her clothing being worn by another resident and not know how to file a grievance to ensure it is returned. She did not recall being given any information as to how to file a grievance. Resident # 15 stated that she did not know how to file a grievance. She stated that unless she remembered to tell her family member about her concerns, she would not know how to file a grievance. Record review of the current facility policy dated January 2017 titled Grievance/ Concern Management confirmed under the section titled PR(NAME)EDURE: 1. At, during, or after admission, staff will provide: A copy of the concern/grievance form An interview conducted with the admissions director on 1/18/18 at 12:47 P.M. confirmed that a copy of the resident/grievance form was not given to residents during the admission process, as was required by the facility Grievance/Concern Management policy.

The facility failed to ensure that transmission-based precautions were followed to prevent the spread of infections regarding 1 resident (Resident #69) of 10 residents sampled. Findings include: Review of the facility's policy regarding ',[MEDICAL CONDITION].-difficile: Preventing Spread' revealed 'The organism causes gastrointestinal infections that range in severity from asymptomatic colonization to severe diarrhea, [MEDICAL CONDITION], toxic megacolon and possible death. Residents diagnosed with [REDACTED].' During an interview with Resident #69 on 1/17/18 at 10:21 AM, the resident stated that he was on contact isolation for [MEDICAL CONDITION] (,[MEDICAL CONDITION].-difficile), and that he had 'diarrhea' for the last 7 days. The resident stated that he was not able to get up and go to the bathroom, and that staff had to clean and change him after each episode. Review of nursing General Progress Notes, dated 1/17/18, revealed Resident # 69 ' .continues with antibiotic therapy for [MEDICAL CONDITION] . Incontinence care rendered by staff.' Review of Guidelines for the facility's ',[MEDICAL CONDITION].-difficile: Preventing Spread' policy: showed 'Use contact precautions for uncontrolled/not contained stool. Use contact precautions for the duration of antibiotic therapy.' Guidelines also include 'Wear clean non-sterile gloves when entering a room of a [MEDICAL CONDITION] infected resident', 'Wear clean, non-sterile gowns when entering the room of a [MEDICAL CONDITION] resident due to environmental significance of the organism's spores'. Per observation on 1/17/18 at 10:20 AM, a housekeeping staff member was observed inside Resident #69's room, exiting the resident's bathroom and walking to a cart outside of the resident's room without wearing gloves or a gown and without washing or sanitizing their hands. Housekeeping staff then pushed the cart to the next room. Per observation on 1/17/18 at 10:29 AM, CNA A was observed entering the resident's room without wearing any non-sterile gloves or gown. At 10:49 AM, the CNA was observed at the resident's bedside shaving the resident's face. The CNA was wearing gloves and was not wearing a gown while shaving the resident. Further review of the facility's Guidelines for ,[MEDICAL CONDITION].-difficile includes 'Remove gloves and gowns before leaving the resident room and wash hands immediately with plain soap'. Per observation at 11:24 AM, CNA A was observed exiting Resident #69's room wearing a disposable gown. CNA A walked across the hall over to the housekeeper and asked the housekeeper to undue the gown's tie around the back of her neck, which the housekeeper did. The CNA pulled the gown off and put it in the housekeeper's trash bin attached to her cart. The CNA then carried 3 plastic bags full of linen to the soiled utility room and put them inside. Per interview with Resident #69 on 1/17/18 at 11:28 AM, the resident confirmed that the CNA did no start out wearing a disposable gown when she was assisting the resident with morning care, but had put it on after entering the room and completed shaving the resident. Per interview on 1/17/18 at 10:49 AM with Resident #69's nurse LPN 'B', the LPN confirmed resident #69 was on contact isolation and everyone entering the room should wear personal protective equipment including a disposable gown and gloves. Per interview with the facility's Infection Control Preventionist (ICP) on 1/19/18 at 10:16 AM, the ICP confirmed that Resident #69 was on contact isolation that required gloving and gowning prior to entering the resident's room. The ICP stated that she was aware of the infection control issues with Resident #69 and confirmed that the housekeeping staff member and CNA 'A' had not followed the facility's infection prevention policy and procedures.