OC Reading Center LLC

In the surveyor’s words

From the most serious findings on record at OC Reading Center LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF740Nov 5, 2024

  Based on record review and interview, the facility failed to maintain the highest practicable physical, mental, and psychosocial well being for one Resident's (#55) with a history of suicidal ideation (SI) and depression, out of a total sample of 27 residents. Specifically, Resident #55 was not provided with appropriate behavioral health services following verbalization of SI, and attempted to kill him/herself at the facility. Findings include: Review of the facility policy titled Suicidal Ideation/Risk for Harming Self, dated 10/2016, indicated but is not limited to the following: PURPOSE: To act as a guideline for residents who express/exhibits suicidal ideation or risk to harm self during their stay at the facility in assuring their safety. 2. […]

• Immediate jeopardy, isolatedF742Nov 5, 2024

  Based on record review and interview, the facility failed to provide the appropriate treatment and services for one Resident (#55), with a known history of depression, suicidal ideation, and adjustment difficulty, out of a total sample of 27 residents. Specifically, the facility failed to develop, implement, and update the plan of care, resulting in an attempted suicide after the vocalization of suicidal ideation (SI). Findings include: Review of the facility policy titled Suicidal Ideation/Risk for Harming Self, dated 10/2016, indicated but is not limited to the following: PURPOSE: To act as a guideline for residents who express/exhibits suicidal ideation or risk to harm self during their stay at the facility in assuring their safety. 2. […]

• Actual harm, isolatedF656Nov 5, 2024

  Based on observation, record review, and interview, the facility failed to develop a comprehensive person centered care plan and implement the plan of care for two Residents (#55 and #13) out of a total sample of 27 residents. Specifically: 1. for Resident #55, the facility failed to develop a Suicidal Ideation (SI) care plan, after vocalization of suicidal ideation, which resulted in the Resident attempted to commit suicide at the facility and; 2. for Resident #13, the facility failed to develop and implement a plan of care for incontinence. […]

• Actual harm, isolatedF686Nov 5, 2024

  Based on observations, interviews and record review, the facility failed to provide necessary treatment, services, interventions to promote healing and prevent new ulcers from developing for one Resident (#4), who was assessed to be at risk for pressure ulcer development, out of 27 total sampled residents. Specifically, for Resident #4: a.) the facility failed to implement physician ordered pressure ulcer prevention interventions to offload heels and ensure correct air mattress settings were implemented consistently resulting in new skin breakdown including the re-opening of a previously healed pressure ulcer on the left upper Achilles heel; b.) the facility failed to obtain wound care orders for the newly re-developed pressure ulcer on the left upper Achilles heel; c.) the facility… […]

• No harm, potential for more than minimal, widespreadF880Jan 25, 2021

  Based on observation, record review and interview the facility failed to implement infection control interventions to prevent the transmission of infectious disease, including Covid-19 when, staff failed to perform hand hygiene, failed to don (put on) and doff (take off) Personal Protection Equipment appropriately on 3 of 3 resident care units. Findings include: During an interview on 1/25/2021 at 7:12 A.M., Unit Manager #1 (UM#1) said the facility is in a Covid-19 outbreak and residents that tested positive for Covid-19 are receiving care on a designated unit. […]