Ocean Ridge Post Acute

In the surveyor’s words

From the most serious findings on record at Ocean Ridge Post Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF880Apr 8, 2023

  Based on observation, interview, and record review, the facility failed to practice infection control measures to prevent scabies (a contagious skin condition caused by tiny insects called mites that infest and irritate skin causing intense itching, inflammation, and red patches) outbreak for five of 87 residents (Resident 1, Resident 2, Resident 3, Resident 4 and Resident 5). The facility failed to: 1. Recognize a possible scabies outbreak 3/12/2023 when Resident 1 was treated for scabies and Resident 2, who was Resident 1's roommate was suspected to have scabies and provide the necessary care and treatment, including but not limited to conduct skin scraping (a diagnostic test to confirm or rule out scabies), Provide treatment for residents that tested positive) both residents. 2. […]

• Immediate jeopardy, isolatedF698Aug 4, 2023

  Based on interview and record review, the facility failed to ensure one of six sampled residents (Resident 1), received routine hemodialysis (HD, a treatment to filter wastes, water, and balance essential minerals such as potassium, sodium, and calcium in the blood) three times a week (TTS or Tuesdays, Thursdays, and Saturdays) as ordered by the primary medical doctor (PMD). Resident 1 last received HD from a general acute care hospital (GACH) on [DATE]. The facility failed to: 1. Conduct an Interdisciplinary Team (IDT, (a group of health professionals with various expertise) meeting after Resident 1 refused HD on Saturday, [DATE] per the facility ' s policy and procedure. 2. […]

• Actual harm, isolatedF580Aug 28, 2023

  Based on interview and record review, the facility failed to ensure the Licensed Vocational Nurse (LVN 1) notified the facility's Medical Director (MD) of the resident's abnormal blood test of [NAME] Blood Count ([WBC] part of the immune system that protects the body from infection, normal range 4,000 - 11,000 cells per microliter [cells/ul] a unit of measurement), laboratory blood test results, in accordance with their policy and procedure (P/P), titled Lab and Diagnostic Test Results- Clinical Protocol, and Emergency and/or Alternative Physician Care, that stipulated, if the attending or covering physician does not respond to immediate notification within an hour, the nursing staff should contact the MD, when the resident's physician did not respond to LVN 1's notification of abnormal… […]

• Actual harm, isolatedF686Jan 18, 2022

  Based on observation, interview, and record review, the facility failed to ensure the resident, who was admitted with a Stage I pressure sore (a localized injury to the skin and or underlying tissue usually over a bony prominence) to a sacro-coccyx area did not have a sacro-coccyx pressure sore progressed to a Stage III pressure sore for one of two residents with pressure sores (Resident 43) in a total of 36 sampled residents. The facility failed to ensure: 1. The licensed nurses assessed Resident 43's sacro-coccyx pressure sore consistently. 2. The licensed nurses reported to Resident 43's physician of the resident's sacro-coccyx pressure sore condition based on its assessment. 3. The licensed nurses obtained treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . 4. […]

• Actual harm, isolatedF690Apr 27, 2021

  Based on interview and record review, the facility's nursing staff failed to provide the necessary care and services for an indwelling urinary catheter (a tube placed in the bladder to drain urine), as per the resident's plan of care, physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident 1, who had an indwelling urinary catheter for a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident 1 was transferred to a general acute care hospital (GACH) Emergency Department (ED) after having an elevated body temperature of 103.7 Fahrenheit [F] (normal reference rate [NRR] is from 97° F to 99 °F ) and was diagnosed with an UTI. The ED's notes indicated upon admission, Resident 1's urinary catheter was plugged, dirty and old. […]