Osage Healthcare & Wellness Centre

In the surveyor’s words

From the most serious findings on record at Osage Healthcare & Wellness Centre, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 13, 2021

  Based on observation, interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) was adequately supervised to prevent residents who were at risk for leaving the facility unaccompanied. Resident 1, who had a documented history of depression (characterized by persistent feelings of sadness and hopelessness) with attempts to harm self, left the facility unsupervised and went missing from the facility for seven (7) days. Resident 1, who used the wheelchair for mobility and had multiple medical conditions that required medications for treatment, was without her medications for 7 days. The facility also failed to report Resident 1 being missing until eight days after the incident. […]

• No harm, potential for more than minimal, patternF695Feb 13, 2026

  Based on observation, interview and record review, the facility failed to: 1. Provide continuous supplemental oxygen (a medical treatment delivering oxygen enriched air to people with breathing problems) at two liters per minute (lpm, unit of measurement the rate of oxygen flow delivered to the resident) through nasal cannula (a small plastic tube, which fits into the person's nostrils for providing supplemental oxygen) as ordered by the physician for one of three sampled residents (Resident 2). 2. Ensure the oxygen tubing (a flexible, latex-free tubing, to deliver oxygen from a source) was labeled and dated for one of three sampled residents (Resident 22). 3. […]

• No harm, potential for more than minimal, patternF812Feb 13, 2026

  Based on observation, interview, and record review, the facility failed to: 1. Ensure Resident food brought from outside was labeled, dated and stored in the designated resident's refrigerator in the activity room for one of one sampled resident (Resident 30). 2. Ensure 1 week old lettuce in a clear container was labeled and dated in the vegetable refrigerator in the kitchen. These deficient practices had the potential to result in harmful bacteria growth and cross contamination (transfer of harmful bacteria from one place to another) that could lead to foodborne illness (an infection or irritation of the gastrointestinal tract caused by eating or drinking food or beverages contaminated with harmful bacteria, viruses, parasites, or chemicals). Findings: 1. […]

• No harm, potential for more than minimal, patternF812Nov 1, 2024

  Based on observation, interview, and record review, the facility failed to: 1. Ensure a sandwich for one of five sampled resident (Resident 40) was identified with a label and date. This deficient practice placed Resident 40 at risk for foodborne illness (any illness resulting from eating contaminated/spoiled foods). Findings: During review of Resident 40's Admission Record (front page of the chart that contains a summary of basic information about the resident), Resident 40 was admitted to the facility on [DATE] with diagnoses including anxiety (conditions that cause excessive and persistent feelings of fear or worry that can interfere with daily life), chronic obstructive pulmonary disease (COPD-a chronic lung disease causing difficulty in breathing), and muscle weakness (loss of muscle… […]

• No harm, potential for more than minimal, patternF644Nov 4, 2022

  Based on observation, interview, and record review, the facility failed to accurately assess and complete the Preadmission Screening and Resident Review ([PASRR] a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care) assessment for two out of two sampled residents (Resident 15 and Resident 33) This deficient practice had the potential to result in inappropriate placement and placed the residents at risk of not receiving the necessary care and services Findings: a). During a review of the clinical record for Resident 15, the Admission Record indicated Resident 15 was originally admitted to the facility on [DATE] and was readmitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]