Osage Nursing Home, LLC

In the surveyor’s words

From the most serious findings on record at Osage Nursing Home, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF582Feb 5, 2025

  Based on record review and interview, the facility failed to provide residents who received Medicare part A services a Notice of Medicare Non-Coverage form for 3 (#20, 25, and #27) of 3 sampled residents reviewed beneficiary notices. The DON identified 10 residents who had been discharged from skilled services during the six months prior to the survey. Findings: The MDS coordinator was given SNF Beneficiary Protection Notification Review forms to be filled out regarding Residents #20, 25, and #27. 1. A SNF Beneficiary Protection Notification Review form filled out by the MDS coordinator, showed Resident #20 had received part A services on and between 10/14/24 and 12/25/24. […]

• No harm, potential for more than minimal, patternF657Feb 5, 2025

  Based on record review and interview, the facility failed to ensure a care plan was revised after a resident had multiple falls for 1 (#25) of 2 sampled residents reviewed for falls. The DON stated 29 residents resided in the facility. Findings: A Resident Care Plan policy, dated 03/27/17, read in part, The comprehensive care plan of care will be reviewed and updated by the IDT after each quarterly and annual assessment thereafter. Resident #25 had diagnoses which included postviral fatigue syndrome and chronic atrial fibrillation. A Fall Risk Evaluation form, dated 11/08/24, showed the resident had a high risk for falls. A progress note, dated 11/09/24 at 11:14 p.m., showed the resident had a fall while they attempted to go to the bathroom. […]

• No harm, potential for more than minimal, patternF689Feb 5, 2025

  Based on observation, record review, and interview, the facility failed to ensure damaged and uneven flooring did not exist in a room of a resident who had fallen because of a damaged floor for 1 (#25) of 2 sampled residents reviewed for falls. The DON stated 29 residents resided in the facility. Findings: An undated Accident Prevention policy, read in part, It shall be the policy of this facility to keep the resident's environment as free of accident hazards as possible. Resident # 25 had diagnoses which included postviral fatigue syndrome and chronic atrial fibrillation. A Fall Risk Evaluation form, dated 11/08/24, showed Resident #25 had a high fall risk. A care plan problem, dated 11/18/24, showed Resident #25 had a high risk for falls. […]

• No harm, potential for more than minimal, patternF761Feb 5, 2025

  Based on observation, record review and interview, the facility failed to ensure the temperature log was maintained for the medication refrigerator in the medication room. The administrator reported the facility census was 26. Findings: An undated policy titled Procedure for Storage of Medication read in part, A refrigerator will be available for medications requiring refrigeration, and will be in or near the storage area of the medications. A method of locking must be provided. The temperature in the refrigerator will be 36 to 48 degrees F [Fahrenheit]. On 02/05/25 at 10:40 a.m., a tour of the medication room was conducted with CMA #1. Temperature logs for the medication refrigerator were reviewed. No daily temperatures were logged for December 2024 or January 2025. […]

• No harm, potential for more than minimal, patternF812Feb 5, 2025

  Based on record review and interview, the facility failed to ensure a dishwasher temperature and appropriate amount of sterilizing solution was used when cleaning resident dishes in the kitchen. The DON stated 26 residents receive their meals from the facility kitchen. Findings: An undated Food Storage, Preparation, and Distribution policy and procedure showed the facility dishwasher would maintain a 120 degrees Fahrenheit water temperature and 25 ppm (parts per million) of sanitizer when in operation. A Dish Machine Temp Sheet form, dated 01/01/25 through 01/31/25, did not document water temperatures on 01/18/25, 01/19/25, 01/25/25, and 01/26/25. The form did not document the sanitizer level was within range on 01/30/25. […]