Park Village HC NP LLC

In the surveyor’s words

From the most serious findings on record at Park Village HC NP LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Jul 15, 2021

  Based on observation, record review and interview the facility failed to maintain sufficient levels of nursing staff to ensure fresh ice/water was provided timely to all residents, to ensure restorative nursing programs were provided as planned and to ensure residents were assisted to bed timely. This affected Resident #3, #7, #16, #17, #19, #21, #22, #23, #27, #28 and #135 and had the potential to affect all 36 residents residing in the facility. Findings include: 1. Review of a 07/31/20 Resident Council Questionnaire (summary) form, completed by Director of Activities #9 revealed resident concerns/suggestions including a concern from Resident #17 who indicated she does not receive ice on a regular basis if the restorative aides were not working. […]

• No harm, potential for more than minimal, widespreadF761Jul 15, 2021

  Based on observation, record review, facility policy review and interview the facility failed to ensure resident medication orders matched the medication administered and failed to ensure prescription and controlled medications were stored properly. This affected four residents (#7, #9, #19 and #29) and had the potential to affect all 36 residents residing in the facility. Findings include: 1. On 07/07/21 at 8:41 A.M. Registered Nurse (RN) #51 was observed administering medication to Resident #29. Record review revealed the resident was ordered [MEDICATION(S)] 400 milligrams (mg) two tablets daily and Trazadone 25 mg one tablet. Observation revealed RN #51 administered one 800 mg tablet of [MEDICATION(S)] and one 1/2 tablet of Trazadone 50 mg. […]

• No harm, potential for more than minimal, widespreadF807Jul 15, 2021

  Based on observation, record review and interview the facility failed to ensure residents had access to and were routinely provided fresh drinking water and ice. This affected 31 of 31 residents residing in the facility who could have drinking water/ice at their bedside for consumption. The facility identified four residents (#18, #22, #24, and #32) who required thickened liquids and one resident (#135) who was on a physician ordered fluid restriction. The facility census was 36. Findings include: Review of a 07/31/20 Resident Council Questionnaire (summary) form, completed by Director of Activities #9 revealed resident concerns/suggestions including a concern from Resident #17 who indicated she does not receive ice on a regular basis if the restorative aides were not working. […]

• No harm, potential for more than minimal, widespreadF880Jul 15, 2021

  Based on observation, record review, facility policy and procedure review and interview the facility failed to develop and implement a comprehensive infection control program to properly track and trend infections in the facility. The facility failed to maintain adequate infection control practices during incontinence care, meal delivery and related to COVID-19 precautions to prevent the spread of infection including COVID-19. This had the potential to affect all 36 residents residing in the facility. Findings include: 1. On 07/06/21 at 1:38 P.M. State tested Nursing Assistant (STNA) #58 was observed entering Resident #86's room to deliver the resident's lunch meal tray. Resident #86 was identified to be in quarantine for COVID-19. The STNA applied a clear plastic gown. […]

• No harm, potential for more than minimal, widespreadF881Jul 15, 2021

  Based on record review, review of McGeer criteria, facility policy and procedure review and interview the facility failed to develop and implement a comprehensive and effective antibiotic stewardship program to ensure the proper use of antibiotics. This affected five residents (#3, #4, #19, #85 and #135) and had the potential to affect all 36 residents residing in the facility. Finding include: 1. Review of the infection control log dated 05/15/21 to 06/16/21 revealed documentation Resident #4 had pneumonia with on onset date of 05/25/21. An x-ray was ordered on 05/25/21 and the resident was started on the antibiotic, [MEDICATION(S)] . The infection was documented as resolved on 06/02/21. Record review revealed there was no evidence the resident met the McGeer criteria. […]