Perry Creek Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Perry Creek Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF684Sep 12, 2024

  Based on record review, staff interviews, Emergency Medical Services (EMS) interview, family interview, and physician interviews, pharmacy interviews the facility staff were made aware Resident #21 had a blood glucose level of 33 milligrams/deciliter (mg/dL); the facility failed to administer Glucagon (Glucagon is a manmade version of a hormone made by the pancreas that raises blood glucose levels) per standing orders; and failed to effectively respond to a medical emergency of hypoglycemia. Upon EMS arrival Resident #21 had a blood glucose level of 38 and was unresponsive. The hospital records indicated Resident #21 was profoundly hypoglycemic. (Hypoglycemia is a medical condition in which the body's blood glucose level falls too low for bodily functions to continue. […]

• Immediate jeopardy, patternF684Aug 11, 2022

  Based on observation, resident, staff, nurse practitioner, dentist, and Medical Director interview the facility failed to ensure a resident's well-being when necessary oral care was not provided resulting in unresolved dental pain for 1 of 3 residents reviewed for oral care needs (Resident #67). Additionally, the resident's diet consistency was not re-evaluated when he expressed difficulty chewing his regular textured diet due to the unresolved dental pain. Resident #67 was ordered a dental consult on 10/31/21 and was not seen for the consult until 3/23/22 at which time a recommendation was given for the extraction of his remaining teeth and upper and lower denture fittings. […]

• Immediate jeopardy, patternF791Aug 11, 2022

  Based on observation, record reviews, Nurse Practitioner (NP), Medical Director (MD), Outpatient Dentist, Dental Office Manager, staff, and resident interviews the facility failed to obtain necessary dental services for 1 of 3 residents reviewed for dental care. Resident #67 was ordered a dental consult on 10/31/21 and was not seen for the consult until 3/23/22 at which time a recommendation was given for the extraction of his remaining teeth and upper and lower denture fittings. The facility failed to obtain these recommended dental services. The resident experienced chronic inflammation that resulted in mouth pain, difficulty chewing, and was treated with an antibiotic for a tooth infection. […]

• Immediate jeopardy, patternF835Aug 11, 2022

  Based on observation, record review, medical doctor, nurse practitioner, dentist, resident, and staff the Administration failed to provide leadership and oversight to the facility staff to ensure: 1) dental consultations were obtained as ordered, recommendations from the dentist for extractions and denture fittings were completed, and re-evaluation of a resident's diet consistency was conducted when the resident reported difficulty chewing as a result of unresolved dental pain; 2) medications were available; and 3) food and nutrition services met the needs of the residents. The Administration also failed to have an effective process that involved the interdisciplinary team and explored all options to ensure needed care and services were provided for residents. […]

• Immediate jeopardy, isolatedF726Feb 24, 2025

  Based on record review, observation, and staff and Medical Director interviews, the facility failed to ensure nursing staff were competent in following manufacturer's guidelines for cleaning and disinfecting a shared glucometer when Nurse #1 was observed not disinfecting a shared glucometer (Resident #35). Also, Medication Aide #1 (an agency staff member) failed to clean and disinfect an individually assigned glucometer using the approved disinfectant wipes according to manufacturer's recommendations for Resident #32 who was observed having a blood glucose level checked. […]