Premier Health & Rehabilitation Center of LV, LP

In the surveyor’s words

From the most serious findings on record at Premier Health & Rehabilitation Center of LV, LP, in the surveyor’s own words.

• Actual harm, isolatedF684Nov 7, 2023

  Based on record review, interview and policy review, the facility failed to ensure quality of care delivery for 1 of 11 residents (Resident #1) by failing to document and notify a provider of significant changes in real time, failing to document facility required charting, and failing to demonstrate monitoring and documentation of the resident's status. Findings include: Resident 1 Resident 1 was admitted on [DATE], with metabolic encephalopathy, chronic hypoxemic respiratory failure, and schizoaffective disorder. On 9/11/2020, a provider ordered oxygen 3 liters per nasal cannula for shortness of breath each shift. On 9/12-13/2020, nursing notes documented the resident was on 3 liters per nasal cannula. […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2022

  Based on observation, interview and document review, the facility failed to ensure the kitchen was maintained in sanitary manner, food items were not kept past the discard date and kitchen equipment was cleaned. The failure had the potential to compromise food safety for all residents. Findings include: On 09/27/2022 at 8:51 AM, a preliminary tour of the kitchen revealed the following: 1) Refrigerator -33 cartons of vital vanilla milkshake stamped use by 09/22/2022 -Three pitchers of grape punch with sticker label dates 09/10/2022, 09/19/2022 and 09/22/2022 -Grapes in metal container with sticker label prepared 09/22/2022; use by 09/25/2022 -A large bag of sliced yellow onions with sticker label prepared 09/20/2022; use by 09/25/2022 -One box of cabbages dated 08/01/2022; contained 4… […]

• No harm, potential for more than minimal, widespreadF885Jul 30, 2021

  Based on interview and document review, the facility failed to update residents, their representatives, and families of a confirmed COVID-19 infection in the facility by the following day. Findings include: The facility's Surveillance Log (undated) documented a staff member was confirmed positive for COVID-19 on 07/15/2021. The facility did not notify the residents, responsible parties, or families of the confirmed COVID-19 case. On 07/30/2021 at 11:05 AM, the Infection Preventionist (IP) indicated the residents and families would be notified if the facility had a positive COVID-19 case. The IP indicated the social worker, and the administrator were in charge of the notification process. […]

• No harm, potential for more than minimal, patternF692Sep 17, 2024

  Based on observation, interview, record review, and document review, the facility failed to ensure the free water flushes (FWF) via Percutaneous Endoscopic Gastrostomy (PEG) tube (a feeding tube inserted through the abdominal wall into the stomach and used to provide nutritional support and feed patients who are unable to eat or drink) were provided as prescribed for 3 of 4 sampled residents (Residents 53, 48, and 45). The deficient practice could have led to an increased risk of inadequate hydration, delayed wound healing, electrolyte imbalance and adverse health outcomes. Findings include: Resident 53 (R53) R53 was admitted on [DATE], with diagnoses including severe protein-calorie malnutrition, dysphagia (difficulty swallowing) and gastrostomy. […]

• No harm, potential for more than minimal, patternF693Sep 17, 2024

  Based on observation, interview, record review, and document review, the facility failed to ensure the head of the bed was elevated to 30-45 degrees while the tube feeding (TF) was infusing and TF formula was delivered as prescribed for 4 of 4 sampled residents (Residents 53, 45, 48, and, 1) The deficient practice could have led to an increased risk of inadequate nutrition, weight loss, aspiration, and potential respiratory complications for the affected residents. Findings include: Resident 53 (R53) R53 was admitted on [DATE], with diagnoses including severe protein-calorie malnutrition, dysphagia (difficulty swallowing), and gastrostomy. […]