Pruitthealth - Grandview

In the surveyor’s words

From the most serious findings on record at Pruitthealth - Grandview, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921Mar 20, 2025

  Based on observations, staff interviews, record review, and review of the facility- provided documents titled Packaged Terminal Air Conditioner (PTAC) Preventative Maintenance Guide and Heating Ventilation, and Air Conditioning (HVAC): Clean Air Filters details the following steps, the facility failed to maintain a clean, sanitary, and comfortable environment as evidenced by dirty PTAC filters for 42 out of 42 residents' rooms on three Halls (Hall A, Hall B and Hall C) and the C Hall Dayroom. […]

• No harm, potential for more than minimal, widespreadF880Oct 5, 2023

  Based on observation, record review, staff interview, and review of the facility policies titled, Developing a Water Management Program to Reduce Legionella Growth & Spread in Buildings and Infection Prevention and Control Plan the facility failed to have a documented water management program that included measures to prevent the growth of opportunistic water-borne pathogens and how to monitor for them. This had the potential to affect 61 of 61 residents that resided at the facility. Findings include: Review of the facility's policy titled, Developing a Water Management Program to Reduce Legionella Growth & Spread in Buildings, dated 6/5/2017 revealed, . […]

• No harm, potential for more than minimal, patternF641Oct 5, 2023

  Based on record review, staff interview, and review of the RAI 3.0 User's Manual Version 1.18.11, and the Resident Assessment Instrument (RAI) User's Manual, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately coded for five out of 23 Residents (R) 36, R18, R31, R33, and R58. This failure had the potential for the residents not to receive the necessary care and services related to the inaccurate data reflective of the residents status at the time of the assessment. Findings include: Review of the RAI 3.0 User's Manual Version 1.18.11, dated 10/1/2023, revealed . Chapter 2: Assessments for the RAI . 03. Significant Change in Status Assessment (SCSA) (A0310A = 04) . […]

• No harm, potential for more than minimal, patternF657Oct 5, 2023

  Based on record reviews, staff and resident interviews, and review of the facility policy titled, Care Plans, the facility failed to conduct quarterly care plan conferences in a timely manner for 12 out of 23 Residents (R) 19, R39, R3, R14, R26, R37, R5, R6, R18, R31, R33, and R58. This failure had the potential for staff, residents, and resident representatives (RP) not to be informed of the care and treatment to meet the resident's needs in a timely manner. Findings include: Review of the facility's policy titled Care Plans, revised 7/27/2023, revealed . 7. During all care plan meetings other than Admission Comprehensive Care Plan that was conducted during a Post Admission Care Conference: Review each problem, goal and approach . […]

• No harm, potential for more than minimal, patternF700Oct 5, 2023

  Based on observation, staff and resident interview, record review, and facility policy titled, Bed Rails, the facility failed to obtain physician orders for the medical symptoms being treated by using bed rails, attempt to use appropriate alternatives prior to installing a side or bed rail, assess the resident for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative, and obtain informed consent prior to installation for 14 of 23 Residents (R) 19, R29, R36, R39, R14, R37, R55, R5, R6, R18, R31, R33, R56, and R57 reviewed for accident hazards. […]