Regalcare at Worcester

In the surveyor’s words

From the most serious findings on record at Regalcare at Worcester, in the surveyor’s own words.

• Actual harm, patternF695May 7, 2021

  Based on policy review, record review, observations and interviews, the facility failed to ensure its staff provided respiratory care consistent with professional standards for four sampled Residents (#282, #130, #78, and #99), out of the 29 sampled residents. Findings include: 1. For Resident #282, the facility staff failed to implement facility policy and ensure emergency respiratory equipment, including spare tracheotomy tubes of the correct size and type, were readily accessible at Resident #282's bedside according to Professional Standards of Care. Review of the facility policy titled, Tracheotomy Care, dated 2017, indicated a replacement tracheotomy tube must be available at the bedside at all times. […]

• Actual harm, isolatedF692Sep 23, 2021

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), the Facility failed to ensure Resident #1 maintained acceptable parameters of weight when he/she experienced a significant weight loss of fifteen pounds, (5.48 %) in a thirty day period, was not identified as having experienced significant weight loss and immediate interventions were not implemented. Findings Include: Review of the Facility Policy titled Weight Assessment and Intervention, dated as revised 2019, indicated the multidisciplinary team would strive to prevent, monitor, and intervene for undesirable weight loss for the residents and indicated that the threshold for significant unplanned and undesired weight loss would be based on the following criteria (usual weight subtracted by actual… […]

• Actual harm, isolatedF658May 7, 2021

  Based on document review, policy review, record review, observation and interview, the facility's staff failed to follow Professional Standards of Practice relative to 1.) Failing to follow a Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] .) Failing to maintain accurate documentation relative to in-service information and attendance, 3.) Failing to ensure the Dietitian's recommendations and Physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] .) The facility staff failed to ensure fluid restrictions were maintained as per the Physicians Order for one sampled Resident (#10) out of a total sample of 29 residents. […]

• Actual harm, isolatedF686May 7, 2021

  Based on policy review, record review, observations and interviews, the facility's staff failed to ensure care/services were provided to prevent the development of a Pressure Injury for one sampled Resident (#78), and failed to provide appropriate treatment to aid in healing of a Pressure Injury for two sampled Residents (#129 and #46), out of a total of 29 sampled residents. Findings include: Review of the facility Pressure Ulcers\Skin Breakdown-Clinical Protocol Policy, dated 2017, included the following: 1. The nursing staff and Attending Physician will assess and document an individual's significant risk factors for developing pressure ulcers; for example, immobility, recent weight loss, and a history of pressure ulcer(s). 2. […]

• Actual harm, isolatedF692May 7, 2021

  Based on observations, interviews and record and policy reviews, the facility staff failed to ensure care and services were provided relative to therapeutic nutritional interventions for one sampled Resident (#46), out of a total sample of 19 residents. Findings include: Review of the facility policy entitled Weight Assessment and Intervention, revised 2019, indicated the following: -interdisciplinary team will strive to prevent, monitor, and intervene for undesirable weight loss for the residents -nursing staff will measure the resident weights on admission, the next day, and weekly for two weeks or as recommended or ordered thereafter. […]