Regency Hermiston Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Regency Hermiston Nursing & Rehab Center, in the surveyor’s own words.

• Actual harm, patternF686Jul 12, 2022

  Based on observation, interview and record review it was determined the facility failed to appropriately assess and prevent new and worsening facility acquired pressure ulcers for 6 of 12 sampled residents (#s 3, 10, 29, 31, 36 and 42) reviewed for skin and pressure ulcers. This failure resulted in all six residents acquiring new or worsening pressure ulcers. Findings include: 1. Resident 3 was admitted to the facility in 2/2020 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] The 10/29/19 MDS Pressure Ulcer CAA indicated, Resident 3 admitted to the facility for therapy and wound care after being in the hospital with a left femur fracture. Resident 3 needed extensive assistance with transfers and bed mobility which placed her/him at risk for pressure ulcers. […]

• Actual harm, patternF689Jul 12, 2022

  Based on interview and record review it was determined the facility failed to implement or mitagate appropriate fall risk interventions for 5 of 6 sampled residents (#s 7, 19, 21, 29 and 43,) reviewed for falls. This failure resulted in Residents 7, 19 and 43 having falls with fractures. Findings include: 1. Resident 7 was admitted to the facility in 5/2018 with diagnoses including [CONDITION(S)]. A 12/28/19 Hospital record revealed Resident 7 was admitted to the hospital with a right leg fracture which she/he received in the facility from a fall out of bed. Resident 7 also hit her/his head on the bedside table. On 1/7/20 Resident 7 was sent back to the hospital due to pain in her/his left leg. […]

• Actual harm, isolatedF689Nov 17, 2023

  Based on observation, interview, and record review it was determined the facility failed to ensure the environment remained free from accident hazards related to mechanical lift transfers for 3 of 3 sampled residents (#s 4, 15 and 18) reviewed for accidents. This failure resulted in Resident 15 sustaining a hip fracture which required surgical intervention. Findings include: Resident 15 was admitted to the facility in 2018 with diagnoses including pain in her/his lower legs. Resident 15's [DATE] Annual MDS indicated the resident had no cognitive impairment. Resident 15 required the assistance of two-persons using a mechanical lift for transfers. […]

• Actual harm, isolatedF600Jul 28, 2023

  Based on observation, interview and record review the facility failed to protect the resident's right to be free from physical abuse by Resident 2 for 1 of 3 sampled residents (#1) reviewed for abuse. This failure resulted in Resident 1 experiencing pain and fear. Findings include: The facility's Abuse/Neglect/Misappropriation/Exploitation Policy and Procedure revised 10/2022 revealed the following information: - It is the policy of this facility to protect residents from mistreatment, neglect, abuse, exploitation, involuntary seclusion and misappropriation of property by implementing procedures designed to prevent, identify, report and investigate potential instances of abuse, neglect and exploitation. […]

• Actual harm, isolatedF686Nov 4, 2022

  Based on interview and record review it was determined the facility failed to prevent the worsening of pressure ulcers for 1 of 2 sampled residents (#17) reviewed for pressure ulcers. This resulted in Resident 17 developing a worsened pressure ulcer. Findings include: The 10/21/22 State Operations Mannual indicated the following: Nutrition and Hydration: Adequate nutrition and hydration are essential for overall functioning. Nutrition provides vital energy and building blocks for all of the body ' s structures and processes. Any organ or body system may require additional energy or structural materials for repair or function. Weight reflects a balance between intake and utilization of energy. […]