Sanctuary at Ohio Valley

In the surveyor’s words

From the most serious findings on record at Sanctuary at Ohio Valley, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF644Mar 6, 2025

  Based on medical record review and staff interview, the facility failed to ensure resident Pre-Admission Screening and Resident Review (PASRR) documents were accurate to resident current conditions and diagnoses. This affected one (Resident #5) of three residents reviewed for PASRR documents. The census was 79. Findings Include: Resident #5 was admitted to the facility on [DATE]. Her diagnoses were cerebral infarction, diabetes mellitus type II, muscle weakness, abnormal posture, constipation, atrial fibrillation, unspecified psychosis, hypertension, Chronic Obstructive Pulmonary disease, hyperlipidemia, anxiety, depression, renal dialysis, chronic kidney disease, arteriovenous fistula, end stage renal disease, and morbid obesity. […]

• No harm, potential for more than minimal, isolatedF695Mar 6, 2025

  Based on observation, interview, medical record review and facility policy review the facility failed to ensure Resident #59 had a physicians order for oxygen therapy. This affected one (Resident #59) of one residents reviewed for respiratory care. The facility census was 79. Findings include: Review of the medical record for Resident #59 revealed an admitted [DATE] with diagnoses including chronic respiratory failure with hypoxia, chronic obstructive pulmonary disorder, chronic pulmonary embolism, and hypertension. Review of the physician orders dated 03/25 revealed Resident #59 did not have an order for oxygen therapy. Resident #59 had an order for Bilevel positive airway pressure (BiPap), a mechanical breathing device, to be worn as tolerated except during meals. […]

• No harm, potential for more than minimal, isolatedF698Mar 6, 2025

  Based on interview, medical record review, and facility policy review the facility failed to ensure Resident #80 had physician order for dialysis treatment and care. This affected one (Resident #80) of two residents reviewed for dialysis. The facility census was 79. Findings include: Review of the medical record for Resident #80 revealed an admitted [DATE] with diagnoses including acute kidney failure with tubular necrosis, chronic kidney disease stage five, hypertension and congestive heart failure. Review of the physician orders dated 03/25 revealed Resident #80 did not have a physician order for dialysis treatment, the name of the facility or contact information and no orders for care and treatment of dialysis port. […]

• No harm, potential for more than minimal, isolatedF699Mar 6, 2025

  Based on record reviews and interviews, the facility failed to ensure a resident with Post Traumatic Stress Disorder (PTSD) was appropriately assessed to identify the cause of the residents PTSD and minimize triggers and/or re-traumatization. This affected two residents (#23 and #70) out of two residents identified by the facility as having PTSD/trauma. The facility census was 79. Findings include: 1. Record review for Resident #23 revealed the resident was admitted to the facility on [DATE] and had diagnoses including cerebrovascular disease, acute and chronic respiratory failure, hyperlipidemia, insomnia, anxiety, depression, peripheral vascular disease, hypertension, atherosclerosis, Post-Traumatic Stress Disorder (on 5-9-18), transient ischemic attack, and chronic obstructive pulmonary… […]

• No harm, potential for more than minimal, isolatedF757Mar 6, 2025

  Based on interview, medical record review and facility policy review the facility failed to ensure Resident #22 and Resident #72 had low blood sugar parameters and directions of action when obtaining accucheck blood sugars with sliding scale insulin. This affected two (Resident #22 and Resident #72) of five residents reviewed for unnecessary medications. The facility census was 79. Findings include: 1. Review of the medical record for Resident #22 revealed an admitted [DATE] with diagnoses including cerebrovascular disease, diabetes mellitus type two, schizoaffective disorder, hypothyroidism and mood disorder. Review of the physician orders dated 03/25 revealed Resident #22 received Novolog (fast acting insulin) injection solution 100 units per milliliter (ml) per sliding scale. […]