Scandinavian Home Inc

In the surveyor’s words

From the most serious findings on record at Scandinavian Home Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF909Nov 24, 2023

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to conduct regular inspections of all bed frames, mattresses, and bed rails as part of a regular maintenance program to identify areas of possible entrapment. Findings are as follows: Review of the State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care Facilities Last revised 2/3/2023 states in part, .Regardless of mattress width, length, and/or depth, the bed frame, bed rail and mattress should leave no gap wide enough to entrap a resident's head or body .Facilities must also conduct routine preventive maintenance of beds and bed rails to ensure they meet current safety standards and are not in need of repair . […]

• No harm, potential for more than minimal, patternF656Sep 12, 2022

  Based on surveyor observation, record review and staff interview, it has been determined that the facility failed to implement a comprehensive person-centered care plan for 1 of 5 residents reviewed relative to falls, Resident ID #19. Findings are as follows: Record review revealed the resident was admitted to the facility in March of 2017 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Additional record review revealed the resident has a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF661Nov 7, 2024

  Based on record review and staff interview, it has been determined that the facility failed to reconcile all pre-discharge medications with the resident's post-discharge medications, for 1 of 1 discharged residents reviewed with physician orders for Cymbalta (a medication prescribed to treat depression), Resident ID #4. Findings are as follows: Record review of Resident ID #4 revealed s/he was admitted to the facility in December of 2023 with a diagnosis including, but not limited to, major depressive disorder. Record review of a pharmacy medication regimen review dated 8/1/2024 revealed a recommendation to decrease the resident's Cymbalta medication from 60 milligrams (MG) daily to 40 MG daily, after the current supply of medication is exhausted. […]

• No harm, potential for more than minimal, isolatedF684Nov 7, 2024

  Based on record review and staff interview, it has been determined that the facility failed to ensure that a resident receives treatment and care in accordance with professional standards of practice for 1 of 1 resident reviewed with recommendations from a gastrointestinal specialist (a medical practitioner that specializes in the diagnosis and treatment of disorders of the gastrointestinal tract also known as the passageway of the digestive system), Resident ID #5. Findings are as follows: Record review revealed the resident was readmitted to the facility in October of 2024 after s/he was hospitalized and diagnosed with a gastrointestinal bleed (bleeding from the gastrointestinal tract). […]

• No harm, potential for more than minimal, isolatedF655Nov 24, 2023

  Based on record review and staff interview, it has been determined that the facility failed to develop and implement a baseline care plan for each resident within 48 hours of a resident's admission, that includes the instructions needed to provide effective and person-centered care for the resident that meets professional standards of quality care relative to a suprapubic catheter (S/P tube, a catheter inserted through the abdomen into the bladder to drain urine) and Methicillin resistant Staphylococcus aureus infection (MRSA, an infection that is caused by a type of staph bacteria that becomes resistant to several antibiotics) in a lower extremity wound, for 1 of 1 residents reviewed for baseline care plans, Resident ID #272. […]