Schowalter Villa

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 8, 2021

  The facility reported a census of 97 residents with 19 of those residents identified at risk for elopement (an incident in which a cognitively impaired resident with poor or impaired decision-making ability/safety awareness leaves the facility without the knowledge of staff). Based on interview and record review, the facility failed to provide adequate supervision of Resident (R)1 when staff left the resident in the unlocked, outside courtyard area unsupervised. Furthermore, facility staff failed to perform 30 minute checks of the resident's whereabouts as care planned. […]

• No harm, potential for more than minimal, patternF679Nov 7, 2024

  The facility identified a census of 95 residents. The sample included 19 residents. Based on observation, record review, and interviews, the facility failed to provide activities on the weekends that reflected the residents' interests and preferences. This deficient practice placed the affected residents at risk for decreased psychosocial well-being, boredom, and isolation. Findings Included: - A review of the facility's Activity Calendar for September, October, and November 2024 revealed no activities were scheduled on any Saturdays for all months reviewed. The calendars indicated the residents had church services on Sunday mornings and a reading activity on Sunday afternoons. On 11/06/24 at 10:04 AM, observation revealed a daycare visit activity held with the residents. […]

• No harm, potential for more than minimal, patternF758Nov 7, 2024

  The facility identified a census of 95 residents. The sample included 19 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure a Centers for Medicare and Medicaid Services (CMS) approved indication of use or a documented physician rationale and risk versus benefits for the continued use of an antipsychotic (class of medications used to treat a mental disorder characterized by gross impairment in reality testing) for Resident (R)31, R48, R12 and R59. The facility additionally failed to ensure a physician documented rationale for the extended duration of R59's as-needed psychotropic (alters mood or thoughts) medication. […]

• No harm, potential for more than minimal, isolatedF657Nov 7, 2024

  The facility reported a census of 95 residents. The sample included 19 residents reviewed for care plan revisions. Based on observations, interviews, and record review, the facility failed to revise Resident (R)82's Care Plan to include her identified behaviors toward male residents. This deficient practice placed R82 at risk for impaired care due to uncommunicated care needs. Findings Included: - R82's Medical Diagnosis section within the Electronic Medical Record (EMR) noted diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), a need for assistance with personal cares, and unsteadiness on her feet. […]

• No harm, potential for more than minimal, isolatedF756Nov 7, 2024

  The facility identified a census of 95 residents. The sample included 19 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported an antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication used without a Centers for Medicare and Medicaid Services (CMS) approved indication for use for Resident (R)31, R48, and R59. […]