Scotia Village - SNF

In the surveyor’s words

From the most serious findings on record at Scotia Village - SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF602Sep 14, 2023

  Based on observations, record review, staff, Consultant Pharmacist, and Physician interviews the facility failed to protect a residents right to be free from misappropriation of a residents controlled medication (Oxycodone/Acetaminophen ,d+[DATE] milligrams (mg) , Hydrocodone/Acetaminophen ,d+[DATE] mg, Tramadol 50 mg, and Alprazolam 0.5 mg) which was prescribed by the physician for pain and anxiety. This resulted in a total of 42 doses of the medications that were not administered to 8 of 8 residents (Resident #51, #41, #2, #3,#4, #7, #8, #9) reviewed for misappropriation of medications. Findings included. 1a.)Resident #51 was admitted to the facility on [DATE] with diagnoses including fractured vertebra and sacrum, and Arthritis. […]

• No harm, potential for more than minimal, patternF812May 26, 2022

  Based on observations and staff interviews, the facility failed to label/date leftover frozen food items stored available for use and store frozen food items covered in 1 of 1 walk-in freezer and failed to discard expired food in 1 of 1 reach-in cooler in the main kitchen. This had the potential to affect food served to residents. Findings included: The initial tour of the kitchen was conducted on [DATE] at 11:35 AM with the Director of Dining Services (DDS). An observation of the walk-in freezer revealed a leftover bag of sea scallops with no label with date opened, a leftover bag of onions with no label with date opened, and a leftover bag of mixed vegetables with no label with date opened, and a roast with an open plastic wrap cover. […]

• No harm, potential for more than minimal, isolatedF686Nov 7, 2024

  Based on observations, record review, and staff interviews the facility failed to perform daily wound care treatments on a sacral wound for 1 of 1 resident (Resident #4) observed for pressure ulcers. Findings included: Resident #4 was admitted to the facility on [DATE]. Diagnoses included, in part, pressure ulcer of sacral region and myoneural disorder (spinal compression with paralysis to lower extremities). The quarterly Minimum Data Set assessment dated [DATE] revealed resident was cognitively intact with no behaviors, had impairment on both sides to upper and lower extremities, utilzed a wheelchair for mobility, was always incontinent of bowel and bladder and was coded as having a pressure ulcer stage III. […]

• No harm, potential for more than minimal, isolatedF842Nov 7, 2024

  Based on observations, record review and staff interviews the facility failed to accurately document the completion of a wound treatment in the treatment administration record (TAR) for 1 of 1 residents (Resident #4) observed for pressure ulcers. Findings included: Resident #4 was admitted to the facility on [DATE]. Diagnoses included, in part, pressure ulcer of sacral region. A review of the physician orders revealed an order written on 10/29/24 to cleanse sacral area with normal saline, apply silver collagen matrix (antimicrobial barrier to prevent infections) cut to fit wound, cover with an absorbent silicone (a dressing that absorbs drainage) daily. […]

• No harm, potential for more than minimal, isolatedF880Nov 7, 2024

  Based on observations and staff interviews, facility staff failed to implement infection control policy and procedures when Nurse Aide (NA) #1 and NA #2 did not don Protective Equipment (PPE) to include a gown when providing high-contact resident care activities for Resident #49 who had an indwelling medical device. Resident #49 had a lower back indwelling pleural catheter which was used for draining fluid from the pleural space (fluid filled space that surrounds the lungs) to help with breathing. […]