Seneca Place

In the surveyor’s words

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

• Immediate jeopardy, widespreadF726Apr 3, 2021

  Based on observation, interview, record review and facility policy review it was determined the facility failed to ensure those with a provisional license were provided with direct supervision while providing resident care. The facility failed to ensure, per the Kentucky Board of Nursing regulatory requirements, that six (6) Registered Nurse Applicants (RNA) were provided direct supervision by a Registered Nurse (RN) during the provision of resident care. In addition, the facility failed to ensure one (1) Licensed Practical Nurse Applicant (LPNA) was provided direct supervision by a RN or Licensed Practical Nurse (LPN) during the provision of resident care, and licensed staff were at all times physically present in the facility and immediately available to applicants while the applicants… […]

• Immediate jeopardy, widespreadF835Apr 3, 2021

  Based on interview, record review, and review of the facility's policy, it was determined the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The failure to identify potential or actual system failure or deficient practice, which could or has led to potential or actual harm. (Refer to F656, F689, F692, F693, F726, F755, F835, F837, and F865). In addition, the facility failed to maintain standard levels of care and services to the residents. Total census 90. […]

• Immediate jeopardy, widespreadF837Apr 3, 2021

  Based on observation, interview, record review and review of the facility policy related to Quality Assurance Performance Improvement (QAPI) and review of the Executive Director's Job description, it was determined the facility failed to ensure the Governing Body who was responsible for the establishment and implementation of policies managed the operation of the facility. Interviews revealed not all listed participants were aware of their GB role and/or responsibility. The facility's GB failed to hold responsible the Executive Director (ED) in regards to the establishment and implementation of policies/procedures to ensure the provision of quality care and services. […]

• Immediate jeopardy, widespreadF865Apr 3, 2021

  Based on interview, record review and review of the facility's policy it was determined the facility failed to have an effective system to maintain a Quality Assurance Performance Improvement (QAPI) program which developed and implemented plans of action to correct system failures in a manner to maintain compliance. The facility failed to ensure residents were free from accidents/hazards, and provided nutrition and hydration. In addition, the facility failed to ensure residents were monitored for weight loss and their care plans implemented. Further it was determine nursing applicants employed by the facility were not provided supervision and or had licensed nurse immediately available to assist with provision of resident care. […]

• Immediate jeopardy, patternF656Apr 3, 2021

  Based on observation, interview, record review, and review of the facility policy it was determined the facility failed to develop or implement the resident care plan for sixteen (16) of sixty-nine (69) sampled residents, Residents #8, #23, #28, #33, #39, #46, #54, #60, #82, #84, #85, #90, #248, #445, and #447. 1. Review of Resident #248's care plan revealed an intervention to maintain a safe environment. However, on 12/17/2020, Resident #248 eloped from the facility without staff knowledge and was discovered by staff from another facility on the ground in the parking lot. 2. The facility initally admitted Resident #85 on 04/10/2020. He/she was assessed to be at nutritional risk. However, there was no developed care plan in place to ensure his/her fluids were monitored or received. […]