Simpson House Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF851Apr 24, 2025

  Based on review of Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) staffing data report and staff interview, it was determined that the facility failed to electronically submit direct care staffing information for one of one quarter reviewed (Fiscal Year Quarter 1 2025 - October 1, 2024, to December 31, 2024). Findings include: According to Section 6106 of the Affordable Care Act (ACA), facilities are required to electronically submit direct care staffing information (including agency and contract staff) based on payroll and other auditable data. The data, when combined with census information, can then be used to report on the level of staff in each nursing home, as well as employee turnover and tenure, which can impact the quality of care delivered. […]

• No harm, potential for more than minimal, patternF880Apr 24, 2025

  Based on review of facility policy, observations, and staff interviews it was determined that the facility failed to implement enhanced barrier precautions for four of seventeen residents reviewed (Resident R36, R50, R24, R48). Findings Include: Review of facility policy Enhanced Barrier Precautions - Skilled Nursing reviewed July 2, 2024, revealed the facility will utilize enhanced barrier precautions to prevent the spread of multidrug resistant organisms (MDRO). Enhanced barrier precautions (EBP) expand the use of personal protective equipment (PPE) beyond situations in which exposure to blood and bodily fluids is anticipated. […]

• No harm, potential for more than minimal, isolatedF695Apr 24, 2025

  Based on review of clinical record, observations, and staff interviews, it was determined that the facility failed to provide appropriate respiratory care related to oxygen therapy for one of two residents reviewed receiving oxygen therapy (Resident R45) Findings include: Clinical record review revealed Resident R45 was admitted to the facility on [DATE] with a diagnoses that included pulmonary hypertension (type of high blood pressure that affects the arteries in the lungs and the right side of the heart), chronic obstructive pulmonary disease (lung disease causing restricted airflow and breathing problems), and chronic respiratory failure (not enough oxygen or too much carbon dioxide in the body) . […]

• No harm, potential for more than minimal, isolatedF656Jul 3, 2024

  Based on clinical record review and interview with staff, it was determined that the facility did not develop a comprehensive care plan related to hospice care for one of 15 records reviewed (Resident R40). Findings include: Review of clinical documentation for Resident R40 revealed that she was admitted to the facility on [DATE], and had diagnoses of dementia, chronic kidney disease, anemia, heart failure, hypertension (high blood pressure), and polyneuropathy (damage to multiple peripheral nerves). Review of physician orders for Resident R40 revealed an order for Hospice consult evaluate and treat as indicated entered on [DATE]. […]

• No harm, potential for more than minimal, isolatedF730Jul 3, 2024

  Based on a review of facility documentation and interviews with staff, it was determined that the facility failed to complete inservice education based on the outcome of an annual performance review for one of three nurse aides reviewed. (Employee E10) Findings Include: Review of facility documentation, titled, Standard Job Requirements dated December 13, 2023 revealed four sections of rating; Exceeds Expectations, Meets Expectations, Needs Improvement, and Unsatisfactory. Further review of the facility documentation revealed Employee E10 received a score of Needs Improvement for Maintains confidentiality of all information including resident, employee, operations data and health information. […]