Skilled Nursing Facility at North Hill (The)

In the surveyor’s words

From the most serious findings on record at Skilled Nursing Facility at North Hill (The), in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 15, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was newly admitted to the Facility, was confused, was noted to wander without regard for his/her own safety, the Facility failed to ensure he/she was provided with quality care and services that meet professional standards of practice. When although he/she was assessed by two different nurses upon admission as triggering for placement of a WanderGuard bracelet for safety, a device was not placed on him/her, and despite his/her continual wandering day and night, nursing did not reassess or re-evaluate their decision regarding placement of a WanderGuard. […]

• Immediate jeopardy, isolatedF689Jan 15, 2025

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required the assistance of one staff member for ambulation, exhibited increased wandering and exit seeking with the need for frequent redirection by staff for safety, the Facility failed to ensure he/she was provided with the necessary level of staff assistance/supervision to prevent him/her from eloping and sustaining serious injuries. On [DATE], at approximately 6:00 P.M., unbeknownst to staff, Resident #1 wandered off his/her unit, took the elevator to the main lobby, and although there was a Receptionist assigned to and seated in the Lobby, who was responsible for unlocking the main entrance door to let visitors and staff in/out, Resident #1 was able to exit through the main Lobby door,… […]

• No harm, potential for more than minimal, widespreadF563Jan 13, 2022

  Based on interview, policy review, and review of an e-mail sent from the community's Chief Executive Officer (CEO) to the residents and resident representatives, the facility (part of a continuum care community) failed to promote the rights of residents to have visitation. Specifically, 1.) the Continuum Care Community CEO sent a letter to residents and representatives indicating persons unvaccinated from COVID-19 were not to visit the community; and 2.) the staff did not facilitate visitation between Resident #21 and his/her spouse, who resided on another household in the facility. […]

• No harm, potential for more than minimal, widespreadF838Jan 13, 2022

  Based on review of the facility assessment and interview, the facility failed to review and update the assessment, as necessary, to indicate the changes and necessary resources to competently carry out the facility goals, as documented, during a COVID-19 outbreak or pandemic. Findings include: Review of the Facility Assessment Tool, dated as updated 12/2021, indicated but was not limited to the following: The facility would use the Brimfield household/unit as the COVID-19 unit. Under section 1: Resident profile A. Common diagnoses -Pneumonia, asthma, [CONDITION(S)], [CONDITION(S)], chronic lung disease -respiratory infections, urinary tract infections, multi-drug resistant organisms, influenza Under section 2: Services and care we offer based on our residents' needs A. […]

• No harm, potential for more than minimal, widespreadF881Jan 13, 2022

  Based on interview, policy review, and record review, the facility failed to maintain an antibiotic stewardship program that provided ongoing monitoring of antibiotic use for residents and ongoing analysis of antibiotic data. Findings include: Review of the facility's policy titled Antibiotic Stewardship, dated March 2020, included but was not limited to the following: - To establish and maintain an antibiotic stewardship program that promotes the appropriate use of antibiotics and includes a system of monitoring to improve resident outcomes and reduce antibiotic resistance -The antibiotic is prescribed for the correct indication, dose, and duration to appropriately treat the resident while also attempting to reduce the development of antibiotic-resistant organisms - prophylactic… […]