Every finding on record at Skyline Terrace Conv Home

Based on observations, and staff interview, facility staff failed to maintain the confidentiality of a resident's clinical documentation for one of 26 residents in the survey sample, Resident #4 (R4). The findings include:For R4, facility staff failed to place the amount of fluid restrictions in a confidential manner. R4 was admitted to the facility with a diagnosis that included by not limited to respiratory failure. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 08/13/2025, R4 scored 14 out of 15 on the BIMS (brief interview for mental status) score, indicating R4 was cognitively intact for making daily decisions. On 10/14/2025 at approximately 2:40 p.m. and at 4:45 p.m., an observation of R4's room revealed a sheet of paper tapped onto the wall above the bed. The paper documented, 1500ml (milliliter) Fluid Restrictions. 700ml - dayshift. 600ml - evening shift. 200ml - night shift. On 10/15/2025 at approximately 8:20 a.m., an observation of R4's room revealed a sheet of paper tapped onto the wall above the bed. The paper documented, 1500ml (milliliter) Fluid Restrictions. 700ml - dayshift. 600ml - evening shift. 200ml - night shift. The physician's order for R4 documented in part, 1500 mL fluid restriction - 700ml for dayshift, 600ml evening shift, 200ml night shift every shift. Order Date: 02/13/2025. Start Date: 02/13/2025. On 10/15 2025 at approximately 11:05 a.m. an interview was conducted with LPN (licensed practical nurse) #2. When asked about posting a resident's medical information for others to see she stated that it was a violation of HIPPA and should not been posted for others to see. At approximately 11:10 a.m. an observation of R4's room was conducted with LPN #2. After observing R4's fluid restriction list above R4's bed she stated that it was R4's medical information and should not have been posted on the wall. On 10/15/2025 at approximately 3:30p.m. ASM (administrative staff member) #1, administrator, and ASM #2, director of nursing, were made aware of the above findings.No further information was presented prior to exit.

Based on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide respiratory care and services for one of 26 residents in the survey sample, Resident #4 (R4). The findings include:For R4, facility staff failed to store the incentive spirometer (1) in a sanitary manner. R4 was admitted to the facility with a diagnosis that included by not limited to respiratory failure. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 08/13/2025, R4 scored 14 out of 15 on the BIMS (brief interview for mental status) score, indicating R4 was cognitively intact for making daily decisions. On 10/14/2025 at approximately 2:40 p.m., and 4:45 p.m. observations of R4's room revealed an incentive spirometer lying on top of the bedside table uncovered. On 10/15/2025 at approximately 8:20 a.m., an observation of R4's room revealed an incentive spirometer lying on top of the bedside table uncovered. The Medical Discharge Summary for R4 dated 07/05/2025 documented in part, (R2) is a 90 y.o. (year old) female that was admitted on [DATE] for management for community-acquired pneumonia was treated with IV (Intravenous) (2) antibiotics initially which was subsequently changed to Augmentin (3) twice daily. She was also treated with chest physiotherapy (4) Pep therapy (5) and incentive spirometer. On 10/14/2025 at approximately 2:40 p.m., an interview was conducted with R4. She stated that she uses the incentive spirometer. On 10/15 2025 at approximately 11:05 a.m. an interview was conducted with LPN (licensed practical nurse) #2. When asked to describe the procedure for storing an incentive spirometer when a resident was not using it, she stated that it should be covered to prevent contamination. At approximately 11:10 a.m. and observation of R4's incentive spirometer was conducted with LPN #2. After observing the incentive spirometer on the bedside table uncovered she stated that it should have been covered. On 10/15/2025 at approximately 3:30p.m. ASM (administrative staff member) #1, administrator, and ASM #2, director of nursing, were made aware of the above findings.No further information was presented prior to exit. References:(1) A device used to help you keep your lungs healthy after surgery or when you have a lung illness, such as pneumonia. Using the incentive spirometer teaches you how to take slow deep breaths. Deep breathing keeps your lungs well-inflated and healthy while you heal and helps prevent lung problems, like pneumonia. This information was obtained from the website: https://medlineplus.gov/ency/patientinstructions/000451.htm. (2) Intravenous means within a vein. This information was obtained from the website: https://medlineplus.gov/ency/article/0002383.html. (3) Used to treat certain infections caused by bacteria. This information was obtained from the website: https://medlineplus.gov/druginfo/meds/a685024.html. (4) A treatment that loosens mucus in your lungs so you can clear it. A healthcare provider uses their hands or handheld devices to shake (percuss or vibrate) your chest and back to free mucus. This information was obtained from the website: https://my.clevelandclinic.org/health/treatments/chest-physiotherapy. (5) A person breathes through a mask or a handheld mouthpiece. PEP devices allow air to flow freely as you breathe in, but not when you breathe out. You must breathe out harder against the resistance. This helps air get behind the mucus and helps move it from lung and airway walls. It also holds your airways open, keeping them from closing. This information was obtained from the website: https://www.cff.org/managing-cf/positive-expiratory-pressure-pep-therapy

Based on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide written notice of a hospital transfer to the resident and/or resident representative and the Office of the State Long-Term Care Ombudsman for one of 16 residents in the survey sample; Resident #26. The findings include: Resident #26 was transferred to the hospital on 12/7/22, however notice of the hospital transfer was not provided to the resident and/or resident representative or the ombudsman. A review of the clinical record revealed a nurse's note dated 12/7/22 that documented, Resident was observed to be lying on the floor face down right beside [their] bed .POA (power of attorney) called and updated. Resident was sent to ER (emergency room ) for imagining since resident hit [their] head and [they are] is on blood thinners. MD (medical doctor) aware. Report called to ER nurse, [name]. This note and further review of the clinical record failed to evidence that a written notice of a hospital transfer was provided to the resident and/or representative or the ombudsman of the hospital transfer. A Transfer/Discharge Resident form, dated 12/7/22 was reviewed. This document failed to evidence that a written notice of a hospital transfer was provided to the resident representative and ombudsman of the above hospital transfer. On 1/31/23 at approximately 2:15 PM, in an interview with ASM #1 (Administrator Staff Member) the Administrator, he stated that the written notices were not provided because the resident returned to the facility and was not admitted to the hospital. A review of the facility policy, Transfer/Discharge Policy did not include any direction for providing written notification to the resident representative and ombudsman of a hospital transfer. No further information was provided by the end of the survey.

Based on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure a complete and accurate MDS (minimum data set) assessment for four of 25 residents in the survey sample, (Residents #23, #46, #21, and #37). 1. The facility staff failed to complete the resident interview for Section C - Cognition, and Section D - Mood, of the 5/24/21 MDS assessment for Resident #23. 2. The facility staff failed to complete the resident interview for Section C - Cognition of the 6/23/21 MDS assessment for Resident #46. 3. The facility staff failed to attempt the interview for Section C - Cognition for Resident #21. 4. The facility staff failed to complete the interview for Section C - Cognition of the MDS for Resident # 37. The findings include: 1. Resident #23 was admitted to the facility on [DATE] and had the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 5/24/21 coded the resident as being severely cognitively impaired in ability to make daily life decisions. The resident was coded as requiring supervision for eating; limited assistance for transfers and ambulation; extensive assistance for bed mobility, hygiene and toileting; total care for bathing; and was incontinent of bowel and bladder. A review of the above MDS revealed the following: Section B0700 Makes Self Understood was coded as 0 for Understood (Ability to express ideas and wants, consider both verbal and non-verbal expression: 0. Understood; 1. Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time; 2. Sometimes understood - ability is limited to making concrete requests; 3. Rarely/never understood.) Section B0800 Ability to Understand Others was coded as 2 for Sometimes Understands (Understanding verbal content, however able (with hearing aid or device if used): 0. Understands - clear comprehension; 1. Usually understands - misses some part/intent of message but comprehends most conversation; 2. Sometimes understands - responds adequately to simple, direct communication only; 3. Rarely/never understands.) This coding criteria required that the resident interview be attempted for any portion of the MDS that involves a resident interview. In Section C Cognition under C0100. Should Brief Interview for Mental Status (BIMS) (C0200-C0500) be Conducted? Attempt to conduct interview with all residents documented the following options: 0. No (resident is rarely/never understood) Skip to and complete C0700-C1000, Staff Assessment for Mental Status. 1. Yes Continue to C0200, Repetition of Three Words. Resident #23 was coded as 1 indicating the resident should have been interviewed to determine cognitive status. Further review of Section C revealed all questions were marked with a dash (-) in each box, indicating the resident interview questions were not attempted. Instead, the section for the staff interview regarding resident cognition was completed. In Section D Mood under D0100. Should Resident Mood Interview be Conducted? - Attempt to conduct interview with all residents. 0. No (resident is rarely/never understood) Skip to and complete D0500-D0600, Staff Assessment of Resident Mood. 1. Yes Continue to D0200, Resident Mood Interview Resident #23 was coded with a dash (-) instead of one of the above two options. In addition, all the resident interview questions in this section were also coded with a dash (-) indicating they were not attempted. Instead, the section for the staff interview regarding resident mood was completed. On 7/21/21 at 2:37 PM in an interview with RN (registered nurse) #1, the MDS nurse, when asked who completes Sections C and D of the MDS assessment, she stated that (OSM #1 - Other Staff Member), the Admissions / Social Worker, completes Sections C and D of the MDS. On 7/21/21 at 4:55 PM in an interview with OSM #1, she stated that she was not really familiar with Section B of the MDS, regarding a resident's abilities to be understood and understand others. She stated that Resident #23's conversations are not really conversations; that if you ask her a question, she doesn't necessarily answer back and is not able to make her needs known. When asked about attempting the resident interviews for the MDS assessment for Section C and D, and coding it to reflect the attempt, OSM #1 stated that she was not aware there was a way to code the questions to reflect the attempt was made. She stated that she was not trained. OSM #1 stated that the previous person who completed the MDS assessment was out on maternity leave and then never returned, and she did not get the proper training to take over. There was no other documented evidence that the interviews were attempted. When asked what policies, procedures, or manuals she uses to complete the MDS assessment, OSM #1 pulled out an RAI manual for Social Services Departments, dated July 2010. This manual was outdated and did not reflect current changes to the MDS assessment requirements. On 7/22/21 at 8:16 AM an interview was conducted with RN #1. When asked if she reviews Section C and D, she stated, Sometimes. I look over it to see the BIMS score. I don't do a great review. When she (OSM #1) first started doing them she was doing well. I glance over it. I don't go into great detail. When asked what training did she (OSM #1) have? She stated that she (OSM#1) worked with the previous social service worker on doing the MDS and was not aware of any other training. She stated, I didn't do any training with her. When asked how long was (OSM #1) with the other social service worker for training, RN #1 stated, About 2 weeks. When asked if 2 weeks all the training that she had, RN #1 stated, That is correct. RN #1 further stated, It is my responsibility to make sure the MDS is correct. When asked if two weeks is sufficient training time for the ins and outs of completing an MDS, she stated it was not. According to the RAI manual (Resident Assessment Instrument) October 2019, page C-1 was documented, SECTION C: COGNITIVE PATTERNS: Intent: The items in this section are intended to determine the resident's attention, orientation and ability to register and recall new information. These items are crucial factors in many care-planning decisions Health-related Quality of Life: Most residents are able to attempt the Brief Interview for Mental Status (BIMS). A structured cognitive test is more accurate and reliable than observation alone for observing cognitive performance. Without an attempted structured cognitive interview, a resident might be mislabeled based on his or her appearance or assumed diagnosis. Structured interviews will efficiently provide insight into the resident's current condition that will enhance good care. And on Page D-1 was documented, SECTION D: MOOD: Intent: The items in this section address mood distress, a serious condition that is underdiagnosed and undertreated in the nursing home and is associated with significant morbidity. It is particularly important to identify signs and symptoms of mood distress among nursing home residents because these signs and symptoms can be treatable. It is important to note that coding the presence of indicators in Section D does not automatically mean that the resident has a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Facility staff should recognize these indicators and consider them when developing the resident's individualized care plan. Depression can be associated with: psychological and physical distress (e.g., poor adjustment to the nursing home, loss of independence, chronic illness, increased sensitivity to pain), decreased participation in therapy and activities (e.g., caused by isolation), decreased functional status (e.g., resistance to daily care, decreased desire to participate in activities of daily living [ADLs]), and poorer outcomes (e.g., decreased appetite, decreased cognitive status). Findings suggesting mood distress should lead to: -identifying causes and contributing factors for symptoms, -identifying interventions (treatment, personal support, or environmental modifications) that could address symptoms, and -ensuring resident safety. On 7/22/21 at 8:35 AM, ASM #1 (Administrative Staff Member), the Administrator, was made aware of the findings. No further information was provided by the end of the survey. 2. Resident #46 was admitted to the facility on [DATE] and had the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly MDS (Minimum Data Set) assessment with an ARD (Assessment Reference Date) of 6/23/21 coded the resident as being severely cognitively impaired in ability to make daily life decisions. The resident was coded as requiring total care for bathing, toileting and hygiene; extensive care for dressing and transfers; supervision for eating; and was incontinent of bowel and bladder. A review of the above MDS revealed the following: Section B0700 Makes Self Understood was coded as 1 for Usually Understood (Ability to express ideas and wants, consider both verbal and non-verbal expression: 0. Understood; 1. Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time; 2. Sometimes understood - ability is limited to making concrete requests; 3. Rarely/never understood.) Section B0800 Ability to Understand Others was coded as 2 for Sometimes Understands (Understanding verbal content, however able (with hearing aid or device if used): 0. Understands - clear comprehension; 1. Usually understands - misses some part/intent of message but comprehends most conversation; 2. Sometimes understands - responds adequately to simple, direct communication only; 3. Rarely/never understands.) This coding criteria required that the resident interview be attempted for any portion of the MDS that involves a resident interview. In Section C Cognition under C0100. Should Brief Interview for Mental Status (BIMS) (C0200-C0500) be Conducted? Attempt to conduct interview with all residents was the following options: 0. No (resident is rarely/never understood) Skip to and complete C0700-C1000, Staff Assessment for Mental Status. 1. Yes Continue to C0200, Repetition of Three Words. Resident #23 was coded as 1 indicating the resident should have been interviewed to determine cognitive status. The first question, C0200. Repetition of Three Words was coded as a 0 indicating the question was asked but the resident did not score any correct answers (Ask resident: I am going to say three words for you to remember. Please repeat the words after I have said all three. The words are: sock, blue, and bed. Now tell me the three words. Number of words repeated after first attempt. 0. None. 1. One. 2. Two. 3. Three. Section C0300. Temporal Orientation (orientation to year, month, and day) Ask resident: Please tell me what year it is right now Ask resident: What month are we in right now? Ask resident: What day of the week is today? was not coded as attempted to complete, as required. Further review of Section C revealed all the rest of the questions were marked with a dash ( - ) in each box, indicating the resident interview questions were not attempted and the resident was scored as a 99 in Section C0500 BIMS Summary Score (Add scores for questions C0200-C0400 and fill in total score (00-15). Enter 99 if the resident was unable to complete the interview.) Instead, the section for the staff interview regarding resident cognition was completed. On 7/21/21 at 2:37 PM in an interview with RN (registered nurse) #1, the MDS nurse, when asked who completes Sections C and D of the MDS, she stated that (OSM #1 - Other Staff Member), the Admissions / Social Worker, completes Sections C and D of the MDS. On 7/21/21 at 4:55 PM in an interview with OSM #1, she stated that she was not really familiar with Section B of the MDS, regarding a resident's abilities to be understood and understand others. She stated that she attempted the interview with Resident #46 by completing the first question (which was properly coded) but did not complete the questions in Section C0300. OSM #1 stated that I think I asked the year and the month, but not the day. It was noted that the MDS score was properly coded as a 99 but that the actual interview attempt did not conclude at the required point for determining whether to continue the resident interview or perform the staff interview regarding resident cognition. When asked about attempting the resident interviews for the MDS assessment and coding it to reflect the attempt, OSM #1 stated that she was not aware there was a way to code the questions to reflect the attempt was made. She stated that she was not trained. OSM #1 stated that the previous person who completed the MDS was out on maternity leave and then never returned, and she did not get proper training to take over. There was no other documented evidence that the interviews were attempted. When asked what policies, procedures, or manuals she uses to complete the MDS assessment, OSM #1 pulled out an RAI manual for Social Services Departments, dated July 2010. This manual was outdated and did not reflect current changes to the MDS assessment requirements. On 7/22/21 at 8:16 AM an interview was conducted with RN #1. When asked if she reviews Section C and D, she stated, Sometimes. I look over it to see the BIMS score. I don't do a great review. When she (OSM #1) first started doing them she was doing well. I glance over it. I don't go into great detail. When asked what training did she (OSM #1) have? She stated that she (OSM#1) worked with the previous social service worker on doing the MDS and was not aware of any other training. RN #1 stated, I didn't do any training with her. When asked how long was (OSM #1) with the other social service worker for training, RN #1 stated, About 2 weeks. When asked if 2 weeks all the training that she (OSM #1) had, she stated, That is correct. She further stated, It is my responsibility to make sure the MDS is correct. When asked if two weeks is sufficient training time for the ins and outs of completing an MDS assessment, she stated it was not. According to the RAI manual (Resident Assessment Instrument) October 2019, Page C-5, for Section C - Cognition, was documented, Coding Tips: On occasion, the interviewer may not be able to state the items clearly because of an accent or slurred speech. If the interviewer is unable to pronounce any cognitive items clearly, have a different staff member complete the BIMS. Nonsensical responses should be coded as zero. Rules for stopping the interview before it is complete: Stop the interview after completing (C0300C) Day of the Week if: 1. all responses have been nonsensical (i.e., any response that is unrelated, incomprehensible, or incoherent; not informative with respect to the item being rated), OR 2. there has been no verbal or written response to any of the questions up to this point, OR 3. there has been no verbal or written response to some questions up to this point and for all others, the resident has given a nonsensical response. If the interview is stopped, do the following: 1. Code -, dash in C0400A, C0400B, and C0400C. 2. Code 99 in the summary score in C0500. 3. Code 1, yes in C0600 Should the Staff Assessment for Mental Status (C0700-C1000) be Conducted? 4. Complete the Staff Assessment for Mental Status. On 7/22/21 at 8:35 AM, ASM #1 (Administrative Staff Member), the Administrator, was made aware of the findings. No further information was provided by the end of the survey. 3. Resident # 21 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .) (1), high blood pressure, and diabetes. The most recent MDS (minimum data set) assessment, an admission assessment, with an assessment date of 5/11/202, coded the resident as having both short and long term memory difficulties and being severely impaired to make daily cognitive decisions. The Admission MDS assessment in Section B - Hearing, Speech and Vision, coded the resident as making himself understood and sometimes understanding others. In Section C - Cognition, the question C0100 should the Brief Interview for Mental Status (BIMS) be conducted? A Yes was marked. The rest of the questions were marked with dashes and when viewed on the computer documented Not assessed. An interview was conducted with RN (registered nurse) #1, the MDS coordinator, on 21 at 2:37 p.m. When asked who completes Section C of the MDS assessments, RN #1 stated the social worker/admissions coordinator. An interview was conducted with OSM (other staff member) #1, the social worker/admissions coordinator, on 7/21/2021 at 4:23 p.m. When asked if she completes Section C of the MDS assessments, OSM #1 stated that she did. When asked how she decides who will have an interview completed, OSM #1 stated, I attempt it with all of them. When asked how she documents the attempts made, OSM #1 stated If they can't answer I just document, 'not assessed. When asked how she decides which resident will complete an interview, OSM #1 stated, I know who can't talk to me. Some of it depends on the resident and some will be a surprise. If I don't know I copy from the last one completed. The above MDS was reviewed with OSM #1, when asked if she attempted the interview with Resident #21, OSM #1 stated I attempted it but he couldn't answer it so I marked it as not assessed. An interview was conducted with RN #1, the MDS coordinator, on 7/22/2021 at 8:16 a.m. When asked if she reviews the MDS assessments before signing them off, RN #1 stated, Sometimes I look over it to see the BIMS score. I don't do a great review. When asked if she reviews any of Section C completed by OSM #1, RN #1 stated she did when she (OSM #1) first started doing them, she was doing well. But now I just glance over them, I don't go into great detail. When asked if she had done any training with OSM #1, RN #1 stated OSM #1 had training with the previous social worker for two weeks. When asked if she provided training to OSM #1 as the MDS coordinator, RN #1 stated, she had not. When asked if it is her responsibility as the MDS coordinator to review the MDS prior to signing her name to an assessment, RN #1 stated, It is my responsibility to make sure the MDS is correct. The above assessment was reviewed with RN #1. ASM (administrative staff member) #1, the administrator, was made aware of the above concern on 7/22/2021 at 9:15 a.m. No further information was obtained prior to exit. References: (1) Barron's Dictionary of Medical Terms, 5th edition, Rothenberg and Chapman, page 26. 4. Resident #37 was admitted to the facility on [DATE] and a recent readmission, 1/9/2019, with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .) (2) and diabetes. The most recent MDS assessment, an annual assessment, with an assessment reference date (ARD) of 6/13/2021, coded the resident as having both short and long term memory difficulties and was coded as being severely impaired to make daily cognitive decisions. The admission MDS assessment, in Section B - Hearing, Speech, and Vision, coded the resident as usually making himself understood and usually understands others. In Section C - Cognition, a dash, was documented and not assessed, under the question, should the brief interview for mental status be conducted. The rest of the questions were marked with dashes and when viewed on the computer it documented Not assessed. 7/21/2021 at 4:23 p.m. When asked if she completes Section C of the MDS assessments, OSM #1 stated that she did. When asked how she decides who will have an interview completed, OSM #1 stated, I attempt it with all of them. When asked how she documents the attempts made, OSM #1 stated If they can't answer I just document, 'not assessed. When asked how she decides which resident will complete an interview, OSM #1 stated, I know who can't talk to me. Some of it depends on the resident and some will be a surprise. If I don't know I copy from the last one completed. The above MDS was reviewed with OSM #1. OSM #1 stated she did the assessment above and did not attempt the interview. OSM #1 stated the resident only says, No. Two other assessments, a quarterly assessment, with an ARD of 3/14/2021 and a quarterly assessment with an ARD of 12/20/2020, were coded in Section C as the annual assessment above. These two assessments were reviewed with OSM #1. OSM #1 stated she did not attempt the interview on these two assessments. An interview was conducted with RN #1, the MDS coordinator, on 7/22/2021 at 8:16 a.m. When asked if she reviews the MDS assessments before signing them off, RN #1 stated, Sometimes I look over it to see the BIMS score. I don't do a great review. When asked if she reviews any of Section C completed by OSM #1, RN #1 stated she did when she (OSM #1) first started doing them, she was doing well. But now I just glance over them, I don't go into great detail. When asked if she had done any training with OSM #1, RN #1 stated OSM #1 had training with the previous social worker for two weeks. When asked if she provided training to OSM #1 as the MDS coordinator, RN #1 stated, she had not. When asked if it is her responsibility as the MDS coordinator to review the MDS prior to signing her name to an assessment, RN #1 stated, It is my responsibility to make sure the MDS is correct. The above assessment was reviewed with RN #1. ASM (administrative staff member) #1, the administrator, was made aware of the above concern on 7/22/2021 at 9:15 a.m. No further information was obtained prior to exit. References: (1) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 5th edition, Rothenberg and Chapman, page 114. (2) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 5th edition, Rothenberg and Chapman, page 44.

Based on resident interview, clinical record review, facility document review and staff interview, it was determined facility staff failed to revise the comprehensive care plan for one of 25 residents in the survey sample, Resident #44. The facility staff failed to revise the comprehensive care plan of Resident #44 to include the resident's participation in their pain management program in choosing between multiple ordered as needed pain medications. The findings include: Resident #44 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #44's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 6/22/2021, coded Resident #44 as scoring a 13 on the staff assessment for mental status (BIMS) of a score of 0 - 15, 13- being cognitively intact for making daily decisions. Section J coded Resident #44 as receiving as needed pain medications and non-medication interventions for pain. Section J further coded Resident #44 as having pain frequently. On 7/20/2021 at approximately 3:35 p.m., an interview was conducted with Resident #44. When asked about his pain management, Resident #44 stated that his pain was controlled fairly well. Resident #44 stated that the nurses assessed his pain by asking what number the pain was on a numerical scale. Resident #44 stated that he had been managing his pain prior to admission and would ask for the specific pain medication he wanted to take when he felt that he needed it. Resident #44 stated that the nurses attempted non-pharmacological interventions prior to administering the medications each time. Resident #44 stated that he took Tylenol sometimes for his pain but he had stronger medications ordered also if he needed them. The facility clinical resident profile documented Resident #44 as their own responsible party. The physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] - Order Date: 6/23/2021 [MEDICATION(S)] Patch 5 % (five percent) (Lidocaine) Apply to shoulder topically every 12 hours as needed for shoulder pain./patch on for 12 hours off for 12 hours . - Order Date: 4/7/2021 Tylenol Tablet 325 MG [milligram] (Acetaminophen) Give 2 tablet by mouth every 4 hours as needed for pain, headache or fever greater than 100 . - Order Date: 6/23/2021 [MEDICATION(S)] [hydrochloride] Tablet 5 MG (milligram) *Controlled Drug* Give 1 (one) tablet by mouth every 8 (eight) hours as needed for Pain . - Order Date: 6/23/2021 [MEDICATION(S)] Tablet 500 MG Give 1 tablet by mouth every 12 hours as needed for gout symptoms . - Order Date: 4/27/2021 Patient requesting [MEDICATION(S)] to be scheduled every 12 hours instead of prn (as needed) however he has a history of GI (gastro-intestinal) bleed so will urge him to use prn only for now. The comprehensive care plan for Resident #44 documented in part, The resident is at risk for pain r/t (related to) chronic back and shoulder pain, impaired mobility, gout. Date Initiated: 04/21/2021. Revision on: 06/03/2021. The comprehensive care plan failed to evidence documentation of Resident #44 participating in his pain management program by advising the nursing staff which as needed pain medication he wanted when he complained of pain. The Pain Evaluation for Resident #44 dated 6/18/2021 documented in part, .Chronic back and shoulder pain .How does the resident express and/or communicate pain? Select all that apply. The evaluation documented the following selected, 1. Negative verbalizations: groaning, crying, whimpering, screaming, etc. and No pain reported. The evaluation further documented that Resident #44 did not have any conditions that would impede their communication of pain. The progress notes for Resident #44 documented in part, - 5/26/2021 08:30 (8:30 a.m.) .Complaining of pain all over both the joints and the muscles, particularly upper legs and upper arms. He says it's awful, and neither [MEDICATION(S)] nor APAP (pain medication) are helping much .Assessment and Plan: 1. Myalgia/myositis (pain/inflammation of muscles) - multiple- Sounding like ESR (erythrocyte sedimentation rate) or other rheumatologic issue. Will obtain CRP (C - reactive protein test), ESR (erythrocyte sedimentation rate), CCP (cyclic citrullinated peptide), RF (rheumatoid factor) and CPK (creatinine phosphokinase). 2. Gout- Just in case this may be related to increased [MEDICATION(S)] (diuretic medication), will increase [MEDICATION(S)] (gout medication) as below . - 6/22/2021 09:30 (9:30 a.m.) .He has bilateral shoulder and knee pain for which he is taking oxycodone but feels the dose is inadequate . Assessment and Plan: .2. Bilateral shoulder joint pain- Poorly controlled pain. Pain worse with left shoulder with history of rotator cuff surgery. Will add acetaminophen 650 mg to be taken with oxycodone 5mg. Will evaluate response . - 6/25/2021 08:55 (8:55 a.m.) . [Resident #44] is personally involved in his care and is in communication with family members and friends on a regular basis . - 7/1/2021 12:33 (12:33 p.m.) .Resident is alert and oriented with clear speech. Minimal difficulty hearing but does not wear hearing aids. Understood and understands. History of [CONDITION(S)] with implants. Wears reading glasses. Feeds self after tray setup. Uses cane for ambulation. Supervision to limited assistance with ADLs (activities of daily living). Continent of bowel and bladder. Currently on PT/OT (physical therapy/occupational therapy) caseload for strengthening and mobility, to promote independence with ADLs [activity of daily living], and decrease fall risk. Pleasant and cooperative with care. Resident sits in recliner in room off and on through the day. He is noted with a history of chronic back and shoulder pain. Receives prn (as needed) medications with effect. Previously discussed with staff need for scheduled pain meds to which he declined . - 7/5/2021 06:20 (6:20 a.m.) Note Text: Discussed increase in need for pain medications since admission to facility. Resident gave several reasons for pain from anticoagulants, poor kidney function similar to [CONDITION(S)] patients, bed/mattress and inability to sleep. During discussion resident was asked if he was using oxy (oxycodone) to help him sleep or d/t (due to) pain. He stated maybe a little bit of both. Resident also stated I am not a drug seeker, I am [AGE] years old. This writer redirected resident to the need to find out why pain has increased so that the root of the pain could be addressed. Resident in agreement to begin with environmental factors such as the bed/mattress. - 7/8/2021 10:54 (10:54 a.m.) Note Text: Care Plan Meeting: Resident ambulated with cane with steady gait to meeting. Reviewed current status. Resident states he feels a lot better since [MEDICATION(S)] (anticoagulant) was discontinued. Stated he is not having pain in joints or burning. He also stated the ulcers in mouth have resolved. Resident aware of possible change [sic] of stroke. Stated that he has been sleeping at night since mattress was changed. Resident has been noted bumping toes on clean out trap in room. No social service issues noted at this time. Resident stated the food is better. Resident encouraged to notify staff of any issues so that they may be addressed as they occur. Spoke highly of food, personnel and atmosphere at facility. Participates in activities. Therapy states resident is independent in mobility and care. Resident was discharged d/t (due to) reaching max potential. Resident very thankful to be at facility. Care Plan reviewed and interventions up to date. Will continue with current plan of care at this time. Offered and resident declined copy of care plan at this time. On 7/21/2021 at approximately 2:02 p.m., an interview was conducted with LPN (licensed practical nurse) #1. LPN #1 stated the care plan communicates what was needed for resident care. LPN #1 stated nurses could review residents' care plans but the MDS (minimum data set) coordinator communicated care plan changes. LPN #1 stated that when a resident had multiple as needed pain medications ordered they tried the lowest ordered pain medication first. LPN #1 stated that they attempted Tylenol prior to administering anything stronger. LPN #1 stated that Resident #44 was their own responsible party, alert and oriented and participated in their pain management by asking for the pain medication that he felt he needed at that time. LPN #1 stated that the physician and the resident worked together to manage his pain. On 7/21/2021 at approximately 2:50 p.m., an interview was conducted with ASM (administrative staff member) #2, the director of nursing. ASM #2 stated that Resident #44 participated in their pain management program and requested the specific pain medication they wanted when they were in pain. ASM #2 stated that the nurses were aware that Resident #44 asked for the medication he wanted when he had pain and reported this to the next shift. ASM #2 stated that they had provided Resident #44 with a new mattress which had helped with some of the pain. ASM #2 stated that the care plan should reflect the fact that Resident #44 made the choice for which as needed pain medication he received for his pain. ASM #2 reviewed Resident #44's care plan and stated that there was no specific documentation regarding Resident #44 participating in their pain management by choosing which as needed pain medication they preferred to be administered for their pain. On 7/21/2021 at approximately 3:50 p.m., an interview was conducted with RN (registered nurse) #1, the MDS coordinator. RN #1 stated that they reviewed progress notes, looked at physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . RN #1 stated that the care plan provided an overall picture of the care that they should be providing to the resident based on their specific needs. RN #1 stated that Resident #44's ability to choose which as needed pain medication he was administered should be included on the care plan. On 7/21/2021 at approximately 10:09 a.m., ASM (administrative staff member) #1, the administrator stated that they used their policies and procedures as their standard of practice. On 7/21/2021 at approximately 4:45 p.m., a request was made to ASM #1, the administrator for the facility policy for revising the care plan. On 7/22/2021 at approximately 8:30 a.m., ASM #1 provided the policy, Care Plan Policy. The facility policy, Care Plan Policy documented in part, Nursing care plans are arranged into three parts which includes Care Plan Problem, Care Plan Goal, and Care Plan Interventions which should be utilized to provide individualized care according to the needs of the residents at [Name of Facility] . The facility policy, Pain Management documented in part, .Pain management will be a collaborative effort between the resident, physician, and representatives of the interdisciplinary team including but not limited to: pharmacy, nursing, mental health professionals, rehab [rehabilitation] therapy, social services, etc . According to Fundamentals of Nursing Lippincott Williams and Wilkins 2007 pages 65-77 documented, A written care plan serves as a communication tool among health care team members that helps ensure continuity of care .The nursing care plan is a vital source of information about the patient's problems, needs, and goals. It contains detailed instructions for achieving the goals established for the patient and is used to direct care .expect to review, revise and update the care plan regularly, when there are changes in condition, treatments, and with new orders . On 7/21/2021 at approximately 4:35 p.m., ASM #1, the administrator and ASM #2, the director of nursing were made aware of the findings. No further information was provided prior to exit. References: 1. [CONDITION(S)] A problem with the speed or rhythm of the heartbeat. This information was obtained from the website: <https://www.nlm.nih.gov/medlineplus/atrialfibrillation.html> 2. Gout A type of arthritis. It occurs when uric acid builds up in blood and causes inflammation in the joints This information was obtained from the website: https://medlineplus.gov/ency/article/ 2.htm. 3. Osteoarthiris- Makes your bones weak and more likely to break. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/[CONDITION(S)].html.

Based on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to follow professional standards of practice for one of 25 residents in the survey sample, Resident #21. The facility staff to clarify physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings include: Resident # 21 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .) (1), high blood pressure, and diabetes. The most recent MDS (minimum data set), an admission assessment, with an assessment date of 5/11/202, coded the resident as having both short and long term memory difficulties and being severely impaired to make daily cognitive decisions. The resident was coded as requiring extensive assistance to being totally dependent of one or more staff members for all of his activities of daily living. In Section J - Health Conditions, coded the resident as having no pain during the look back period. Resident #21 was coded as not receiving any scheduled or as needed pain medications. The physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . [MEDICATION(S)] - Acetaminophen Tablet 5 - 325 mg (5 mg of [MEDICATION(S)] and 325 mg of Acetaminophen)(used to treat moderate to severe pain) (3) give 1 tablet by mouth every 4 hours as needed for pain, maximum dose is 6 tablets in 24 hours. Review of the May 2021 MAR (medication administration record) for Resident #21 documented the above physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The [MEDICATION(S)]-Acetaminophen was administered on 5/21/2021 at 11:17 p.m. for a pain level of 8. The June MAR for Resident #21 documented the above physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The [MEDICATION(S)] -Acetaminophen was administered on 6/5/2021 at 1:16 p.m. for a pain level of 6, on 6/10/2021 at 12:26 a.m. for a pain level of 7, and on 6/17/2021 at 8:00 p.m. for a pain level of 7. The July 2021 MAR for Resident #21 documented the above physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The [MEDICATION(S)] -Acetaminophen was administered on 7/9/2021 at 5:44 a.m. for a pain level of 8 and on 7/14/2021 at 1:00 a.m. for a pain level of 5. The comprehensive care plan dated 6/8/2021, documented in part, Focus: (Resident #21) has potential for pain r/t (related to) history of trauma to penis d/t (due to) catheter, impaired mobility, history of pain, spinal stenosis and history of ocular pain. The Interventions documented in part, Administer [MEDICATION(S)] per orders. Give 1/2 hour before treatments or care as indicated. The most recent Pain Evaluation dated 6/28/2021 documented in part, the resident had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . He had received PRN (as needed) pain medication. 6. Ask resident: 'Have you had pain or hurting at any time in the last 5 days? A mark was made next to, not assessed, 7. Ask resident: 'How much of the time have you experienced pain or hurting over the last 5 days? A mark was made next to, not assessed, 8. Ask resident : Over the past 5 days, has pain made it hard for your to sleep at night? A mark was made next to, not assessed, 9. Ask resident: 'Over the past 5 days, have you limited your day-to-day activities because of pain? A mark was made next to, not assessed, The form further documented the resident had no pain reported. and the resident had cognitive impairments. Is the resident currently communicating pain? A mark was made next to No. If the resident is unable to verbalize pain, evaluated using the face pain scale. A mark was made under the face for No Hurt. An interview was conducted with LPN (licensed practical nurse) #1 on 7/21/2021 at 2:03 p.m. When asked how staff know which as needed pain medication to administer if a resident has two as needed pain medication orders without any parameters, LPN #1 stated she would start with the Tylenol, try the lowest form of medications first, see if the Tylenol works. I would also take into account what their pain level is as well. When asked if deciding which medication to give, if that is in her scope of practice, LPN #1 stated, Yes, if there are no parameters. The above orders were reviewed with LPN #1. LPN #1 stated, I would try the Tylenol first but I think we need some sort of parameters in there. An interview was conducted with ASM (administrative staff member) #2, the director of nursing, on 7/21/2021 at 2:54 p.m. ASM #2 reviewed the pain medication orders above. ASM #2 stated, He came from a facility where they had him on scheduled Tylenol. He had a penile lesion and the scheduled Tylenol was for that pain in his penis. Before he came to us, he was on hospice care and they (hospice) had him on the [MEDICATION(S)]. He came in here with those orders. He was used to getting the [MEDICATION(S)]. When asked if the resident was on hospice at this facility and if he still had the penile lesion, ASM #2 stated he was no longer on hospice and the penile lesion had healed. When asked when the lesion healed, ASM #2 stated she would need to find out. ASM #2 stated when she gave report to the staff upon his arrival as she had evaluated him at the other facility, she told them he had been receiving the [MEDICATION(S)] as PRN (as needed) and the Tylenol was ineffective for the pain of the lesion. The staff automatically went to the [MEDICATION(S)]. When asked how staff determine which as needed pain medication to administer when there are no parameters, ASM #2 stated the nurse needs to assess the pain, if he complains it extravagant they go to the [MEDICATION(S)]. When asked if it's in the nurse's scope of practice to decide which one to give, ASM #2 stated, No, it's not. The order does not say anything about if Tylenol ineffective, or pain scale, the nurse judgment comes into play when the nurse does the assessment. His pain is sporadic, the Tylenol wasn't effective. ASM #2 was asked again when the penile lesion healed, ASM #2 stated, I believe it's a month ago after he was here. ASM #1, the administrator, stated on 7/21/2021 at 10:09 a.m. the facility follows their policy and procedures as their standard of practice. On 7/21/2021 at approximately 3:30 p.m. ASM #2 presented a nurse's note dated, 5/29/2021 at 6:45 a.m. that documented in part, Weekly Wound Rounding completed 5/29/2021. The resident's urethra/penis skin impairment has healed. The facility policy, Pain Management documented in part, Pain management is defined as the process of alleviating the resident's pain to a level that is acceptable to the resident and is based on his or her clinical condition and established treatment goals .2. Pain management is a multidisciplinary care process that includes the following: a. Assessing the potential for pain. b. Effectively recognizing the presence of pain. c. Identifying the characteristics of pain. d. Developing and implementing approaches to pain management. f. Identifying and using specific strategies for different levels and sources of pain. g. Monitoring for the effectiveness of interventions. h. Modifying approaches as necessary .5 b. If pain symptoms have resolved or there is no longer an indication for pain medication, the multidisciplinary team and physician shall try to discontinue or taper [MEDICATION(S)] medications to the extent possible .7. The physician and staff in collaboration with the resident/resident's representative will establish a treatment regimen based on consideration of the following: a. The resident's medical condition, b. Current medication regimen, c. Nature, severity and cause of the pain, d. Course of the illness and, e. Treatment goals. According to Lippincott Manual Of Nursing Practice, Eighth Edition: by Lippincott Williams & Wilkins, pg. 87 read: Nursing Alert: Unusual dosages or unfamiliar drugs should always be confirmed with the health care provider and pharmacist before administration. On pg. 15, the following is documented in part, Inappropriate Orders: 2. Although you cannot automatically follow an order you think is unsafe, you cannot just ignore a medical order, either. b. Call the attending physician, discuss your concerns with him, obtain appropriate orders. c. Notify all involved medical and nursing personnel d. Document clearly. ASM #1 and ASM #2 were made aware of the above findings on 7/21/2021 at 4:35 p.m. No further information was provided prior to exit. (1) Barron's Dictionary of Medical Terms, 5th edition, Rothenberg and Chapman, page 26. (2) This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a 4.html. (3) This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a 6.html

Based on staff interview, facility document review and clinical record review it was determined that the facility staff failed to ensure two of 25 residents were free of unnecessary [CONDITION(S)] medications, Resident #12 and Resident #25. 1. The facility staff failed to reassess Resident #12 for continued use of an as needed antipsychotic medication 14 days after it was ordered on 6/23/2021. 2. The facility staff failed to ensure the physician or nurse practitioner documented their rationale for and indicated the duration of use for Resident #25's prescribed as needed lorazepam (1) ordered on 5/17/21 and discontinued on 7/20/21. The findings include: 1. Resident #12 was admitted to the facility with diagnoses that included but were not limited to [CONDITION(S)] (1), anxiety disorder (2) and dementia (3). Resident #12's most recent MDS (minimum data set) assessment, a quarterly assessment with an ARD (assessment reference date) of 5/3/2021, coded Resident #12, as scoring a 2 on the staff assessment for mental status (BIMS) of a score of 0 - 15, 2- being severely impaired for making daily decisions. Section E coded Resident #12 as displaying verbal behavioral symptoms directed towards others 4 to 6 days but less than daily. Section N coded Resident #12 as receiving antipsychotic and antianxiety medications. Section N further coded Resident #12 as receiving antipsychotics on a routine basis only with a gradual dose reduction attempted on 3/3/2021. The comprehensive care plan for Resident #12 documented in part, [Name of Resident #12] is on [CONDITION(S)] medication use r/t (related to) a diagnosis of [CONDITION(S)]. Date Initiated: 08/23/2016. Revision on: 03/08/2021. The physician's orders for Resident #12 documented the following in part, - Order Date 6/9/2021 [MEDICATION(S)] (antipsychotic medication) Tablet 25 MG (milligram) Give 1 (one) tablet by mouth every 24 hours as needed for agitated behavior due to dementia. May give once a day at any time in addition to scheduled doses --this is a permanent order and should not be discontinued. - Order Date: 6/23/2021 [MEDICATION(S)] Tablet 25 MG Give 1 tablet by mouth every 24 hours as needed for agitated behavior due to dementia. May give once a day at any time in addition to scheduled doses --this is a permanent order and should not be discontinued. The eMAR (electronic medication administration record) for Resident #12 dated 6/1/2021-6/30/2021 documented Resident #12 received [MEDICATION(S)] 25mg by mouth every 24 hours as needed on 6/13/2021 at 8:53 p.m. and 6/27/2021 at 1:50 p.m. The eMAR for Resident #12 dated 7/1/2021-7/31/2021 documented Resident #12 received [MEDICATION(S)] 25mg by mouth every 24 hours as needed on 7/9/2021 at 2:56 p.m., 7/11/2021 at 11:28 a.m., and 7/12/2021 at 1:39 p.m. The physician progress notes documented Resident #12 was last assessed by the physician on 6/23/2021. The progress notes further documented Resident #12 was last assessed by the nurse practitioner on 5/25/2021 and the psychiatrist on 5/25/2021. The Consultant Pharmacist's Medication Regimen Review for Resident #12 dated 7/15/2021 documented in part, Note: (No response required.) This resident has a current PRN (as needed) order for [MEDICATION(S)] 25mg tablets, 1 Q24H (every 24 hours) as needed for agitated behavior due to dementia with no stop date indicated in the MAR (medication administration record). PRN orders for anti-psychotic drugs are limited to 14 days and cannot be renewed unless the attending physician or prescribing practitioner evaluates the resident for the appropriateness of that medication. To be compliant with CMS (Centers for Medicare and Medicaid services) 483.45(e)(5) please ensure the proper documentation is made in the resident's medical record . The Physician/Prescriber Response section of the document contained the following response from the provider, Disagree, chronic persistent [CONDITION(S)]. Managed by [Name of psychiatrist], psychiatry. 7/20/21 On 7/21/2021 at approximately 1:49 p.m., an interview was conducted with ASM (administrative staff member) #5, medical doctor. ASM #5 stated that Resident #12 was treated with the as needed [MEDICATION(S)] for behaviors related to the [CONDITION(S)]. ASM #5 stated that Resident #12 was also under the care of the psychiatrist and was previously on higher dosages of the medication in the past. ASM #5 stated that the pharmacy had advised them that they could only order the medication for 14 days and they were not sure if it was a pharmacy rule or a state rule but Resident #12 required the medication when they exhibited the behaviors like agitation and screaming out. ASM #5 stated that they assessed Resident #12 monthly, performed a full assessment and documented it in the progress notes. ASM #5 stated that they had last assessed Resident #12 on 6/23/2021. ASM #5 stated that Resident #12 had not been assessed in July yet. On 7/21/2021 at approximately 10:09 a.m., ASM (administrative staff member) #1, the administrator stated that they used their policies and procedures as their standard of practice. The facility policy, Psychoactive Medication Policy documented in part, Purpose: To provide the residents of [Name of Facility] the appropriate medications at the therapeutic dosage to promote the best quality of life, while treating conditions as indicated. Procedure: Residents will receive psychoactive medications, as ordered, when necessary to treat conditions or diagnosis . On 7/21/2021 at approximately 4:35 p.m., ASM #1, the administrator and ASM #2, the director of nursing were made aware of the findings. No further information was provided prior to exit. Reference: 1. [CONDITION(S)] [CONDITION(S)] is a serious brain illness. People who have it may hear voices that aren't there. They may think other people are trying to hurt them. Sometimes they don't make sense when they talk. The disorder makes it hard for them to keep a job or take care of themselves. This information is taken from the website https://medlineplus.gov/[CONDITION(S)].html 2. Anxiety Fear. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/anxiety.html#summary. 3. Dementia A loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. This information was obtained from the website: https://medlineplus.gov/ency/article/ 9.htm. 2. Resident #25 was admitted to the facility on [DATE]. Resident #25's diagnoses included but were not limited to delusional disorder, diabetes and mild intellectual disabilities. Resident #25's quarterly minimum data set assessment with an assessment reference date of 5/24/21, coded the resident's cognition as severely impaired. A note signed by ASM (administrative staff member) #3 (nurse practitioner) on 5/18/21 documented, [AGE] year old male with history of [CONDITION(S)] (2) .Dementia: BIMS (brief interview for mental status) score 4 (out of 15). Noted increased agitation, yelling, swinging arms, seeing 'ghosts' for past 6 weeks. Assessment and Plan. 1. Dementia with behavioral disturbance- With history of [CONDITION(S)]. Start low dose [MEDICATION(S)] (3) with plan to increase dosing as needed to control agitation. Lorazepam 0.5 mg (milligrams) prn (as needed) agitation . A physician's order dated 5/17/21 documented an order for lorazepam 0.5 mg- one tablet by mouth every six hours as needed for agitation. Resident #25's comprehensive care plan, revised on 5/18/21 documented, (Resident #25) has been placed on [CONDITION(S)] medications due to dx (diagnosis) of delusions, agitation, behaviors and psychological symptoms. Resident is know (sic) to be yelling out at call bells and has been throwing things (his clock and radio) in his room. He will say that 'the ghost' will break his clock or throw his cup. Administer [CONDITION(S)] medications as ordered by physician . The care plan failed to document specific information regarding as needed lorazepam. Review of Resident #25's May 2021 and June 2021 MARs (medication administration records) revealed the resident was administered as needed lorazepam on 5/18/21, 5/21/21, 6/1/21, 6/4/21, 6/11/21, 6/12/21 and 6/13/21. Further review of Resident #25's clinical record failed to reveal any physician or nurse practitioner documentation regarding lorazepam until 6/16/21. A note signed by ASM #3 on 6/16/21 documented, (Resident #25) has developed some agitated and oppositional behaviors in the past 6 months. He claims he is seeing ghosts, and the ghost talks to him and tells him to do things. He becomes obstreperous (difficult to control) when he wants his snack or a soda or coffee, and his requests are not met immediately. [MEDICATION(S)] (4) was started in April, which has had no effect on his delusions or agitation. [MEDICATION(S)] was started at 2.5 mg last month, but did not have any impact on his claims of seeing ghosts; yesterday it was increased to 5mg. Lorazepam PRN (as needed) was started 5/17, which does seem to settle him somewhat. Assessment and Plan. 1. Restlessness and agitation- It is not clear to me that (Resident #25) is actually having hallucinations, or whether these claims of ghosts telling him to break things may be a ploy for attention. He does tend to ask for snacks and sodas and coffee a lot. I doubt that the psychotropics he is on will make much difference in these behaviors, but will give them a chance . The note failed to document the rationale or indicate the duration for the extended use of the as needed lorazepam. Review of Resident #25's July 2021 MAR revealed the resident was administered as needed lorazepam on 7/19/21 and the medication was ineffective. Further review of Resident #25's clinical record failed to reveal any physician or nurse practitioner documentation regarding lorazepam until 7/20/21. A note signed by the nurse practitioner on 7/20/21 documented Resident #25's lorazepam was discontinued due to non-use. On 7/21/21 at 1:31 p.m., a telephone interview was conducted with ASM #3. ASM #3 stated Resident #25 was a gentleman who did not have a formal psychotic disorder but had been extremely agitation, throwing things and cursing. ASM #3 stated she prescribed scheduled [MEDICATION(S)] but it takes time for that medication to build to a therapeutic level so she prescribed as needed lorazepam as a backup in case Resident #25 became extremely agitated. ASM #3 stated she continued to see that Resident #25 presented with episodes of agitation in notes so she increased the [MEDICATION(S)] and wanted to continue the lorazepam while titrating the [MEDICATION(S)]. The [MEDICATION(S)] was increased on 6/22/21. ASM #3 stated she sees Resident #25 once a month and documents a monthly note. When asked if she documented the rationale or planned duration for the continued use of the lorazepam, ASM #3 stated she was not sure and could do a better job. ASM #3 stated she discontinued the lorazepam on 7/20/21 because it was not being used. On 7/21/21 at 4:41 p.m., ASM #1 (the administrator) and ASM #2 (the director of nursing) were made aware of the above concern. The facility policy titled, Psychoactive Medication Policy failed to document specific information regarding the use of as needed anti-anxiety medication. No further information was presented prior to exit. References: (1) Lorazepam is used to relieve anxiety. This information was obtained from the website: https://medlineplus.gov/druginfo/meds/a 3.html (2) [CONDITION(S)] is a serious brain illness. People who have it may hear voices that aren't there. They may think other people are trying to hurt them. Sometimes they don't make sense when they talk. The disorder makes it hard for them to keep a job or take care of themselves. This information was obtained from the website: https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v%3Aproject=medlineplus&v%3Asources=medlineplus-bundle&query=[CONDITION(S)]&_ga=2XXX 7134XXX XXX - 6440XXX (3) [MEDICATION(S)] is used to treat [CONDITION(S)]. This information was obtained from the website: https://medlineplus.gov/druginfo/meds/a 3.html (4) [MEDICATION(S)] is used to treat depression. This information was obtained from the website: https://medlineplus.gov/druginfo/meds/a 8.html

Based on observations, staff interview, and facility document review, it was determined that the facility staff failed to store food in accordance with standards for food service safety. Observation during the facility task- kitchen observation on [DATE] at 11:30 AM, revealed an open 16 ounce bag of Lays Wavy potato chips with an expiration date of [DATE] and an opened 26 ounce canister of fajita seasoning with an expiration date of [DATE] The findings include: On [DATE] at 11:30 AM, an observation was conducted in the main kitchen. In the dry storage room a 26 ounce canister of fajita seasoning was opened on [DATE] with an expiration date of [DATE]. The fajita canister was 20% full. A 16 ounce bag of Lays Wavy potato chips were opened and dated as [DATE]-[DATE]. The manufacturer expiration date on the bag of chips was [DATE]. The Lays Wavy chip bag was 33% full. An interview was conducted on [DATE] at 12:00 PM with OSM (other staff member) #5, the assistant dietary manager. When asked to review the fajita seasoning canister and the Lays potato chip bag, OSM #5 stated, They should have been thrown out. We keep the seasonings we use the most above the stove and go through them quickly. The chips were expired on [DATE] and should have been thrown away. The ASM (administrative staff member) #1, the administrator, was made aware of the finding on [DATE] at 1:05 PM. On [DATE] at 10:09 AM, when asked what standard of practice you follow, ASM #1 stated, We follow our own policies and procedures. The facility's Dry Storage policy was provided on [DATE] at 12:05 PM, documents in part, Following inspection of delivered goods, place newly delivered items behind the older stock to ensure that the older products are used first: adhere to 'First In, First Out (FIFO)'. Check stock moved to front, and discard any items that are at or beyond expiration date. No further information was provided prior to exit.

Based on observation, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to provide a complete and accurate medical record for three of 25 residents in the survey sample, Resident #47, Resident #46 and Resident #21. 1. The facility staff failed to ensure a complete and accurate medical record to include the medication regimen review (MRR) for Resident #47. Resident #31's February 2021 MRR was under the miscellaneous tab in Resident #47's EMR (electronic medical record). 2. The facility failed to ensure a complete an accurate medical record for Resident #46. The details of Resident #46's fall on 5/20/21 were not documented in the clinical record. 3. The facility staff failed to ensure another resident's name was not on Resident #21's comprehensive care plan. The findings include: 1. Resident #47 was admitted to the facility on [DATE]. Resident #47's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #47's most recent MDS (minimum data set) assessment, an annual assessment, with an assessment reference date of 6/28/21, coded the resident as scoring 09 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was moderately cognitively impaired. MDS Section G- Functional Status: coded the resident as total dependence for transfers, bathing, dressing, and toileting; extensive assistance with bed mobility, and personal hygiene. Resident #47 was coded as requiring supervision for eating/locomotion and walking did not occurring. A review of MDS Section H- bowel and bladder coded the resident as always incontinent for bowel and for bladder. A review of Resident #47's comprehensive care plan dated 5/25/16 revised 9/25/19, documented in part, FOCUS-Potential for discomfort, injury, impaired safety: at risk for adverse drug reaction related to high number of medications. Discuss with resident if able and family the number and type of medications she is taking and the potential for drug interactions and side effects from over-medication. INTERVENTIONS-Discuss with the resident if able and family the number and type of medications she is taking and the potential for drug interactions and side effects from over medication. Request physician to review and evaluate medications. Review pharmacy consult recommendations and follow up as indicated. A review of Resident #47's EMR (electronic medical record) revealed monthly MRR's (medication regimen review) from August 2020 through July 2021. In the month of February 2021, there were two Recommendations for February documents. One was for Resident #47 and the second was for Resident #31. Resident #31 was admitted to the facility on [DATE]. Resident #31's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #31's most recent MDS (minimum data set) assessment, an annual assessment, with an assessment reference date of 6/1/21, coded the as scoring 04 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was severely cognitively impaired. A review of Resident #31's comprehensive care plan dated 1/30/17, which documents in part, FOCUS-Potential for discomfort, injury, impaired safety: at risk for adverse drug reaction related to high number of medications. INTERVENTIONS-Discuss with the resident if able and family the number and type of medications she is taking and the potential for drug interactions and side effects from over medication. Request physician to review and evaluate medications. Review pharmacy consult recommendations and follow up as indicated. An interview was conducted on 7/21/21 at 12:50 PM with ASM (administrative staff member) #2, the director of nursing. When asked who is responsible for scanning documents into the EMR, ASM #2 stated, That is the ADON (assistant director of nursing). An interview was conducted on 7/21/21 at 12:55 PM with ASM #4, the assistant director of nursing. When asked if she is responsible for scanning documents specifically the MRR into the EMR, ASM #4 stated, Yes, I am. ASM #4 was asked to review Resident #47's EMR, and the two MRR in February 2021, one for Resident #47 and the second one for Resident #31. ASM #4 stated, The names are so close together, I must have inadvertently scanned them together. I will remove Resident #31's MRR. Review of Residents #47's EMR at 1:30 PM revealed that Resident #31's MRR was no longer filed in Resident #47's EMR chart. ASM #1, the administrator and ASM #2, the director of nursing were made aware of the above concern on 7/21/21 at 4:36 PM. On 7/21/21 at 10:09 AM, ASM #1 stated, The standard of practice is our policies and procedures. According to facility's policy and procedure titled Clinical Record dated 4/16/18, which documents the following, Clinical records are maintained on each resident in accordance with federal and state regulations and within accepted professional standards and practices. The clinical record shall be accurate, complete, and present organized clinical information about each resident in a manner that is readily accessible for resident care. No further information was provided prior to exit. References: (1) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 154. (2) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 25. (3) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 547,266. (4) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 420. (5) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 420. (6) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 576. (7) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 7th edition, Rothenberg and Chapman, page 223. 2. Resident #46 was admitted to the facility on [DATE] and had the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly MDS (Minimum Data Set) assessment, with an ARD (Assessment Reference Date) of 6/23/21 coded the resident as being severely cognitively impaired in ability to make daily life decisions. The resident was coded as requiring total care for bathing, toileting and hygiene; extensive care for dressing and transfers; supervision for eating; and was coded as incontinent of bowel and bladder. A review of the clinical record revealed the following: · A nurse's note dated 5/20/21 at 7:09 PM documented, Spoke with (name of RP - responsible party) regarding (Resident #46) fall earlier this evening. Advised (RP) that (Resident #46) is not complaining of any pain, and there is no injury. Will continue to monitor with neuro [neurological] checks. · A nurse's note dated 5/21/20 at 8:37 AM documented, (Resident #46) noted with areas of discoloration this morning from fall. Area to her right wrist purple in color size 2.5 cm (centimeters) x 1.5 cm and discoloration Dark Purple in color to left elbow area size 4cm x 4.5cm. POA (Power of Attorney) called informed discolored areas. · A nurse's note dated 5/21/20 at 8:47 AM documented, 5-21-2021 @ (at) 0630 (6:30 AM) --Resident continues on neuro checks, done @ 2330 (11:30 PM), 0130 (1:30 AM), and 0530 (5:30 AM). Last set of vitals @ 0530 were 118/62-64-17-97.3 temporal--SAT 96% r/a (blood pressure - pulse - respirations - temperature via temporal reading - oxygen saturation 96% on room air). No c/o (complaints of) pain voiced. Will monitor areas of discoloration located on the Right wrist and Left elbow. There were no notes that documented the details of the fall itself - when, where, how, situation, etc. A review of the fall investigation report dated 5/20/21 at 7:11 PM documented at the bottom of each page, Privileged and Confidential - Not part of the Medical Record. This form documented, Incident Description: I was advised by CNA (Certified Nursing Assistant) that (Resident #46) had fallen OOB (out of bed). On arrival to room resident was on the floor with legs still on the bed. (Resident #46) was immediately assessed (Neuros (neurological checks), Pain, and Fall Assessment). She is alert but confused Resident apparently rolled out of bed to floor. The resident is able to move all extremities well and is asymptomatic of any obvious pain or discomfort. Once the assessment was completed, the resident was assisted back to her bed with the use of the Hoyer lift and 3 staff members. (Resident #46) noted with areas of discoloration to her right wrist area purple in color size 2.5 cm x 1.5 cm and discoloration to left elbow area size 4cm x 4.5 cm. Resident advised that wind blew her out of the bed. Denied trying to get oob. Immediate Action Taken: Assessment completed. Bed in lowest position, call light within reach. Educated the staff to position straight in bed when head of bed is elevated to prevent her from leaning over and falling. Roll booster applied to bed. Fall mat placed on floor by the bed. MD (Medical Doctor) and POA notified. Continue all interventions as ordered and reevaluate as indicated. This form further documented that the physician and the RP (POA) were notified on 5/20/21 at 7:15 PM. The above details on this form about the circumstances of the fall were not documented in the clinical record. On 7/22/21 at 8:35 Am, an interview was conducted with ASM #1 (Administrative Staff Member, the Administrator). She stated the nurse who was present at the time of the fall and completed the incident report no longer worked at the facility. When asked if the incident report is part of the legal clinical record, ASM #1 stated it was not. She reviewed the nurse's notes in the record and agreed that documentation on the incident report regarding the details of the fall were not documented in the clinical record and should have been. A review of the facility policy, Clinical Records documented, The clinical record shall be accurate, complete, and present organized clinical information about each resident in a manner that is readily accessible for resident care The clinical record will contain an accurate and functional representation of the actual experience of the resident in the facility On 7/22/21 at 8:35 AM, ASM #, was made aware of the findings. No further information was provided by the end of the survey. 3. Resident # 21 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The most recent MDS (minimum data set) assessment, an admission assessment, with an assessment date of 5/11/202, coded the resident as having both short and long term memory difficulties and as severely impaired to make daily cognitive decisions. The resident was coded as requiring extensive assistance to being totally dependent of one or more staff members for all of his activities of daily living. In Section J - Health Conditions, coded Resident # 21 as having no pain during the look back period. Resident #21 was coded as not receiving any scheduled or as needed pain medications. The comprehensive care plan dated, 6/8/2021, documented in part, Focus: (Another Resident's name) has Diabetes Mellitus. An interview was conducted with RN (registered nurse) #1, on 7/21/2021 at 1:43 p.m. When asked if another resident's name should be on a resident's care plan, RN #1 stated, No. The care plan above was reviewed with RN #1. RN #1 stated she did it, it was her that incorrectly documented another resident's name. When asked if that is an accurate clinical record, RN #1 stated, No, ASM (administrative staff member) #1, the administrator, and ASM #2, the director of nursing, were made aware of the above finding on 7/21/2021 at 4:35 p.m. No further information was provided prior to exit.

Based on staff interview, facility document review and employee record review, it was determined that the facility staff failed to evidence that five out of 10 employee records reviewed, (CNA (certified nursing assistant) #1 #2, #3, #4 and #5) received and completed the required 12 hours of annual training, including dementia care in -service training. The findings include: On 10/23/19 at approximately 12:00 PM, a list of CNAs who were employed at the facility was provided by ASM (administrative staff member) #1, the administrator. A sample of ten CNAs were selected from the forty-one on the list provided. The dementia education was requested at this time for the ten CNAs. On 10/23/19 at 1:00 PM, ASM #1, the administrator, provided training documentation. Review of the records for CNA #1, CNA #2, CNA #3, CNA #4 and CNA #5, failed to evidence 12 hours of training education within the previous twelve-month period and failed to evidence the required dementia training. The hire dates of the CNAs were as follows: CNA #1 - 6/21/16 CNA #2 - 6/9/16 CNA #3 - 10/30/90 CNA #4 - 6/11/17 CNA #5 - 6/8/18 On 10/23/19 at approximately 1:10 PM, in an interview ASM #1, the administrator, ASM #1, stated, The CNA skills verification checklist should be completed every twelve months with their evaluations. I am not sure why this was missed. This will be corrected immediately. The facility training document titled CNA skills verification checklist includes mandatory education on nutrition, bathing/personal care, oral care, toileting, skin care, transfers, procedures, infection control, abuse/how to report suspected abuse, communicating with cognitively impaired residents, care of confused resident with negative behaviors, resident rights, chain of command and aging process. ASM (administrative staff member) #1, the administrator, and ASM #2, the director of nursing of the findings at approximately 4:00 p.m. on 10/23/19. No further information was provided prior to exit.

Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to notify the physician of a change in condition for one of 26 sampled residents, (Resident #31). The facility staff failed to notify and consult with the physician as ordered when Resident #31 had a greater than three pounds weight gain in one day on 8/27/19 and 9/7/19. The findings include: Resident #31 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. It may be caused by congenital defects or by any condition that damages or overloads the heart muscle). (1) The most recent MDS (minimum data set) assessment, an admission assessment, with an assessment reference date of [DATE], coded the resident as scoring a 14 on the BI[CONDITION] (brief interview for mental status) score, indicating the resident was capable of making daily cognitive decisions. Resident #31 was coded as requiring extensive assistance for one or more staff members for all of her activities of daily living. The physician order [REDACTED]. (pounds) in one day. The comprehensive care plan dated, 8/23/19, documented in part, Focus: (Resident #31) is at risk for cardiac distress r/t (related to) hypertension (high blood pressure), [MEDICAL CONDITIONS], stroke, [MEDICAL CONDITIONS]. The Interventions documented in part, Monitor/document/report PRN (as needed) any s/sx (signs and symptoms) of [MEDICAL CONDITION]: dependent [MEDICAL CONDITION] of legs and feet, periorbital [MEDICAL CONDITION], SOB (shortness of breath) upon exertion, cook skin, dry cough, distended neck veins, weakness, weight gain unrelated to intake, crackles and wheezes upon auscultation of the lungs.Weight Q (every) months and as indicated. The care plan further documented, Focus: (Resident #31) has potential for fluid volume alterations r/t disease process of [MEDICAL CONDITION], diuretic use and gross [MEDICAL CONDITION]. The Interventions documented in part, Monitor/document/report PRN any s/sx of fluid overload: anorexia, anxiety, mood/behavior changes. confusion, [MEDICAL CONDITION], nausea/vomiting, shortness of breath, difficulty breathing (dyspnea), increased respirations (tachypnea), difficulty breathing when lying flat (orthopnea, congestion, cough, fatigue, jugular venous distention (JVD), sudden weight gain.Monitor/document/report PRN the following s/sx: [MEDICAL CONDITION], weight gain of over 2 lbs. a day.Weigh at same time of day and record: (Q day). Notify MD, RD (registered dietician) of sudden wt (weight) changes as indicated. Review of Resident #31's Weights in the computerized medical record revealed the following: The weight on 8/28/19 was documented as 359 lbs. The weight on 8/29/19 was documented as 363 lbs. (a four-pound gain). Review of the nurse's notes failed to evidence documentation that the physician was notified of the four-pound weight gain on 8/29/19. The weight on 9/6/19 was documented as 361.5 lbs. The weight on 9/7/19 was documented as 364 lbs. (a three and a half pound gain). Review of the nurse's notes failed to evidence documentation that the physician was notified of the three and a half pound weight gain in one day as ordered. An interview was conducted with LPN (licensed practical nurse) #1, on 10/23/19 at 2:11 p.m. When asked what the staff should do if the physician order [REDACTED].#1 stated, If it's greater than a three pound gain, call the doctor's office, where the call is triaged to the doctor. Then wait for the doctor's response back. An interview was conducted with administrative staff member (ASM) #2, the director of nursing, on 10/23/19 at 2:16 p.m. The physician's orders [REDACTED].#2. When asked what is expected of the staff, ASM #2 stated, If the weight is outside the prescribed parameters, they should call the doctor and see if there are any new orders. The facility policy, Physician Orders, documented in part, If order contains parameters, licensed nursing staff should follow physician orders [REDACTED]. ASM #1, the administrator and ASM #2 were made aware of the above concern on 10/23/19 at 3:50 p.m. No further information was provided prior to exit. (1) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 5th edition, Rothenberg and Chapman, page 262.

Based on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to develop and/or implement the comprehensive care plan for one of 26 residents in the survey sample, Residents # 31. The facility staff failed to implement the comprehensive care plan for notifying the physician of a greater than three pound weight gain in one day for Resident #31. The findings include: Resident #31 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. It may be caused by congenital defects or by any condition that damages or overloads the heart muscle). (1) The most recent MDS (minimum data set) assessment, an admission assessment, with an assessment reference date of [DATE], coded the resident as scoring a 14 on the BI[CONDITION] (brief interview for mental status) score, indicating the resident was capable of making daily cognitive decisions. Resident #31 was coded as requiring extensive assistance for one or more staff members for all of her activities of daily living. The comprehensive care plan dated, 8/23/19, documented in part, Focus: (Resident #31) is at risk for cardiac distress r/t (related to) hypertension (high blood pressure), [MEDICAL CONDITIONS], stroke, [MEDICAL CONDITIONS]. The Interventions documented in part, Monitor/document/report PRN (as needed) any s/sx (signs and symptoms) of [MEDICAL CONDITION]: dependent [MEDICAL CONDITION] of legs and feet, periorbital [MEDICAL CONDITION], SOB (shortness of breath) upon exertion, cook skin, dry cough, distended neck veins, weakness, weight gain unrelated to intake, crackles and wheezes upon auscultation of the lungs.Weight Q (every) months and as indicated. The care plan further documented, Focus: (Resident #31) has potential for fluid volume alterations r/t disease process of [MEDICAL CONDITION], diuretic use and gross [MEDICAL CONDITION]. The Interventions documented in part, Monitor/document/report PRN any s/sx of fluid overload: anorexia, anxiety, mood/behavior changes. confusion, [MEDICAL CONDITION], nausea/vomiting, shortness of breath, difficulty breathing (dyspnea), increased respirations (tachypnea), difficulty breathing when lying flat (orthopnea, congestion, cough, fatigue, jugular venous distention (JVD), sudden weight gain.Monitor/document/report PRN the following s/sx: [MEDICAL CONDITION], weight gain of over 2 lbs. a day.Weigh at same time of day and record: (Q day). Notify MD, RD (registered dietician) of sudden wt (weight) changes as indicated. The physician order [REDACTED]. (pounds) in one day. Review of Resident #31's Weights in the computerized medical record revealed the following: The weight on 8/28/19 was documented as 359 lbs. The weight on 8/29/19 was documented as 363 lbs. (a four pound gain). Review of the nurse's notes failed to evidence documentation that the physician was notified of the four-pound weight gain on 8/29/19. The weight on 9/6/19 was documented as 361.5 lbs. The weight on 9/7/19 was documented as 364 lbs. (a three and a half pound gain). Review of the nurse's notes failed to evidence documentation that the physician was notified of the three and a half pound weight gain. An interview was conducted with LPN (licensed practical nurse) #1, on 10/23/19 at 2:11 p.m. regarding physician orders [REDACTED].#1 stated, If it's greater than a three pound gain, then I would call the doctor's office, where the call is triaged to the doctor. I then wait for the doctor's response back. But as a nursing judgement, I would make sure the resident is being weighed at the same time every day. When asked if the nurse is following physician orders [REDACTED].#1 stated, No, they should call. When asked if staff are implementing the comprehensive care plan if the physician s not notified of a three pound weight gain in one day and the care plan intervention documents to obtain weights as indicated and notify the physician of changes, LPN #1 stated, No, we should follow the care plan. An interview was conducted with administrative staff member (ASM) #2, the director of nursing, on 10/23/19 at 2:16 p.m. The physician's orders [REDACTED].#2. When asked what is expected of the staff, ASM #2 stated, If the weight is outside the prescribed parameters, they should call the doctor and see if there are any new orders. When asked if staff are following the physician's orders [REDACTED].#2 stated, No, Ma'am, it's not. When asked the purpose of the comprehensive care plan, ASM #2 stated it's the plan of care to follow for how we care for the resident. When asked if the comprehensive care plan was followed if weights and notifying the physician are interventions, and the physician was not notified, No, Ma'am. The facility policy, Care Plan Policy documented in part, Care plans will be accessible for facility staff. Facility staff should utilize plan of care accordingly to ensure resident care is appropriate and follows plan of care. ASM #1, the administrator and ASM #2 were made aware of the above concern on 10/23/19 at 3:50 p.m. No further information was provided prior to exit. (1) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 5th edition, Rothenberg and Chapman, page 262.

Based on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to revise the comprehensive care plan for one of 26 residents in the survey sample, Residents # 22. 2. The facility staff failed to review and revise Resident #22's comprehensive care plan to address the administration and use of an antidepressant for Resident #22. The findings include: The facility staff failed to develop a comprehensive care plan to address Resident #22's use of an antidepressant. Resident #22 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The most recent MDS (minimum data set) assessment, a quarterly assessment, with an assessment reference date of [DATE], coded the resident as scoring a 13 on the BI[CONDITION] (brief interview for mental status) score, indicating the resident is capable of making daily cognitive decisions. In Section N - Medications, the resident was coded as having received an antidepressant for seven days of the look back period. The physician order [REDACTED]. Review of the MARs (medication administration records) evidenced the above order for [MED]. The [MED] was documented as administered each night for the past three months, July, August, September 2019 and the current month of October. Review of the comprehensive care plan dated, 2/19/19 with a revision on 9/25/19, failed to evidence any documentation related to the resident being on an antidepressant or a medication for [MEDICAL CONDITION]. An interview was conducted with ASM (administrative staff member) #2, the director of nursing, on 10/23/19 at 3:29 p.m. When asked who revises the comprehensive care plans, ASM #2 stated the MDS coordinator and people from different departments and the IDT (interdisciplinary team). An interview was conducted with RN (registered nurse) #3, the MDS coordinator, on 10/23/19 at 3:35 p.m. When asked if a prescribed antidepressant should be included on the care plan, RN #3 stated, Yes, it should be care planned. RN #3 was asked to review Resident #22's current comprehensive care plan. When asked to review Resident #22's comprehensive care plan for an antidepressant and [MEDICAL CONDITION], RN #3, reviewed the care plan and stated, It's not there. When asked if it should be there, RN #3 stated, Yes, it should be. The facility policy, Care Plan Policy documented in part, Care plans will reflect care needs including medications, treatments and other care needs. ASM #1, the administrator and ASM #2 were made aware of the above concern on 10/23/19 at 3:50 p.m. No further information was provided prior to exit. (1) This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a 8.html.

Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure one of 26 sampled residents, (Resident #31), received the care and services in accordance with professional standards of practice and the comprehensive care plan, Resident #31. The facility staff failed to follow the physicians order to notify the physician of a weight gain of greater than three pounds in one day for Resident #31. The findings include: Resident #31 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. It may be caused by congenital defects or by any condition that damages or overloads the heart muscle). (1) The most recent MDS (minimum data set) assessment, an admission assessment, with an assessment reference date of [DATE], coded the resident as scoring a 14 on the BI[CONDITION] (brief interview for mental status) score, indicating the resident was capable of making daily cognitive decisions. Resident #31 was coded as requiring extensive assistance for one or more staff members for all of her activities of daily living. The physician order [REDACTED]. (pounds) in one day. Review of Resident #31's Weights in the computerized medical record revealed the following: The weight on 8/28/19 was documented as 359 lbs. The weight on 8/29/19 was documented as 363 lbs. (a four-pound gain). Review of the nurse's notes failed to evidence documentation that the physician was notified of the four-pound weight gain on 8/29/19. The weight on 9/6/19 was documented as 361.5 lbs. The weight on 9/7/19 was documented as 364 lbs. (a three and a half pound gain). Review of the nurse's notes failed to evidence documentation that the physician was notified of the three and a half pound weight gain in one day as ordered. The comprehensive care plan dated, 8/23/19, documented in part, Focus: (Resident #31) is at risk for cardiac distress r/t (related to) hypertension (high blood pressure), [MEDICAL CONDITIONS], stroke, [MEDICAL CONDITIONS]. The Interventions documented in part, Monitor/document/report PRN (as needed) any s/sx (signs and symptoms) of [MEDICAL CONDITION]: dependent [MEDICAL CONDITION] of legs and feet, periorbital [MEDICAL CONDITION], SOB (shortness of breath) upon exertion, cook skin, dry cough, distended neck veins, weakness, weight gain unrelated to intake, crackles and wheezes upon auscultation of the lungs.Weight Q (every) months and as indicated. The care plan further documented, Focus: (Resident #31) has potential for fluid volume alterations r/t disease process of [MEDICAL CONDITION], diuretic use and gross [MEDICAL CONDITION]. The Interventions documented in part, Monitor/document/report PRN any s/sx of fluid overload: anorexia, anxiety, mood/behavior changes. confusion, [MEDICAL CONDITION], nausea/vomiting, shortness of breath, difficulty breathing (dyspnea), increased respirations (tachypnea), difficulty breathing when lying flat (orthopnea, congestion, cough, fatigue, jugular venous distention (JVD), sudden weight gain.Monitor/document/report PRN the following s/sx: [MEDICAL CONDITION], weight gain of over 2 lbs. a day.Weigh at same time of day and record: (Q day). Notify MD, RD (registered dietician) of sudden wt (weight) changes as indicated. An interview was conducted with LPN (licensed practical nurse) #1, on 10/23/19 at 2:11 p.m. When asked what the staff should do if the physician order [REDACTED].#1 stated, If it's greater than a three pound gain, call the doctor's office, where the call is triaged to the doctor. Then wait for the doctor's response back. But as a nursing judgement, I would make sure the resident is being weighed at the same time every day. When asked if staff are, following physician orders [REDACTED].#1 stated, No, they should call. An interview was conducted with administrative staff member (ASM) #2, the director of nursing, on 10/23/19 at 2:16 p.m. The physician's orders [REDACTED].#2. When asked what is expected of the staff, ASM #2 stated, If the weight is outside the prescribed parameters, they should call the doctor and see if there are any new orders. When asked if staff followed the physician orders [REDACTED].#2 stated, No, Ma'am, it's not. The facility policy, Physician Orders, documented in part, If order contains parameters, licensed nursing staff should follow physician orders [REDACTED]. ASM #1, the administrator and ASM #2 were made aware of the above concern on 10/23/19 at 3:50 p.m. No further information was provided prior to exit. (1) Barron's Dictionary of Medical Terms for the Non-Medical Reader, 5th edition, Rothenberg and Chapman, page 262.

Based on staff interview, observation and facility document review, it was determined that the facility staff failed to store food in accordance with professional standards for food service. The facility staff failed to dispose of baked cookies with expiration date of [DATE]. The findings include: During kitchen observation on [DATE] at 10:35 AM, in the dry storage room, one bag of six individually wrapped baked sugar cookies was dated [DATE] - [DATE]. In addition, one bag of vanilla wafer cookies was found opened and unlabeled in the dry storage room. An interview was conducted with OSM (other staff member) #1, the dietary manager, on [DATE] at 10:45 AM. When asked what the dates on the baked sugar cookies indicated, OSM #1 stated, It means that is how long the cookies are good. When asked if the baked sugar cookies should have been disposed on [DATE], OSM #1 stated Yes. When asked if the vanilla cookies should have been dated, OSM #1 stated, Yes, they should have been dated when opened. The facility's policy Refrigerated Food Storage documents in part Procedure: Food service personnel that are responsible for food preparation shall label all items. The following foods can be safely kept for the number of days listed: pies and pastries baked- two to three days. On [DATE] at 11:35 AM, ASM (administrative staff member) #1, the administrator, stated, Cookies aren't listed; they were using the pie and pastry time frame. ASM #1, the administrator, and ASM #2, the director of nursing was informed of the expired and unlabeled food product on [DATE] at 4:00 PM. No further information was provided prior to exit.

Based on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to follow infection control practices during the medication administration observation for one of 26 sampled residents, Resident #44. RN (registered nurse) #2 dropped a pill onto a paper that was on the top of the medication cart and then administered it to Resident #44. The findings include: Observation was made on 10/23/19 at 8:36 a.m. of RN (registered nurse) #2 administering medications to Resident #44. RN #8 was popping the medications out of the medication card. When RN#2 popped [MEDICATION NAME] (used to treat [MEDICAL CONDITION] (1)) 25 mg (milligrams) out of the card, the tablet fell on to a piece of paper that she used as her report sheet that was located on the top of the medication cart. RN #2 then put on gloves and picked up the medication. RN #2 then placed the medication into a medication cup. RN #2 took the cup of pills, with the [MEDICATION NAME], into Resident 44's room and administered the medications to the resident. Resident #44 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The most recent MDS (minimum data set) assessment, a significant change assessment, with an assessment reference date of 9/14/19, coded the resident as scoring a 14 on the BI[CONDITION] (brief interview for mental status) score, indicating she was cognitively intact to make daily decisions. An interview was conducted with RN #2 on 10/23/19 at 2:03 p.m. When asked how often she cleans the top of her medication cart, RN #2 stated at the beginning of the shift and at the end of the shift and as needed. When asked if her report sheet was a clean surface, RN #2 stated, Technically no, I probably should have thrown out the pill that dropped and gotten a new one. An interview was conducted with administrative staff member (ASM) #2, the director of nursing, on 10/23/19 at 2:20 p.m. When asked what staff should do if a pill drops onto a piece of paper on top of the medication cart, the medication cart onto a piece of paper, ASM #2 stated, The pill should be disposed of and a new pill should be gotten out. The facility policy, Medication Administration documented in part, In the event that a medication is dropped, it should be disposed of properly and a new pill should be obtained. ASM #1, the administrator and ASM #2 the director of nursing, were made aware of the above concern on 10/23/19 at 3:50 p.m. No further information was provided prior to exit. (1) This information was obtained from the following website: https://medlineplus.gov/druginfo/meds/a 2.html.

Based on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence that all required documentation was provided to the receiving facility for 5 of 37 residents in the survey sample; Residents #20, #24, #5, #40, and #64. 1. The facility staff failed to evidence that all required documentation was sent to the hospital upon Resident #20's facility initiated transfer to the hospital on [DATE]. 2. The facility staff failed to evidence that all required documentation was sent to the hospital upon Resident #24's facility initiated transfer to the hospital on [DATE]. 3. The facility staff failed to evidence that all required documentation was sent to the hospital upon Resident #5's facility initiated transfer to the hospital on [DATE]. 4. The facility staff failed to provide evidence that all required information (including physician contact information, resident representative contact information, special instructions for ongoing care, advance directives and comprehensive care plan goals) was provided to the hospital staff when Resident #40 was transferred to the hospital on [DATE], 8/18/18, 8/27/18 and 9/7/18. 5. The facility staff failed to evidence that all required documentation and information was provided to the receiving provider for a facility-initiated transfer on 07/08/18 for Resident # 64. The findings include: 1. The facility staff failed to evidence that all required documentation was sent to the hospital upon Resident #20's facility initiated transfer to the hospital on [DATE]. Resident #20 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was a quarterly assessment with an ARD (Assessment Reference Date) of 8/13/18. The resident was coded as being moderately impaired in ability to make daily life decisions. A review of the clinical record revealed a Transfer/Discharge Policy form dated 7/26/18 and signed by the physician on 8/1/18 that documented the following: · What specific resident needs are not able to be met by (facility)? Shortness of breath, BP 132/90, c/o rocks on chest abnormal lung sounds and need to rule out [MEDICAL CONDITION] infarction. · What efforts were offered at (facility) to meet the resident's needs? Oxygen, meds per orders, assess s/s. · What services will be offered by receiving facility to better meet the resident's needs? Acute diagnostics for chest pain and abnormal vitals. A review of the clinical record revealed nurses notes dated 7/26/18 at 2:47 a.m., that documented, Resident complaint {sic} of shortness of Breath {sic}, 98.7 (temperature) 44 (respirations) 132/90 (blood pressure) HR (heart rate) 92-104 90-92% (oxygen saturation) on 2 liters of oxygen. Resident states it feels like a rock on my chest. Resident's lungs sounds rhonchi, wheezing, audible wheezing. This writer spoke with MD (medical doctor) and was direct {sic} to send resident to (hospital) for eval (evaluation). This writer contacted 911 and (hospital) ED (emergency department). This writer notify {sic} POA (power of attorney). will {sic} continue to monitor. A nurses note dated 7/26/18 at 3:03 a.m., documented, resident is at (hospital) ICU (intensive care unit) will continue to monitor. Further review of the clinical record failed to reveal any evidence of what documentation, if any, was sent to the hospital. On 10/3/18 at 1:18 p.m., an interview was conducted with RN (registered nurse) #1. RN #1 was asked to describe the information provided to hospital staff when a resident is transferred to the hospital. RN #1 stated the nurses send a copy of the residents' MAR (medication administration record), TAR (treatment administration record) and a face sheet. When asked if nurses provide residents' comprehensive care plan goals, RN #1 stated, They don't normally go. When asked how nurses evidence the information provided to hospital staff, RN #1 stated nurses usually document the information provided in a nurse's note. On 10/3/18 at 1:59 p.m., ASM (administrative staff member) #2 (the director of nursing) presented a blank form titled, Transfer Discharge Record (blank) that she stated is auto-populated by the system when they print it for hospital transfers. ASM #2 stated the nurses are supposed to fill the form out and send the form to the hospital each time a resident is transferred. The form documented sections to be completed regarding: resident information (demographics and insurance information), other information (allergies and advance directives), physician/representative contact information, diagnoses, last vital signs, chief complaint and relevant information regarding behavior(s), ambulation, bladder, bowel and feeding. The form failed to document a section for nurses to complete regarding comprehensive care plan goals. ASM #2 stated the form is supposed to be completed and sent to the hospital along with residents' MAR, TAR, advance directives, last progress notes and any relevant labs (laboratory tests). ASM #2 stated the nurses also call a report to hospital staff. When asked how the facility staff could evidence all required information was provided to hospital staff when each resident was transferred, ASM #2 stated she could only provide this blank form. ASM #2 stated the nurses do not make a copy of the completed transfer discharge form to evidence they are completed. A review of the facility policy Transfer/Discharge Policy documented, Procedure: *When it is determined that a resident must be transferred or discharged , based on ensuring resident's care needs can be met, the facility will initiated transfer/discharge. *MD documentation supporting rationale for transfer/discharge will be maintained in the medical record. *Before a transfer or discharge, the facility staff will document: Reason for transfer; Appropriate notice to resident and or responsible person; Discharge plans and mode of transportation. *When a transfer or discharge is initiated, the facility staff will send documents including, but not limited to the following: Face sheet; Current EMAR/TAR (electronic medication administration record/treatment administration record); Transfer/Discharge Form; Advanced Directives; Progress Notes; MD Orders; Pertinent Laboratory Results; Any other documentation required to ensure the continuity of care for the resident. The policy did not include requirement for sending the comprehensive care plan goals and the facility could not evidence that any of the other required documentation listed in the policy was sent either. On 10/3/18 at 5:12 p.m., the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. 2. The facility staff failed to evidence that all required documentation was sent to the hospital upon Resident #24's facility initiated transfer to the hospital on [DATE]. Resident #24 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was an admission assessment with an ARD (Assessment Reference Date) of 8/14/18. The resident was coded as being cognitively intact in ability to make daily life decisions. A review of the clinical record revealed a Transfer/Discharge Policy form dated 7/31/18 and signed by the physician on 8/31/18 that documented the following: · What specific resident needs are not able to be met by (facility)? Worsening s/s (signs/symptoms) of aspiration, [MEDICAL CONDITION], congestion. · What efforts were offered at (facility) to meet the resident's needs? O2 (oxygen) applied, unable to raise O2 saturation. · What services will be offered by receiving facility to better meet the resident's needs? IV (intravenous) abx (antibiotic), diagnostic abilities r/t (related to) acute concerns, swallowing studies. A review of the clinical record revealed nurses notes dated 7/26/18 at 2:30 PM that documented, Resident left with Brother {sic} to have lunch at McDonalds {sic} brother reported that resident had no issues with her meal until she was drinking her milkshake. Brother stated that resident had a coughing episode while drinking her shake. Resident returned to facility with white milky substance and chunks of food on her shirt. VS (vital signs) Temp 98.2 BP (blood pressure) 108/60 P (pulse) 120 R (respirations) 20 and O2 (oxygen) is 76%. Resident started on 2L (liters) of oxygen. Vital signs to be monitored. A nurses note dated 7/26/18 at 4:20 PM documented, Resident has continued with audible congestion and gurgling with vocalizations. Voice sounds as if she is speaking underwater. Resident O2 saturation at 82% at this time. While speaking with resident, she moved her oxygen and states she isn't going to wear it. Spoke with the MD and new order obtained to send resident to the ED (emergency department) for evaluation and treatment. A nurses note dated 7/26/18 at 4:40 p.m., documented, Resident is sent out with EMT (Emergency medical technician) at 16:39 (4:39 PM) with 02 sat of 83% HR (heart rate) 139. A nurses note dated 7/26/18 at 8:21 p.m., documented, Received a call from ER (emergency room ) nurse that resident is been {sic} admitted to critical care (hospital) for aspiration pneumonia. Further review of the clinical record failed to reveal any evidence of what documentation, if any, was sent to the hospital. On 10/3/18 at 1:18 p.m., an interview was conducted with RN (registered nurse) #1. RN #1 was asked to describe the information provided to hospital staff when a resident is transferred to the hospital. RN #1 stated the nurses send a copy of the residents' MAR (medication administration record), TAR (treatment administration record) and a face sheet. When asked if nurses provide residents' comprehensive care plan goals, RN #1 stated, They don't normally go. When asked how nurses evidence the information provided to hospital staff, RN #1 stated nurses usually document the information provided in a nurse's note. On 10/3/18 at 1:59 p.m., ASM (administrative staff member) #2 (the director of nursing) presented a blank form titled, Transfer Discharge Record (blank) that she stated is auto-populated by the system when they print it for hospital transfers. ASM #2 stated the nurses are supposed to fill the form out and send the form to the hospital each time a resident is transferred. The form documented sections to be completed regarding: resident information (demographics and insurance information), other information (allergies and advance directives), physician/representative contact information, diagnoses, last vital signs, chief complaint and relevant information regarding behavior(s), ambulation, bladder, bowel and feeding. The form failed to document a section for nurses to complete regarding comprehensive care plan goals. ASM #2 stated the form is supposed to be completed and sent to the hospital along with residents' MAR, TAR, advance directives, last progress notes and any relevant labs. ASM #2 stated the nurses also call a report to hospital staff. When asked how the facility staff could evidence all required information was provided to hospital staff when each resident was transferred, ASM #2 stated she could only provide this blank form. ASM #2 stated the nurses do not make a copy of the completed transfer discharge form to evidence they are completed. On 10/3/18 at 5:12 PM the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. 3. The facility staff failed to evidence that all required documentation was sent to the hospital upon Resident #5's facility initiated transfer to the hospital on [DATE]. Resident #5 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was a quarterly assessment with an ARD (Assessment Reference Date) of 7/13/18. The resident was coded as being severely impaired in making daily life decisions. A review of the clinical record revealed a Transfer/Discharge Policy form dated 7/1/18 and signed by the physician on 8/1/18 that documented the following: · What specific resident needs are not able to be met by (facility)? 20 min (minute) [MEDICAL CONDITION], not able to obtain vitals. · What efforts were offered at (facility) to meet the resident's needs? attempted vitals, obtained blood sugar. · What services will be offered by receiving facility to better meet the resident's needs? stat meds, diagnostics, stabilization post [MEDICAL CONDITION]. A review of the clinical record revealed nurse's notes dated 7/1/18 at 1:29 AM that documented, Temp (temperature) 97.7, Resp {sic} (Respirations) 18, BP (blood pressure) 122/62. Resident started with [MEDICAL CONDITION] and didn't obtain rest of vitals. M.D. (medical doctor) notified and gave order to send to ER (emergency room ). POA (power of attorney) notified and will meet resident at ER. Squad here and transported at 0119 (1:19 AM) to (hospital). [MEDICAL CONDITION] lasted approx. (approximately) 20 minutes. CNA (certified nursing assistant) stayed with resident during this time. Further review of the clinical record failed to reveal any evidence of what documentation, if any, was sent to the hospital. On 10/3/18 at 1:18 p.m., an interview was conducted with RN (registered nurse) #1. RN #1 was asked to describe the information provided to hospital staff when a resident is transferred to the hospital. RN #1 stated the nurses send a copy of the residents' MAR (medication administration record), TAR (treatment administration record) and a face sheet. When asked if nurses provide residents' comprehensive care plan goals, RN #1 stated, They don't normally go. When asked how nurses evidence the information provided to hospital staff, RN #1 stated nurses usually document the information provided in a nurse's note. On 10/3/18 at 1:59 p.m., ASM (administrative staff member) #2 (the director of nursing) presented a blank form titled, Transfer Discharge Record (blank) that she stated is auto-populated by the system when they print it for hospital transfers. ASM #2 stated the nurses are supposed to fill the form out and send the form to the hospital each time a resident is transferred. The form documented sections to be completed regarding: resident information (demographics and insurance information), other information (allergies and advance directives), physician/representative contact information, diagnoses, last vital signs, chief complaint and relevant information regarding behavior(s), ambulation, bladder, bowel and feeding. The form failed to document a section for nurses to complete regarding comprehensive care plan goals. ASM #2 stated the form is supposed to be completed and sent to the hospital along with residents' MAR, TAR, advance directives, last progress notes and any relevant labs. ASM #2 stated the nurses also call a report to hospital staff. When asked how the facility staff could evidence all required information was provided to hospital staff when each resident was transferred, ASM #2 stated she could only provide this blank form. ASM #2 stated the nurses do not make a copy of the completed transfer discharge form to evidence they are completed. On 10/3/18 at 5:12 PM the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. 4. The facility staff failed to provide evidence that all required information (including physician contact information, resident representative contact information, special instructions for ongoing care, advance directives and comprehensive care plan goals) was provided to the hospital staff when Resident #40 was transferred to the hospital on [DATE], 8/18/18, 8/27/18 and 9/7/18. Resident #40 was admitted to the facility on [DATE]. Resident #40's [DIAGNOSES REDACTED]. Resident #40's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 8/12/18, coded the resident's cognition as being moderately impaired. Review of Resident #40's clinical record revealed the resident was transferred to the hospital on the following dates: -8/16/18 for an ankle evaluation after a fall. -8/18/18 for a change in condition involving the resident shaking and a change in vital signs. -8/27/18 for a non-responsive episode. -9/7/18 for a non-responsive episode. Further, review of Resident #40's clinical record (including nurses' notes) for each transfer failed to reveal evidence that the facility staff provided the required information to hospital staff. The nurses' notes did not document what information was provided. On 10/3/18 at 1:18 p.m., an interview was conducted with RN (registered nurse) #1. RN #1 was asked to describe the information provided to hospital staff when a resident is transferred to the hospital. RN #1 stated the nurses send a copy of the residents' MAR (medication administration record), TAR (treatment administration record) and a face sheet (containing physician, contact information, representative contact information and advanced directives). When asked if nurses provide residents' comprehensive care plan goals, RN #1 stated, They don't normally go. When asked how nurses evidence the information provided to hospital staff, RN #1 stated nurses usually document the information provided in a nurse's note. On 10/3/18 at 1:59 p.m., ASM (administrative staff member) #2 (the director of nursing) presented a blank auto populated form titled, Transfer Discharge Record (blank). ASM #2 stated the nurses are supposed to fill the form out and send the form to the hospital each time a resident is transferred. The form documented sections to be completed regarding: resident information (demographics and insurance information), other information (allergies and advanced directives), physician/representative contact information, diagnoses, last vital signs, chief complaint and relevant information regarding behavior(s), ambulation, bladder, bowel and feeding. The form failed to document a section for nurses to complete regarding comprehensive care plan goals. ASM #2 stated the form is supposed to be completed and sent to the hospital along with residents' MAR, TAR, advanced directives, last progress notes and any relevant labs. ASM #2 stated the nurses also call a report to hospital staff. When asked how the facility staff could evidence all required information was provided to hospital staff when each resident was transferred, ASM #2 stated she could only provide this blank form. ASM #2 stated the nurses do not copy completed transfer discharge records to evidence they are completed. On 10/3/18 at 5:07 p.m., ASM #1 (the administrator) and ASM #2 were made aware of the above concern. No further information was presented prior to exit. 5. The facility staff failed to evidence that all required documentation and information was provided to the receiving provider for a facility-initiated transfer on 07/08/18 for Resident # 64. Resident # 64 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident # 64's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 09/21/18, coded Resident # 64 as scoring a 12 on the brief interview for mental status (BIMS) of a score of 0 - 15, 12 - being moderately impaired of cognition for making daily decisions. The nurse's Progress Notes for Resident # 64 documented, 07/08/18. 10:42 a.m., Resident is SOB (short of breath) and has non productive (sic.) cough, O@ (oxygen) sat (saturation) is 89 - 92% (percent) on 2L (two liters) @ via (by) n/c (nasal cannula). T (temperature) 98.0. P (pulse) 73. R (respiration) 14. And BP (blood pressure) 100/62 (one hundred over sixty-two). Spoke with (Name of Physician) via telephone and he would like her sent to ER (emergency room ) for evaluation . At 11:10 a.m., the nurse's Progress Notes for Resident # 64 documented, Sent to E.R. (emergency room ) to eval (evaluate) and treat per (Name of Physician's) orders. POA (power of attorney (Name of POA) notified. Review of Resident # 64's clinical record and EHR (electronic health record) failed to evidence documentation that the facility provided physician contact information, resident representative contact information, special instructions for ongoing care, advance directives and comprehensive care plan goals were provided to the hospital staff when Resident #64 was transferred to the hospital on [DATE]. On 10/3/18 at 1:18 p.m., an interview was conducted with RN (registered nurse) #1. RN #1 was asked to describe the information provided to hospital staff when a resident is transferred to the hospital. RN #1 stated the nurses send a copy of the residents' MAR (medication administration record), TAR (treatment administration record) and a face sheet. When asked if nurses provide residents' comprehensive care plan goals, RN #1 stated, They don't normally go. When asked how nurses evidence the information provided to hospital staff, RN #1 stated nurses usually document the information provided in a nurse's note. On 10/3/18 at 1:59 p.m., ASM (administrative staff member) #2 (the director of nursing) presented a blank auto populated form titled, Transfer Discharge Record (blank). ASM #2 stated the nurses are supposed to fill the form out and send the form to the hospital each time a resident is transferred. The form documented sections to be completed regarding: resident information (demographics and insurance information), other information (allergies and advance directives), physician/representative contact information, diagnoses, last vital signs, chief complaint and relevant information regarding behavior(s), ambulation, bladder, bowel and feeding. The form failed to document a section for nurses to complete regarding comprehensive care plan goals. ASM #2 stated the form is supposed to be completed and sent to the hospital along with residents' MAR, TAR, advance directives, last progress notes and any relevant labs. ASM #2 stated the nurses also call a report to hospital staff. When asked how the facility staff could evidence all required information was provided to hospital staff when each resident was transferred, ASM #2 stated she could only provide this blank form. ASM #2 stated the nurses do not copy completed transfer discharge records to evidence they are completed. On 10/093/18 at approximately 5:00 p.m., ASM (administrative staff member) # 1, the administrator and ASM # 2, director of nursing were made aware of the findings. No further information was provided prior to exit. References: (1) A loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. This information was obtained from the website: https://medlineplus.gov/ency/article/ 9.htm. (2) Depression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for short periods. [MEDICAL CONDITION] is a mood disorder in which feelings of sadness, loss, anger, or frustration interfere with everyday life for weeks or more. This information was obtained from the website: https://medlineplus.gov/ency/article/ 3.htm. (3) Fear. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/anxiety.html#summary. (4) High blood pressure. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/highbloodpressure.html.

Based on observation, staff interviews and facility document review, it was determined that the facility staff failed to develop a medication regimen review policy that included time frames to address recommendations from the pharmacist to the physician for 5 of 24 residents, residents #67, #25, #5, #13, and #4. 1. For Resident #67, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. 2. For Resident #25, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. 3. For Resident #5, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. 4. For Resident #13, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. 5. The facility staff failed to develop and implement policies that addressed the time frames of the steps of the medication regimen review to guide staff on the process for acting on irregularities reported by the pharmacist for Resident #4. The findings include: 1. The facility staff failed to develop and implement policies that addressed the time frames of the steps of the medication regimen review to guide staff on the process for acting on irregularities reported by the pharmacist for Resident #67. Resident #67 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was an annual assessment with an ARD (Assessment Reference Date) of 9/23/18. The resident was coded as severely cognitively impaired in ability to make daily life decisions. The resident was coded as requiring total care for all areas of activities of daily living and as incontinent of bowel and bladder. A review of the clinical record revealed the Consultant Pharmacist's Medication Regimen Review form for each month of (YEAR) from (MONTH) through September. There were no recommendations made to the resident's medication regimen. A review of the facility policy, Pharmacy Services documented, Purpose: To ensure the residents of (facility) are receiving safe and appropriate medications, at the therapeutic dosage, to promote the best quality of life and limit adverse reactions, while treating medical conditions. Procedure: *The facility staff will contract pharmacy services to promote safe and effective medication usage for the residents who reside in the facility on a regular and emergency basis. *The pharmacist will work with facility staff, residents and families and physicians to ensure appropriate pharmaceutical services, which supports the residents' needs, are met. *Pharmaceutical services to include, but not be limited to acquiring, receiving, dispensing, administering, disposing, labeling and storing medications. *A pharmacy stat box will be available with a select list of medication to be on hand for emergency use. *In the event of a medication not being available, the facility will communicate with the pharmacy and physician to determine if an alternative may be ordered. Licensed nursing staff will receive orders as indicated. *Pharmacist will review each resident's medication regimen at least monthly, and as indicated, to try to minimize adverse effects that may be caused by medication therapy and adverse reactions. *Recommendations and irregularities will be reported to the facility staff and will be documented as indicated. *The facility will maintain record of pharmacist reviews for all residents in a readily available location. *Facility staff will monitor residents for side effects and med to med interactions and report any change in condition to the physician as indicated. The policy did not specify any time frames in which the physician must address any pharmacy recommendations. On 10/3/18 at 12:53 p.m., in an interview with the DON (director of nursing), ASM (administrative staff member) #1, she stated, I spoke to the pharmacist and he stated that if it was non urgent the expectation is the physician reviews them the next time he is in to see the patient. Our doctors look at them on a weekly basis and we follow up to make sure we get replied back. They are placed in the MD (medical doctor) folder until they look at them. It does not get filed until they look at it and made a recommendation. The policy does not state any time frames. On 10/3/18 at 5:12 p.m., the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. 2. For Resident #25, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. Resident #25 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was a quarterly assessment with an ARD (Assessment Reference Date) of 8/19/18. The resident was coded as being mildly impaired in ability to make daily life decisions. The resident was coded as requiring total care for bathing and toileting; extensive care for transfers, dressing, and hygiene; supervision for eating; and was incontinent of bowel and bladder. A review of the clinical record revealed the Consultant Pharmacist's Medication Regimen Review form for each month of (YEAR) from (MONTH) through September. A recommendation was made on 4/24/18 to the resident's medication regimen. The recommendation was addressed by the physician on 4/25/18. The recommendation was regarding the resident's use of Celecoxib (1) 200 mg (milligrams) daily, and to consider a medication to reduce the risk of stomach irritation or bleed related to the use of the Celecoxib. The physician ordered [MEDICATION NAME] (2) 20 mg daily on 4/25/18. A review of the facility policy, Pharmacy Services documented, Purpose: To ensure the residents of (facility) are receiving safe and appropriate medications, at the therapeutic dosage, to promote the best quality of life and limit adverse reactions, while treating medical conditions. Procedure: *The facility staff will contract pharmacy services to promote safe and effective medication usage for the residents who reside in the facility on a regular and emergency basis. *The pharmacist will work with facility staff, residents and families and physicians to ensure appropriate pharmaceutical services, which supports the residents' needs, are met. *Pharmaceutical services to include, but not be limited to acquiring, receiving, dispensing, administering, disposing, labeling and storing medications. *A pharmacy stat box will be available with a select list of medication to be on hand for emergency use. *In the event of a medication not being available, the facility will communicate with the pharmacy and physician to determine if an alternative may be ordered. Licensed nursing staff will receive orders as indicated. *Pharmacist will review each resident's medication regimen at least monthly, and as indicated, to try to minimize adverse effects that may be caused by medication therapy and adverse reactions. *Recommendations and irregularities will be reported to the facility staff and will be documented as indicated. *The facility will maintain record of pharmacist reviews for all residents in a readily available location. *Facility staff will monitor residents for side effects and med to med interactions and report any change in condition to the physician as indicated. The policy did not specify any time frames in which the physician must address any pharmacy recommendations. On 10/3/18 at 12:53 p.m., in an interview with the DON (director of nursing), ASM (administrative staff member) #1, she stated, I spoke to the pharmacist and he stated that if it was non urgent the expectation is the physician reviews them the next time he is in to see the patient. Our doctors look at them on a weekly basis and we follow up to make sure we get replied back. They are placed in the MD (medical doctor) folder until they look at them. It does not get filed until they look at it and made a recommendation. The policy does not state any time frames. On 10/3/18 at 5:12 p.m., the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. (1) Celecoxib - .is used to relieve pain, tenderness, swelling and stiffness caused by [MEDICAL CONDITION] . Information obtained from https://medlineplus.gov/druginfo/meds/a 2.html (2) [MEDICATION NAME] - is used to treat [MEDICAL CONDITION] reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus is used to treat the symptoms of GERD, allow the esophagus to heal, and prevent further damage to the esophagus. It is also used to treat conditions where the stomach produces too much acid Information obtained from https://medlineplus.gov/druginfo/meds/a 6.html 3. For Resident #5, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. Resident #5 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was a quarterly assessment with an ARD (Assessment Reference Date) of 7/13/18. The resident was coded as being severely impaired in making daily life decisions. The resident was coded as requiring total care for bathing; extensive care for transfers, dressing, eating, toileting, and hygiene; and was incontinent of bowel and bladder. A review of the clinical record revealed the Consultant Pharmacist's Medication Regimen Review form for each month of (YEAR) from (MONTH) through September. There were no recommendations made to the resident's medication regimen. A review of the facility policy, Pharmacy Services documented, Purpose: To ensure the residents of (facility) are receiving safe and appropriate medications, at the therapeutic dosage, to promote the best quality of life and limit adverse reactions, while treating medical conditions. Procedure: *The facility staff will contract pharmacy services to promote safe and effective medication usage for the residents who reside in the facility on a regular and emergency basis. *The pharmacist will work with facility staff, residents and families and physicians to ensure appropriate pharmaceutical services, which supports the residents' needs, are met. *Pharmaceutical services to include, but not be limited to acquiring, receiving, dispensing, administering, disposing, labeling and storing medications. *A pharmacy stat box will be available with a select list of medication to be on hand for emergency use. *In the event of a medication not being available, the facility will communicate with the pharmacy and physician to determine if an alternative may be ordered. Licensed nursing staff will receive orders as indicated. *Pharmacist will review each resident's medication regimen at least monthly, and as indicated, to try to minimize adverse effects that may be caused by medication therapy and adverse reactions. *Recommendations and irregularities will be reported to the facility staff and will be documented as indicated. *The facility will maintain record of pharmacist reviews for all residents in a readily available location. *Facility staff will monitor residents for side effects and med to med interactions and report any change in condition to the physician as indicated. The policy did not specify any time frames in which the physician must address any pharmacy recommendations. On 10/3/18 at 12:53 p.m., in an interview with the DON (director of nursing), ASM (administrative staff member) #1, she stated, I spoke to the pharmacist and he stated that if it was non urgent the expectation is the physician reviews them the next time he is in to see the patient. Our doctors look at them on a weekly basis and we follow up to make sure we get replied back. They are placed in the MD (medical doctor) folder until they look at them. It does not get filed until they look at it and made a recommendation. The policy does not state any time frames. On 10/3/18 at 5:12 p.m., the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. 4. For Resident #13, the facility staff failed to ensure the Monthly Regimen Review policy specified time frames in which the physician was to act upon any pharmacy recommendations. Resident #13 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. The most recent MDS (Minimum Data Set) was an annual assessment with an ARD (Assessment Reference Date) of 7/21/18. The resident was coded as being moderately impaired in ability to make daily life decisions. The resident was coded as requiring total care for bathing; extensive care for transfers, dressing, toileting, and hygiene; limited assistance for eating; and was incontinent of bowel and bladder. A review of the clinical record revealed the Consultant Pharmacist's Medication Regimen Review form for each month of (YEAR) from (MONTH) through September. There was a recommendation dated 9/20/18 for considering tapering the [MEDICATION NAME] (1) 12.5 mg (milligram) every morning and 25 mg every night. As of 10/4/18, it had not been signed by the physician as reviewed and acted upon. A review of the facility policy, Pharmacy Services documented, Purpose: To ensure the residents of (facility) are receiving safe and appropriate medications, at the therapeutic dosage, to promote the best quality of life and limit adverse reactions, while treating medical conditions. Procedure: *The facility staff will contract pharmacy services to promote safe and effective medication usage for the residents who reside in the facility on a regular and emergency basis. *The pharmacist will work with facility staff, residents and families and physicians to ensure appropriate pharmaceutical services, which supports the residents' needs, are met. *Pharmaceutical services to include, but not be limited to acquiring, receiving, dispensing, administering, disposing, labeling and storing medications. *A pharmacy stat box will be available with a select list of medication to be on hand for emergency use. *In the event of a medication not being available, the facility will communicate with the pharmacy and physician to determine if an alternative may be ordered. Licensed nursing staff will receive orders as indicated. *Pharmacist will review each resident's medication regimen at least monthly, and as indicated, to try to minimize adverse effects that may be caused by medication therapy and adverse reactions. *Recommendations and irregularities will be reported to the facility staff and will be documented as indicated. *The facility will maintain record of pharmacist reviews for all residents in a readily available location. *Facility staff will monitor residents for side effects and med to med interactions and report any change in condition to the physician as indicated. The policy did not specify any time frames in which the physician must address any pharmacy recommendations. On 10/3/18 at 12:53 p.m., in an interview with the DON (director of nursing), ASM (administrative staff member) #1, she stated, I spoke to the pharmacist and he stated that if it was non urgent the expectation is the physician reviews them the next time he is in to see the patient. Our doctors look at them on a weekly basis and we follow up to make sure we get replied back. They are placed in the MD (medical doctor) folder until they look at them. It does not get filed until they look at it and made a recommendation. The policy does not state any time frames. On 10/3/18 at 5:12 p.m., the ASM #1 and ASM #2 (Administrative Staff Members - the Administrator and Director of Nursing, respectively) were made aware of the findings. No further information was provided by the end of the survey. (1) [MEDICATION NAME] - [MEDICATION NAME] is used to treat the symptoms of [MEDICAL CONDITION] (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions) in patients who have not been helped by other medications or who have tried to kill themselves and are likely to try to kill or harm themselves again. [MEDICATION NAME] is in a class of medications called atypical antipsychotics. It works by changing the activity of certain natural substances in the brain. Information obtained from https://medlineplus.gov/druginfo/meds/a 1.html 5. The facility staff failed to develop and implement policies that addressed the time frames of the steps of the medication regimen review to guide staff on the process for acting on irregularities reported by the pharmacist for Resident #4. Resident #4 was admitted to the facility on [DATE]. Resident #4's [DIAGNOSES REDACTED]. Resident #4's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 7/9/18, coded the resident's cognition as severely impaired. Review of Resident #4's clinical record revealed monthly pharmacy medication regimen reviews for (MONTH) (YEAR) through (MONTH) (YEAR). The reviews documented no new irregularities. However, the facility staff failed to develop and implement policies that addressed the time frames of the steps of the medication regimen review to guide staff on the process for acting on any irregularities reported by the pharmacist. A review of the facility policy, Pharmacy Services documented, Purpose: To ensure the residents of (facility) are receiving safe and appropriate medications, at the therapeutic dosage, to promote the best quality of life and limit adverse reactions, while treating medical conditions. Procedure: *The facility staff will contract pharmacy services to promote safe and effective medication usage for the residents who reside in the facility on a regular and emergency basis. *The pharmacist will work with facility staff, residents and families and physicians to ensure appropriate pharmaceutical services, which supports the residents' needs, are met. *Pharmaceutical services to include, but not be limited to acquiring, receiving, dispensing, administering, disposing, labeling and storing medications. *A pharmacy stat box will be available with a select list of medication to be on hand for emergency use. *In the event of a medication not being available, the facility will communicate with the pharmacy and physician to determine if an alternative may be ordered. Licensed nursing staff will receive orders as indicated. *Pharmacist will review each resident's medication regimen at least monthly, and as indicated, to try to minimize adverse effects that may be caused by medication therapy and adverse reactions. *Recommendations and irregularities will be reported to the facility staff and will be documented as indicated. *The facility will maintain record of pharmacist reviews for all residents in a readily available location. *Facility staff will monitor residents for side effects and med to med interactions and report any change in condition to the physician as indicated. On 10/3/18 at 12:53 p.m., in an interview with ASM (administrative staff member) #2 (the director of nursing), she stated, I spoke to the pharmacist and he stated that if it was non urgent the expectation is the physician reviews them the next time he is in to see the patient. Our doctors look at them on a weekly basis and we follow up to make sure we get replied back. They are placed in the MD (medical doctor) folder until they look at them. It does not get filed until they look at it and made a recommendation. The policy does not state any time frames. On 10/3/18 at 5:07 p.m., ASM #1 (the administrator) and ASM #2 were made aware of the above concern. No further information was presented prior to exit.

Based on observation, staff interview, facility document review and clinical record review, it was determined that facility staff failed to maintain a resident's dignity for one of 24 residents in the survey sample, Resident # 53. The facility staff failed to provide privacy for Resident # 53's catheter collection bag. The findings include: Resident # 53 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident # 53's most recent MDS (minimum data set), an annual assessment with an ARD (assessment reference date) of 09/09/18, coded Resident # 53 as scoring a 7 (seven) on the brief interview for mental status (BIMS) of a score of 0 - 15, 7 (seven) - being severely impaired of cognition for making daily decisions. Resident # 53 was coded as requiring extensive to requiring total assistance of one staff member for activities of daily living. Section H Bladder and Bowel coded Resident # 53 as having an indwelling catheter. On 10/02/18 at approximately 1:18 p.m., an observation was conducted of Resident # 53 and Resident 53's catheter collection bag. Resident # 53 was in the A-side bed, next to the entrance of the room, lying in bed. Resident #53's catheter collection bag was observed hanging off the side of bed, on the entrance side of the room. The catheter bag was hanging outside of the privacy bag. Resident # 53's catheter collection bag could be seen from hallway. On 10/03/18 at approximately 3:10 p.m., an observation was conducted of Resident # 53 and Resident 53's catheter collection bag. Resident # 53 was in the A-side bed, next to the entrance of the room, lying in bed. Resident #53's catheter collection bag was observed hanging off the side of bed, on the entrance side of the room. The catheter bag was hanging outside of the privacy bag. Resident # 53's catheter collection bag could be seen from hallway. Based on the MDS coding of Resident # 53 being severely impaired of cognition, Resident 53's could not be interviewed regarding the observations of the catheter collection bag not being placed in a privacy bag to respect his dignity. The comprehensive care plan for Resident # 53 with a revision date of 06/21/2018 documented, Focus: (Resident# 53) has indwelling Foley catheter. 16 FR (French) with 10 ml (milliliter balloon r/t (related to) [MEDICAL CONDITION]. Under Interventions it documented, CATHETER: (Resident # 53) has a 16 FR (French) Foley catheter. Position catheter bag and tubing below the level of the bladder and away from the entrance room door. Cover with privacy bag as indicated. On 10/03/18 03:20 p.m., an interview was conducted with CNA (certified nursing assistant) # 1 who had just come out of Resident # 53's room. When asked about the placement of a resident's catheter collection bag, CNA # 1 stated, The bag is always in a cover, below the resident and off the floor and positioned so that it can't be seen from the hallway. CNA # 1 was asked to observe Resident # 53 from the hallway. When asked what she could see, CNA # 1 stated, I see the collection bag and the tubing. CNA # 1 further stated, It needs to be fixed. During the interview at approximately 3:24 p.m., LPN (licensed practical nurse) # 2 was observed entering Resident # 53's room and closing the door. On 10/03/18 3:28 p.m., an interview was conducted with LPN (licensed practical nurse) # 2. When asked where Resident # 53's catheter collection bag and tubing was located, LPN # 2 stated, 'In front of the door. When asked why she entered Resident # 53's room at 3:24 p.m., LPN # 2 stated, I saw the catheter bag was not in the privacy bag completely and I replaced so it was out of sight. When asked about the placement of a resident's catheter collection bag, LPN # 2 stated, The bag should in a privacy so it can't be seen. The facility's policy Catheter Care documented, Catheter bedside drainage bag should be placed in a privacy bag for Resident's dignity. The facility's Resident's Rights documented, The resident has the right to be treated with respect and dignity, including: The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents. On 10/03/18 at approximately 5:00 p.m., ASM (administrative staff member) # 1, the administrator and ASM # 2, director of nursing were made aware of the findings. No further information was provided prior to exit. References: (1) An enlarged prostate. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/[MEDICAL CONDITION].html. (2) A type of arthritis. It occurs when uric acid builds up in blood and causes inflammation in the joints This information was obtained from the website: https://medlineplus.gov/ency/article/ 2.htm. (3) Also called: [MEDICAL CONDITION], Palsy, [MEDICAL CONDITIONS]. Paralysis is the loss of muscle function in part of your body. It happens when something goes wrong with the way messages pass between your brain and muscles. Paralysis can be complete or partial. It can occur on one or both sides of your body. It can also occur in just one area, or it can be widespread This information was obtained from the website: https://medlineplus.gov/paralysis.html. (4) High blood pressure. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/highbloodpressure.html.

Based on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide accommodation of resident needs for one of 24 residents in the survey sample, Resident # 15. The facility staff failed to ensure Resident #15's call bell (a device with a button that can be pushed to alert staff when assistance is needed), was within the resident's reach. The findings include: Resident # 15 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident # 15's most recent MDS (minimum data set), an annual assessment with an ARD (assessment reference date) of 08/06/18, coded Resident # 15 as scoring a 12 on the brief interview for mental status (BIMS) of a score of 0 - 15, 12 - being moderately impaired of cognition for making daily decisions. Resident # 15 was coded as totally dependent with the assistance of one staff member for activities of daily living. On 10/02/18 at 1:27 p.m., Resident # 15 was observed. He was in his bed, appeared neat and clean, nonverbal with decreased ROM (range of motion) of his RUE (right upper extremity). Observation of the call bell revealed it was attached to the upper left corner of the fitted sheet covering the mattress above Resident # 15's head. When Resident # 15 was asked to reach for and activate the call bell, he was unable to locate it. On 10/03/18 at 2:04 p.m., Resident # 15 was in his room reclined in a Gerri chair sitting next to his bed. Observation of Resident # 15's bed revealed the call bell was lying in the middle of the bed. When Resident # 15 was asked to reach for and activate the call bell, he was unable to locate it. The comprehensive care plan for Resident # 15 dated 09/22/2017 documented, Focus. (Resident # 15) has an ADL (activities of daily living) self-care performance deficit r/t (related to) right sided [MEDICAL CONDITION] age, immobility and contracture of right hand. Under Interventions it documented, Encourage the resident to use bell to call for assistance. Date initiated: 09/22/2017. On 10/03/18 at 2:11 p.m., an interview was conducted with CNA (certified nursing assistant) # 2 and # 3. When asked about the placement of a resident's call bell, CNAs # 2 and # 3 stated, It should be within resident's reach. CNAs # 2 and # 3 were then asked to observe Resident # 15 and the placement of his call bell. They acknowledged Resident # 15 was in a Gerri chair next to his bed and the call bell was in the middle of Resident # 15's bed and that it was not within reach of Resident # 15. When asked if they had brought Resident # 15 back to his room from having lunch. CNAs # 2 and # 3 stated no. On 10/03/18 at 2:17 p.m., an interview was conducted with CNA # 4. When asked about the placement of a resident's call bell, CNA #4 stated, Make sure the call bell is within his reach. After observing, the position of Resident # 15's call bell CNA # 4 was asked if Resident # 15 could reach the call bell. CNA # 4 stated, No. When asked if she brought Resident # 15 back into his room following lunch, CNA # 4 stated, When I brought him in the room I put him next to the bed and moved the call bell over on the bed and put his hand on it to make sure he could reach it. I have no idea how it was moved. When asked if Resident # 15 had the ability to move the call bell to the middle of the bed from his position, CNA # 4 stated, No. The facility's policy Call Bell Utilization documented, Call bells should be accessible to residents when they are in the room and / or bathroom. The facility's Resident's Rights documented, The resident has the right to be treated with respect and dignity, including: The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents. On 10/03/18 at approximately 5:00 p.m., ASM (administrative staff member) # 1, the administrator and ASM # 2, director of nursing were made aware of the findings. No further information was provided prior to exit. References: (1) A disorder caused by damage to the parts of the brain that control language. It can make it hard for you to read, write, and say what you mean to say) This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/[MEDICAL CONDITION].html (2) A swallowing disorder. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/swallowingdisorders.html. (3) A stroke. When blood flow to a part of the brain stops. A stroke is sometimes called a brain attack. If blood flow is cut off for longer than a few seconds, the brain cannot get nutrients and oxygen. Brain cells can die, causing [MEDICATION NAME] damage. This information was obtained from the website: https://medlineplus.gov/ency/article/ 6.htm . (4) High blood pressure. This information was obtained from the website: https://www.nlm.nih.gov/medlineplus/highbloodpressure.html.

Based on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide assessment/monitoring and interventions to prevent and promote healing of a pressure ulcer for two of 17 residents in the survey sample, Residents #2 and #5. 1. Resident #2 was being treated for [REDACTED]. The pressure ulcer did not improve during this time period, and the facility staff did not change treatments for those 69 days. The NPUAP defines a pressure ulcer as a "...localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction." (1) 2. The facility staff failed to float the heels of Resident #5 as ordered by the physician. On assessment during the survey, Resident #5's heels showed signs of potential skin breakdown. The findings include: 1. Resident #2 was admitted to the facility on [DATE] and most recently readmitted on [DATE] with [DIAGNOSES REDACTED]. On the most recent MDS (minimum data set), a quarterly assessment with ARD (assessment reference date) 6/13/14, Resident #2 was coded as having scored 12 out of 15 on the BIMS (Brief Interview for Mental Status). This score indicates the Resident #2 was moderately impaired for daily decision making. Resident #2 was coded as being completely dependent on staff for bed mobility, dressing, toileting, personal hygiene and bathing. Resident #2 was coded as requiring the extensive assistance of two staff members for transferring. Further review of the 6/13/14 quarterly MDS for Resident #2 revealed that she was coded as having zero pressure ulcers, and as having multiple [MEDICAL CONDITION] on her legs. She was coded as being treated for [REDACTED]. She was coded as receiving no treatment for [REDACTED]. On 8/14/14 at 10:20 a.m., Resident #2 was observed during a dressing change for a wound on her left heel. The wound measured 0.5 X 0.5 X 0.5 cms (centimeters). The wound bed was red, healthy tissue. LPN (licensed practical nurse) #1, the treatment nurse, identified the wound as a stage three pressure ulcer. After the wound care, an attempt was made to interview Resident #2 about the wound; however, Resident #2 declined to answer the surveyor's questions. A review Resident #2's clinical record revealed a document entitled "Pressure Skin Condition Report." This document contained the following information regarding a wound on Resident #2's left heel: "Date first observed: 4/28/14. Site/Location: Left heel callous measured 0.4 X 0.4 X 0.1 cm." Under the column "Stage," no information was provided. The document indicated that both the physician and the RP (responsible party) were notified of the wound on 4/28/14. The document contained columns for entry of information regarding the wound for each assessment after the initial observation. The first date entered after the initial observation was 7/8/14. This entry documented: "Date: 7/8/14. Size: 0.6 X 0.5 X 0.2 (cms). Exudate (drainage): none. Odor: none. Progress: Deteriorated." No stage was entered for the wound on this date. The "Pressure Skin Condition report" contained documentation on the following weeks: 7/16/14, 7/31/14, 8/4/14 and 8/12/14. The assessment on 8/12/14 indicated that the wound was a stage three. The National Pressure Ulcer Advisory Panel (NPUAP) provides the following definition and staging system for use as a reference in describing the characteristics of pressure ulcers. Stage III: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling." (1) On 8/13/14 at 5:20 p.m., ASM (administrative staff member) #1, the administrator, and ASM #2, the director of nursing, were asked to provide all wound records and skin assessments for Resident #2 from 4/1/14 through the present date. On 8/14/14 at 8:10 a.m., ASM #2 presented the survey team with a document entitled "Timeline for (Resident #2) Left Heel Wound." A review of this document revealed no facility assessment, measurements, monitoring or documentation of Resident #2's left heel wound between 4/28/14 and 7/6/14. ASM #2 stated, "(Resident #2) had a lot of [MEDICAL CONDITION], with weeping. They re-evaluated her medicines during that time. She also got a toenail infection. They were offering the PODUS boot (a multi-purpose foot boot for healing and prevention of heel and toe ulcers (3)). We had conversations with the family, but the family refused the boot for her. I could not find anything that gave any information on the stage of the wound when it was discovered. The shower team first reported it on an incident report." A review of the above-referenced incident report dated 4/28/14 for Resident #2 revealed, in part, the following: "During shower, CNA staff found left heel wound. measures 0.4 X 0.4 X 0.1 cms (centimeter). Area previously calloused. FYI (for your information): Resident non-compliant at keeping ordered bilateral (both left and right) PODUS boots on." The CNA who showered Resident #2 on 4/28/14 was unavailable for interview. Nurses' notes from 4/28/14 to 8/13/14 were reviewed. The notes revealed that Resident #2 experienced severe lower leg swelling and #venous stasis ulcers beginning in April 2014 and continuing to the present. The notes revealed that Resident #2 was treated for [REDACTED]. The first note after 4/28/14 relevant to the left heel wound was written on 7/6/14 at 7:30 a.m. by LPN #1. The note documented: "During assessment, also noted left heel with 0.3 X 0.2 cm. Discolored area observed on left heel. Spoke with POA (power of attorney) concerning resident's non-compliance with wearing PODUS boots (heel-protecting boots) along with the POA's consent to not encourage her to wear boots if she doesn't want to. It has been explained to POA on several occasions the importance of resident wearing the boots for heel protection. However POA still would rather resident be comfortable not (sic) upset by wearing the boots. Resident BLEs (bilateral lower extremities - both legs) floating on pillow." This nurse's note did not document a complete assessment of the wound on Resident #2's left heel, such as: Category/Stage, size, tissue type (s), wound bed and periwound condition, wound edges, exudate, necrotic tissue, odor, presence/absence of granulation tissue, and [MEDICATION NAME]. A review of physician's orders for Resident #2 revealed, in part, the following notes: ? "2/18/14: Bilateral multi PODUS boots for heel protection in bed." This order was signed by the physician on 2/19/14. ? "4/29/14: [MEDICATION NAME]/[MEDICATION NAME] (**used to treat wounds) to left heel wound. Dressing to be changed q 3 days (every three days)." This order was signed by the physician on 4/30/14. ? "7/8/14: Pt. (patient) with onset left heel wound. [MEDICATION NAME] (used to treat wounds (4)) and 3 X 3 [MEDICATION NAME] border (type of gauze bandage)." This order was signed by the physician on 7/8/14. ? "7/16/14: [MEDICATION NAME] (topical cream to treat inflammation and irritation (5)) to wound borders. Aqualcel AG (* a wound treatment) to wound bed. [MEDICATION NAME] border 3 X 3." This order was signed by the physician on 7/16/14. ? "8/4/14: Continue with Aqualcel AG . . .left heel wound and [MEDICATION NAME] 3X3 every three days unless dressing falls off. [MEDICATION NAME] to wound borders." This order was signed by the physician on 8/4/14. ? "8/12/14: Left heel wound is stage III (three) pressure ulcer, measures 0.5 X 0.5 X 0.8 cms. 100% red, viable tissue with callous rim. Continue with [MEDICATION NAME] dressing every 3 days or if/when dislodged." This order was signed by the physician on 8/14/14. A review of the TARs (treatment administration records) for Resident #2 from 4/28/14 through 7/8/14 revealed that Resident #2's dressings were changed as ordered by facility staff. However, none of the remainder of the clinical record, including the MARs (medication administration records), contained any evidence of ongoing assessments and measurements of the left heel wound by facility staff during these dates. A review of consult reports from the wound clinic revealed that Resident #2 was treated at the local wound clinic on 5/1/14, 6/19/14 and 6/30/14 for venous stasis ulcers. None of these three consult reports revealed any evidence that Resident #2's left heel wound was assessed or treated on these visits. A review of the wound clinic consult reports on 7/8/14, 7/16/14, 8/4/14 and 8/12/14 revealed that the left heel wound was assessed and treatments recommended as referenced above. A review of physician progress notes [REDACTED].#2's left heel. The physician did not return the survey team's call. A review of the comprehensive care plan for Resident #2 dated 3/19/14 and updated on the following dates revealed, in part, the following: ? "4/28/14: Heel has open wound. Observe Dressing change for s/s (signs or symptoms) of infection, i.e. (that is) color, swelling, warmth, bleeding, excessive drainage, odor, etc. Report and document. Keep pressure off heel. PODUS boot. Monitor for pain/discomfort. Medicate with prn pain med. Evaluate effectiveness and document. Keep area clean and dry. Treat per MD orders. Notify dietary of breakdown. Encourage compliance with treatment." ? "7/7/14: Onset left heel wound. Encourage to wear PODUS boot to prevent further breakdown. Explain the importance. Eliminate any type of pressure to heel area. Monitor every shift for further breakdown/healing. Report to MD (physician) or other complications arise. Monitor for pain and administer prn pain med for control of pain. Document effectiveness. Explain to (Resident #2) and POA how important it is to be compliant with care. Labs as ordered. Report to MD." ? "8/12/14: Increased protein through Arginade (a supplement to promote wound healing (6)) (sic), etc." ? "8/12/14: (Resident #2)'s left heel wound has developed into a stage III pressure ulcer. Elevate heels to keep pressure off when in bed. Turn (Resident #2) every two hours while in bed. Monitor need for alternative pressure or water mattress. Discuss with MD/POA. Inspect skin for [MEDICAL CONDITION], cyanosis, pallor, dry skin. Use lotion, softening cream on feet. Inspect skin surfaces/folds every shift. Observe for development of new pressure ulcers daily. Educate (Resident #2) and family concerning skin care. Continue to follow up with wound care clinic. Increase preventive measures when reddened areas are noted. Use turning sheets if needed. Assess wound for inflammation, pus, odor. Document and notify MD. Increase intake of Vitamin C." ? "8/13/14: Air mattress to bed." On 8/14/14 at 3:00 p.m., CNA (certified nursing assistant) #1 was interviewed regarding the assessment and reporting of skin breakdown for residents. CNA #1 stated that that she assessed residents during dressing, providing incontinence care, toileting or bathing residents. When asked what she looks for on skin assessments, CNA #1 stated: "Anything out of the ordinary. We tell the nurse and we document it on the CNA notes. There are also some shower sheets now. These have just been started. We are supposed to document something every time the resident gets a bath or shower, I think. We have only been doing that for a few weeks. We are only supposed to document if something is wrong." On 8/14/14 at 3:35 p.m., RN (registered nurse) #1 was interviewed regarding resident wound assessment. RN #1 stated that wound assessments are the responsibility of the treatment nurse. When asked if a treatment nurse is always available for these assessments, RN #1 stated: "No, sometimes the floor nurses have to do it." When asked when wounds should be assessed, RN #1 stated, "Every time the dressing is changed. You should sign off the dressing change on the TAR. You should document the length and the width and the stage. You should document what you did. I would put it in the nurses' notes or on the TAR." On 8/14/14 at 3:40 p.m., LPN #1 was interviewed regarding the assessment of Resident #2's wound between 4/28/14 and 7/6/14. LPN #1 stated, "I was the one who wrote the initial note and then the update on 7/6/14. I first noticed the callous back in February. That is when we got the order for the boots. At first it looked kind of like a buildup of hard skin. Then when she started going to the wound clinic, I asked them to look at it." When LPN #1 was shown the wound clinic notes between 4/28/14 and 7/6/14 and was asked why the facility staff did not ask the wound clinic to look at the wound earlier, LPN #1 stated, "I don't really have an answer to that." When asked to clarify the assessment of the 4/18/14 wound, LPN #1 stated, "It was an open wound on the heel at that time. I wrote 'callous' but it was open then. I know we were doing the dressing changes - either I was doing them or the floor nurses. I just don't see in these documents that we were doing any assessments." When asked if the wound should have been assessed for improvement during the above-referenced time, LPN #1 stated, "Well, yes, looking back on it, I can see that now. There were many times that I was not even assigned to do the wounds. There were many times I was assigned just to work the floor. Then the floor nurses were responsible for the dressing changes." On 8/14/14 at 3:55 p.m., ASM #2 was interviewed regarding standard skin assessments for residents. ASM #2 stated: "We now have implemented weekly skin assessments. The residents get the assessments with their baths." When asked about the facility practice for wound assessments, ASM #2 stated, "We do the wound assessments at least weekly with documentation of measurements and stages. But really, the wound is assessed with [REDACTED]. However, the wound itself would not require documentation unless there was a significant change in it." When asked who is responsible for wound assessments, ASM #2 stated, "The treatment nurse." When asked why there was no weekly skin or wound assessments available for Resident #2 between 4/28/14 and 7/8/14, ASM #2 stated, "I have only been in this job for nine days. These weekly assessments have just been put into place since I got here. I just don't think the assessments were being done on a regular basis until I arrived here. They are being done now. There is nothing else available about this resident's wound." On 8/14/14 at 6:05 p.m., ASM #1, the administrator, and ASM #2 were informed of these findings, and were also informed of the survey team's concern for harm to Resident #2 as a result of the facility staff's lack of assessment and monitoring of Resident #2's left heel wound from 4/28/14 until 7/8/14. Policies and procedures related to skin assessment and pressure ulcer prevention were requested. On 8/15/14 at 9:05 a.m., ASM #3, the assistant director of nursing, and RN #3, the acting director of nursing between 4/28/14 and 8/4/14 were interviewed regarding skin and wound assessments for the above-referenced dates for Resident #2. ASM #3 stated, "(LPN #1) was doing the skin. She was working with skin, wounds, treatments and assessments." When asked where LPN #1 would have documented these assessments, RN #3 stated, "She would have documented on the MARs." When asked when head-to-toe skin assessments occurred for all residents during the above-referenced dates, RN #3 stated, "They were happening when a resident had a breakdown. There were no regular skin assessments during this time. Whenever someone found a breakdown, then the treatment nurse would become responsible. But you have to remember that there were times when (LPN #1) was working the floor and not doing treatments. At that point, the floor nurses took over the responsibility." On 8/15/14 at 9:25 a.m., OSM (other staff member) #6, a physical therapist at the wound clinic treating Resident #2, was interviewed regarding the left heel wound. OSM #6 stated, "I did not know she had anything on her left heel until July. It has been very confusing as to who is treating which of her wounds. She has so many on her legs. I know I did not start treating her left heel wound until July. I didn't know about her left heel until July. I know then it was definitely a pressure area, and now it is a stage three." A review of the facility policy entitled "Pressure Ulcer Prevention and Care" revealed, in part, the following: "The facility will assess all residents for the risk of pressure ulcers upon admission, as needed upon any change in skin integrity and quarterly. When a resident is determined to be at risk for altered skin integrity, the MD and family/responsible party will be notified and the appropriate interventions will be implemented. All resident (sic) will have weekly skin assessments to ensure skin integrity is maintained. If a new area of impairment is identified on a resident, the MD will be notified and new orders will be obtained to ensure appropriate interventions and treatments are placed. The family/responsible party will be notified of the new area of impairment and the new orders that were obtained. Resident's plan of care will be updated for any skin related needs as indicated." treatment of [REDACTED]. Department of Health and Human Services, Publication Number 15, documents, in part: "The assessment of an individual with a pressure ulcer is the basis for planning treatment, evaluating treatment effects, and communicating with other caregivers. Initially, the clinician should determine the location, stage, and size of the pressure ulcer. Accurate staging and description of pressure sores is a perquisite to the development and implementation of appropriate, effective treatment protocols and to effective, ongoing monitoring of tissue healing." "Use devices that totally relieve pressure on the heels, most commonly by raising the heels off of the bed .... " The Pressure Ulcer Treatment Quick Reference Guide by NPUAP states on page 8 concerning pressure ulcer assessment, "Asses the pressure ulcer initially and re-assess it at least weekly, documenting findings...A 2-week period is recommended for evaluating progress toward healing. However, weekly assessments provide an opportunity for the health care professional to detect early complications and the need for changes in the treatment plan." Page 9 of this reference states, "With each dressing change, observe the pressure ulcer for developments that may indicate the need for a change in treatment (e.g., wound improvement, wound deterioration, more or less exudate, signs of infection, or other complications)...Assess and accurately document physical characteristics such as location, Category/Stage, size, tissue type (s), wound bed and periwound condition, wound edges, sinus tracts, undermining, tunneling, exudate, necrotic tissue, odor, presence/absence of granulation tissue, and [MEDICATION NAME]." Page 10 of this reference states, "Re-evaluate the pressure ulcer, the plan of care, and the individual if the pressure ulcer does not show progress toward healing within 2 weeks (or as expected given the individual's overall condition and ability to heal)...Signs of deterioration should be addressed immediately." (2) According to "Fundamentals of Nursing" 6th edition, Perry and Potter, page 1513; "Early identification of clients at risk and their risk factors aids the nurse in preventing pressure ulcers. Prevention minimizes the impact that risk factors or contributing factors may have on pressure ulcer development....Three major areas of nursing interventions for prevention of pressure ulcers are (1) skin care, which includes hygiene and skin care; (2) mechanical lading and support devices, which include proper positioning and the use of therapeutic surfaces; and (3) education." (1) Pressure Ulcer Staging Revised by NPUAP. Copyright 2007. National Pressure Ulcer Advisory Panel. 8/3/2009 <http://www.npuap.org.pr2.htm>. (2) National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Pressure Ulcer Prevention and Treatment: Clinical Practice Guideline. " Washington, DC: National Pressure Ulcer Advisory Panel, 2009. (3)PODUS boot - From the manufacturer's website: <http://www.posey.com/Products/Posey-Deluxe-Podus-Boot__6147.aspx>. (4) [MEDICATION NAME] -From the website: <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC 39/> (5) [MEDICATION NAME] - From the website: <http://dailymed.nlm.nih.gov/dailymed/search.cfm?startswith=[MEDICATION NAME]&x=15&y=13> *[MEDICATION NAME] AG - a silver-containing, fibre-based moist dressing for wounds. When selecting an antimicrobial dressing, it is recommended to incorporate it into an appropriate protocol of care, including wound assessment, cleansing, debridement, and infection management strategies, as clinically needed. Always consult the manufacturer's product insert for information on the indications, contraindications, and precautions for use. This information was obtained from the website: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC 03/ [MEDICATION NAME] Wound Dressing is indicated for: Management of exuding wounds including leg ulcers, pressure ulcers stage II-IV. This information was obtained from the manufactures website: <http://www.[MEDICATION NAME].com/products/wound/pressure-ulcers-stage-iii-amp-iv/[MEDICATION NAME]-[MEDICATION NAME]-wound-dressing/p-1bf5a2b5-73af-4302-855e-c22c6c226c80/2_0033/> #Venous stasis ulcers - [MEDICAL CONDITION] is a long-term (chronic) condition in which the veins have problems sending blood from the legs back to the heart. Skin sores (ulcers) may develop (called a venous ulcer or stasis ulcer). These most often form on the inside of the ankle. From <http://www.nlm.nih.gov/medlineplus/ency/article/ 4.htm> (6)"[MEDICATION NAME] is a ready-to-serve clear liquid supplement provides 250 calories, 10.5 grams of protein, 4.5 grams of added L-[MEDICATION NAME] vitamins C and E, and zinc to help support wound management." From the manufacturer's website http://www.nestlenutritionstore.com/departments/surgery-and-wound-nutrition/wound-management/[MEDICATION NAME]-extra-drink-mix. 2. The facility staff failed to float the heels of Resident #5 as ordered by the physician. On assessment during the survey, Resident #5's heels showed signs of potential skin breakdown. Resident #5 was admitted to the facility on [DATE]/09 and readmitted on [DATE] with [DIAGNOSES REDACTED]. On the most recent MDS, an annual assessment with ARD 6//1/14, Resident #5 was coded by the staff as having both short-term and long-term memory impairment, and as being severely cognitively impaired for making daily decisions. Resident #5 was coded as being dependent on the assistance of staff for bed mobility, transfers, dressing, eating, toileting, personal hygiene, bathing and eating. On 8/14/14 at 9:40 a.m., Resident #5 was observed propped up in bed, with her eyes closed. A second surveyor accompanied this surveyor on this observation. Resident #5's heels were in direct contact with the mattress; no pillow was visible in the bed for the purpose of floating the resident's heels. On 8/14/14 at 2:10 p.m., Resident #5 was observed lying on her back in bed. A second surveyor accompanied this surveyor on this observation. Resident #5's heels were in direct contact with the mattress; no pillow was visible in the bed for the purpose of floating the resident's heels. During this observation, LPN #1 and CNA (certified nursing assistant) #2 accompanied the surveyors. LPN #1 agreed with the surveyors that Resident #5's heels were not floated. LPN #1 described Resident #5's heels as "soft and slow to blanch (*turn white, then refill quickly with blood supply when pressed)." A review of the physician order sheet for August 2014 signed by the physician on 8/6/14 revealed the following order: "Float heels off mattress at all times." A review of the August 2014 TAR (treatment administration record)/MAR (medication administration record) revealed no evidence that Resident #5's heels had been floated on any date. On 8/14/14 at 2:30 p.m., at the conclusion of the observation referenced above, LPN #1 was interviewed regarding Resident #5's heels. LPN #1 stated: "I re-started doing treatments in July. The nurse who is responsible on every shift should be making sure the heels are floated and should be signing off the floating every shift. Especially since it is a doctor's order." On 8/14/14 at 2:35 p.m., CNA #2 was interviewed regarding the observations of Resident #5's heels. CNA #2 stated: "I know she is supposed to have her heels floated. I have to say that I did not do it. After I put her back to bed this morning, I just did not do it. It was wrong. I know I should have. I know that she is supposed to have her heels floated." When asked how she knows which interventions each resident should have, CNA #2 stated, "Well, I just know these residents and if there are any changes, we get that information in report. In (Resident #5's) case, I have known her for a long time. And her heels have always supposed to have been floated. I can't stand here and say it always happens." A review of the comprehensive care plan for Resident #5 dated 6/3/14 and updated 6/25/14 revealed, in part, the following: "Potential for skin breakdown/pressure ulcer related to immobility, incontinence...Float heels in bed per MD (medical doctor) order." On 8/14/14 at 6:05 p.m., ASM #1 and ASM #2 were informed of these concerns. No further information was provided prior to exit. Blanchable [DIAGNOSES REDACTED] is a reddened area that temporarily turns white or pale when pressure is applied with a fingertip. This is an early indication of pressure. Nonblanchable [DIAGNOSES REDACTED] is redness that persists when fingertip pressure is applied. It means that tissue damage has already occurred. From http://www.npuap.org/pr2.htm.