Skyview Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Skyview Rehab and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 28, 2021

  Based on observation, review of clinical records, facility documentation, interviews, and policies, for six (6) of sixteen (16) residents, who required total assistance with bathing, incontinent care, and repositioning, (Resident #60, #27, #44, #4, #77, and #17), the facility neglected to provide the necessary care resulting in Immediate Jeopardy, and for one of three residents reviewed for abuse (Resident #45), the facility failed to ensure that the resident was free from abuse. Additionally, for 9 residents (Resident #5, 23, 32, 35, 39, 40, 47, 53, 63) who were not provided incontinent care on 8/19/21 during the 3:00 PM - 11:00 PM shift, the facility failed to ensure the residents was free from neglect. […]

• Immediate jeopardy, isolatedF689Sep 28, 2021

  Based on observation, review of clinical records, facility documentation, interviews, and policies, for one of three residents at risk for elopement, (Resident #45), the facility failed to provide the necessary supervision when the resident was left unattended outside by staff on two occasions resulting in a finding of Immediate Jeopardy. In addition, the facility failed to check the placement and function of the resident's wander guard in accordance with facility policy. Additionally, for 2 of 7 residents (Resident #37 and 79) reviewed for accidents, the facility failed to ensure a safe environment resulting in injury. The findings include: The findings include: 1. Resident #45 had a diagnosis of an [CONDITION(S)] and [CONDITION(S)]. […]

• Immediate jeopardy, isolatedF725Sep 28, 2021

  Based on a review of facility documentation, interviews, and policy review, the facility failed to ensure that staffing levels were adequate to meet the needs of four (4) of thirty three (33) residents on the B wing (Residents #4, #17, #44, and Resident #77) in accordance with the plan of care which resulted in a finding of Immediate Jeopardy. Additionally, for 2 out of 3 wings reviewed for staffing, the facility failed to ensure there was sufficient nurse staffing to meet the needs of the residents on 9/3/21 at the beginning of the 7:00 AM to 3:00 PM shift and for 1 resident (Resident #79), reviewed for an allegation of neglect, the facility failed to have sufficient nursing staff to maintain the residents highest practicable physical, mental, and psychosocial well-being. […]

• Immediate jeopardy, isolatedF880Sep 28, 2021

  Based on observations, review of the clinical record, facility documentation, interviews, and policy review, the facility failed to ensure that visitors were screened for symptoms of COVID-19 upon entry into the facility in accordance with facility policy, failed to maintain compliance with the submitted action plan to address screening of visitors, failed to ensure the COVID-19 observation unit had proper signage posted at the entrance of the unit, failed to ensure staff utilized Personal Protective Equipment (PPE) while caring for Residents on the observation unit, and that PPE was properly discarded after use, resulting in a finding of Immediate Jeopardy. […]

• Actual harm, isolatedF600Sep 7, 2021

  Based on review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #79), reviewed for an allegation of neglect, the facility failed to ensure the resident was free from neglect. The findings include: Resident #79 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the May 2021 physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Additionally, the orders identified Resident #79 requires the assistance of 2 staff (extensive assistance) for upper/lower body dressing, and toilet transfers and limited assistance for personal hygiene. Review of the weight's summary dated 5/18/21 identified Resident #79 weighed 402.1 lbs. […]