Solaris Healthcare College Park

In the surveyor’s words

From the most serious findings on record at Solaris Healthcare College Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 4, 2024

  Based on interview, and record review, the facility failed to protect the resident's right to be free from abuse and neglect by not ensuring staff followed resident #1's care plan for safe transfers for 1 of 6 residents reviewed for transfers with a mechanical lift, out of a total sample of 6 residents, (#1). On 11/07/24 at approximately 9:00 AM, the facility failed to prevent serious injury of a physically impaired resident during a transfer from bed to wheelchair. Two CNAs failed to follow resident #1's care plan which required the resident to be transferred using a mechanical lift with assistance of two staff. The two CNAs transferred the resident from his bed by manually lifting the resident and pivoting him to the wheelchair. […]

• Immediate jeopardy, isolatedF689Dec 4, 2024

  Based on interview, and record review, the facility failed to provide adequate supervision and a safe environment to prevent accidents for 1 of 6 residents reviewed for transfers with a mechanical lift, out of a total sample of 6 residents, (#1). On 11/07/24 at approximately 9:00 AM, the facility failed to prevent serious injury of a physically impaired resident during a transfer from bed to wheelchair. Two CNAs failed to follow resident #1's care plan which required the resident to be transferred using a mechanical lift with assistance of two staff. The two CNAs transferred the resident from his bed by manually lifting the resident and pivoting him to the wheelchair. The resident complained of extreme pain to his right leg shortly after the transfer. […]

• Actual harm, isolatedF684Sep 14, 2023

  Based on observation, interview, and record review, the facility failed to effectively collaborate with a hospice agency to ensure prompt recognition and timely treatment of uncontrolled agitation for 1 of 1 terminally ill resident reviewed for hospice services, (#88); failed to appropriately prevent and treat self-inflicted wounds, (#88) and ensure skin evaluation and wound treatments were done according to professional standards, (#37), for 2 of 4 residents reviewed for non-pressure skin conditions, out of a total sample of 44 residents. […]

• No harm, potential for more than minimal, patternF689Sep 14, 2023

  Based on observation, interview, and record review, the facility failed to identify appropriate interventions and provide adequate supervision to prevent repeated falls for 1 of 4 residents reviewed for accidents, out of a total sample of 44 residents, (#88). Findings: Review of the medical record revealed resident #88 was admitted to the facility on [DATE] with diagnoses including brain cancer, heart disease, weakness, and depression. The Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 8/26/23 revealed resident #88 was sometimes understood, with limited ability to make concrete requests, and responded adequately to simple, direct communication only. […]

• No harm, potential for more than minimal, patternF725Sep 14, 2023

  Based on observation, interview and record review, the facility failed to maintain sufficient staff for the Restorative Nursing Program (RNP) to meet the needs according to plans of care and to promote the highest practicable well-being for all residents who required restorative nursing services. Findings: Review of the Facility Assessment Tool, updated on 6/05/23, revealed the facility could care for residents with common diagnoses including musculoskeletal and neurological conditions such as fractures, arthritis, stroke, one-sided paralysis or weakness, paraplegia, and quadriplegia. The document indicated the facility would provide care and services based on residents' needs. […]