Solaris Healthcare Parkway

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 24, 2023

  Based on observation, interview and record review, the facility failed to ensure a secure environment to prevent an elopement for a resident with dementia and documented wandering and exit-seeking behavior, for 1 of 3 sampled residents reviewed for elopement, Resident #134. The resident eloped from the facility on 03/07/23 between 2:20 PM and 2:30 PM and was returned to the facility by a 'passerby' after being located in the community near the facility at 2:30 PM. It was unknown by facility staff and management precisely where Resident #134 was located. Upon being returned to the facility, Resident #134 was placed in the Memory Care Unit (secured unit). […]

• No harm, potential for more than minimal, patternF677May 17, 2023

  Based on observation, staff interview and clinical record review, the facility staff failed to provide timely care and services for 8 of 11 sampled residents who are dependent upon the staff to provide incontinent care and/or position changes, Residents #2, #3, #4, #6, #7, #8, #9 and #11. The Memory Unit had a census of 25 residents. The facility census was 162. The findings included: Observations on the Locked Memory Care Unit on 05/15/23 beginning at 11:50 AM to 3:00 PM, revealed that multiple dependent residents remained in the dining room and were not provide the necessary services for incontinent care and repositioning. […]

• No harm, potential for more than minimal, patternF725May 17, 2023

  Based on observation, staff interview and review of clinical and administrative records, the facility failed to provide sufficient nursing staff for 1 of 3 nursing units (locked memory care, 100 hall) to ensure that dependent residents on this unit received the necessary care and services in a timely manner that promotes each resident's rights, physical and mental and psychological well-being. The Memory unit had a census of 25 residents at the time of the survey. The facility census was 162. The findings included: Observations on the Locked Memory Care Unit on 05/15/23 beginning at 11:50 AM to 3:00 PM, revealed that multiple dependent residents remained in the dining room and were not provided the necessary services for incontinent care and repositioning. […]

• No harm, potential for more than minimal, patternF550Dec 9, 2021

  Based on interview, record review and facility policy, the facility failed to treat 5 of 6 sampled residents, to include a randomly sampled resident who requested to remain anonymous, in a dignified manner, when calling for assistance with personal care (Resident #409, #97, #408, #76 and 1 random). The findings included: Review of the policy Healthcare Abuse, Neglect, Exploitation and Misappropriation of Property, Protection and Response dated 02/12/18 documented, The Health Center Administrator is responsible for assuring that Patients' Rights of personal privacy, confidentiality and dignity will be respected for all aspects of care . 1. […]

• No harm, potential for more than minimal, patternF657Dec 9, 2021

  Based on interview and record review, the facility failed to ensure residents' involvement in the care planning process, document Interdisciplinary Team (IDT) participation in the care planning process, and review and revision by the IDT with each assessment (done via care planning meetings) for 19 of 37 sampled residents, Residents #47, #54, #153, #46, #136, #113, #134, #81, #67, #160, #86, #3, #30, #85, #96, #137, #119, #27, and #127. The findings included: 1. Record review revealed Resident #81 was admitted to the facility on [DATE]. Further review revealed the most current quarterly Minimum Data Set (MDS) assessment was completed on 10/14/21. The record lacked any evidence of any care plan meeting since that assessment. […]