Southwood at Norwell Nursing CTR

In the surveyor’s words

From the most serious findings on record at Southwood at Norwell Nursing CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF658Sep 29, 2023

  Based on observation, record review, policy review, and interview, the facility failed to ensure that staff provided care and services according to accepted standards of clinical practice for two Residents (#29 and #71), out of a total sample of 23 residents, and for one Resident (#368) out of three closed records. Specifically, the facility failed: 1. For Resident #29, to ensure physician's orders were in place for the use and management of an implanted continuous glucose monitoring device; 2. For Resident #368, to accurately reconcile and administer medication according to physician's orders; and 3. […]

• No harm, potential for more than minimal, patternF740Sep 29, 2023

  Based on policy review, record review, and interview, the facility failed to provide behavioral health services for two Residents (#102 and #24), out of a sample of 23 residents. Specifically, the facility failed to ensure collaboration with psychiatric (psych) services as deemed necessary according to the behavioral health psychiatric provider and the Residents' plan of care. Findings include: 1. Review of the facility's policy titled Behavioral Health Services, dated as revised on ,d+[DATE], indicated but was not limited to the following: - The facility will provide behavioral health services as needed to residents to attain or maintain the highest practicable physical, mental and psychosocial well-being in accordance with the plan of care - Behavioral health services are provided to… […]

• No harm, potential for more than minimal, patternF919Sep 29, 2023

  Based on observation, interview, and policy review, the facility failed to ensure five Residents (#15, #96, #32, #40, and #8), out of a total sample of 23 residents, had their call lights accessible in accordance with the facility policy. Findings include: Review of the facility's policy titled Answering the Call Light, dated as revised 9/2023, indicated but was not limited to the following: - The purpose of the call light is to ensure timely responses to resident's requests and needs - ensure the call light is accessible to the resident when in bed and from the floor Resident #8 was admitted to the facility in June 2021. […]

• No harm, potential for more than minimal, patternF583Jan 4, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), as well as other residents residing on his/her unit at the time of Resident #1's discharge, the Facility failed to ensure they maintained each residents' right to privacy and confidentiality of their personal and protected health information in a secure manner. When on 10/26/21, Resident #1 was discharged home from the Facility, and included in his/her discharge paperwork was a document that listed the names of other residents that resided on his/her unit, along with the names it listed the residents' clinical information including psychiatric and medical diagnoses, code status, current medical status, vital signs, laboratory results, infection control precautions and medications, all which violated… […]

• No harm, potential for more than minimal, patternF656Apr 16, 2021

  Based on observation, interview, and record review, the facility failed to implement the plan of care to check the placement and function of a wander guard for one Resident (#50) in a total sample of 19 residents. Findings include: Resident #50 was admitted to the facility in March 2021 with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] On 4/13/21 at 3:05 P.M., the surveyor observed Resident #50 in the unit dining room. The Resident was wearing a wander guard on his/her right ankle. Review of the medical record for Resident #50 included a wander assessment, dated 3/4/21, which indicated the Resident was at high risk to wander. […]