Spanish Trails Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Spanish Trails Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 14, 2022

  Past Non-compliance Based on record review and interview the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1(R #7) of 3 (R#'s 7, 8, and 9) residents reviewed by: 1. Not administering oxygen as ordered 2. Not providing medications to treat a resident's anxiety 3. Not conducting an assessment of R #7 upon admission to facility and when notified that resident was in distress. These deficient practices are likely to result in residents experiencing worsened conditions and/or death. The findings are: A. Record review of Nursing progress notes dated [DATE] at 12:54 am [time nurses note was written] revealed resident was admitted to facility [approximately 7:00 pm]. B. […]

• Actual harm, isolatedF686Jul 22, 2024

  Based on record review and interview, the facility failed to ensure residents received the necessary treatment and services to prevent the development and worsening of pressure wounds (also called a pressure injury; skin damage which results from unrelieved pressure on the body) for 1 (R #128) of 1 (R #128) residents reviewed when staff failed to: 1. Timely identify the community acquired wound, monitor for changes in the wound, and notify the physician the wound was worsening for R #128. 2. Updating wound care treatment orders in relation to R #128's pressure ulcer becoming worse. This deficient practice likely resulted in R #128's pressure ulcer worsening and developing poor health outcomes. […]

• Actual harm, isolatedF684May 10, 2023

  Based on record review and interview, the facility failed to provide treatment and care in accordance with professional standards for 1 (R #1) of 1 (R #1) resident reviewed by 1. Not assessing and monitoring R #1 for injury after (2) falls likely resulting in a delay in treatment for (4) days. 2. Not notifying the Physician of change in condition (increase in pain) or providing effective pain management following (2) falls resulting in an open fracture (fractured bone is external environment) of R #1's lower right leg. These deficient practices likely resulted in R #1 experiencing significant pain and delayed treatment. The findings are: A. […]

• Actual harm, isolatedF825Dec 15, 2021

  Based on record review and interview, the facility failed to meet professional standards of care for 1 (R #5) of 3 (R #5, 7, and 10) residents reviewed by not providing physical therapy services as ordered by a physician. This deficient practice likely resulted in R #5 to have a decrease in mobility and pain, preventing her from ambulating on her own and going to activities, likely resulting in psychosocial harm and despair. The findings are: A. Record review of R #5's face sheet revealed R #5 was admitted into the facility on [DATE]. B. Record review of R #5's physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . C. […]

• No harm, potential for more than minimal, widespreadF812Jul 22, 2024

  Based on observation, interviews, and record review, the facility failed to maintain the kitchen in a sanitary manner when staff failed to: - Maintain the ice machine in a manner to prevent contamination and foodborne illness, - Perform hand hygiene and to change gloves as often as necessary to avoid cross contamination, - Protect clean dishes and plastic ware to prevent contamination, - [NAME] and serve pureed food at the appropriate temperatures to prevent the growth of foodborne pathogens and illnesses, - Allow dishes to air dry completely before use or storage, - Keep staff food separated from resident food, - Utilize hair restraints and beard guards in a manner which restrained all hair while in the kitchen, - Properly store open food with labels and dates to prevent cross… […]