Spring View Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Spring View Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF726Aug 11, 2025

  Based on interview, record review and review of the facility's investigations, documentation, and policy, the facility failed to ensure its licensed staffs' competencies included active Cardiopulmonary Resuscitation (CPR) certifications for 11 of 11 licensed nursing staffs' personnel files reviewed. On [DATE], staff found R71 unresponsive and without pulse or respirations. R71 had a Full Code status; however, staff failed to attempt and provide lifesaving measures. Immediate Jeopardy (IJ) was identified on [DATE]. The Administrator was provided a copy of the CMS Immediate Jeopardy Template on [DATE] at 11:32 AM and notified the facility's failure to ensure its licensed staffs' CPR certifications were current was likely to cause serious injury, impairment, or death and constituted IJ. […]

• Immediate jeopardy, isolatedF580Aug 11, 2025

  Based on interview, record review and review of the facility's policy, the facility failed to ensure the physician was immediately notified of a significant change in a resident's status for 1 of 40 sampled residents, (Resident (R)71). R71 who was full code expired at the facility. Staff failed to initiate CPR and failed to immediately notify the physician.Immediate Jeopardy (IJ) was identified on [DATE]. The Administrator was provided a copy of the CMS Immediate Jeopardy (IJ) Template on [DATE] at 11:32 AM and notified that the facility's failure to ensure immediate physician notification of a change was made was likely to cause serious injury, impairment, or death and constituted IJ. […]

• Immediate jeopardy, isolatedF656Aug 11, 2025

  Based on interview, record review and review of the facility's policy, the facility failed to ensure the care plan was implemented for one of thirty-three sampled residents, Resident 71 (R71).Immediate Jeopardy (IJ) was identified on [DATE] and was determined to exist on [DATE] in the areas of 42 CFR S483.10 Notification of Changes at the scope and severity (S/S) of a J, 42 CFR 483.21 Comprehensive Care Plans, 42 CFR 483.24 CPR, and 42 CFR 483.35 Nursing Services, at the S/S of a J. […]

• Immediate jeopardy, isolatedF678Aug 11, 2025

  Based on interview, record review and review of the facility's policy, the facility failed to ensure Cardiopulmonary Resuscitation (CPR) was initiated for 1 of 33 sampled residents, (Resident (R)71). Staff found R71 on [DATE] without pulse or respirations and unresponsive by staff. Resident was a Full Code status; however, no lifesaving measures were attempted. On [DATE], at 11:32 AM the Administrator was provided a copy of the CMS Immediate Jeopardy (IJ) Template and was notified the failure to ensure residents were provided CPR was likely to cause serious injury, impairment, or death. This failure constituted IJ at 42 CFR 483.24 F678, 42 CFR 483.10 F580, 42 CFR 483.21 F656, and 42 CFR 483.35 F726. […]

• No harm, potential for more than minimal, patternF641Aug 11, 2025

  AMENDED Based on observations, interviews, record reviews, and review of facility policy, the facility failed to ensure residents received an accurate Minimum Data Set (MDS) assessment that was reflective of the resident's status at the time of the assessment for three of thirty-three sampled residents (Residents 30, 58, and 59).The findings include: Review of The Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.19.1 Chapter 1 Section 3 dated 10/01/2024, revealed the Resident Assessment Instrument process had multiple regulatory requirements, including the requirement that the assessment accurately reflected the resident's status. […]