Springs of Lima the

In the surveyor’s words

From the most serious findings on record at Springs of Lima the, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF761Nov 1, 2024

  Based on record review, observation, staff interview, and policy review, the facility failed to ensure medications were not prepared prior to administration. This affected three (#03, #04, and #13) out of three residents reviewed for medication administration. The facility census was 54. Findings include: 1. Review of the medical record for Resident #03 revealed an admitted [DATE] with medical diagnoses of anemia, thrombocytopenia, morbid obesity, chronic obstructive pulmonary disease, and diabetes mellitus. Review of the medical record for Resident #03 revealed an admission assessment dated [DATE] which indicated Resident #03 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF656Aug 15, 2024

  Based on medical record review and staff interview, the facility failed to ensure a care plan was initiated to address care and services for a resident with a respiratory infection. This affected one (#15) of three reviewed for respiratory infections. The census was 55. Findings included : Review of the medical record for Resident #15 revealed an admitted [DATE]. The resident was admitted with diagnoses including rhabdomyolysis and pulmonary fibrosis. The resident was discharged on [DATE]. Review of a chest x-ray image for Resident #15 dated 06/04/24 revealed there were bilateral opacities which may represent multifocal infectious process, to include viral agent with out pleural effusion. […]

• No harm, potential for more than minimal, isolatedF691Aug 15, 2024

  Based on medical record review and staff interview, the facility failed to ensure care and treatment of a resident's colostomy was provided. This affected one (#16) of one resident reviewed for colostomy care. The census was 55. Findings included: Review of the medical record for Resident #16 revealed an admitted [DATE]. The resident was admitted with a diagnosis including the encounter for attention to a colostomy (a surgical operation in which a piece of the colon is diverted to an artificial opening in the abdominal wall). The resident was discharged on [DATE]. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 was assessed with intact cognition and an ostomy. […]

• No harm, potential for more than minimal, isolatedF755Aug 15, 2024

  Based on observation, medical record review, resident and staff interview, and review of a facility policy, the facility failed to ensure medications were taken by the resident when administered and administered as ordered. This one (#13) of three residents reviewed for medications. The census was 55. Findings included: Review of Resident #13's medical record revealed an admitted [DATE]. Diagnoses included acute kidney failure, syncope and collapse, orthostatic hypotension, congestive heart failure, and anemia. […]

• No harm, potential for more than minimal, isolatedF808Jul 7, 2023

  Based on medical record review, staff interview, and review of a facility policy, the facility failed to change a resident's diet to a therapeutic diet as recommended by a dietician. This affected one (#10) of five residents reviewed for diets. The facility census was 46. Findings include: Review of Resident #10's medical record revealed an admitted [DATE] and a discharge date of [DATE]. Diagnoses included acute kidney failure, type II diabetes, hydronephrosis (excess fluid in the kidney), ulcerative colitis, and enterocolitis due to clostridium difficile not specified as recurrent. Review of Resident #10's Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12 indicating Resident #10 was moderately cognitively impaired. […]