Sunset Estates of Purcell

In the surveyor’s words

From the most serious findings on record at Sunset Estates of Purcell, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Nov 14, 2024

  Based on observation and interview, the facility failed to ensure equipment was maintained in good repair in the laundry room. MDS Coordinator #1 identified 56 residents resided in the facility. Findings: On 11/14/24 at 11:21 a.m., a tour of the laundry room was conducted. Behind washing machine #2 water was observed on the floor coming out from under the machine. A blanket and a small rug were observed on the floor against the wall behind the washing machine. Both items were observed to be wet. On 11/14/24 at 12:04 p.m., Laundry #1 reported the washing machine had been leaking for about one week. They reported it happened about this time every year. They were asked about the blanket and rug on the floor behind the washing machine. […]

• No harm, potential for more than minimal, patternF880Nov 14, 2024

  Based on observation, record review, and interview the facility failed to ensure staff wore eye protection when entering residents' rooms who were COVID-19 positive. MDS Coordinator #1 identified 56 residents resided in the facility. The IP identified 16 residents had tested positive for COVID-19. Findings: An undated Sequence for Putting on Personal Protective Equipment form, documented goggles or faceshield were to be placed over face and eyes. Resident #13 had diagnoses which included COVID-19. A Progress Note, dated 11/11/24 at 4:01 a.m., documented Resident #50 was on isolation due to positive covid test. It documented the resident had a cough at times and was not feeling well. A Progress Note, dated 11/12/24 at 10:46 p.m., documented Resident #11 was covid positive. […]

• No harm, potential for more than minimal, patternF812Sep 12, 2023

  Based on observation and interview, the facility failed to store food in accordance with professional standards for food safety. The Resident Census and Conditions of Residents form, documented 52 residents resided in the facility. The dietary manager identified one resident did not receive nutrition from the kitchen. Findings: On 09/07/23 at 9:15 a.m., a brief initial tour of the kitchen was conducted. The following was observed in the walk in refrigerator during the tour: a. cooked hamburger patties in gallon Ziploc bag, dated 09/04/23, b. pre-cooked sausage patties in an opened box, dated 09/03/23, c. an open box below the pre-cooked sausage patties containing raw, uncooked bacon, dated 09/01/23, d. […]

• No harm, potential for more than minimal, patternF645Oct 20, 2022

  Based on record review and interview, the facility failed to correctly identify an individual with a mental disorder for two (#16 and #33) of two residents sampled for PASRR level I screening. The Resident Census and Conditions of Residents form documented 18 residents had documented psychiatric diagnoses. Findings: 1. Res #33 was admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A PASRR I screening, completed on 11/01/19, documented, No to all questions regarding mental illness. A quarterly assessment, dated 09/10/22, documented the resident was moderately impaired with cognition and had no behaviors during the look back period. […]

• No harm, potential for more than minimal, patternF693Oct 20, 2022

  Based on record review, observation and interview, the facility failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The Resident Census and Conditions of Residents form documented two residents had ordered tube feedings. Findings: Res #42 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A admission assessment, dated 10/07/22, documented the resident was moderately impaired with cognition, required extensive to total assistance with activities of daily living, and had a feeding tube. A physician order, dated 08/01/22, documented start enteral feed at 50 ml per hour in the afternoon related to encounter for attention to gastrostomy. There was no documentation on the order for the type, strength, or time frame for the feeding to be administered to the resident. […]