Sunterra Springs Independence

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF578Jun 8, 2023

  Based on interview and record review, the facility failed to ensure five sampled residents (Resident #231, #232, #283, #284, and #3) were offered the right to formulate and/or obtain existing (advanced directives (legal documents that provide instructions for medical care and only go into effect if you cannot communicate your own wishes) out of 12 sampled residents. The facility census was 31 residents. Review of the facility policy Advanced Directives revised 4/2013 showed: -Upon admission the Social Services Director (SSD) or designee would provide written information regarding medical care and the right to formulate advanced directives. -Prior to or upon admission, the SSD or designee would inquire about existing advance directives. 1. […]

• No harm, potential for more than minimal, patternF607Jun 8, 2023

  Based on interview and record review, the facility failed to ensure a background screening through the Certified Nurse Assistant (CNA) Registry was completed prior to hire to determine if there was a Federal Indicator (FI - a marker given to a potential employee who has committed abuse, neglect, or misappropriation of property against residents) for four out of ten new employees whose files were sampled. This had the potential to affect any facility resident who received services from or whose medical records or belongings could have been accessed by one or more of the four employees. […]

• No harm, potential for more than minimal, patternF655Jun 8, 2023

  Based on interview and record review, the facility failed to provide the resident and/or their representative with a summary of a Baseline Care Plan (BCP) that was developed within the first 48 hours of admission for four sampled residents (Residents #132, #21, #231, and #82) out of 12 sampled residents. The facility census was 31 residents. Review of the facility's Preliminary Care Plan policy revised 8/2006 showed: -To assure the resident's immediate care needs are met and maintained, a preliminary care plan will be developed within 24 to 48 hours of the resident's admission. […]

• No harm, potential for more than minimal, patternF678Jun 8, 2023

  Based on interview and record review, the facility failed to have a process in place to ensure Cardiopulmonary Resuscitation (CPR- an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who was in cardiac arrest) certified staff were available on all shifts. The facility census was 31 residents. Review of facility's policy Cardiopulmonary Resuscitation (CPR) dated 2001 revised ,d+[DATE] showed: -Personnel have completed training on the initiation of CPR and basic life support (BLS) including defibrillation (shocking the heart), for victims of sudden cardiac arrest. […]

• No harm, potential for more than minimal, patternF847Jun 8, 2023

  Based on interview and record review, the facility failed to ensure three sampled residents (Resident #21, #231, and #232) signed arbitration agreements (a private process where disputing parties agree that one or several individuals can make decisions about the dispute after receiving evidence and hearing arguments) after this was explained in a manner they understood; and also to ensure the agreement contained arbitration was not required to be signed as a condition of admission and the resident had the right to communicate with state officials out of 12 sampled residents. The census was 31 residents. A policy on arbitration was requested from the facility but not received. 1. […]