The Canyons Post-Acute

In the surveyor’s words

From the most serious findings on record at The Canyons Post-Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF842Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure all facility residents' records were safeguarded against unauthorized use and access, when two Licensed Vocational Nurses (LVN 1 and LVN 15) were observed using their own personal laptops to access resident health records in the facility. This failure had the likelihood to cause a breach of the residents' sensitive protected health information (PHI - any identifiers such as name, date of birth, social security number and medical record number and personal health records which include medical diagnoses, medications, and treatments). […]

• Immediate jeopardy, patternF698Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to provide oversight and ensure that only Dialysis (a life sustaining procedure of removing excess water and toxins from the blood in people whose kidneys can no longer perform these functions naturally) Registered Nurses were allowed to access residents' central venous catheters (CVC), (CVC- a plastic flexible tube that's located in the neck, upper chest, or groin. The CVC is connected to the bloodlines during dialysis, allowing for the transfer of blood to and from the body to the dialysis machine and back) during the provision of resident's dialysis care, according to professional standards of practices when: 1) Dialysis Caregiver 1 (DC 1) accessed (to initiate use) Resident 216's CVC 2) Dialysis Caregiver 2 (DC 2)… […]

• Immediate jeopardy, patternF880Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure their infection control program was followed when: 1. Three dialysis caregivers (Caregiver 1, 2 and 3) from [Name of dialysis center] accessed the Central Venous Catheter (CVC, a flexible thin tube that is inserted to the vein to the large artery of the heart used for hemodialysis, (the process of removing excess water, solutes, and toxins from the blood in people whose kidneys no longer work, a life sustaining procedure) and practiced poor infection control for two of three (Residents 216, and 220) of 3 hemodialysis sampled residents. […]

• Immediate jeopardy, isolatedF600Jul 16, 2024

  Based on interview and record review, the facility failed to protect the resident's right to be free from neglect for one of three residents (Resident 1), when the Registered Nurses failed to perform a comprehensive nursing assessment (a detailed physical examination of the patient's entire body, to gather information about the patient's status) on Resident 1 upon his initial admission to the facility on [DATE], and his readmission from the hospital on [DATE],after Resident 1 was sent out due to being unresponsive. […]

• Immediate jeopardy, isolatedF726Jul 16, 2024

  Based on observation, interviews, and record review, the facility failed to ensure licensed nurses were provided training to demonstrate competencies with paracentesis drainage tube (a catheter to remove fluid from the abdominal cavity) and gastrostomy tube feeding (G-tube, a tube inserted through the abdominal wall that brings nutrition directly to the stomach), for one of three residents (Resident 1) when Registered Nurse 6 (RN 6) connected and infused the enteral feeding formula (liquid food designed to provide nutrition directly into the stomach) to the paracentesis drainage tube, instead of the gastrostomy tube feeding, on [DATE]. […]