The Convalarium of Dublin

In the surveyor’s words

From the most serious findings on record at The Convalarium of Dublin, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 3, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on record reviews, staff and resident interviews, hospital record reviews, incident investigation reports, and policy reviews, the facility failed to ensure two staff were present during resident transfers and failed to utilize a mechanical lift for the transfer. This affected one resident (Resident #06) of three residents reviewed for mechanical lift transfers. Actual harm occurred on 04/30/26 when Resident #06, who required the use of a mechanical lift assisted by two staff members for transfers, was picked up by one staff member, Certified Nursing Assistant (CNA) #206, and transferred from the shower chair to the bed. […]

• Actual harm, isolatedF689Mar 25, 2024

  Based on observations, record review, resident and staff interviews, and review of the facility policy, the facility failed to provide a safe environment that was free from accident hazards and failed to complete a thorough investigation into a resident's fall. This resulted in Actual Harm for one resident when on 03/04/24, Resident #04 was attempting to enter the main entrance of the facility with an uneven surface transition causing Resident #04 to fall backwards out of his wheelchair sustaining a subdural hematoma (serious condition where the blood collected between the skull and the surface of the brain), retrolisthesis (backward slippage of one vertebral body with respect to the subjacent vertebra) of cervical vertebrae and a scalp laceration requiring three sutures. […]

• Actual harm, isolatedF760Mar 30, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, resident and staff interviews, review of facilities self-reported incident (SRI), and review of hospital paperwork, the facility failed to ensure timely medication reconciliation was completed upon residents' admission resulting in a significant medication error involving the resident's diabetic medication. This resulted in actual harm when Resident #01 did not receive two doses of her diabetic medication (insulin) as ordered by the physician resulting in a high blood sugar reading of 496 milligrams (mg)/ deciliter (dL) and subsequently was re-hospitalized on hyperglycemia. […]

• Actual harm, isolatedF689May 10, 2022

  Based on medical record review, resident and staff interview, review of a fall investigation, review of hospital documentation, review of facility policy, and review of a MedlinePlus article, the facility failed to ensure Resident #16 received appropriate bed mobility assistance. Actual harm occurred when State tested Nurse Aide (STNA) #500 was assisting Resident #16 with changing and bed mobility by himself and rolled Resident #16 away from himself which resulted in Resident #16 falling out of bed and sustaining a finger fracture. This affected one (Resident #16) of two residents reviewed for falls. The facility census was 43. […]

• Actual harm, isolatedF686Jan 4, 2022

  Based on observations, open and closed medical record review, staff interview, and policy review, the facility failed to ensure one resident (Resident #66) did not develop an avoidable pressure ulcer, failed to provide the necessary treatment to promote healing and prevent a decline of pressure ulcer for one resident (Resident #50) and failed to implement treatment and preventative measure for the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected three of three residents reviewed for pressure ulcers (Residents #50, #65, and #66). The facility census was 60. Findings include: 1. Review of the closed medical record for Resident #66 revealed an admitted [DATE]. The resident had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]