Every finding on record at The Elms Center

Based on interview and record review, the facility failed to ensure physician orders at admission were accurate for 1 of 4 residents reviewed for admission orders (Resident identifier is #4).Findings include:Review on 5/27/26 of Resident #4's progress note written by Staff A (Director of Nursing) dated 5/17/26 [name omitted] was discharged from [hospital omitted] on 5/9/26. [pronoun omitted] discharge summary was not reviewed with the physician on call.Medications had changed and [pronoun omitted] received the wrong dose of some [medications] and omission of others [medications] from 5/9/26 - 5/13/26.Review on 5/27/26 of Resident #4's Hospital Discharge summary dated [DATE] revealed a change in Carvedilol dose from 25mg to 12.5mg twice a day, a new order for Voltaren 1% gel topically to lower back twice a day, and a change in administration time for Divalproex from three times a day to every 8 hours.Review on 5/27/26 of Resident #4's May 2026 Medication Administration Record (MAR) revealed Carvedolil 25mg was administered to Resident #4 from May 9 to May 12 (6 doses). Further review revealed Divalproex was administered at 8 a.m., 2 p.m., and 8 p.m. from May 9 to May 12 (6 hours between doses). Further review of MAR revealed no new order transcribed or administered for Voltaren gel.Interview on 5/27/26 at approximately 11:30 a.m. with Staff B (Nurse Practitioner) confirmed Resident #4's medications were not reviewed with a provider or reconciled upon re-admission to the facility on 5/9/26.Interview on 5/27/26 at approximately 12:00 p.m. with Staff A confirmed above findings.Review on 5/27/26 of facility policy titled Medication Reconciliation revised date 9/30/2025 revealed .Policy Explanation and Compliance Guidelines:.4. admission Processes:.b. Compare orders to hospital records, etc [etcetera] Obtain clarification orders as needed.d. Have a second nurse review transcribed orders for accuracy and cosign the orders, indicating the review.5. Daily Processes:.c.ii. Perform 24 hour chart checks to verify all new orders have been addressed.Review on 5/27/26 of Quality Assurance Performance Improvement (QAPI) Action Plan, dated 5/13/26, for new admission/readmission medication reconciliation, revealed the following actions/interventions: reorganize admission packet/checklist; reeducate nursing to double check orders for new admissions/readmission; and a monitoring plan to ensure the corrective action was effective.Review on 5/27/26 of facility's revised admission checklist for nursing revealed it included confirming orders with the provider, entering orders into MAR, and second checks for orders.Review on 5/27/26 of nursing training for the new admission process revealed it began on 5/20/26 and was completed 5/26/26.Interview on 5/27/26 at approximately 12:00 p.m. with Staff A revealed that newly admitted or readmitted residents were reviewed each day with the clinical team to ensure all orders and treatments were accurate.

Based on interview, and record review, the facility failed to provide routine medications to meet the needs of the residents for 1 of 1 resident reviewed for dialysis and 1 of 1 resident reviewed for choices. (Resident identifiers are #3 and #49.)Findings include:Resident #3 Review on 2/24/26 of Resident #3's February 2026 Medication Administration Record (MAR) revealed an order for Cinacalcet tablet 30 mg (milligrams) give 1 tablet by mouth one time a day for CKD4 [chronic kidney disease stage 4] give with dinner, with a start date of 6/28/23. Further review of Resident #3's February 2026 MAR revealed the following dates that the Cinacalcet medication was not administered: 2/3, 2/4, 2/5, 2/6, 2/8, 2/9, 2/10, 2/11, 2/12, 2/13, 2/14, 2/16, 2/17, 2/18, 2/19, and 2/20. Review on 2/24/26 of Resident #3's progress notes on 2/18/26 through 2/20/26 revealed that above medication was on order. Further review of Resident #3's progress notes revealed that there was no documentation indicating that the facility followed up with pharmacy or the dialysis center to obtain the above medication. Interview on 2/24/2026 at approximately 12:30 p.m. with Staff A (Clinical Consultant) confirmed that the above medication was not available at the facility and there was no follow up to obtain it. Resident #49 Interview on 2/22/26 at approximately 11:24 a.m. with Resident #49 revealed that he/she was newly admitted to the facility and cannot remember if they received their medications on the first day at the facility. Review on 2/24/26 of Resident #49's Progress Note dated 2/10/26 at 10:41 p.m. revealed, . 1345 [1:45 p.m.] Res [Resident #49] arrived in the facility. Most of the medications not here [not available]. Review on 2/24/26 of Resident #49's February 2026 Medication Administration Record (MAR) revealed the following medications were not administered per the physician's orders: Fluticasone Propionate Nasal Suspension 50 MCG/ACT (micrograms) (Fluticasone Propionate (Nasal)), 1 spray in both nostrils two times for environmental allergies with a start date of 2/10/26 and scheduled to be administered at 9:00 a.m. and 9:00 p.m. was not administered on the following dates and times: 9:00 a.m.: 2/11/26-2/16/26, 2/18/26-2/22/26, and 2/24/26 (12 times); and 9:00 p.m.: 2/10/26, 2/12/26-2/14/26, and 2/20/26 (5 times). Glucosamine Capsule 500 mg (milligram) (Glucosamine Sulfate), give 1 capsule by mouth two times a day for supplement with the start date of 2/10/26 and scheduled to be administered at 9:00 a.m. and 9:00 p.m. was not administered on the following dates and times: 9:00 a.m.: 2/11/26-2/24/26 (14 times); and 9:00 p.m.: 2/10/26-2/12/26, 2/14/26-2/18/26, 2/20/26-2/22/26 (11 times). Metoprolol Tartrate Oral Tablet 100 MG, give 1 tablet by mouth two times a day for HTN (hypertension) with a start date of 2/10/26 was not administered on 2/10/26 at 9:00 p.m. Ramipril Oral Capsule 2.5 mg, give 2 tablets by mouth at bedtime for HTN with a start date of 2/10/26. Further review revealed the medication was not administered on 2/10/26 at 9:00 p.m. Calcium Plus D Chewable 650-12.5-40 MG-MCG (Calcium w/ Vitamins D and K), give 1 tablet by mouth two times a day for supplement with a start date 2/10/26 and scheduled to be administered at 9:00 a.m. and 9:00 p.m. was not administered on the following dates and times: 9:00 a.m.: 2/11/26-2/19/26, 2/21/26-2/24/26 (13 times); and 9:00 p.m.: 2/10/26-2/12/26, 2/14/26, 2/16/26-2/18/26, and 2/20/26-2/23/26 (11 times). Interview on 02/24/2026 at approximately 10:10 a.m. with Staff B (Registered Nurse) confirmed they did not administer the above Fluticasone Propionate, Glucosamine, and Calcium Plus D Chewable on 2/24/26 scheduled at 9:00 a.m. Interview on 2/24/2026 at approximately 9:54 a.m. with Staff C (Infection Preventionist) confirmed that the above medications were not documented as administered. Staff C confirmed that the Metoprolol Tartrate Oral Tablet was available in the facility's automated emergency medication dispensing system and should have been administered. Staff C revealed that Fluticasone Propionate, Glucosamine, and Calcium Plus D Chewable were not available or ordered. Staff C also revealed that the physician was not notified of the above missed administrations. Review on 2/24/26 of the facility policy titled, Unavailable Medications, Revision Date 9/30/25, revealed, .3. The facility shall follow established procedures for ensuring residents have a sufficient supply of medication. 4. Staff shall take immediate action when it is known that the medication is unavailable: .b. Notify physician of inability to obtain medication upon notification or awareness that medication is not available. Obtain alternative treatment orders and /or specific orders for monitoring resident while medication is on hold.5. If a resident misses a scheduled dose of the medication, staff shall follow procedures for medication errors, including in physician/family notification, completion of a medication error report, and monitoring the resident for adverse reactions to omission of the medication.

Based on interview and record review, it was determined that the facility failed to implement and review, at least annually, the facility's water management plan that has the potential to effect the facility census of 46 residents who resided at the facility. Findings include: Review on 1/8/25 of the facility's water management plan revealed the following: 1. The last review date was dated June 2023, which is 18 months of when the plan was last reviewed. 2. The water management plan committee consisted of the Maintenance Supervisor, Director of Nursing, and the Administrator. There was no Infection Preventionist included in the committee. Further review of the water management plan revealed that the water management committee was responsible for the oversight and implementation of the water management plan, which included but not limited to, development, annual reviews, management, and maintenance activities where needed. 3. The water management plan revealed control measures and monitoring of the following: - dead legs (a section of potable water pipe which contains water that has no flow or does not circulate) and to flush dead legs. The water management plan does not mentioned a frequency to flush dead legs. -less frequently used areas which include soiled linen rooms, medications rooms, shower stalls, private rooms showers, and empty resident rooms- run both hot and cold water for 8 minutes weekly. Interview on 1/9/25 at approximately 12:30 p.m. with Staff J (Maintenance Director) confirmed the above findings. Staff J stated that he/she flushed dead legs monthly. Staff J also stated that he/she ran the water in infrequently used areas monthly and not weekly as mentioned in the above water management plan. Staff J was unable to provide documentation of an updated water management plan reviewed in 2024. Interview on 1/9/25 at approximately 3:00 p.m. with Staff L (Infection Preventionist) revealed that he/she started working at the facility in November of 2024 and had not reviewed the facility's water management plan. Interview on 1/10/25 at approximately 8:20 a.m. with Staff J revealed that he/she developed that water management plan and that he/she does not recall what nationally recognized standards he/she used to develop the water management plan. Interview on 1/10/25 at approximately 8:48 a.m. with Staff C (Director of Nursing) revealed that he/she does not remember reviewing the water management plan and is not familiar with the facility's water management plan. Review on 1/10/25 of the facility's water management plan, review date of June 2023, revealed that the facility utilized the Center for Disease Control and Prevention (CDC) to established protocols for acceptable ranges for control measures. Review on 1/10/25 of the CDC website titled, Controlling Legionella in Potable Water Systems, dated 1/3/25, retrieved from: https://www.cdc.gov/control-legionella/php/toolkit/potable-water-systems-module.html, revealed .Operation, maintenance, and control limits Guidance .Flushing: Flush low-flow piping runs and dead legs at least weekly. Flush infrequently used fixtures (e.g., eye wash stations, emergency showers) regularly as needed to maintain water quality parameters within control limits .

Based on record review and interview, it was determined that the facility failed to hold routine interdisciplinary care plan meetings for 2 of 16 residents reviewed for care planning in a final sample of 16 residents (Resident identifiers are #24 and #44). Findings include: Resident #24 Interview on 1/8/25 at approximately 12:00 p.m. with Resident #24's Representative (Durable Power of Attorney) revealed they did not think there had been a care plan meetings for about a year. Review on 1/9/25 of Resident #24's medical record revealed the most recent interdisciplinary care plan meeting minutes were on 5/1/24. Interview on 1/9/25 at approximately 1:30 p.m. with Staff C (Director of Nursing) confirmed the above findings. Resident #44 Review on 1/9/25 of Resident #44's medical record revealed that he/she had been admitted in May 2024. Review on 1/9/25 of Resident #44's medical record revealed no interdisciplinary care plan meetings between May and November 2024. Interview on 1/9/25 at approximately 1:30 p.m. with Staff C confirmed the only care plan meeting conducted for Resident #44 since admission was on 11/27/24. Review on 1/10/25 of facility policy titled Care Planning - Resident reviewed/revised 12/1/24 revealed .Policy Explanation and Compliance Guidelines: .10. The facility will discuss the plan of care with the resident and/or representative at regularly scheduled care plan conferences .initially, at routine intervals, and after significant change .

Based on interview and medical record review, it was determined that the facility failed to ensure the resident's right to formulate advance directives for 1 out of 2 residents reviewed for advance directives (Resident Identifier is #35). Findings include: Review on 1/10/25 of Resident #35's medical record revealed a physician's order dated 1/8/25 for Do Not Recusitate (DNR). Further review revealed that their care plan reflected Full Code status. Interview on 1/10/25 at approximately 9:20 a.m. with Staff N (Advanced Practice Nurse) revealed that he/she had not given an order to change Resident #35's code status to DNR. Interview on 1/10/25 at approximately 10:15 a.m. with Staff C (Director of Nursing) revealed that code status had been changed without discussion with Resident #35, Resident #35's representative or the Nurse Practioner.

Based on interview and record review, it was determined that the facility failed to ensure that a resident is fully informed of their care and treatment in a language that he/she understands for 1 of 2 residents reviewed for communication in a final sample of 16 residents. (Resident identifier is #44.) Findings include: Interview on 1/8/25 at approximately 10:20 a.m. with Resident #44 revealed his/her primary language was Spanish. Interview on 1/8/25 at approximately 10:25 a.m. with Staff A (Social Services) revealed he/she utilize their personal translator application on their phone to communicate with Resident #44. Interview on 1/9/25 at approximately 12:00 p.m. with Staff B (Licensed Nursing Assistant (LNA)) revealed Resident #44 understands most English. The resident will initiate communication using his/her personal translator application on their phone. Review on 1/10/25 of Resident #44's Admission Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 5/17/24 revealed Section A coded Spanish as primary language and he/she wants an interpreter. Review on 1/10/25 of Resident #44's medical record revealed that there were no signed consents for treatments in Resident #44's language. Interview on 1/10/25 at approximately 1:00 p.m. with Staff C (Director of Nursing) confirmed that the facility has no language interpreter services available for communicating in a language that Resident #44 understands.

Based on observation, interview, and record review, it was determined that the facility failed to ensure that multidose medications were labeled with opened/expiration dates appropriately in 1of 1 medication cart reviewed and expired medications were removed from use in 1 out of 1 medication room observed. Findings include: Observation on 1/8/25 at approximately 8:20 a.m. of the medication room refrigerator revealed an Aplisol TB (Tuberculin Purified Protein Derivative, Diluted [Stabilized Solution]) vial, with an open date of 11/22/24 (to expire on 12/22/24, 30 days from opening). Review on 1/8/25 of manufacturers instructions for Aplisol TB revealed .Vials in use more than 30 days should be discarded due to possible oxidation and degridation which may affect potency . Interview on 1/8/25 at approximatley 8:20 a.m. with Staff G (Unit Manager) confirmed the above findings. Staff G confirmed that the Aplisol TB would expire 30 days from opening. Observation on 1/8/25 at approximately 8:40 a.m. of the [NAME] Medication Cart revealed 1 bottle of Timolol Maleate Opthalmic Solution 0.5% with no open date indicated. Review on 1/8/25 of manufacturers instructions for Timolol Maleate Opthalmic Solution revealed: .Opened bottles containing preservatives should be discarded after 28 days . Interview on 1/8/25 at approximately 8:40 a.m. with Staff I (Registered Nurse) confirmed that the Timolol Maleate was an active medication that was in use.

Based on observation, interview and policy review, it was determined that the facility failed to ensure that food was labeled and failed to maintain a clean environment in the food preparation area for the main kitchen observed. Findings include: Observation on 1/8/25 at approximately 8:30 a.m. in the main kitchen revealed individual plastic containers containing white liquid with no labeled identifiers and dates in the milk refrigerator. Interview on 1/8/25 at approximately 8:30 a.m. Staff F (Food Service Director) confirmed the above findings. Staff F stated that the white liquid was coffee creamer that they individually poured in the plastic containers. Review on 1/10/25 of the facility policy titled Food Storage: Cold foods, created date of 2017, revealed .5. All foods will be .labeled and dated . Observation on 1/8/25 at approximately 8:30 a.m. in the main kitchen revealed a fan with accumulation of dust on the blades and cage of the circulation fans which was pointing directly towards the food preparation area. Interview on 1/8/25 at approximately 8:30 a.m. with Staff K (cook) confirmed the above finding related to the fan. Staff K stated that they utilized the fan during meal preparation in the food preparation area. Review on 1/10/25 of facility policy titled, Environment, revised date of 9/2017, revealed .1. The Dining services Director will ensure that the kitchen is maintained in a clean and sanitary manner including floors, walls, ceilings, lighting, and ventilation . 51399

Based on interview and record review, it was determined that the facility failed to ensure that the required committee members attended Quality Assurance Performance Improvement (QAPI) meetings at least quarterly for 2 of the 4 quarterly meetings reviewed for 2024. Findings include: Review on 1/10/25 of the second quarter QAPI meeting attendance sheet, dated July 2024, revealed that the Infection Preventionist (required member) was not in attendance. Review on 1/10/25 of the third quarter QAPI meeting attendance sheet, dated October 2024, revealed that the Infection Preventionist (required member) was not in attendance. Interview on 1/10/25 at approximately 2:30 p.m. with Staff C (Director of Nursing) confirmed the above findings. Staff C (Director of Nursing) further indicated that there was an Infection Preventionist in October but he/she did not attend the QAPI meeting.

Based on record review and interview, it was determined that the facility failed to conduct a comprehensive Minimum Data Set (MDS) assessment within 14 days after a significant change was determined for 1 of 1 resident reviewed for hospice and 1 of 2 residents closed records reviewed in a final sample of 16 residents (Resident identifiers are #47 and #24). Findings include: Resident #47 Review on 1/10/25 of Resident #47's medical record revealed that Resident #47 was admitted to hospice on 11/1/24. Review on 1/10/25 of Resident #47's MDS assessments revealed no completed significant change MDS for Resident #47's admission to hospice. Interview on 1/10/25 at approximately 11:00 a.m. with Staff D (Regional MDS) confirmed the above findings. 49819 Resident #24 Review on 1/9/25 of Resident #24's hospice certification revealed that Resident #24 was admitted to hospice on 4/18/24. Review on 1/9/25 of Resident #24's Significant Change MDS Assessment with Assessment Reference Date (ARD) 4/23/24 revealed the completion date 5/7/24 (5 days late). Interview on 1/10/25 at approximately 11:00 a.m. with Staff D confirmed the MDS Resident Assessment Instrument Manual requires completion within 14 days of identification of significant change and the above assessments were not completed timely.

Based on observation and interview, it was determined that the facility failed to post daily the nurse staffing information. Findings include: Observation on 1/9/25 at approximately 9:45 a.m. of all facility entrances revealed that there was no nurse staffing information posted. Interview on 1/9/25 at approximately 9:45 a.m. of Staff G (Unit Manager) confirmed above findings. Interview on 1/9/25 at approximately 2:00 p.m. with Staff H (Nursing Scheduler) revealed that he/she has not been posting daily the nurse staffing information since he/she took over the position in October 2024.

Based on record review and interview, it was determined that the facility failed to ensure that the facility assessment included specific staffing needs for each shift such as day, evening, and night. Findings include: Review on 1/9/25 of the Facility assessment dated [DATE] revealed that the facility assessment did not include information on the staffing levels needed for specific shifts such as day, evening, and night. Interview on 1/9/25 at approximately 8:15 a.m. with Staff E (Administrator) confirmed the above findings.

Based on observation, interview, and record review, it was determined that the facility failed to assess a resident after implementing a new device for safety resulting in a fall with serious injury for 1 out of 4 residents reviewed for accidents in a final sample of 20 residents (Resident Identifier is #26). Findings include: Review on 1/24/24 of Resident #26's progress notes revealed the following: Resident received [pronoun omitted] new wheelchair on 11/1/23 from [company name omitted]. this new wheelchair does not have a seatbelt connected and therapy stated that [company name omitted] will be back 1-2 weeks . (dated 11/2/23 at 9:56 a.m.) Resident noted to be sliding down or slouching down in wheelchair seat frequently throughout the shift. Resident required repositioning multiple times throughout the shift to maintain proper body alignment. Resident was fit for and recently received this new wheelchair from [company name omitted]. This new wheelchair does not have the safety belt in place at present. Per therapy, [company name omitted] will return to assess resident in wheelchair in a couple of weeks. Resident states loving [pronoun omitted] new wheelchair with a big smile when asked. Communicated this finding to a therapy. (dated 11/4/23 at 2:35 p.m.) Res [Resident] slipped from [pronoun omitted] W/C [wheelchair] and fell on the floor. Was heard screaming and found lying on the floor next to bed. Was helped up using the Hoyer and was put in bed (dated 11/4/23 at 10:31 p.m.) Interview on 1/24/24 at approximately 12:30 p.m. with Staff I (Director of Therapy) revealed that there was no documentation of an assessment for Resident #26 after changing to the new wheelchair without a seat belt on 11/1/23. Review on 1/24/24 of Resident #26's care plan for being at risk for falls, revision date 12/19/23, revealed the following interventions: Seat belt in wheelchair for safety r/t [related to] poor trunk control/stability and decreased mobility, date initiated 9/21/23. Review of the Situation, Background, Assessment, Recommendation (SBAR) summary for providers dated 11/4/23 at 10:35 p.m. revealed the following: Situation: the change of condition was Falls. Nursing observations, evaluations, and recommendations are: The res [resident] slipped off the W/C [wheelchair] and fell on the floor. Was helped up using the Hoyer and put in bed. The res will need a belt on the W/C to prevent future falls. Review on 1/25/24 of the discharge summary from the hospitalization of Resident #26, dated 11/13/24 revealed: .the resident was admitted to the hospital on 11/5/23 .CT [Computed Tomography] abdomen and pelvis with contrast notes right-sided pubic rami fractures, non-displaced right scaral [NAME] fractures, right greater trochanter fracture .X Ray of right hips notes new right pubic ring fracture .The greater trochanter fracture was seen previously. The right hemipelvis fracture is new. There is slight increased displacement of the greater trochanter fracture when compared to the prior study .

Based on interview, observation, and record review, it was determined that the facility failed to ensure sufficient staffing to ensure that each resident attained or maintained the highest practicable physical, mental, and psychosocial well-being. Facility census of 52 residents (Resident Identifier #153). Findings include: Interview on 1/23/24 at approximately 9:00 a.m. with Staff C (Licensed Practical Nurse) revealed that the facility had 2 LNAs (Licensed Nursing Assistants) on for the day shift a few times over the last few weeks and most days there were 3 to 4 LNAs on the day shift. The interview further revealed that treatments were not being provided to wounds as ordered by physicians, call lights were taking up to 30 minutes at a time to answer, and medications were often given late because there was not enough staff Interview on 1/23/24 at approximately 9:05 a.m. with Resident #153 revealed that sometimes it takes up to an hour for staff to assist him/her with dressing. Interview on 1/23/24 at approximately 11:00 a.m. with Staff K (Medication Nursing Assistant (MNA)) revealed that medications are often given late to the residents, sometimes medications are scheduled for the morning and are given in the afternoon. Review on 1/24/24 of a document titled LNA Scheduled on the floor, undated, revealed: Day Shift - 4 to 5 LNAs are scheduled, depending on the census Evening Shift - 4 to 5 LNAs are scheduled, depending on the census Overnight Shift - 2 LNAs Review on 1/24/24 of the last 30 days of Daily Staffing Sheets, that the facility used as a schedule revealed the following dates, LNA staffing, and census: On 12/22/23: day shift 3.5 LNAs, census 50 On 12/23/23: evening shift 3 and 3.75 LNAs, census 50 On 12/26/23: day shift 3.5 LNAs, census 49 On 12/28/23 evening shift 3 LNAs, census 48 On 12/29/23: day shift 3.5 LNAs, census 50 On 1/1/24: day shift 3 LNAs, census 49 On 1/2/24: day shift 3 LNAs, evening shift 3 LNAs, census 49 On 1/3/24: day shift 3 LNAs, evening shift 3 LNAs. census 49 On 1/4/24: day shift 3 LNAs, evening shift 3 LNAs, census 49 On 1/6/24: day shift 2.5 LNAs, evening shift 3.5 LNAs, census 49 On 1/7/24: day shift 3 LNAs, evening shift 3.5 LNAs, census 49 On 1/8/24: day shift 3 LNAs, census 49 Interview on 1/24/24 at approximately 10:30 a.m. with Staff G (Unit Manager), Staff F (Social Services (previously the Scheduler)), and Staff H (Director of Nursing) confirmed that the normal staffing depended on acuity and census and was 4 LNAs, not 5 LNAs, even when the facility is at the full capacity of 52 residents. 47129 Interview on 1/24/24 at 10:30 a.m. with the Resident Council revealed concerns with staff not answering call bells timely. A Resident Council member stated they have had bathroom accidents because of long wait times. Interview further revealed that meal trays would take over an hour to be passed because many times, especially in December, only 2 LNAs were working and they were the only ones passing out trays.

Based on record review, observation, interview, and policy review it was determined that the facility failed to follow Transmission Based Precautions (TBP) for 1 of 3 residents reviewed for infection control (Resident Identifier is #200). Findings include: Resident #200 Interview on 1/23/24 at 9:26 a.m. with Resident #200 revealed that he/she was admitted to the facility in mid-January to help build his/her strength up after being hospitalized for C-Diff [Clostridium difficile]. Observation on 1/23/24 at 9:28 a.m. of Resident #200 revealed that there was no contact precaution signage or Personal Protective Equipment (PPE) cart outside of Resident #200's room. Interview on 1/23/24 at 10:00 a.m. with Staff A (Infection Preventionist) confirmed the above findings. Staff A revealed that Resident #200 was still being treated for C-Diff and should be on contact precautions. Review on 1/25/24 of the facility's policy titled, Clostridioides Difficile Infection (CDI), revised 11/15/21, revealed .Procedure: . 2. Maintain Contact Precautions . for C-diff. Review on 1/25/24 of the facility's policy titled Contact Precautions, revised on 10/24/22, revealed .Process: 2. Place a STOP. Please see nurse before entering room sign on door. 2.1 Print precaution sign in color . 3. Instruct staff, patient, their representative, and visitors regarding precautions and the use of personal protective equipment . 4. Staff must use barrier precautions before or upon entering the room. PPE must be worn before contact with the patient or the patient's environment .

Based on observation, interview, and record review, it was determined that the facility failed to store medication and therapeutic nutrition according to manufacturer instructions in 1 of 1 medication carts observed and 1 of 1 resident reviewed from tube feeding in a final sample of 20 residents (Resident Identifier is #152). Findings include: Observation on 1/23/24 at approximately 8:00 a.m. of the [NAME] Side Medication Cart revealed one opened bottle of Acidophilus with probiotics with directions stating to refrigerate after opening. Interview on 1/23/24 at approximately 8:00 a.m. with Staff B (Registered Nurse) confirmed the above finding. Observation on 1/23/24 at approximately 12:30 p.m. in Resident #152's room revealed half of a bottle of Osmolite Tube Feeding with an open date of 1/19/24 on their bedside table. Interview on 1/23/24 at approximately 12:30 p.m. with Staff C (Licensed Practical Nurse) confirmed the above finding. Review on 1/23/24 of the manufacturer's instructions for Osmolite, dated 12/18/23 revealed: .Precautions. Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used, otherwise hang for no more than 24 hours . Review on 1/23/24 of the facility's policy titled 5.3 Storage and Expiration Dating of Medications, Biological's revision date 8/7/23, revealed: .5. Once any medication or biological package is opened, Facility should follow manufacturer/supplier guidelines with respect to expiration dates for opened medications

Based on observation, interview, and record review, it was determined that the facility failed to follow physician orders for 5 residents in a final sample of 20 residents (Resident Identifiers are #5, #21, #31, #40, and #47). Findings include: Standards: [NAME], [NAME] A., and [NAME] [NAME]. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Page 336 - Physicians' Orders The physician is responsible for directing medical treatment. Nurses follow physician's orders unless they believe the orders are in error or harm clients. Therefore you need to assess all orders, and if you find one to be erroneous or harmful, further clarification from the physician is necessary . Review on 1/25/24 of the facility's policy titled Medication: Administration: General, revised 6/1/21 revealed: . Practice Standards: .5. Doses will be administered within one hour of the prescribed time unless otherwise indicated by the prescriber . Resident #40 Interview on 1/23/24 at 12:57 p.m. with Resident #40 revealed that his/her medications are often given late. Review on 1/25/24 of Resident #40's quarterly Minimum Data Set (MDS) with an assessment reference date of 11/14/23 revealed Resident #40 had a Basic Interview for Mental Status (BIMS) score of 15 out of 15 indicating cognitively intact. Review on 1/25/24 of Resident #40's Medication Administration Audit Report for January 2024 revealed the following medications were given past the scheduled time: On 1/2/24 Tylenol Extra Strength Oral Tablet 500 milligram (mg). Give 2 tablets by mouth three times a day for chronic pain, scheduled for 8:00 a.m., given at 9:26 a.m. On 1/3/24 Tylenol Extra Strength Oral Tablet 500 mg. Give 2 tablets by mouth three times a day for chronic pain, scheduled for 8:00 p.m., given at 9:37 p.m. D-Mannose Oral capsule 500 mg. Give 1 capsule by mouth two times a day for neurogenic bladder, scheduled for 9:00 p.m., given at 12:44 a.m. On 1/7/24 Tylenol Extra Strength Oral Tablet 500 mg. Give 2 tablets by mouth three times a day for chronic pain, scheduled for 8:00 a.m., given at 10:29 a.m. Paxil Oral Tablet 30 mg. Give 30 mg by mouth one time a day for depression, scheduled for 9:00 a.m., given at 10:32 a.m. Baclofen Tablet 20 mg. Give 1 tablet by mouth three times a day, scheduled for 9:00 a.m., given at 10:32 a.m. Baclofen Tablet 5 mg. Give 1 tablet by mouth three times a day, scheduled for 9:00 a.m., given at 10:32 a.m. Levetiracetam Tablet 500 mg. Give 1 tablet by mouth two times a day for seizure prevention, scheduled for 9:00 a.m., given at 10:32 a.m. D-Mannose Oral capsule 500 mg. Give 1 capsule by mouth two times a day for neurogenic bladder, scheduled for 9:00 a.m., given at 10:32 a.m. On 1/10/24 Tylenol Extra Strength Oral Tablet 500 mg. Give 2 tablets by mouth three times a day for chronic pain, scheduled for 8:00 a.m., given at 9:30 a.m. On 1/11/24 Tylenol Extra Strength Oral Tablet 500 mg. Give 2 tablets by mouth three times a day for chronic pain, scheduled for 8:00 a.m., given at 11:16 a.m. Baclofen Tablet 20 mg. Give 1 tablet by mouth three times a day, scheduled for 8:00 a.m., given at 11:16 a.m. Baclofen Tablet 5 mg. Give 1 tablet by mouth three times a day, scheduled for 8:00 a.m., given at 11:16 a.m. Levetiracetam Tablet 500 mg. Give 1 tablet by mouth two times a day for seizure prevention, scheduled for 8:00 a.m., given at 11:16 a.m. D-Mannose Oral capsule 500 mg. Give 1 capsule by mouth two times a day for neurogenic bladder, scheduled for 8:00 a.m., given at 11:16 a.m. Paxil Oral Tablet 30 mg. Give 30 mg by mouth one time a day for depression, scheduled for 8:00 a.m., given at 11:16 a.m. On 1/25/24 Baclofen Tablet 20 mg. Give 1 tablet by mouth three times a day, scheduled for 9:00 a.m., given at 10:24 a.m. Baclofen Tablet 5 mg. Give 1 tablet by mouth three times a day, scheduled for 9:00 a.m., given at 10:24 a.m. Levetiracetam Tablet 500 mg. Give 1 tablet by mouth two times a day for seizure prevention, scheduled for 9:00 a.m., given at 10:24 a.m. D-Mannose Oral capsule 500 mg. Give 1 capsule by mouth two times a day for neurogenic bladder, scheduled for 9:00 a.m., given at 10:24 a.m. Paxil Oral Tablet 30 mg. Give 30 mg by mouth one time a day for depression, scheduled for 9:00 a.m., given at 10:24 a.m. Interview on 1/25/24 at 1:06 p.m. with Staff H (Director of Nursing) confirmed that the above medications were administered more than an hour after the scheduled time. 26364 Resident #31 Interview on 1/24/24 with Resident #31's family member revealed that Resident #31 often received their medication late. Review on 1/24/24 of Resident #31's Medication Administration Audit Report for January 2024 revealed the following medications were given past the scheduled time: On 1/3/24 Ropinirole HCL (Hydrochloride) oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 4:00 p.m., given at 9:05 p.m. On 1/4/24 Ropinirole HCL oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 4:00 p.m., given at 9:01 p.m. On 1/6/24 Ropinirole HCL oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 4:00 p.m., given at 7:18 p.m. Ropinirole HCL oral tablet 4 mg. Give 4 mg by mouth at bedtime for Parkinson's disease, scheduled for 9:00 p.m., given at 9:38 p.m. On 1/7/24 Ropinirole HCL oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease scheduled for 4:00 p.m., given at 8:12 p.m. Ropinirole HCL oral tablet 4 mg. Give 4 mg by mouth at bedtime for Parkinson's disease, scheduled for 9:00 p.m. given at 8:17 p.m. (administered 5 minutes after the 4:00 p.m. dose). On 1/8/24 Ropinirole HCL oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 4:00 p.m., given at 6:30 p.m. On 1/11/24: Omeprazole Oral Capsule Delayed Release 20 mg. Give 1 capsule by mouth a day for GERD [Gastroesophageal reflux disease], give before breakfast, scheduled for 8:00 a.m., given at 11:37 a.m. Myrbetriq Oral tablet Extended Release 24 hour 50 mg. Give 50 mg by mouth one time a day for overactive bladder, scheduled for 9:00 a.m., given at 11:35 a.m. Amantadine HCL Oral Tablet tablet 100 mg. Give 1 tablet by mouth two times a day for Parkinson's Disease, scheduled for 9:00 a.m., given at 11:35 a.m. Carbidopa-Levodopa ER [Extended release] Oral Tablet 50-200 mg. Give 1 tablet by mouth three times a day for Parkinson's disease, scheduled for 9:00 a.m., given at 11:35 a.m. Polyethylene-Glycol 3350 Powder, give 17 grams by mouth one time a day for constipation. Give in 4-8 oz liquid, scheduled for 9:00 a.m., given at 11:36 a.m. Azelastine HCL nasal spray Solution 0.1% [percent], spray in both nostrils 2 times a day for allergies, scheduled for 9:00 a.m., given 11:37 a.m. Ropinirole HCL oral tablet, 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 9:00 a.m., given at 11:36 am. On 1/12/24 Ropinirole HCL oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 4:00 p.m., given at 8:16 p.m. Ropinirole HCL oral tablet 4 mg. Give 4 mg by mouth at bedtime for Parkinson's disease, scheduled for 9:00 p.m., given at 8:19 p.m. (administered 3 minutes after 4:00 p.m. dose). On 1/20/24 Ropinirole HCL oral tablet 2 mg. Give 2 mg by mouth two times a day for Parkinson's disease, scheduled for 4:00 p.m., given at 8:31 p.m. Ropinirole HCL oral tablet 4 mg. Give 4 mg by mouth at bedtime for Parkinson's disease, scheduled for 9:00 p.m., given at 8:31 p.m. (administered at the same time as the 4:00 p.m. dose). Interview on 1/24/24 at approximately 3:52 p.m. with Staff H confirmed the above findings. 38218 Resident #5 Review on 1/24/24 of Resident #5's January 2024 Treatment Administration Record (TAR) revealed the following treatment order: Perform Indwelling Catheter Care every day and evening shift, start date: 11/13/23. Further review of the TAR revealed that on 1/3, 1/4, 1/6, 1/7, 1/9, and 1/16, the day shift was not signed off as completed. Interview on 1/25/24 at approximately 10:30 a.m. with Staff A (Infection Preventionist) confirmed the above findings. Further review of Resident #5's January 2024 TAR revealed the following physician's orders: Right Hip: Cleanse wound with wound cleanser and pat dry. Apply Medihoney gel to the wound bed and cover with an Optifoam dressing every day shift every Monday, Wednesday, and Friday. Start date 11/10/23. On 1/3 and 1/15 the day shift was not signed off as completed. Further review of the TAR revealed the following treatment order: Right Lateral Chest: Cleanse with wound cleanser and pat dry. Apply Medihoney gel to the wound bed and cover with an Optifoam dressing every day shift every Monday, Wednesday, and Friday. Start date 11/10/23. On 1/3 and 1/15, the day shift was not signed off as completed. Resident #47 Review on 1/24/24 of Resident #47's January 2024 TAR revealed the following treatment order: Right Elbow: Cleanse with wound cleanser and pat dry. Apply Optifoam dressing, every day shift every 4 days(s), Start Date 12/21/23. On 1/2, the day shift was not signed off as being completed. Further review of the TAR reviewed the following treatment order: Right Lateral Below Knee: Cleanse with wound cleanser and pat dry. Apply an Optifoam dressing, every day shift every 4 days, start date 12/21/23. On 1/2, the day shift was not signed off as being completed. Further review of the TAR revealed the following treatment order: Right Lateral Thigh: Cleanse with wound cleanser and pat dry. Apply an Optifoam dressing, every day shift every 4 days, start date 12/21/23. On 1/2, the day shift was not signed off as being completed. Further review of the TAR revealed the following treatment order: Clotrimazole-Betamethasone External Cream 1% / 0.05%. Apply to right upper scapula topically two times a day for ecchymosis to right scapula, start date 12/19/23. On 1/3, 1/4, 1/6, 1/9, and 1/18, the 8:00 a.m. treatments were not signed off as completed. Resident #21 Review on 1/24/24 of Resident #21's January 2024 TAR revealed the following physician's order: Left Buttock- Cleanse area with wound cleanser and pat dry. Apply a dime thickness layer of Triad to open areas on left buttock q [every] shift and PRN [as needed] with incontinent episodes, start date 5/24/23. On 1/2, 1/3, 1/4, 1/6, 1/7, 1/9, 1/16, and 1/18, the day shift was not signed off as completed. On 1/17, the night shift was not signed off as completed. Interview on 1/25/24 at approximately 9:15 a.m. with Staff H confirmed the above findings.

Based on observation, interview, and record review, it was determined that the facility failed to ensure that a resident with complicated feeding problems was not assisted by feeding assistants, failed to supervise paid feeding assistants during dining, and failed to select residents who could be fed by feeding assistants based on an interdisciplinary team's assessment for 1 of 1 residents observed being fed during a dining observation (Resident Identifier is #12). Findings include: Observation on 1/23/24 at approximately 11:54 a.m. revealed Staff D (Activity Aide) was asked to finish feeding Resident #12 his/her lunch. Further observation revealed that a registered nurse or licensed practical nurse was not supervising Staff D in the dining area. Staff D was in the dining area with one licensed nursing aide present. There was no call bell located in the dining area. Review on 1/24/24 of the facility's list of residents who require assistance for food/liquid intake, not dated, revealed that Resident #12 was listed as a resident with swallowing concerns and was not eligible to receive assistance from paid feeding assistants/non-licensed staff. Interview on 1/25/24 at approximately 12:45 p.m. with Staff E (Administrator) confirmed that no interdisciplinary team was involved in choosing who was fed by the paid feeding assistants. Staff E confirmed that Resident #12 was on the list of residents that could be fed by Staff D even though Resident #12 was on a dysphasia/puree diet. Review on 1/25/24 of the facility's policy titled, Dining Assistant Training Manual A Guide to Dining; not dated revealed on page 11, Assisting a dysphasia resident requires more training than the feeding Assistant position allows. You will not be assigned to a resident with known dysphasia disorder, It is important however that the Feeding Assistant knows the signs of dysphasia so if a resident develops these symptoms you will report them immediately to your supervising nurse. Some residents who are having difficulty swallowing but cannot express this verbally may compensate by turning their head away when being fed, or not opening their mouth when food or fluid are offered. This could be misinterpreted by the caregiver as a sign that the resident is not hungry or is refusing to eat. Review on 1/25/24 of Resident #12's medical record revealed his/her diagnoses are anoxic brain damage, aphasia, and dysphasia oropharyngeal phase. Further review of Resident #12 medical record revealed his/her diet is regular thick nectar liquids consistency, puree. Review on 1/25/24 of the Speech Language Pathologist's discharge summary dated 1/11/24 revealed a swallowing evaluation that stated Resident #12's diet should be necktar thick puree. General swallow techniques/cautions and Rate modification, along with the following maneuvers: .Dining/Swallowing Program Established/Trained: Patient currently swallows with difficulty, [pronoun omitted] is functional and with Restorative Nursing Program, patient will be able to tolerate puree consistency of food and nectar thiliquis [sic] with noseycup, reduce rate and alternate solids/liquids.

Based on interview and record review, it was determined that the facility failed to notify the resident and/or resident's representative of care plan meetings for 1 resident in a final sample of 20 residents (Resident Identifier is #31). Findings include: Resident #31 Interview on 1/23/24 at approximately 12:45 p.m. with Resident #31's Durable Power of Attorney (DPOA), revealed that he/she did not get invited to care plan meetings. The DPOA revealed that he/she did not know what a care plan meeting was or when then had been scheduled. The DPOA would be able to attend as he/she is at the facility almost every day visiting Resident #31. The DPOA would like to be in attendance to share thoughts about the care of Resident #31. Review on 1/24/24 at approximately 12:30 p.m. of Resident #31's Electronic Medical Record (EMR) revealed no documentation of care plan meeting notifications to Resident #31's DPOA. Further review of the medical record revealed a progress note with an effective date of 7/12/23 for a care plan meeting that indicated the family declined to attend. Interview on 1/25/24 at approximately 12:30 p.m. with Staff E (Administrator) confirmed that no other updated care plan could be found for Resident#31. Interview on 1/25/24 at approximately 1:30 p.m. with Staff F (Admission Director/Social Worker) revealed that he/she did not send out invitations or set up care plan meetings for any resident since his/her arrival at the beginning of December 2023. Staff F revealed that he/she was not aware they needed to invite the resident and/or resident's representative to care plan meetings.

Based on interview and record review, it was determined that the facility failed to obtain a Preadmission Screening and Resident Review (PASRR), for mental illness (MI) and/or intellectual disability (ID), for 1 out of 1 resident reviewed for PASRR in a final survey sample of 22 residents (Resident identifier is #13). Findings include: Review on 1/19/23 of Resident #13's medical record revealed that Resident #13 was admitted to the facility on [DATE] from an acute care hospital. Review on 1/19/23 of Resident #13's PASRR form (completed on 11/7/22) revealed under Section 6 Exemption/Exclusion, Hospital discharge was checked and dated 11/7/22, which indicated that the physician certified that Resident #13 required less than 30 days of nursing facility (NF) services. Under the date read Note: If the NF stay is 30 days or longer, a new PASRR screen and resident review must be performed within 40 calendar days of admission. Review on 1/19/23 of Resident #13's medical record revealed no additional PASRR forms were completed. Further review of Resident #13's medical record revealed that Resident #13 was admitted to the facility on [DATE] and a PASRR screen should have been completed on or before 12/16/22. Resident#13's had anxiety disorder and manic depression listed under diagnosis at admission. Interview on 1/19/23 at 3:10 p.m. with Staff A (Administrator) confirmed that an additional PASRR screen was not performed for Resident #13 within 40 calendar days of admission. Further interview with Staff A confirmed a new PASRR should have been completed for Resident #13.