The Living Center

In the surveyor’s words

From the most serious findings on record at The Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Feb 14, 2023

  Based on record review and interviews, the facility failed to ensure RN coverage for eight consecutive hours, seven days a week for October, November, December 2022, and for January and February 2023. The Resident Census and Conditions of Residents, dated 02/09/23, documented 18 residents resided in the facility. Findings: The Schedule Sheet, for the nursing department, dated October 2022, documented an RN was not scheduled to work on 10/16, 22, 23, 29, and 30. The Schedule Sheet, for the nursing department, dated November 2022, documented an RN was not scheduled to work on 11/05, 06, 12, 13, 19, 20, and 26. […]

• No harm, potential for more than minimal, patternF761Feb 23, 2024

  Based on observation, record review, and interview, the facility failed to ensure medications that were expired were removed from the refrigerator of the medication storage room. Census: 20 Findings: On [DATE] at 10:36 a.m., in the presence of LPN #1 and CMA #1, the refrigerator in the medication storage room was observed to contained two vials of opened tuberculin solution. One vial was dated as opened on [DATE], the second vial was dated as opened on [DATE]. LPN #1 stated the medication is outdated and should have been thrown away. CMA #1 stated our lists shows all vials should be used or destroyed in 45 days.

• No harm, potential for more than minimal, patternF757Feb 14, 2023

  Based on record review and interview the facility to monitor for side effects related to the use of a. an antidepressant medication for one (#10), and b. an anti-anxiety medication for one (#6) of five sampled residents reviewed for unnecessary medications. The Resident Census and Condition of Resident, dated 02/09/23, documented 13 residents were administered an antidepressant medication and four residents were administered an anti-anxiety medication. Findings: A Monitoring of Anti-Psychotics policy, dated 2022, read in parts, .When antipsychotic therapy is instituted, the resident is monitored to determine the effectiveness of the medication and the presence of adverse reactions . 1. Resident #10 had diagnoses which included, Schizophrenia, depression, and increased aggression. […]

• No harm, potential for more than minimal, patternF812Feb 14, 2023

  Based on record review, observation and interview, the facility failed to ensure the dishwasher chemical testing for chlorine was 50-100 ppm to maintain dish sanitization. The Resident Census and Condition of Residents, dated 02/08/23, documented one resident received enteral nutrition and 18 residents resided in the facility. Findings: A Sanitization policy, revised October 2008, read in parts, .Dishwashing machine must be operated using the following specifications: Low-Temperature Dishwasher (Chemical Sanitization) .Final rinse with 50 parts per million (ppm) hypochlorite (chlorine) for at least 10 seconds . On 02/10/23 at 12:02 p.m., the dietary manager was observed to remove a chemical test strip from a clear container and perform a chemical test on the dishwasher machine. […]

• No harm, potential for more than minimal, patternF814Feb 14, 2023

  Based on record review, observation and interview, the facility failed to ensure a garbage container near the food preparation table was covered with a lid. The Resident Census and Condition of Residents, dated 02/09/23, documented one resident received enteral nutrition and 18 residents resided in the facility. Findings: A Sanitization policy, revised October 2008, read in parts, .Kitchen wastes that are not disposed of by mechanical means shall be kept in clean, leakproof, nonabsorbent, tightly closed containers and shall be disposed of daily . On 02/10/23 at 11:47 a.m., during meal service an uncovered trash can was observed between the steam table and the three compartment sink. […]