The Springs Post-Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Feb 6, 2025

  Based on interview and record review, the facility failed to notify the physician when a resident experienced a change of condition ([COC] a sudden, clinically important deviation from a patient's baseline in physical, cognitive [ability to think, understand, learn, and remember], behavioral, or functional status) for one of three sampled residents (Resident 1) when Resident 1 had a temperature of 103.8 degrees Fahrenheit ( F-unit of measurement [normal body temperature can range from 97 F to 99 F ]), heart rate (HR) of 130 beats per minute ( bpm normal resting heart rate is between 60 and 100 beats per minute) on [DATE] at 11:43 p.m., and hematuria ( blood in the urine) that started on [DATE]. The facility failed to: 1. […]

• Immediate jeopardy, isolatedF684Feb 6, 2025

  Based on interview and record review, the facility failed to ensure residents, with a change in condition (COC- a sudden, clinically important deviation from a patient's baseline [a minimum or starting point used for comparisons] in physical, cognitive (ability to think, understand, learn, and remember) behavioral, or functional status which without immediate intervention, may result in complications or death) manifested by temperature of 103.8 degrees Fahrenheit ( F-unit of measurement [normal body temperature can range from 97 F to 99 F ]), heart rate of 130 beats per minute ( bpm normal resting heart rate is between 60 and 100 beats per minute), hematuria ( blood in the urine) was transferred to a general acute care hospital (GACH) without a delay for one of three sampled residents… […]

• Actual harm, isolatedF689Feb 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident, who required two-person assistance (two staff members assisting the resident with care) for turning and repositioning in bed, was not turned and repositioned by one person and sustained an injury for one of ten sampled residents (Resident 1). The facility failed to: 1. Ensure a certified nursing assistant (CNA 1) did not turn and reposition Resident 1 by himself on 2/8/2025. 2. Ensure CNA 1 followed Resident 1's untitled Care Plan dated 10/2/2023, which indicated Resident 1 required two-person assistance with turning and repositioning and did not turn the resident without a second person assistance. […]

• Actual harm, isolatedF688Feb 7, 2025

  49573 Based on observation, interview, and record review, the facility failed to provide services to five of 13 sampled residents (Resident 76, 48, 61, 68, and 54) with limited range of motion ([ROM] full movement potential of a joint [where two bones meet]) and mobility (ability to move) by failing to: 1.Provide Occupational Therapy ([OT] profession aimed to increase or maintain a person's capability of participating in everyday life activities [occupations]) services after identifying ROM impairments (unspecified) in both arms and indicating Resident 76 could benefit from skilled services (therapy services performed by licensed therapists and necessary to treat illness and injury) for contracture (a stiffening/shortening at any joint that reduces the joint's range of motion) prevention… […]

• Actual harm, isolatedF600Feb 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident was free of physical and verbal abuse for one of seven sampled residents (Resident 1). The facility failed to: 1. Ensure Resident 1 was not verbally and physically abused by Resident 7. 2. Adhere to its policy and procedure titled, Abuse Prevention Program, which indicated the residents have the right to be free from abuse including verbal and physical abuse. Resident 7 verbally and physically abused Resident 1 by telling Resident 1 to shut up and placing a pillow over Resident 1 ' s face. This deficient practice resulted in Resident 1 being verbally and physically abused, feeling violated and fearful for her life. […]