The Village at Gleannloch Farms

In the surveyor’s words

From the most serious findings on record at The Village at Gleannloch Farms, in the surveyor’s own words.

• Actual harm, isolatedF658Sep 1, 2022

  Based on interview and record review, the facility failed to ensure services provided by the facility met professional standards of quality for 3 of 7 residents (Residents #1, Resident #2, CR #1) for professional standards. -The facility failed to accurately transcribe Resident #1's Hospital discharge medications upon admission resulting in the resident not receiving his [MEDICATION(S)] from 07/19/22 to 08/11/22 causing the resident experience cold intolerance, depressed mood, fatigue which hindered his ability to complete his physical therapy and the resident's TSH level increasing to a critical level. - The facility failed to enter wound care orders for Resident #2, upon admission, resulting in the resident not receiving wound care for 6 days. […]

• Actual harm, isolatedF675Sep 1, 2022

  Based on observation, interview, and record review, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care for 1 of 7 residents (Resident #1) reviewed for quality of life. -The facility failed to ensure Resident #1 received his [MEDICATION(S)] to treat his [CONDITION(S)]. resulting in a decreased quality of life due to the resident suffering from fatigue, cold intolerance, depressed mood and hindrance in his ability to complete his physical therapy as ordered. […]

• Actual harm, isolatedF684Sep 1, 2022

  Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for 1 of 7 residents (Resident #1) reviewed for quality of care. -The facility failed to accurately transcribe Resident #1's Hospital discharge medications upon admission and to notify the physician of Resident # 1 resulting in the resident not receiving his [MEDICATION(S)] from 07/19/22 to 08/11/22 . […]

• Actual harm, isolatedF755Sep 1, 2022

  Based on observation, interview and record review, the facility failed to ensure that the facility provided pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 out of 7 residents (Resident #1) reviewed for medication administration. - The facility failed to ensure Resident #1 received his [MEDICATION(S)] ([CONDITION(S)]) from 07/19/22 to 8/11/22 as listed in his hospital discharge medication list causing the resident experience cold intolerance, depressed mood, fatigue which hindered his ability to complete his physical therapy and the resident's TSH level increasing to a critical level. […]

• Actual harm, isolatedF773Sep 1, 2022

  Based on observation , interview, and record review, the facility failed to obtained laboratory services as ordered by the physician and report results in accordance with facility policy and procedures for notification for 1 of 7 residents (Resident #1) reviewed for notification of lab results. - The facility failed to notify the physician of Resident #1's elevated TSH of 26.750 uIU/ml (indicating [CONDITION(S)] disease) for 14 days (07/27/22 to 08/12/22) resulting in the resident's TSH level increasing to a critical value of 56.296 uIU/ml causing the resident experience fatigue which hindered his ability to complete therapy as well as suffering from cold intolerance and depressed mood. […]