The Vosswood Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 25, 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 5 residents (Resident #1) reviewed for quality of care. 1. The facility failed to take appropriate action when Resident #1 experienced falls on [DATE], [DATE], [DATE] and [DATE]. 2. The facility failed to assess Resident #1 following falls on [DATE] and [DATE] and left her unattended after the incident. 3. The facility failed to assess and transfer Resident #1 appropriately and timely following a fall on [DATE] that resulted in a fracture. 4. […]

• No harm, potential for more than minimal, patternF727Jun 20, 2023

  Based on interview and record review the facility failed to ensure the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 5 (Sunday 01/01/2023, Sunday 01/08/2023 and Sunday 02/25/2023, Saturday 03/25/2023 and Sunday 03/26/2023 of 90 days reviewed for RN coverage. The facility failed to maintain registered nurse coverage for 8 hours a day/7days a week on Sunday 01/01/2023, Sunday 01/08/2023,Sunday 02/25/2023, Saturday 03/25/2023 and Sunday 03/26/2023. This failure could place residents at risk of adverse events and not having staff to attend to events. […]

• No harm, potential for more than minimal, patternF658Feb 6, 2023

  Based on observation, interview and record review, the facility failed to ensure services provided by the facility met professional standards of quality for 4 of 8 residents (Resident #1, CR #1, Resident #2 and Resident #4) reviewed for professional standards. - The facility failed to accurately transcribe Resident #1's hospital discharge medications upon admission resulting in the resident receiving the wrong dose of Ethacrynic Acid (a diuretic) from 01/11/23 to 01/20/23 resulting in the resident developing edema (swelling) in her lower leg and discomfort. - The facility failed to monitor Resident #1's weights as ordered by the physician. - The facility administered Ciprofloxacin (an antibiotic) to Resident #1 without an indication or a physician directed order. […]

• No harm, potential for more than minimal, patternF694Feb 6, 2023

  Based on observation, interview, and record review the facility failed to administer parenteral fluids consistent with professional standards of practice and care plans for 2 of 8 resident (Resident #2 and Resident #4) reviewed for parenteral intravenous (IV) antibiotic care and services through a peripherally inserted central catheter (PICC) therapy in that: - The facility failed to provide care or dressing changes to Resident #2's IV catheter site from 12/30/22 to 01/23/23. - The facility failed to provide care or dressing changes to Resident #'s 4 IV catheter site from 01/17/23 to 01/23/23. These failures could place residents at risk for adverse reactions, deterioration of wounds and infection. […]

• No harm, potential for more than minimal, patternF755Feb 6, 2023

  Based on observation, record review and interviews, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 3 of 8 residents (Resident#1, Resident #3 and Resident #4) reviewed for pharmaceutical services. - The facility failed to acquire and dispense Ethacrynic Acid 25 mg , a diuretic, to Resident #1 as ordered from 01/09/23 to 01/11/23 . - The facility failed to acquire and dispense Oxycodone 80 mg , a pain medication, to Resident # 4 as ordered from 01/20/23 to 01/22/23 leaving the resident in pain. […]