Timbers of Jasper the

In the surveyor’s words

From the most serious findings on record at Timbers of Jasper the, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 28, 2024

  Based on interview and record review, the facility failed to ensure staff thoroughly and completely assessed a resident after a fall with head injury, failed to ensure the fall was effectively documented with specific fall details to ensure interventions were immediately implemented to prevent further falls, failed to effectively monitor the neurological status of the resident after a subdural hematoma was identified for 1 of 3 residents reviewed for falls. (Resident D) This deficient practice resulted in the resident experiencing right-sided shaking, slurred speech, altered mental status, and an active brain bleed that required a craniotomy to repair. […]

• Actual harm, isolatedF691Aug 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure nursing care and services consistent with professional standards of practice were provided to a resident that required ostomy care. Staff did not appropriately change a resident's newly placed ostomy appliance, resulting in pain, psychological trauma and a fear of getting out of bed for 1 of 1 residents reviewed for ostomy care. (Resident 219) Finding includes: On 8/7/23 at 10:11 A.M., Resident 219 was observed lying in bed with several small towels and washcloths propped up against her right side and her gown raised up. At that time, she indicated she had just been admitted a few days prior from the hospital with a new ostomy on the right side of her abdomen. […]

• Actual harm, isolatedF692Nov 5, 2021

  Based on interview and record review, the facility failed to ensure a resident who was dependent for care received adequate hydration, which resulted in hospitalization with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .(Resident B). Findings include: The closed clinical record of Resident B was reviewed on 11/4/21 at 11:20 A.M. The resident was admitted to the facility on [DATE] with the primary diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Additional diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A hospital Registered Dietician note, dated 9/22/21 at 10:17 A.M., indicated the resident required approximately 1292 cc of fluid daily, based on the resident's weight of 113 pounds. […]

• No harm, potential for more than minimal, patternF761Oct 21, 2024

  Based on observation, interview, and record review, the facility failed to ensure medications were stored safely or under proper temperature controls for 2 of 15 residents sampled for medications on the floor, and 2 of 2 medication storage rooms. (Resident D, Resident M, 100 Hall Medication Storage Room, 300/400 Hall Medication Storage Room) Findings include: 1. On 10/15/24 at 9:19 A.M., the 100 Hall Medication Storage Room medication refrigerator log was observed to be missing temperatures. The 100 Hall medication refrigerator log lacked a temperature on days from 10/1/24 through 10/15/24. The 100 Hall medication refrigerator log was missing a temperature for night shift on 10/1/24, 10/2/24, 10/4/24, 10/5/24, 10/6/24, 10/7/24, 10/9/24, 10/10/24, 10/12/24, 10/13/24, and 10/14/24. […]

• No harm, potential for more than minimal, patternF812Oct 21, 2024

  Based on interview, observation, and record review, the facility failed to ensure food was stored and prepared safely in accordance with professional standards for food service for 1 of 2 kitchen observations. Foods were not labeled correctly, food was stored uncovered, and the facility failed to dispose of outdated food. Findings include: On [DATE] at 9:13 A.M., the following was observed in the kitchen: Freezer in the kitchen: -- 5 undated, uncovered, and unlabeled bowls of pink ice cream -- 5 covered bowls undated and unlabeled. […]