Tioga Medical Center LTC

In the surveyor’s words

From the most serious findings on record at Tioga Medical Center LTC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Aug 11, 2021

  Based on observation, review of facility policy, review of manufacturer's directions, review of professional reference, and staff interview, the facility failed to ensure staff followed standard infection control practices for 3 of 3 residents (Resident #22, #25, and #26) observed during blood glucose tests with a shared blood glucose meter. Failure to clean and disinfect shared glucose meters and glucose testing supply surfaces has the potential for cross-contamination and may result in the transmission of blood-borne pathogens to other residents. During the recertification survey, the team determined a potential Immediate Jeopardy (IJ) situation existed on the evening of 08/09/21. […]

• Actual harm, isolatedF600Feb 11, 2025

  Based on review of the facility reported incident (FRI), policy review, and staff interview, the facility failed to protect a resident's right to be free from physical abuse for 1 of 2 sampled residents (Resident #1) who sustained a fracture. Failure to ensure an environment free from abuse resulted in a fracture to Resident #1 and placed all residents at risk for abuse, fear, and anxiety. Findings include: Review of the facility policy titled Abuse, Neglect, and Exploitation occurred on 02/11/25. This policy, dated June 2021, stated, . Resident to Resident Altercations . Residents who are abusive to other residents must be monitored . Documentation must be in place to identify steps taken . the corrective action taken, and follow-up monitoring . 6. Prevention of Abuse . b. […]

• No harm, potential for more than minimal, patternF641Mar 12, 2025

  42397 46964 Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.19.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 5 of 12 sampled residents (Resident #3, #8, #9, #17 and #20) and one supplemental resident (Resident #6). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents. Findings include: SECTION H: BLADDER AND BOWEL The Long-Term Care Facility RAI User's Manual, revised October 2024, page H-6, stated, . H0200: Urinary Toileting Program . […]

• No harm, potential for more than minimal, patternF657Aug 11, 2021

  Based on record review, review of facility policy, resident/resident representative, and staff interviews, the facility failed to ensure staff reviewed and revised comprehensive care plans to reflect the residents' current status for 6 of 13 sampled residents (Resident #3, #8, #11, #16, #20, #26) and 1 supplemental resident (Resident #9) reviewed. Failure to review and revise the care plans limited staffs' ability to communicate needs and ensure continuity of care. Findings include: Review of the facility policy and procedure title Multidisciplinary Care Plan occurred on 08/10/21. This policy, dated August 2003, stated, An interdisciplinary team . […]

• No harm, potential for more than minimal, patternF658Aug 11, 2021

  INSULIN ADMINISTRATION 1. Based on observation, review of professional literature, and staff interview, the facility failed to follow professional standards of practice for 4 of 4 residents (Resident #16, #22, #25, and #26) observed during insulin preparation and administration. Failure to properly disinfect insulin vials/pens and prepare/administer insulin per manufacturer recommendation may result in insulin contamination and the resident receiving an inaccurate dose of insulin. Findings include: The manufacturer's instructions for the NOVOLOG® FlexPen®, found at https://www.novomedlink.com/content/dam/novonordisk/novomedlink/resources/generaldocuments/NovoLog%20FlexPen%20IFU%20PDF_LOCKED.pdf, stated, . NovoLog® . vial . Step 2. Wipe the rubber stopper with an alcohol swab . Step 11. […]