Towers Nursing Home

In the surveyor’s words

From the most serious findings on record at Towers Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF760Aug 20, 2024

  Based on interviews and record review, the facility failed to ensure residents were free of any significant medication errors for one (Resident #1) of four residents reviewed for medication errors. The facility failed to ensure Resident #1's glucose was monitored, and insulin was administered regularly from 07/21/24 - 08/02/24. She was sent to theER on [DATE] with a glucose level of 649 and a diagnosis of DKA. The noncompliance was identified as PNC. The IJ began on 08/02/24 and ended on 08/09/24. […]

• Actual harm, isolatedF689Jun 6, 2024

  Based on interview, observation, and record review the facility failed to ensure that the residents environment remained as free of accident hazards as was possible for one (Resident #45) of thirty-three residents reviewed for hazards. The facility failed to ensure that Resident #45 was assisted by two care providers during peri-care resulting in her rolling out of the bed onto the floor and sustaining facial lacerations. This failure could place residents at risk of accidents and injury. […]

• No harm, potential for more than minimal, widespreadF812Jun 6, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen reviewed for sanitation. The facility failed to date a box of bananas in the dry storage area which contained a banana that was open and rotted. The facility failed to ensure that no food products or food product boxes were stored on the floor in the facility's walk-in refrigerator and freezer. The facility failed to ensure that a food product in the freezer was in a sealed bag to prevent direct exposure to air. […]

• No harm, potential for more than minimal, patternF881Jun 6, 2024

  Based on interview and record review the facility failed to establish an infection prevention and control program that must include, at a minimum, an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use for 2 (Residents #94 and Resident #28) of 3 residents reviewed for infection control A) The facility failed to follow the antibiotic stewardship recommendations for Resident #94. B) The facility failed to follow the antibiotic stewardship recommendations for Resident #28 This deficient practice could place residents receiving antibiotics at risk for unnecessary antibiotic use, inappropriate antibiotic use and increased antibiotic-resistant infections. […]

• No harm, potential for more than minimal, patternF656Feb 15, 2022

  Based on observation, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan which reflect interventions for each resident to meet the resident's medical, nursing, mental and psychosocial needs that were identified in the comprehensive assessment and to ensure that the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 4 (four) of 26 (twenty-six) residents reviewed for care plans (Resident #95, Resident #105, Resident #109 and Resident #212). […]