Trucare Living Centers

In the surveyor’s words

From the most serious findings on record at Trucare Living Centers, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Sep 18, 2024

  43994 46273 Based on observations, interviews and record reviews, the facility failed to ensure an accurate MDS was completed for 6 of 15 residents (Residents #40, #53, #70, #74, #17, and #7) reviewed for MDS assessment accuracy. 1.The facility incorrectly coded Resident #40 as having received Insulin in previous 14 days while a resident on his MDS Assessment. 2.The facility failed to accurately code on the MDS assessments for Resident's #53 on 8/10/2024, #70 on 7/20/2024, #74 on 8/29/2024 and #7 on 8/7/2024 who had side rails on their bed. This failure could place residents at risk for not receiving the appropriate care and services to maintain the highest level of well-being. Findings included: 1. […]

• No harm, potential for more than minimal, patternF656Sep 18, 2024

  43994 46273 Based on observations, interviews and record reviews the facility failed to develop and implement comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident medical and nursing needs to be furnished to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being for 5 of 18 residents (Residents #53, #70, #13, #74, and #130) reviewed for care plans in that: The facility failed to develop a comprehensive care plan for the use of enabler bars for Resident #13 that were put into use on 4/3/21. The facility failed to develop a comprehensive care plan for the use of side rails for Resident #74 that were put into use on 5/29/24. […]

• No harm, potential for more than minimal, patternF689Sep 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure the residents' environment remains as free of accident hazards as possible for 2 of 11 residents reviewed for quality of care, (Resident #6 and #281) in that: The facility failed to remove worn, damaged and bleached mechanical lift slings from service for Residents #6 and #281. The facility failed to obtain physician orders for mechanical lift transfers for Resident #6. This deficient practice could result in a loss of quality of life due to injuries. […]

• No harm, potential for more than minimal, patternF700Sep 18, 2024

  Based on observation, interview, and record review the facility failed to attempt to use appropriate alternatives prior to installing a side or bed rail, assess the resident for risk of entrapment from bed rails prior to installation, and review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation for 4 of 24 residents (Resident #53, #70, #74,and #16) reviewed for bed rails. 1.The facility failed to attempt to use an alternative for the use of bedrails and complete quarterly side rail assessments for Resident #53 who readmitted to the facility on [DATE] and a order with a start date of 12/7/2023 for use of enabler bars to turn and reposition in bed. […]

• No harm, potential for more than minimal, patternF656Jun 29, 2022

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan to meet each resident's medical, nursing, mental and psychosocial needs for 4 of 17 residents reviewed for care plans. (Resident #53, Resident #29, Resident #32, and Resident #31). -Resident #53's order to be repositioned every hour was not addressed in the comprehensive care plan. - Resident #29's Incontinent of bowel and bladder status was not addressed in the comprehensive care plan. - [CONDITION(S)] Medications for Resident #32's was not addressed in the comprehensive care plan. - Resident #31's care plan had a status for wanting Cardiopulmonary resuscitation (CPR) and a Do-Not-Resuscitate (DNR). […]