Vancrest of Delphos

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF550Nov 18, 2021

  Based on observation, staff interview, and policy review, the facility failed to ensure residents were treated with dignity and respect while being provided assistance with eating in the dining room. This affected four (#22, #7, #19, and #36) of four residents observed receiving assistance with eating in the memory care dining room. The census was 74. Findings include: Observation on 11/15/21 at 12:05 P.M. of the afternoon meal service in the memory care dining room revealed state tested nurse aide (STNA) #260 was providing assistance with eating for Resident #22 and Resident #7 and STNA #270 was at another table, providing assistance with eating for Resident #19 and Resident #36. […]

• No harm, potential for more than minimal, isolatedF580Sep 28, 2023

  Based on medical record review, observation, staff interviews, and review of facility policy, the facility failed to notify a resident's physician of a significant change in weight. This affected one (Resident #52) of one resident reviewed for notification. The facility census was 75. Findings include: Review of the medical record revealed Resident #52 was admitted to the facility on [DATE] with a diagnosis of Congestive Heart Failure (CHF). Review of the Minimum Data Set (MDS) completed 07/25/23 revealed Resident #52 required limited to extensive assistance with activities of daily living. Review of Resident #52's weight history revealed on 09/21/23, Resident #52 weighed 139.6 pounds (lbs.) and on 09/26/23, the resident weighed 148.4 lbs. (8.8 lb. gain). […]

• No harm, potential for more than minimal, isolatedF685Sep 28, 2023

  Based on review of the medical record, observation, staff interviews, and facility policy review, the facility failed to ensure a resident had access to hearing devices and failed to investigate missing hearing aids. This affected one (Resident #23) of one resident reviewed for hearing aids. The facility census was 75. Findings include: Review of the medical record revealed Resident #23 admitted to the facility on [DATE] with diagnoses including hypertensive heart and chronic kidney disease with heart failure, type 2 diabetes mellitus, acute kidney failure, essential hypertension, chronic kidney stage 4, major depressive disorder, atrial fibrillation, presence of cardiac pacemaker, and anemia. Review of the most recent Minimum Data Set (MDS) revealed Resident #23 utilized hearing aids. […]

• No harm, potential for more than minimal, isolatedF688Sep 28, 2023

  Based on medical record review, staff and resident interviews, and policy review, the facility failed to provide restorative programs per therapy recommendations. This affected one (Resident #66) of two residents reviewed for positioning and range of motion. The facility census was 75. Findings include: Review of the medical record for Resident #66 revealed an admitted [DATE] with medical diagnoses of acute cystitis, atherosclerosis heart disease (ASHD), chronic kidney disease stage III, and Parkinson's disease. Review of the Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #66 was cognitively intact and required extensive staff assistance with bed mobility, transfers, toileting, and bathing. […]

• No harm, potential for more than minimal, isolatedF657Nov 18, 2021

  Based on medical record review, observation, and staff interview, the facility failed to revise a resident's care plan. This affected one (#65) of three residents reviewed for accidents. The census was 74. Findings include: Review of the medical record for Resident #65 revealed the resident was admitted to the facility on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of a quarterly minimum data set (MDS) assessment dated [DATE], revealed Resident #65 required extensive assistance of two people for transfers, walking in room, and locomotion on unit. Resident #65 was assessed as having one fall since admission or prior assessment. […]