Vermilion Health Care Center

In the surveyor’s words

From the most serious findings on record at Vermilion Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 4, 2023

  Based on observation, interview and record review, the facility failed to protect the residents' rights to be free from physical and psychosocial abuse for 1 (#R1) of 7 (#1, #2, #3, #4, #5, #R1 and #R2) sampled residents. This deficient practice resulted in physical and psychosocial harm for Resident #R1 on 04/03/2023 at 4:00 p.m., when Resident #R2 struck her left shoulder with the back of his right hand. Immediately after, Resident #R1 was observed crying and upset. Findings: Review of the facility's policy, Abuse Prevention and Investigation revealed, in part, the following: Policy Statement: It is the policy of this facility to provide protections for the health, welfare and rights of each resident . prevent abuse . […]

• No harm, potential for more than minimal, widespreadF577Sep 25, 2024

  Based on observation and interview, the provider failed to ensure the most recent survey results for the facility were posted in a place readily accessible to residents, family members, and legal representatives of residents. The facility's census was 94 residents. Findings: On 09/23/2024 at 1:30 p.m., an observation was made of a blue binder labeled Survey Results was located in a clear plastic document holder mounted to the wall across from the Nurses station near the main entrance just outside of the Minimum Data Nurses (MDS) office. A review of the Survey Results binder revealed the results and the plans of correction from the last annual survey dated 08/02/2023 and a complaint survey that was conducted 04/04/2023. […]

• No harm, potential for more than minimal, widespreadF880Aug 2, 2023

  Based on observations, interviews and record reviews, the facility failed to maintain an effective infection control and prevention program by: 1. Failing to ensure the facility's water management plan included an assessment of the building's water system. 2. S7LPNTxNurse failing to use appropriate hand hygiene practices and wear appropriate personal protective equipment (PPE) during laryngectomy care for Resident #23; and 3. S7LPNTxNurse failing to appropriately disinfect re-usable scissors during wound care for Resident #27. […]

• No harm, potential for more than minimal, patternF656Sep 25, 2024

  Based on record reviews, observations and interviews, the facility failed to develop an/or implement a comprehensive person-centered plan of care for 3 (#10, #49 and #88) out of 31 sampled residents as evidenced by failing to: 1. follow the plan of care to address Resident #49's elevated blood sugar; 2. develop a person-centered plan of care to address hearing deficits for Resident #88; and 3. follow the plan of care for Resident #10 for ensuring the chair alarm was functioning properly. 1. Resident #49 Review of Resident #49's electronic medical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included in part: Type 2 Diabetes Mellitus. […]

• No harm, potential for more than minimal, patternF656Aug 2, 2023

  Based on records review, interviews, and observations, the facility failed to ensure the resident's care plan and physician's order(s), were followed for 2 (#45, #67) out of 35 sampled residents. This was evidenced when: 1. Facility staff failed to monitor for bleeding or bruising for an anticoagulant (blood thinner) for Resident #45 2. Facility staff failed to place a left elbow extension brace on Resident #67 to prevent further contractures. Findings: Review of policy: Anticoagulants Purpose: This facility recognizes that some medications, including anticoagulants, are associated with greater risks of adverse consequences than other medications. This policy addresses the facility's collaborative, systematic approach to managing anticoagulant therapy for efficacy and safety. […]