Vincentian Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF622May 31, 2024

  Based on clinical record review and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for three out of three residents sampled with facility-initiated transfers (Residents R17, R38, and, R93). Findings include: Review of facility policy Transfers Between Facility and Hospital dated 4/17/24, indicated a resident Transfer and Referral record must be completed in full and sent with the resident. […]

• No harm, potential for more than minimal, patternF623May 31, 2024

  Based on review of resident clinical records, and staff interviews, it was determined that the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for three of four residents (Resident R17, R38, and R93). Findings include: Review of Title 42 Code of Federal Regulations S483.15(c)(5) Contents of the notice. The written notice specified in paragraph (c)(3) of this section must include the following: (i) The reason for transfer or discharge; (ii) The effective date of transfer or discharge; (iii) The location to which the resident is transferred or discharged ; (iv) A statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests;… […]

• No harm, potential for more than minimal, patternF684May 31, 2024

  Based on review of facility policies, clinical records and staff interview, it was determined that the facility failed to administer medications as prescribed by the physician for one of five residents (Resident R174), failed to perform weekly skin assessments per physician order for three of ten residents (Resident R50, R382, and R385), and failed to obtain weekly labs for one of six residents (Resident R50). Findings include: Review of facility policy Skin assessment dated [DATE], indicated the facility will assess all resident's skin integrity and identify those at risk for developing pressure ulcers. The nurse will complete a skin assessment upon admission/readmission and weekly times four weeks, minimally. […]

• No harm, potential for more than minimal, patternF849May 31, 2024

  Based on a review of facility policy, resident clinical records, and staff interview, it was determined the facility failed to obtain a diagnosis for hospice services and to ensure the coordination of hospice services with facility services to meet the needs of each resident for end of life care for three of three residents (Resident R17, R53, R62). Findings include: Review of the facility policy Hospice Services dated 4/17/24, indicated that care for the dying resident shall be a collaborative effort between the staff of the designated hospice provider and the staff of the long term care facility. […]

• No harm, potential for more than minimal, patternF695Jul 21, 2023

  Based on review of facility policies, resident observations and interviews, clinical record review, and staff interview, it was determined that the facility failed to prove appropriate respiratory care for five of eight residents (Residents R348, R349, R359, R370, and R372). Findings include: Review of the facility's policy Oxygen Therapy dated 4/26/23, indicated the oxygen tubing and humidifier must be change every 7 days and that the oxygen tubing and humidifier must be labeled with date and initials. Review of the clinical record indicated that Resident R348 was admitted to the facility on [DATE]. […]