VMRC, Complete Living Care

In the surveyor’s words

From the most serious findings on record at VMRC, Complete Living Care, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF806Mar 15, 2023

  Based on observation, staff interview, resident interview, and facility document review, the facility staff failed to accommodate food preferences, food intolerance's and/or allergies for two of 21 residents in the survey sample, Resident #71 and Resident #72. Findings include: 1. The facility failed to ensure Resident #71's food preferences were honored. Resident #71's diagnoses included, but were not limited to: diabetes mellitus, thrombocytopenia, chronic atrial fibrillation, gastric reflux and iron deficiency. The resident's most recent MDS (minimum data set) was a quarterly assessment dated [DATE]. The resident was assessed as a 14 cognitively, which indicated the resident was intact for daily decision making skills. […]

• No harm, potential for more than minimal, patternF812Mar 15, 2023

  Based on observation, staff interview and facility document review the facility staff failed to ensure food temperatures were obtained prior to serving food and failed to maintain food temperature logs in 4 of six houses ([NAME], [NAME], [NAME], [NAME]). Findings include: 1. The facility staff failed to ensure food temperatures were obtained prior to serving food and failed to maintain food temperature logs for the [NAME] House. On 03/13/23 at 12:13 PM in the [NAME] House, CNA # 1 (certified nursing assistant) was observed plating and serving food to the residents. CNA #1 was asked if she had checked the food temperatures for the food being served. CNA #1 stated that they (staff) had not checked the temps for lunch, but stated, I can do it now. […]

• No harm, potential for more than minimal, isolatedF658Mar 15, 2023

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice for one of thirteen residents in the survey sample. The Findings include: The facility nursing staff failed to enter a verbal physician's order into the electronic clinical record regarding Foley catheter placement for one of 21 residents, Resident #9. Diagnoses for Resident #9 included; Urine retention, inguinal hernia, depression, and congestive heart failure. […]

• No harm, potential for more than minimal, isolatedF880Mar 15, 2023

  Based on a medication pass and pour observation, staff interview and facility document review, the facility staff failed to ensure infection control practices were followed for the administration of medications. Findings include: On 03/13/23 at approximately 3:58 PM, LPN (Licensed Practical Nurse) #1 prepared medications for Resident #43. LPN #1 donned (applied) gloves and prepared a glucometer to check the resident's blood glucose level. Once completed, LPN #1 discarded the glucometer strip, wiped off the glucometer, put it away and began to prepare medications for Resident #43. LPN #1 did not remove the gloves used to check the resident's blood glucose level after that task was completed. […]

• No harm, potential for more than minimal, isolatedF684Jul 21, 2021

  Based on staff interview and clinical record review, the facility staff failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Fluid intake for Resident #37 and Resident #287 was not monitored and documented as ordered by the physician. The findings include: 1. Resident #37 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Observation Assessment completed on 07/11/21 assessed Resident #37 as alert, and attentive. Oriented to person, place and time. Having an intact memory (past and present), with clear and organized thinking . On 07/21/21 Resident #37's clinical record was reviewed. Observed on the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Start Date: 07/11/2021. […]