Welsh Home the

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF582Jan 4, 2024

  Based on record review and staff interview, the facility failed to ensure all required notices of potential financial obligation were given to residents prior to the discontinuation of skilled services while using their Medicare Part A benefit and choosing to remain in the facility. This affected two residents (#222 and #223) of three residents review of appropriate beneficiary notices. The facility census was 80. Findings include: 1. Resident #222 was admitted to the facility on [DATE] with diagnoses including encephalopathy, chronic kidney disease, and dementia. Further review of the medical record revealed Resident #222 was discharged from skilled services while using her Medicare Part A benefit on 09/29/23 and chose to remain in the facility. […]

• No harm, potential for more than minimal, isolatedF609Apr 22, 2021

  Based on interview, review of facility abuse policy and record review the facility failed to report timely to the Administrator/designee or the State Survey Agency after Resident #37 alleged she was physically and sexually abused on 03/23/21. This affected one resident (Resident #37) out of one resident reviewed for abuse. This had the potential to affect all 64 residents residing in the facility. Findings included: Review of medical record for Resident #37 revealed an admitted [DATE] and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of care plan for Resident #37 dated 03/01/21 revealed she had the potential to demonstrate verbally inappropriate behaviors related to mental and emotional illness. She had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF610Apr 22, 2021

  Based on interview, review of facility abuse policy and record review the facility failed to thoroughly investigate when Resident #37 alleged she was physically and sexually abused on 03/23/21. This affected one resident (Resident #37) out of one resident reviewed for abuse. This had the potential to affect all 64 residents residing in the facility. Findings included: Review of medical record for Resident #37 revealed an admitted [DATE] and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of care plan for Resident #37 dated 03/01/21 revealed she had the potential to demonstrate verbally inappropriate behaviors related to mental and emotional illness. She had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF656Apr 22, 2021

  Based on record review and interview the facility failed to develop a Hospice Care Plan for Hospice for Resident #44. This affected one of two residents reviewed for hospice (Resident #16 and Resident #44). This had the potential to affect all seven hospice residents in the facility (#16, #30, #36, #44, #45, #55, and #62). The facility census was 64. Findings Include: Medical record for Resident #44 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Significant Change Minimum Data Set (MDS) assessment, dated 03/15/21, revealed the resident had severely impaired cognition. The resident required the extensive assistance for bed mobility, locomotion, dressing, toilet use and personal hygiene. Limited assistance was needed for eating. […]