West Newton Healthcare

In the surveyor’s words

From the most serious findings on record at West Newton Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 2, 2024

  Based on observations, record reviews and interviews, the facility failed to ensure physician's orders were followed for prevention of pressure ulcer development for one Resident (#91) out of a total sample of 40 residents. Specifically, the facility failed to implement heel booties as ordered resulting in a reddened area on the Resident's left heel and a deep tissue pressure injury on the right heel and failed to implement the correct setting for an air mattress. Findings include: Review of facility policy titled 'Pressure Ulcer/Injury Risk Assessment', last revised April 2018, indicated the following but not limited to: *Risk factors that increase a resident's susceptibility to develop, or to not heal, a pressure ulcer or pressure injuries include: a. […]

• Actual harm, isolatedF580Dec 19, 2022

  Based on record reviews, policy review and interviews, the facility failed to alert the physician in a timely manner of a change in condition for 1 Resident (#58), out of a total of 29 sampled residents. Subsequently, Resident #58 was hospitalized with heart failure and pulmonary emboli (blood clots in the lung). Findings include: Review of the facility policy titled, Change in a Resident's Condition or Status, last revised 4/4/2019, indicated the following: *The Facility professional staff will communicate with physician, participants, and family regarding changes in condition. […]

• Actual harm, isolatedF684Dec 19, 2022

  Based on record reviews, policy review and interviews, the facility 1) failed to ensure treatment and services were provided in accordance with the plan of care after an acute change in condition for1 Resident (#58), resulting in a hospitalization , 2) failed to develop a comprehensive coordinated person-centered care plan with individualized interventions for hospice care services for 3 residents (#27 and #98) out of a total of 29 sampled residents. Findings include: 1. For Resident #58, the facility failed to ensure treatment and services were provided after an acute change in condition. […]

• Actual harm, isolatedF686Dec 19, 2022

  Based on interview, record review and policy review, the facility failed to provide the necessary treatment and services to prevent development of pressure ulcers for 2 Residents (#40 and #84) out of a sample of 5 residents with pressure injuries, out of a total sample of 29 residents. Findings include: Review of facility policy titled 'Prevention of Pressure Ulcers/ Injuries', revised 11/2017 indicated the following: *Policy: The purpose of this procedure is to provide information regarding identification of pressure ulcer/injury risk factors and interventions for specific risk factors. *Guidelines: Review the resident's care plan and identify the risk factors as well as the interventions designed to reduce or eliminate those considered modifiable. […]

• No harm, potential for more than minimal, widespreadF679Feb 2, 2024

  Based on observation and interview, the facility failed to provide an ongoing program of individual and group activities designed to meet the interests of and support the physical, mental and psychosocial well-being for Residents on three of three nursing units. Findings include: The facility failed to provide the surveyors of a policy for the provision of activities. During initial interviews multiple residents said that there were no activities available to residents. One resident reported that there have not been activities, except on some Sundays. Review of the posted Activity Calendar for January 2024 indicated the following activities scheduled for 1/30/24: 10:00 A.M., Chair Zumba 11:00 A.M. Reminiscing 12:00 P.M. Dining Social (lunch) 2:00 P.M. Room Visits 3:00 P.M. […]