Westerville Post Acute

In the surveyor’s words

From the most serious findings on record at Westerville Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Mar 27, 2024

  Based on medical record review, staff interviews, hospital record review, review of emergency medical services (EMS) run reports, review of prescribing information for NPH ,d+[DATE] Insulin, and facility policy review, the facility failed to ensure Resident #104's blood sugar levels were adequately monitored to prevent incidents of hypoglycemia. This resulted in Immediate Jeopardy on [DATE] when Resident #104, who had a history of hypoglycemia (low blood sugar), was ordered NPH insulin ,d+[DATE] (mixture of short and fast acting insulin) and Dapagliflozin propanediol (oral medication used to lower blood glucose level), and did not have routine blood sugar/glucose checks being completed, was found unresponsive with a low blood sugar of 39 milligrams/deciliter, required cardio-pulmonary… […]

• Immediate jeopardy, isolatedF600Feb 21, 2024

  Based on closed medical record review, review of a facility self-reported incident (SRI) and investigation, review of a police report, review of emergency medical service (EMS) report, review of the hospital reports, review of the facility's Abuse/Neglect policy and procedure, and interviews with the police, family, and staff, the facility failed to ensure Resident #109, who was admitted to the facility for abdominal surgical wound care was free from a situation of neglect when facility staff failed to provide appropriate and timely wound treatment, care, and services. […]

• Immediate jeopardy, isolatedF689Dec 16, 2021

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of the National Weather Forecast, review of an investigation report, observations, staff and family interviews, and review of facility policies on Missing Person Locator and Insight Clinical, the facility failed to appropriately respond to an alarming door and provide adequate supervision to ensure one cognitively impaired resident, assessed to be at high risk for elopement from the facility and with exit seeking behaviors (Resident #3), did not elope from the facility. […]

• Actual harm, isolatedF690Oct 10, 2023

  Based on observation, record review, review of hospital records, and interview, the facility failed to timely identify and assess symptoms of a urinary tract infection (UTI), accurately collect a sample of urine for testing, and notify the physician of contaminated urine specimens for Resident #24. Additionally, the facility failed to remove Resident #52's indwelling urinary catheter following the collection of a 24-hour urine. Actual harm occurred beginning on 07/04/23 when the facility failed to identify symptoms of UTI, treat the UTI with the appropriate antibiotics, and notify the physician of multiple contaminated urine samples causing Resident #24 to sustain a significant decline in condition. […]

• No harm, potential for more than minimal, widespreadF725Feb 21, 2024

  Based on medical record review, review of a police report, interview with the local Fire Deputy Chief, residents and staff, review of the resident council minutes, review of emergency call records, and policy review, the facility failed to have sufficient staffing to meet the residents needs. This affected four residents (#28, #35, #58, and #109) and had the potential to affect all 104 residents currently residing in the facility. Findings include: Review of the resident council minutes dated 01/24/24 revealed call lights were not being answered timely. Review of the closed medical record revealed Resident #109 was admitted on [DATE] and discharged on [DATE]. […]