Yuma Nursing Center

In the surveyor’s words

From the most serious findings on record at Yuma Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 9, 2021

  Based on clinical record review, facility documentation, hospital record review, and staff interviews, the facility failed to ensure one resident (#1) was free from an accident during a transfer with a Hoyer lift. The sample size was 3 residents. The deficient practice could result in residents being transferred in an unsafe manner. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included unspecified dementia with behavioral disturbance, [CONDITION(S)], and End Stage [CONDITION(S)] (ESRD). A nursing note dated [DATE] included that the resident required extensive assistance with her Activities of Daily Living (ADL) and this included the use of a Hoyer lift with 2 person assist for transfers. […]

• No harm, potential for more than minimal, patternF880May 27, 2022

  Based on clinical record review, staff interviews, and facility policy and procedures, the facility failed to ensure transmission-based precautions for one resident (#157) were implemented. The deficient practice could result in the spread of the COVID-19 virus. Findings include: Resident #157 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the baseline care plan dated May 20, 2022 included a plan for the resident to self-quarantine for 7 days. The Summary Orders included an order dated May 20, 2022 for COVID-19 screening - monitor for cough, shortness of breath, fever, headache, repeated shaking with chills, new loss of taste of or smell, diarrhea, muscle pain, sore throat or vomiting every shift. […]

• No harm, potential for more than minimal, patternF886May 27, 2022

  Based on employee record reviews, facility documentation, staff interview, and facility policy and procedures, the facility failed to conduct COVID-19 testing based on the frequency set forth by state and federal guidelines for three staff (#3, #57, #62). The deficient practice could result in the spread of the COVID-19 virus. Findings include: Review of facility documentation revealed that the county positivity rate was substantial/high from May 9, 2022 through May 23, 2022 and required COVID-19 testing 2 times per week. -Staff #3's (Speech Therapist) employee record included an exemption form from the COVID-19 vaccine approved on December 5, 2021. […]

• No harm, potential for more than minimal, isolatedF760Aug 5, 2026

  Based on clinical record review, staff interviews, and review of facility policy, the facility failed to ensure a resident was free from a significant medication error for 1 of 4 sampled residents (Resident #3), when nursing staff failed to verify the resident's identity prior to medication administration, resulting in Resident #3 receiving medications prescribed for Resident #4. The deficient practice placed Resident #3 at risk for hypotension, bleeding, and other medication related complications.Findings include:-Regarding Resident #3 who received medications prescribed for another resident:Resident # 3 was admitted to the facility on [DATE], assigned to room [ROOM NUMBER] bed 2, with a diagnosis of paroxysmal l atrial fibrillation, acidosis, chronic diastolic heart failure, and Diabetes… […]

• No harm, potential for more than minimal, isolatedF600Dec 10, 2024

  Based on clinical record review, interviews, review of facility documentation and policy review, the facility failed to ensure resident #4 was free from abuse from resident #5. The deficient practice could result in residents experiencing emotional, physical, and mental trauma from the abuse. Findings include: Related to resident #4- Resident #4 was admitted to the facility on [DATE] with diagnoses of Parkinson's Disease, Dementia, and unsteadiness on feet. Review of the admission Minimum Data Set (MDS), dated [DATE], revealed resident #4 completed a Brief Interview for Mental Status (BIMS) and scored a 12 which indicated the resident was moderately cognitively impaired. Review of resident #4's Electronic Health Record (EHR) revealed a progress note dated December 1, 2024 at 7:45 p.m. […]