State Findings:
Staff failed to ensure the QA program put plans in place to correct past deficiencies, identify its’ own deficiencies, and resolve those deficiencies.
Based on interview, record reviews, and facility policy review, it was determined the facility failed to ensure an effective Quality Assurance (QA) program was in place.
An interview with the Nursing Home Administration (NHA) on 08/27/2021 at 6:25 PM revealed they had not completed a live QA meeting in months….She said they had some Performance Improvement Plans (PIP) areas of focus which included employee retention and the dining program. She said they did not have any documentation for the PIPs. She said she did not think there was any improvement in the PIPs.
The findings included:
-F686- failure to provide care and services related to pressure ulcers.
-F690- failure to provide catheter care.
-F695- failure to ensure proper oxygen care and services.
-F880- failure to ensure proper infection control practices were in place
-F550- failed to ensure residents were dressed and catheter cover was provided.
-F600- failed to ensure residents were safe from abuse.
-F609- failed to ensure allegations of abuse were reported timely.
-F610- failed to ensure allegations of abuse were thoroughly investigated.
-F656- failed to ensure care plans were implemented.
-F689- failed to provide care and services for the prevention of falls.
-F740- failed to ensure proper behavioral plans were in place.
-F801- failed to ensure qualified dietary manager was in place.
-F803- failed to ensure menus and recipes were followed.
-F812- failed to ensure adequate kitchen sanitation.
The facility’s census was 111 residents.
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NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. This nursing home and many others across the country are cited for abuse and neglect.
If you have or had a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.
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Please give us a call at 1-800-645-5262 or fill out our form detailing your experience.
Personal Note from NHA-Advocates
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