Inspection Details: E3JJ


Date
11/15/2022
Event ID
E3JJ
Inspection type(s)
Complaint Investig.
Deficiencies cited
3

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
11/16/2022
Corrected Date
N/A
Details


C0252
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
11/16/2022
Corrected Date
N/A
Details

Based on interview and record review it was confirmed that the facility failed to notify a resident's emergency contact in an emergency. Findings include:


During an interview on 11/15/2022, Staff #1 (S1) stated that there was a time when the facility forgot to notify the resident ' s emergency contact when the resident went to the hospital.


A review of Resident #1 (R1) service plan dated 8/19/2022 and progress notes dated 9/2/2022-11/152022. The progress notes show that on 10/24/2022 that the emergency contact was not notified about their family member going to the hospital on 10/23/2022.


On 11/15/2022, these findings were reviewed and acknowledged by S1.


Plan of Correction: S1 had a re-education last week for informing family members or Power of Attorney (POA's) of residents when the resident is sent to the hospital.

Z0160
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
11/16/2022
Corrected Date
N/A
Details

Based on interview and record review it was confirmed that the facility failed to ensure only individuals with a diagnosis of dementia who are in need of support for the progressive symptoms of dementia for physical safety, or physical or cognitive function may reside in a memory care community. Findings include:


During an interview on 11/15/2022 Staff #1 (S1) stated that Resident #1 (R1) had a diagnosis for dementia when living in the assisted living but admits that when R1 moved to memory care the facility could not find a formal diagnosis.


A review of R1 service plan dated 8/19/2022 and progress notes dated 9/2/2022-11/15/2022 state no medical diagnosis found.


On 11/15/2022, these findings were reviewed and acknowledged by S1.


Plan of Correction: The RN has reached out to the resident 's doctor to see if she has a formal diagnosis. awaiting doctors'  response.