Amarillo Medical Lodge

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care within 48 hours of a resident's admission for 4 (Resident #40, Resident #76, Resident #86, and Resident #97) of 19 residents reviewed for baseline care planning.1. The facility failed to include dialysis in Resident #40's baseline care plan.2. The facility failed to include a central line in Resident #76's baseline care plan.3. The facility failed to include a central line and a life vest in Resident #86's baseline care plan.4. The facility failed to include a PICC line in Resident #97's baseline care plan. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 2 (Resident #42 and Resident #73) of 18 residents reviewed for accuracy of assessment. 1. The facility coded Resident #42 as not using tobacco when he was a smoker.2. The facility coded Resident #73 as not using tobacco when he was a smoker. These failures to accurately assess residents could result in residents not receiving correct care and services. Findings Included: Resident #42 Record review of Resident #42's admission record dated 03/10/26 revealed a [AGE] year-old male most recently admitted to the facility on [DATE] with diagnoses to include chronic obstructive pulmonary disease (a group of lung diseases that block airflow and make it difficult to breath), muscle weakness (a lack of muscle strength), and shortness of breath. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to implement a comprehensive care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Resident #42) of 18 Residents reviewed for comprehensive care plans. -The facility failed to address the use of a catheter in Resident #42's care plans. This failure could result in residents not being able to attain or maintain their highest practicable physical, mental, and psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who required respiratory care were provided such care consistent with professional standards of practice for 1 (Resident #46) of 18 residents reviewed for quality of care. Resident #46 was left on 03/10/26 unsupervised by LVN E during breathing treatment. This failure had the potential to place residents at risk for respiratory compromise due to incomplete administration of ordered respiratory treatments and lack of monitoring, which could result in shortness of breath, confusion, respiratory failure, infection, and exacerbation of their conditionFindings included:Record review of Resident #46's face sheet, dated 03/10/26, revealed a 67- year-old female admitted to the facility on [DATE] with diagnoses which included: [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to store and distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food safety. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure expired foods were discarded. 3. The facility failed to store foods in accordance with professional standards. These failures could place residents who ate the food from the kitchen at risk for food-borne illness and a diminished quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who need respiratory care were provided such care consistent with professional standards of practice for 1 (Resident #14) of 6 residents reviewed for respiratory care. The facility failed to ensure Resident #14's nasal cannula was stored properly. This failure could affect residents on respiratory therapy by placing them at risk for respiratory compromise and associated complications such as shortness of breath, confusion, respiratory failure, and exacerbation of their condition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (CNA A) of 5 staff observed for resident care CNA A did not wear the proper PPE when assisting with wound care per Enhanced Barrier Precautions, increasing the risk of MDRO contamination. This deficient practice could place residents at risk of cross-contamination and infections.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles for 1 (Resident #1) of 7 residents. -1 nasal medication and 2 eye drop medications were discovered on bedside table for Resident #1 The facility's failure could place all residents at risk for obtaining medications that could cause adverse reactions.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 1 (Resident #19) of 17 residents reviewed for accuracy of assessments. The facility failed to accurately assess Resident #19, in that her MDS coded her as having no delusions or hallucinations despite physician's documentation to the contrary. This failure could place residents at risk of not receiving necessary care and/or treatment.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 2 (Resident #5 and Resident #57) of 17 residents reviewed for respiratory care. 1. Resident #5 had a physician's order for continuous oxygen via nasal cannula at 2-4 lpm and was receiving oxygen therapy at higher concentrations. 2. Resident #57 had no physician's orders for oxygen and was receiving oxygen via nasal cannula on a continuous basis. [...]

Inspectors wroteBased on observation, interview, and record review, in accordance with accepted professional standards and practices, the facility failed to maintain medical records on each resident that were complete, accurately documented for 1 of 17 residents (Resident #57) reviewed for accurate medical records. The facility failed to ensure Resident #57's physician's order for oxygen was documented in the resident's clinical record. This failure could place residents at risk of not receiving needed care or treatments or duplication of care or treatment by misleading care providers regarding what care or treatments residents have or have not received.