Anthony Community Care Center

Inspectors wroteThe facility reported a census of 23 residents. Five Certified Nurse Aide (CNA) staff, CNA G, CNA O, CNA P, CNA Q, and Social Services Designee (SSD)/CNA K, who worked in the facility for over a year, were reviewed for required annual in-service training. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for CNAs with the required topics and no less than 12 hours per year. Five CNAs lacked the required training topics, and five CNAs lacked the required 12 hours per year of in-service training. This placed the residents at risk for decreased qulaity of care.

Inspectors wroteThe facility reported a census of 23 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to develop and implement, including an annual review, of the facility's infection control policy.

Inspectors wroteThe facility census totaled 25 residents with three residents sampled for accidents. Based on observation, interview, and record review, the facility failed to provide a safe environment when the facility staff allowed three residents to hold lit fireworks in their hands during an Independence Day Celebration. On 07/03/24, the facility staff allowed three residents to hold lit [NAME] Candle (cardboard tube filled with pyrotechnic fireworks to include exploding shells/stars) fireworks, including cognitively impaired Resident (R)1. R1 sustained a burn injury and bruising to her right hand, between her thumb and forefinger, after the last exploding shell/star from the [NAME] Candle firework misfired and the tube blew up in R1's right hand as she held the lit firework with the assistance of staff. [...]

Inspectors wroteThe facility reported a census of 20 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for five of the five Certified Nurse Aides (CNA) reviewed, CNA MM, Q, P, O and M, to ensure adequate appropriate cares and services provided to the residents of the facility.

Inspectors wroteThe facility reported a census of 20 residents. Based on observation, interview, and record review, the facility failed to properly store, prepare and distribute food under sanitary conditions to ensure proper sanitation and food handling practices to prevent the outbreak of foodborne illnesses for the residents of the facility.

Inspectors wroteThe resident reported a census of 20 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff.

Inspectors wroteThe facility reported a census of 20 residents with seven residents identified that used the facility glucometer for obtaining blood glucose (the amount of sugar in the blood) to determine insulin (a medication used to control blood sugar levels) needed to maintain a normal level of blood sugar. Based on observation, interview, and record review, the facility failed to ensure staff sanitized the multi- resident use glucometer and failed to ensure staff provided catheter care for one Resident (R)15 in a sanitary manner to prevent the spread of infection.

Inspectors wroteThe facility reported a census of 20 residents. Based on interview and record review, the facility failed to ensure residents/responsible parties acknowledged receipt of the benefit verses risk information for COVID-19 to make informed declination decisions and failed to offer/arrange for COVID-19 vaccinations for newly admitted residents as required for five Residents (R)4, R10, R15, R16, and R8. - Review of the medical records for Residents (R) 4, R10, R15, R16, and R8 revealed lack of COVID-19 vaccination declinations. Review of R 19's medical record revealed the resident admitted to the facility on [DATE]. The resident historically received three doses of COVID-19 vaccine, with the last vaccine received on 10/21/21. Furthermore, the record lacked a COVID-19 vaccine acceptance/declination form. Review of R 17's medical record revealed the resident admitted to the facility on [DATE]. [...]

Inspectors wroteThe facility reported a census of 20 residents with 12 residents sampled, including six residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide appropriate, safe transfers for one Resident (R)17.

Inspectors wroteThe facility had a census of 23 residents with 22 residents who received meals from the main kitchen. Based on observation and interview the facility failed to have adequate staff to carry out all functions of the dietary service and in a sanitary manner.

Inspectors wroteThe facility had a census of 23 residents with 22 residents receiving meals from one main kitchen. Based on observation, interview, and record review the facility failed to prepare, store and handle food in a sanitary manner for residents who received meals from the kitchen.

Inspectors wroteThe facility had a census of 23 residents with 12 residents included in the sample. Based on observation, interview and record review the facility failed to ensure the dignity of one resident who used a urinary catheter (tube inserted into the bladder to drain urine into a collection bag) by failing to place the urinary drainage bag in a dignity cover for Resident (R)173.

Inspectors wroteThe facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide written notice of hospitalization to the State Ombudsman for Resident (R)19's hospitalization on 12/22/21 and R 174's hospitalization on 12/06/21.

Inspectors wroteThe facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide the resident or the resident's represetative a Bed Hold Policy upon the hospitalization transfer on 12/22/21 of R19 and for the hospitalitzaiton transfer of R174 on 12/06/21.

Inspectors wroteThe facility census totaled 23 residents with 12 included in the sample. Based on observation, interview and record review the facility failed to revise the care plan to include coordination of the nursing care provided by the facility with the care provided by hospice. Resident (R) 13. Findings Included: - Resident (R)13's signed Physician Orders dated 12/15/21 revealed the following diagnoses: dementia (progressive mental disorder characterized by failing memory, confusion), Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), dysphagia (difficulty swallowing) due to CVA (Cerebral Vascular Accident commonly known as a stroke, sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain ). [...]

Inspectors wroteThe facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to coordinate nursing care provided by the facility with the care provided by hospice for Resident (R) 13.

Inspectors wroteThe facility reported a census of 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide necessary services to decrease the risk of a urinary tract infection when the staff failed to ensure Resident (R)173's urinary catheter drainage bag did not come in direct contact with the floor.

Inspectors wroteThe facility had a census of 23 residents, with 12 residents sampled, and five reviewed for unnecessary medications. Based on observation, interview and record review the facility failed to ensure the Consulting Pharmacist identified the lack of an end date for as needed (PRN) psychotropic (relating to or denoting drugs that affect a person's mental state) medications administered past 14 days for Resident (R) 9.

Inspectors wroteThe facility had a census of 23 residents with 5 residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure Resident (R)9's as needed (PRN) psychotropic medication had the appropriate end date.