Argentine Care Center

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents who consume food from the kitchen.

Inspectors wroteBased on observation, interview, and record review the facility 1) Failed to practice best infection control methods in soiled utility areas resulting in the potential to spread pathogens through the laundry process, affecting all residents and 2) Failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP).

Inspectors wroteBased on observation, interview, and record review, the facility failed to mitigate the presence of pests, maintain safe hot water temperatures, and ensure that appropriate backflow prevention was installed at plumbing fixtures, resulting in the potential for contamination to the water supply, affecting all residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents were treated with dignity during incontinence care and that medications were administered in accordance with resident preferences affecting Resident #25 (R25) one of one resident reviewed for incontinence care, and Residents #25 (R25) and #39 (R39) two of two residents reviewed for medication administration preferences.

Inspectors wroteBased on observation, interview and record review, the facility failed to document an assessment and monitor open areas on the foot and ensure medical records were accessible in the electronic medical record per professional standards of care for one Resident (41) of one reviewed for skin conditions non-pressure related.

Inspectors wroteBased on observation, interview and record review the facility failed to store nebulizer equipment in a sanitary manner for one resident (Resident 41) of two residents reviewed for respiratory care.

Inspectors wroteThis citation pertains to Intake Number MI00152642 Based on the observation, interview and record review, the facility failed to supervise a group activity of five residents and prevent a resident-to-resident for two residents (Res.#502 and Res. #503) of five residents reviewed for abuse, resulting in a hospital transfer for evaluation and treatment.

Inspectors wroteThis citation pertains to Intake Number MI00153237 Based on observation, interview, and record review, the facility failed to follow the standards of practice and physician's order to reduce the methadone dosage administered to one resident (Resident #502) of four residents reviewed for medication errors. Resident 502 received the wrong dosage five times (5/17/25, 5/18/25, 5/19/25, 5/23/25, and 5/24/25), and potentially a second dosage was administered on 5/24/25.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a timely meal pass for three residents (R#5, R#37 and R#47) of 13 residents at the main dining area observed during lunch. FACILITY A dining observation was conducted on 02/27/25 at 11:45 AM to 12:30 PM. The facility meal times policy revealed: Lunch are served between 11:30 and 11:45 AM. There were 12 residents in the dining area with staff waiting for resident's cart to arrive in the dining area. The cart arrived at 12:00 PM from the kitchen. Staff distributed the trays to residents and started setting up and assisting other residents that required feeding. There were three residents R#5, R#37 and R#47 observed without a meal tray while others started eating. At 12:20 PM, The three residents trays have not arrived. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and monitor weights and ensure that interventions to promote nutrition and prevent weight loss were in place for two residents (R#19 and R#37) of four sampled residents reviewed for food and nutrition.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide two diabetic medications (Jardiance and Januvia (sitagliptin)) timely for one resident (Resident #151) of six residents reviewed for medications.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe narcotic storage and reconciliation for one medication room backup supply.

Inspectors wroteBased on observation, interview and record review, the facility failed to serve, store, and prepare food under sanitary conditions in the facility kitchen, resulting in the increased potential for foodborne illness. This deficient practice had the potential to affect all residents who ate meals prepared by the facility out of a census of 43 residents residing in the facility.

Inspectors wroteThis Citation pertains, in part, to Intake Number MI00141874. Based on observation, interview and record review, the facility failed to: (1.) Identify 'purple bag syndrome' for Resident #8, (2.) Keep catheter & tubing on the floor, (3.) Practice hand hygiene with medication pass, (4.) Initiate surveillance of facility monitoring of laundry hot water temperatures, (5.) Prevent overflow of trash receptacles in Transmission Based Precaution rooms, and (6.) Follow up on employee health call-ins, resulting in the likelihood for cross contamination with fingers in the med bottles, overflow of trash receptacles with no lids, low water temperature in laundry services, and cross contamination of urinary catheter, and the spread of illness from employees to residents with likelihood for prolonged illness and/or hospitalization.

Inspectors wroteBased on interview and record review, the facility failed to maintain documentation per facility policy requiring a current cardiopulmonary resuscitation or CPR Certification for one (1) of five (5) nurses reviewed for Licensure and Credentialing resulting in a potential delay involving monitoring residents and the performance of timely emergency response to basic cardiopulmonary resuscitation protocols. This deficient practice affects residents residing in the facility that may require CPR.

Inspectors wroteBased on observation, interview, and record review, the facility failed to label opened, used, multi-dose medications with opened dates for four residents (Resident #12, Resident #21, Resident #30, Resident #50), resulting in the likelihood for residents to receive medications with altered efficiency and potency.

Inspectors wroteBased on observation, interview and record review, the facility failed to justify the administration of antibiotic therapy for two residents (Resident #9, Resident #27) resulting in Resident #9 and Resident #27 receiving antibiotic therapy without appropriate clinical rationale and the possibility of antibiotic resistance due to inappropriate usage.

Inspectors wroteThis Citation pertains to Intake Numbers MI00136477, MI00141844, and MI00141874. Based on observation, interview and record review, the facility failed to ensure that residents' rights were met when the facility failed to 1.) Ensure call lights were answered timely for six Residents (Resident #14 and 5 Residents in the Confidential Group of Residents (E, F, G, H, and I)); 2.) Ensure food was served warm at a palatable temperature for two residents from the Confidential Group of Residents (G and I); and 3.) Ensure that showers/bed baths were provided to five residents from the Confidential Group of Residents (E, F, G, H, and I), of a sample of 12 residents reviewed for residents' rights and accommodation of needs and a group of five residents from the Confidential Group, resulting in unmet care needs, incontinent episodes, feelings of shame and humiliation; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that proper Pre-admission Screening and Resident Review (PASARR) or DCH-3877 Form documentation was completed annually for one resident (Resident #39), of three residents reviewed for PASARR documentation, resulting in the potential for inappropriate admission, and absence of available services for mental disorders or unmet specialized needs.

Inspectors wroteBased on observation, interview and record review, the facility failed to review and revise care plans with resident changes, to ensure that interventions necessary for care and appropriate care and services were provided for two residents (Resident #8, Resident #35), resulting in the likelihood for unmet care needs.

Inspectors wroteThis Citation pertains to Intake Number MI00141844. Based on observation, interview, and record review, the facility failed to: 1.) Provide services to prevent the development of pressure ulcers consistent with professional standards, 2.) Perform skin assessments and provide the appropriate skin care interventions to promote healing and 3.) Notify the physician of the changes in skin condition for the appropriate treatment for one resident (Resident #4), of three sampled residents observed with pressure ulcers, resulting in the development of avoidable pressure ulcer, delay in treatment and healing and potential for wound infection, pain and complications.

Inspectors wroteBased on observation, interview and record review, the facility failed to: (1.) Identify purple bag syndrome of a urinary catheter for one resident (Resident #8) and (2.) prevent recurrent Urinary Tract Infections for one resident (Resident #9), resulting in the likelihood for prolonged illness and possible hospitalizations.

Inspectors wroteBased on observation, interview, and record review, facility failed to: (1.) Obtain signed consents prior to administering anti-psych medications for 2 residents (Resident #9, Resident #35) and (2.) Limit an as-needed order for anti-psychotic medication, the anxiolytic medication lorazepam, to fourteen days without a documented rationale by the prescriber for Resident #35, resulting in the likelihood for unnecessary medications.

Inspectors wroteBased on observation, interview, and record review, the facility failed to have a certified Infection Control Preventionist (ICP) present/interacting with surveyors during the annual recertification survey days during a COVID-19 outbreak, resulting in the likelihood for missed implementation of infection control policies and practices.

Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1.) Maintain a safe and functional beverage cooler in the kitchen (Refrigerator#2) to ensure temperatures below 42 degrees Fahrenheit for all residents consuming milk and other beverages in the facility, 2.) Repair the damaged and rotting baseboard molding in one resident's room (Resident #18) of two residents' rooms observed for comfortable, safe environment, and 3.) Provide trash cans in residents' rooms that are functional and prevent spread of infection and sanitation for a total of 43 residents resulting in unsanitary conditions, lack of home-like environment, potential for illnesses caused by foodborne pathogens and spread of infection to residents, staff and the public.