Avamere Rehabilitation of Newport

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure adequate staffing for meal service for 1 of 1 facility kitchen. This placed residents at risk for nutritional complications and adverse effects related to diabetic management.

Inspectors wroteBased on observation and interview it was determined the facility failed to maintain a sanitary kitchen environment and ensure adequate plumbing for the ice machine for 1 of 1 facility kitchen. This placed residents at risk for cross-contamination and food borne illnesses.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 1 of 1 facility reviewed for binding arbitration agreements. This placed residents at risk of being uninformed of their legal rights.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure resident preferences were communicated for 1 of 1 sampled resident (#31) reviewed for choices. This placed residents at risk for lack of honored preferences.

Inspectors wroteBased on interview and record review it was determined the facility failed to notify the physician after holding blood pressure medications based on decreased blood pressure for 1 of 5 sampled residents (#6) reviewed for unnecessary medications. This placed residents at risk for adverse side effects to medications.

Inspectors wroteBased on observations, interviews, and record reviews it was determined the facility failed to provide nail care to dependent residents for 1 of 2 sampled dependent residents (#6) reviewed for ADLs. This placed residents at risk for lack of dignity.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to monitor for changes in skin for 1 of 1 sampled resident (31) reviewed for choices. This placed residents at risk for delayed treatment and unmet needs.

Inspectors wroteBased on observation, interview. and record review, it was determined the facility failed to complete a baseline care plan and provide ongoing behavioral health needs for 1 of 3 sampled residents (#46) reviewed for mood and behavior. This placed residents at risk for unmet behavioral health needs and decrease in their quality of life.

Inspectors wroteBased on interview and record review it was determined the facility failed to obtain fasting serum blood sugars as ordered for 1 of 5 sampled residents (#5) reviewed for medications. This placed residents at risk for uncontrolled blood sugars.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure hair and beard restraints were worn during meal preparation for 1 of 1 sampled kitchen reviewed for sanitary food practices. This placed residents at risk for contaminated food.

Inspectors wroteBased on interview it was determined the facility failed to ensure a system was in place to offer COVID-19 vaccines to staff for 1 of 1 staff (#3 [CNA]) reviewed for immunizations. This placed staff and residents at risk for infections.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were offered a pneumonia vaccine for 4 of 5 sampled residents (#s 1, 9, 11, and 13) reviewed for immunizations. This placed residents at risk for infections.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident was shaved for 1 of 1 sampled resident (#4) reviewed for ADLs. This placed residents at risk for lack of hygiene.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to assist with a hearing aid device for 1 of 1 sampled resident (#30) reviewed for hearing. This placed residents at risk for social isolation and decreased quality of life.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to apply a brace for 1 of 2 sampled residents (#24) reviewed for ROM. This placed residents at risk for worsening contractures.

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide care and services as care planned for 1 of 1 sampled resident (#25) reviewed for positioning. This placed residents at risk for falls.

Inspectors wrote1. Based on observation, interview and record review it was determined the facility failed to ensure proper infection control practices were followed related to disinfecting shared medical equipment between residents, appropriate PPE use for residents on transmission-based precautions and provision of education to staff on aerosol generating procedure (AGP) precautions for 1 of 3 halls and 1 of 2 sampled residents (#230) reviewed for infection control and pressure ulcers. This placed residents at risk for cross-contamination and infections.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the correct QIO (Quality Improvement Organization) and contact information was identified on the Notice of Medicare Non-Coverage (NOMNC) letter for 3 of 3 sampled residents (#s 284, 285 and 286) reviewed for resident rights. This placed residents at risk for not being fully informed for whom to contact to appeal notices of non-coverage.

Inspectors wrote2. Based on interview and record review it was determined the facility failed to ensure care conferences were held and residents/resident representatives were involved with the care planning process for 2 of 2 (#20 and 24) sampled residents reviewed for care planning. This placed residents and resident representatives at risk for lack of involvement in care planning.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure pressure ulcers were accurately assessed and routinely monitored for healing for 1 of 3 sampled residents (#5) reviewed for pressure ulcers. This placed residents at risk for worsening pressure ulcers.

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide behavioral healthcare services for 1 of 2 sampled residents (#25) reviewed for Behavioral and Emotional concerns. This placed residents at risk for increased mental health concerns.

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure there was an appropriate indication for use of a psychotropic medication for 1 of 5 sampled residents (#6) reviewed for unnecessary medications. This placed residents at risk for unnecessary medications.