Avantara Long Grove

Inspectors wroteBased on interview and record review the facility failed to notify the state agency after a resident's missing phone could not be located. This applies to 1 of 5 residents (R4) reviewed for misappropriation in the sample of 5.

Inspectors wroteBased on interview and record review the facility failed to thoroughly investigate a report of a lost phone to rule out misappropriation. This applies to 1 of 5 residents (R4) reviewed for misappropriation in the sample of 5.

Inspectors wroteBased on observation, interview and record review the facility failed to identify a fall for a resident with a history of falling and failed to implement their fall policy for 1 of 3 residents (R1) reviewed for safety/supervision in the sample of 3.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were free of accidental hazards by not removing razors from the room of residents with dementia and within reach of residents that have dementia that wander. This applies to 2 of 2 residents (R49 & R120) reviewed for safety in the sample of 32 and 8 residents (R79, R96, R103, R109, R119, R127, R142, & R149) outside of the sample.

Inspectors wroteBased on interview and record review the facility failed to ensure bedtime snacks were offered to residents for 3 of 3 residents (R58, R112, and R526) reviewed for bedtime snacks in the sample of 32 and one resident (R1) outside of the sample.

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement contact isolation precautions for a resident (R95) with methicillin-resistant Staphylococcus aureus (MRSA), failed to wear the appropriate personal protective equipment (PPE) for 3 residents (R31, R11, R154) on enhanced barrier precautions, and failed to perform glove changes during incontinence care for 1 resident (R154). These failures apply to 4 of 9 residents reviewed for infection control in the sample of 32.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide dignity during personal cares for 2 of 2 residents (R31, R97) reviewed for dignity in the sample of 32.

Inspectors wroteBased on interview and record review, the facility failed to obtain weights as ordered by a physician for 1 of 2 residents (R34) reviewed for quality of care in the sample of 32.

Inspectors wroteBased on Observation, Interview, and Record Review the facility failed to ensure an indwelling urinary catheter drainage bag was not placed on a resident's bed or lifted above the level of the resident's bladder for 1 of 4 residents (R53) reviewed for catheters in the sample of 32.

Inspectors wroteBased on observation, interview, and record review, the facility failed to administer oxygen as ordered by a physician for 3 of 4 residents (R34, R95, R519) reviewed for oxygen therapy in the sample of 32.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure physician prescribed medications were administered as ordered for 1 of 2 residents (R1) reviewed for medication administration in the sample of 32.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident with eczema was assessed and treated in a timely manner. This applies to 1 of 6 residents (R1) reviewed for quality of care in the sample of 6.

Inspectors wroteBased on interview and record review, the facility failed to provide oxygen therapy according to professional standards for a resident (R1) experiencing low oxygen levels. This applies to 1 of 3 residents reviewed for oxygen therapy in the sample of 4.

Inspectors wroteBased on observation, interview and record review the facility failed to supervise a resident with dementia and a history of wandering for 1 of 9 residents (R2) reviewed for safety in the sample of 9.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure cookware was handled in a sanitary manner. This applies to all 163 residents residing at the facility.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident rooms were clean and homelike for 4 of 32 residents (R23, R45, R88, R138) reviewed for environment in the sample of 32.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure R162 was provided with incontinent care as directed by her care plan and failed to ensure R50 was positioned and provided with care planned interventions during mealtimes for two of thirty-two residents reviewed for ADL's-Activities of Daily Living.

Inspectors wrote2. On 6/26/23 at 10:29 AM, R147's Pressure reduction heel boots were sitting in a chair at the foot of R147's bed. R147's right and left lateral heels were resting on the bed. No off-loading interventions were in place. On 6/27/23 at 9:03 AM, V18 Restorative Aide said, pressure to the heel of the foot is reduced by elevating the feet off the bed with pillows or applying heel protectors. On 6/27/23 at 11:30 AM, R147 was in bed lying on his back. R147's heels were resting on the bed. R147 did not have heel boots or a pillow to off-load pressure from his heels. R147's current Care Plan on 6/26/23 shows, R147 has potential for pressure injury related to assessed as moderate risk (for pressure ulcers), limited joint mobility, incontinent, diabetes, Cerebral Vascular Accident with hemiplegia, anemia, sacral to groin moisture acquired skin disorder, history of a Stage three pressure ulcer. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure aspiration precautions were maintained for a resident with dysphagia, failed to provide thicken liquids and failed to ensure fall interventions were in place for a resident at risk for falls. This applies to 2 of 32 residents (R151, R10) reviewed for safety in the sample of 32.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure perineal care was provided in a manner to prevent infections for a resident with a history of urinary tract infections. This applies to 1 of 9 residents (R98) reviewed for bladder services in the sample of 32.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident with significant weight loss was provided nutritional supplements at meals for 1 of 12 residents (R78) reviewed for weight loss in the sample of 32.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure the noon meal was thoroughly pureed for 21 of 21 residents (R54, R128, R98, R176, R116, R25, R19, R78, R27, R129, R162, R41, R34, R72, R169, R146, R123, R84, R120, R69 and R107) reviewed for pureed diet in the sample of 35.

Inspectors wroteBased on observation, interview, and record review the facility failed to change a non-pressure wound dressing as ordered by the physician for 1 of 3 residents (R162) reviewed for wound care on the sample of 35.

Inspectors wroteBased on observation, interview and record review the facility failed to provide incontinence care in a manner to prevent infection to 1 of 3 residents (R87) reviewed for incontinence care in the sample of 35. On 4/4/22 at 9:57 AM, R87 was in bed with a strong urine odor. V6 (Certified Nursing Assistant-CNA) removed R87's incontinent pad, which was totally soiled with urine. V6 (CNA) took a disposable incontinent wipe, and wiped R87's frontal area once. Then V6 turned R87 to her side and wiped R87's buttocks. There were no further cleansing to R87's thighs and peri areas. On 4/5/22 at 1:45 PM, V3 (License Practical Nurse- LPN) said when providing incontinence care, cleanse peri areas and thighs thoroughly to prevent skin breakdown and infection. R87's facility assessment dated [DATE] show's R87 is always incontinent of urine. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were dispensed according to standards of practice for 1 of 4 residents (R59) reviewed for pharmacy services in the sample of 35.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were secured for 2 of 35 residents (R52 and R38) reviewed for medications in the sample of 35.

Inspectors wroteBased on observation, interview and record review the facility failed to wash hands and change gloves to prevent the spread of infection to 1 of 35 residents (R99) reviewed for infection control in the sample of 35.