Ayden Healthcare of Jackson

Inspectors wroteBased on medical record review, interview, and facility policy review, the facility failed to ensure quarterly care conferences were conducted and the required departments were present at care conferences. This affected six residents (#12, #14, #27, #31,#37 and #64) of eight residents reviewed for care planning. The facility census was 71. Findings Include: 1. [...]

Inspectors wroteBased on medical record review, interview and facility policy review, the facility failed to ensure one resident's (#35) primary care physician was notified of blood glucose levels above physician ordered parameters. This affected one resident (#35) of five residents reviewed for unnecessary medications. The facility census was 71. Findings Include: [...]

Inspectors wroteBased on interview and record review the facility failed to accurately code antipsychotic medication on the Minimum Data Set (MDS) for Resident #7. This affected one resident (Resident #7) of 22 whose MDS was reviewed. The facility census was 71.

Inspectors wroteBased on interview and record review the facility failed to complete the 48 hour baseline care plan to reflect the trauma Resident #72 received from a recent motor vehicle accident. This affected one resident (Resident #72) of nine reviewed for 48 hour baseline care plan. The facility census was 71.

Inspectors wroteBased on interview and record review the facility failed to complete a comprehensive plan of care to reflect the trauma Resident #72 received from a recent motor vehicle accident or identify the triggers. This affected one (Resident #72) of 22 reviewed for plan of care. The facility census was 71. Review of the medical record for Resident #72 revealed an admission date of 04/23/25 with diagnoses including unspecified fracture of lower end of right radius (long bone of the forearm that runs along the side of thumb and wrist), displaced trimalleolar fracture of right lower leg (ankle), unspecified fracture of right patella (knee), depression, mood disorder and anxiety. [...]

Inspectors wroteBased on observation, medical record review and interviews, the facility failed to ensure one resident (#62) skin interventions were in place as physician ordered. This affected one (Resident #62) of one resident reviewed for skin conditions. The facility census was 71. Findings Include: Review of the medical record for Resident #62 revealed an initial admission date of 04/27/24 with the diagnoses including but not limited to nontraumatic intracranial hemorrhage, Parkinsonism, protein calorie malnutrition, vitamin D deficiency, insomnia, depression, constipation, hyperlipidemia, cerebral infarction, hypertension, malaise, chronic obstructive pulmonary disease (COPD), anemia and asthma. Review of the plan of care dated 04/26/24 revealed the resident had the potential impairment to skin integrity related to debility, anemia,intracranial hemorrhage, impaired mobility and COPD. [...]

Inspectors wroteBased on interview and record review revealed the facility failed to ensure trauma was identified and assessed for causes and potential triggers. This affected one (Resident #72) of two residents reviewed for trauma informed care. The facility census was 71.

Inspectors wroteBased on record review, observation, review of Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight (QSO) Memo 24-08-NH, staff interview, and policy review, the facility failed to ensure a resident's indwelling urinary catheter's collection bag was properly secured so it was not in direct contact with the floor. They also failed to ensure residents with chronic wounds and those with indwelling medical devices were placed in enhanced barrier precautions as required. This affected one (Resident #66) of three residents reviewed for indwelling urinary catheters and affected nine residents (5, #10, #32, #36, #40, #50, #63, #66, and #67) who the facility identified as having chronic wounds or indwelling medical devices. The facility census was 68.

Inspectors wroteBased on record review, observation, resident interview, and staff interview, the facility failed to ensure residents were treated with dignity when indwelling urinary catheter collection bags were not covered when the residents were in bed and left visible from the hallway. This affected two (Resident #40 and #66) of three residents reviewed for indwelling urinary catheters. The census was 68.

Inspectors wroteBased on record review, review of the facility's infection control logs, review of McGeer's criteria for infection surveillance checklist, staff interview, and policy review, the facility failed to ensure a resident was not given antibiotics unless they met criteria for the treatment of a urinary tract infection (UTI). This affected one (Resident #40) of three residents reviewed for indwelling urinary catheter's/ UTI's. The census was 68.

Inspectors wroteBased on record review and interview, the facility failed to ensure Level I PASSARs (Preadmission Assessment and Resident Review) were correct and reflected the need for a Level II review for mental health diagnoses for Residents #15, #16, #43,and #44. This affected four (Residents #15, #16, #43, and #44) of four residents reviewed for PASSARs. The facility census was 67.

Inspectors wroteBased on observation, record review, and staff interview the facility failed to treat residents with dignity when a resident's urinary catheter collection bag was exposed with visible urine in the bag. This affected one resident (#50) of three residents reviewed for urinary catheters. The facility census was 67.

Inspectors wroteBased on observation, record review, and interviews, the facility failed to honor one residents (#72) preference for rising hour. This affected one of one resident reviewed for choices. The facility census was 67. Findings Include: Review of the medical record for Resident #72 revealed an initial admission date of 05/18/23 with diagnoses including Guillain-Barre syndrome, adult failure to thrive, congestive heart failure, hypertension, gastro-esophageal reflux disease, atrial fibrillation, obesity, urine retention, sleep apnea, quadriplegia, dysphagia, unstageable pressure ulcer to right heel. [...]

Inspectors wroteBased on record review, and staff interview the facility failed to have accurate advance directives in the electronic and medical record. This affected one resident (#5) of one resident reviewed for advanced directives. The facility census was 67.

Inspectors wroteBased on record review and interviews, and facility policy review, the facility failed to ensure one resident's (#72) tilt and space wheelchair was not misappropriated. This affected one of two residents reviewed for abuse. The facility census was 67.

Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to develop a comprehensive plan of care in the area of indwelling urinary catheter and pain for two residents (#63 and #64). This affected two of 22 sampled residents. The facility census was 67. Findings Include: 1. Review of the medical record for Resident #64 revealed an initial admission date of 05/08/23 with diagnoses including diabetes mellitus, pressure ulcer sacral region, personal history of malignant neoplasm, malaise, non-Hodgkin lymphoma, lymph nodes of inguinal region and lower limb, carcinoma in bladder, lymphedema, generalized muscle weakness, hypertension, histoplasmosis, hyperlipidemia, morbid obesity, benign prostatic hyperplasia, gastro-esophageal reflux disease and neuromuscular dysfunction of bladder. [...]

Inspectors wroteBased on record review, observation, staff interview, and policy review, the facility failed to ensure a resident's pressure ulcer was accurately assessed to identify the proper staging of the pressure ulcer. This affected one resident (#39) of four residents reviewed for pressure ulcers.

Inspectors wroteBased on observation, record review, interview and facility policy review, the facility failed to ensure nebulizer medication delivery system was stored properly. This affected one of one resident (#58) reviewed for respiratory. The facility census was 67. Findings Include: Review of the medical record for Resident #58 revealed an initial admission date of 05/27/22 with the latest readmission of 07/15/23 with diagnoses including noninfective gastroenteritis and colitis, disorder of bone density, bacteremia, vascular dementia, chronic obstructive pulmonary disease (COPD), gastro-esophageal reflux disease, obstructive and uropathy, depression, anxiety disorder, epilepsy, osteoarthritis, spinal stenosis lumbar region, alcohol abuse, hypertension, neoplasm of unspecified behavior of endocrine glands and parts of nervous system, hyperlipidemia, bipolar disorder and hypothyroidism. [...]

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement physician ordered pressure ulcer interventions. Actual harm occurred to Resident #7 when the facility failed to place pressure reducing heel boots on the resident as ordered by the physician and the resident subsequently developed a pressure ulcer to his right heel. This affected one resident (#7) of the three residents reviewed for pressure ulcers and injuries.

Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a comprehensive care plan to address the medical and physical needs of Residents #36, #39, #66 and #21. This affected four residents reviewed for care plans. The facility census was 63.

Inspectors wroteBased on observation, medical record review and staff interview the facility failed to provide one resident (#52), who was dependent for activities of daily living (ADL) nail care. This affected one of three residents reviewed for ADL.

Inspectors wroteBased on observation, interview, record review and review of the facility policy related to falls, the facility failed to provide monitoring and care related to a hematoma and skin tears for Resident #39. This affected one of 16 residents reviewed. The facility census was 63. Findings inlcude: An observation on 10/04/21 at 3:26 P.M. of Resident #39 found a purple and green bruise above left eyebrow with a small skin tear in the center and a skin tear to left elbow. Resident #39 was unaware how she obtained the bruise and the skin tears. Review of the medical record for Resident #39 revealed an admission date of 08/17/21 with diagnoses including fracture of left femur and sacrum, Parkinson's disease and dementia. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain fall interventions for Resident #4. This affected one (#4) of four residents reviewed for falls.

Inspectors wroteBased on observation, interview and facility policy review, the facility failed to ensure the enteral feeding bottle and tubing for Resident #36 was labeled with nurse initials, date and time initiated. This affected one resident receiving tube feeding. The facility census was 63.

Inspectors wroteBased on observation, interview, and record review the facility failed to date and change oxygen tubing at appropriate intervals and document when 'as needed' oxygen was being used for Resident #21. This affected one resident (#21) of one reviewed for oxygen use. The facility identified 15 residents receiving oxygen.

Inspectors wroteBased on medical record review and staff interview, the facility failed to address one resident's (#24) pharmacy recommendation in a timely manner. Additionally the facility also failed to carry out one resident's (#52) pharmacy recommendation when addressed by the physician. This affected two of five residents reviewed for unnecessary medications. Findings Include: 1. Review of Resident #24's medical record revealed an original admission date of 04/03/17 with the latest readmission of 03/20/20. [...]

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure one resident's (#52) Claritin (an antihistamine medication) was discontinued as physician ordered. This affected one of five residents reviewed for unnecessary medications.

Inspectors wroteBased on observation and interview the facility failed to serve food in a sanitary manner, when touching ready to eat food with soiled gloves for two residents (#13 and #43). The facility identified 62 residents who consumed food from the kitchen. The facility census was 63.