Broadview Health and Rehabilitation Center

Inspectors wroteBased on record review and interviews, the facility failed to honor resident choices for one (#2) of three residents reviewed for self-determination out of five sample residents. Specifically, the facility failed to provide bathing for Resident #2 per her preference.

Inspectors wroteBased on record review and interviews, the facility failed to provide treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (#1) of three residents reviewed for quality of care out of eight sample residents. Specifically the facility failed to: -Assess and monitor Resident#1 after she developed eye drainage; and, -Ensure the facility's physician was aware Resident #1 had been diagnosed with clogged eye ducts and prescribed antibiotics for the condition by an outside provider.

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure an environment free from risk of accidents and hazardous situations for two (#7 and #3) of five residents reviewed for accident hazards out of eight sample residents. Specifically, the facility failed to repair the handicap-accessible door to the smoking patio in a timely manner and ensure the door functioned properly and was safe to use while it was broken for Resident #7 and Resident #3.

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure all drugs and biologicals were properly stored in two of four medication carts and in one of one medication storage room. Specifically, the facility failed to ensure: -Medications were labeled with the date opened; and, -Expired and discontinued medications were removed from the medication carts in a timely manner.

Inspectors wroteBased on record review and interviews, the facility failed manage the pain of three (#15, #36 and #12) of five residents out of 22 sample residents in a manner consistent with professional standards of practice Specifically, the facility failed to ensure residents consistently received scheduled pain medications on time.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure one (#47) of one resident out of 22 sample residents received the proper treatment and assistive devices to maintain hearing. .Specifically, the facility failed to: -Obtain an order for ear wax drops in order for the audiologist to perform a hearing test for Resident #47; and, -Obtain a follow-up appointment with the audiologist to address Resident #47's concerns with his hearing ability.

Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#51) of one resident reviewed for abuse out of 22 sample residents was kept free from abuse. Specifically, the facility failed to keep Resident #51 free from sexual abuse by Resident #6.

Inspectors wroteBased on record review and interviews, the facility failed to provide services in accordance with currently accepted professional principles for one Resident (#1) out of three residents reviewed for blood sugar managements out of a total sample of six residents. Resident #1, who had a diagnosis of diabetes and was on diabetic medication, did not have his blood glucose levels consistently monitored by the facility. Resident #1 was sent to the hospital on [DATE] when he was lethargic with a diagnosis of hyperglycemia. For three days, 10/25/23 to 10/27/23, Resident #1 had high blood glucose readings above 300 milligrams per deciliter (mg/dl), with normal being 70-130 mg/dl. The facility staff failed to monitor the resident for signs and symptoms of high glucose levels. Two weeks later, on 11/2/23, the resident was sent to the hospital with hyperglycemia.

Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility failed to maintain nurse unit refrigerators used for resident snacks and nourishment on three of three nurse units with proper temperatures to prevent foodborne illness, and without accurate temperature logs or cleaning. These failures had the potential to cause foodborne illness among residents who eat food prepared in the facility's kitchen and stored in the unit refrigerators.

Inspectors wroteBased on record review and interviews, the facility failed to ensure care for residents was provided in a manner and in an environment that maintained or enhanced the residents' dignity and respect in full recognition of their individuality for one resident (#27) out of five sample residents reviewed for dignity out of 36 sample residents. The facility failed to treat the resident with dignity and respect by not addressing Resident #27's concerns through the grievance process. The facility failed to act upon a report from Resident #27 that the nursing home administrator (NHA) hurt her feelings by asking her to leave his office if she was there to complain, therefore the facility did not initiate the grievance process in order to provide timely follow-up and resolution. [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure that one (#71) out of five sample residents reviewed for grievances out of 36 sample residents were provided prompt efforts by the facility to ensure all grievances were followed up on and resolved promptly and appropriately. Specifically, the facility failed to follow up on Resident #71's concerns promptly, which were brought forward to staff members.

Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for one (#27) of five residents reviewed for oxygen therapy out of 36 sample residents. Specifically, the facility failed to ensure oxygen was administered according to physician orders for Resident #27.

Inspectors wroteBased on observations and staff interviews, the facility failed to maintain an infection control and prevention program designed to provide a sanitary environment to help prevent the development and transmission of communicable diseases and infections in one out of four units. Specifically, the facility failed to provide peri care and skin assessment to Resident #74 in a sanitary manner.

Inspectors wroteBased on interviews and record review, the facility failed to prevent abuse for one (#51) of five out of 31 sample residents. Specifically, the facility failed to protect Resident #51 from abuse from Resident #25.

Inspectors wroteBased on observation and interviews the facility failed to maintain an infection program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection such as coronavirus (COVID-19) for two (#49 and #53) of two residents out of 31 sample residents. Specifically, the facility failed to ensure the use of proper personal protective equipment (PPE) gloves when collecting a polymerase chain reaction (PCR) COVID-19 swab from Resident #49 and #53.