Cameron Healthcare Center

Inspectors wroteBased on observation, resident interview, staff interview and policy review the facility failed to provide a comfortable home like environment in the communal shower room. This failed practice was a random opportunity for discovery and had the potential to effect more than a limited number of residents during the Long-Term Care Survey Process. Resident identifier: #42. Facility census: 54. Findings Include:a) Communal Shower RoomDuring the initial interview on 03/02/26 at 12:40 PM, Resident #42 stated, The shower room is cold. That is why I wash myself off at the sink a lot of days. An observation on 03/02/26 at 1:00 PM, revealed the shower room felt cool. There was no thermometer in the shower room to get the actual temperature. [...]

Inspectors wroteBased on observations, review of clinical records, facility documentation, and staff interviews the facility failed to establish and maintain an infection prevention program to help prevent the development and transmission of communicable diseases, to help prevent cross-contamination and infections including Covid-19 in regard to, follow CDC (Centers for Disease Control) guidelines for use of PPE (Personal Protective Equipment) and ensure staff donned appropriate personal protective equipment (PPE) prior to wound care for a resident on (Enhanced Barrier Precautions) and provide appropriate wound cere. The facility also failed to ensure the laundry area had bags of trash and dirty laundry in receptacles. These failed practices had the potential to affect every resident currently residing in the facility. Resident identifier:# 2. Facility census: 54.

Inspectors wroteBased on staff interview and record review the facility failed to ensure medical assessments regarding the frequency of falls were completed accurately. This deficiency was identified in one (1) out of two (2) records reviewed. Resident identifier: #6. Facility census: 54.

Inspectors wroteBased on resident interview and record review the facility failed to provide Activities of Daily Living (ADL) care to dependent residents during meal times. This failed practice was found true for (1) one of (3) three residents reviewed for ADL care during the Long-Term Care Survey Process. Resident identifier: #11. Facility census: 54. Findings Include:a) Resident #11During the initial interview on 03/02/26 at 12:35 PM, Resident #11 stated, About a week ago, I asked to have my brief changed about 15 minutes before supper and was told by the nurse aide that I would have to wait until after the meal. A record review on 03/04/26 at 9:30 AM, revealed an ADL care plan for Resident #11 that had an intervention that read as follows:Toileting Hygiene: Totally dependent of 1, 1 helper does all the effort. Resident does none of the effort. [...]

Inspectors wroteBased on record review and staff interviews, the facility failed to provide care and services in-accordance with professional standard of practice in regards to adverse drug consequence, Adverse consequence is a broad term referring to unwanted, uncomfortable, or dangerous effects that a drug may have, such as impairment or decline in an individual's mental or physical condition or functional or psychosocial status. The resident had not yet experienced side effects from the medication. This was true for one (1) of five (5) reviewed for unnecessary medications. Resident identifier #9. Facility census: 54.

Inspectors wroteBased on record review and staff interviews Medication Regimen review (MRR) failed to evaluate and report on the potential adverse consequences for a resident to receive a medication in which they had a listed drug allergy. This was true for one (1) of five (5) reviewed for unnecessary medications. Resident identifier #9. Facility census: 55.

Inspectors wroteBased on record review, facility documentation, and staff interview, the facility failed to protect residents from resident abuse. The facility failed to provide a safe environment for Residents. The deficient practice put five (5) of five (5) Residents at risk for serious injury, serious harm, serious impairment, or death. Resident Identifiers #32, #52, #14, #49, #36, and #24. Facility census: 52. The facility was notified of the Immediate Jeopardy (IJ) at 6:53 PM on 08/13/24. The facility submitted their first abatement plan of correction (POC) at 7:28 PM on 08/13/24. The POC was accepted by the state agency at 7:47 PM on 08/13/22. After observation of the implementation of the abatement POC, the IJ was abated at 3:30 PM on 08/14/24. The IJ started on 08/13/24 and ended on 08/14/24. The facility's approved abatement POC consisted of the following: [...]

Inspectors wroteBased on observations and staff interview, facility staff failed to provide the housekeeping services necessary to maintain a safe, clean, comfortable, and homelike environment, by not maintaining the water temperature at a comfortable level for residents, and not ensuring that the shower rooms, and residents bathrooms were free of any accumulated dirt, grime, or other substances, and foul odors. Resident Identifiers: #4, #10, and #13. Facility Census:52.

Inspectors wroteBased on observations and staff interviews the facility failed to ensure the facility nursing staff posting was completed for the day shift. This was a random opportunity for discovery during the revisit survey. Facility Census:

Inspectors wroteBased on observation and staff interview, the facility failed to dispose of expired food items. This failed practice had the potential to affect more than a limited number of residents who were served food from the kitchen. Facility census: 52.

Inspectors wroteBased on observation, interviews with facility staff, and a review of facility policy and procedures, it was determined that the facility failed to follow acceptable infection control practices that controlled, or prevented, the spread of infection. This practice had the potential to affect all residents that reside in the facility. Facility Census: 52.

Inspectors wroteBased on record review, and resident and staff interviews, it was determined that the facility staff failed to treat residents with respect and dignity, and to allow the residents the right to exercise his or her rights as a resident of the facility. This finding was true for one (1) of two (2) residents reviewed for the dignity care area during the survey. Resident Identifier #4. Facility Census: 52. Findings Included: a) Resident #4 During an interview on 08/12/24 at 2:57 PM, Resident #4 stated that she prefers to use a bedpan when voiding. Resident is non-ambulatory. Her diagnoses include fibromyalgia, acute and chronic respiratory failure, muscle wasting and atrophy of right and left upper arms, generalized muscle weakness, and morbid obesity. Resident is on oxygen, and requires substantial assistance, including the use of a lift for transfers. [...]

Inspectors wroteBased on observation and staff interview, the facility failed to have the Ombudsman information posted that was easily accessible for residents. This failed practice had the potential to affect more than a limited number of residents who are not tall enough or in wheel chairs. Facility census: 52.

Inspectors wroteBased on record review, and staff interview, the facility failed to report a fall with serious injury to the required agencies within the specified time period. This failed policy had the potential to affect an isolated number of residents that reside in the facility. Resident Identifier: #37. Facility census:52. Findings Included: a) Resident #37 Review of records on 08/13/24 at 11:32 AM revealed a note dated 7/22/2024 at 1:33 AM by Licensed Practical Nurse (LPN) #43. The note stated: Resident fell and hit head in her bathroom large knot and laceration above the left eye. (name) MPOA notified. Telehealth called and gave orders to transfer resident to local hospital. Resident complains of neck pain and some bruising to right hand and left knee. Another note on 7/22/24 at 5:11 AM by LPN #35 stated: Nurse at (local hospital) said resident is being transferred to (area trauma center). [...]

Inspectors wroteBased on record review and staff interview, the facility failed to ensure that the resident's Pre-admission Screening (PAS) reflected pre-admission diagnoses for one (1) of one (1) residents reviewed for the category of PASARR (Pre-admission Screening and Record Review), during the Long-Term Care Survey process. Resident identifier: #39. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure residents who experienced weight loss of five (5) pounds or more were re-weighed to verify weight was correct. This was true for one (1) of one (1) resident's reviewed under the nutrition pathway during the Long-Term Care Survey Process. Resident Identifier: #38. Facility census: 52.

Inspectors wroteBased on resident council minutes review, resident interviews, review of the facility's grievance log, and staff interview, the facility failed to consider the voiced concerns of residents in resident council as grievances. The facility failed to act promptly to investigate resident grievances. This had the potential to affect an unlimited amount of residents living in the facility. Facility census: 53.

Inspectors wroteBased on resident interview, observation and staff interview, the facility failed to maintain a clean and safe shower room. This is true for one of one shower room utilized by all residents. Resident census: 53.

Inspectors wroteBased on resident interview, record review, and staff interview, the facility failed to make a reasonable accommodation for a resident's room temperature preference as it related to his Chronic Obstructive Pulmonary Disease (COPD) and Anxiety diagnoses. Resident identifier #22. Facility census: 53.

Inspectors wroteBased on record review and staff interview, the facility failed to provide evidence the required Notification of Medicare Non-Coverage (NOMNC) notice was issued in a timely fashion for one (1) of three (3) residents reviewed for beneficiary protection notification. This failure had the potential to place the resident at risk of not being informed of their rights prior to the end of Medicare Part A covered services. Resident identifier: #206. Facility census: 53.

Inspectors wroteBased on record review, review of facility documentation of reportable occurrences , and staff interview, the facility failed to ensure that all alleged violations of abuse and neglect, including incidents resulting in serious bodily injury, were reported immediately, and failed to ensure the results of the investigation were reported within five (5) working days of the occurrence, to other officials (including to the State Survey Agency and Adult Protective Services (APS) where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. Resident #51 sustained serious bodily injury in the facility and the injury was not reported within two (2) hours of staff's knowledge of the severity of the resident's injuries sustained from a fall. [...]

Inspectors wroteBased on medical record review and staff interview, the facility failed to revise the care plan for a resident with contractures. This is true for one of one resident reviewed for range of motion. Resident identifier: #12. Facility census: 53.

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure Resident #32 received medications as ordered by the physician. NovoLOG (a medication used to control blood sugar in people with diabetes mellitus) was not administered and documented in accordance with professional standards of practice. This affected one (1) of five (5) residents reviewed for unnecessary medications during the long-term care survey process. Resident identifier: #32. Facility census: 53.

Inspectors wroteBased on record review and staff interview, the facility failed to maintain an accurate medical record for two (2) of 17 sampled residents reviewed during the Long-Term Care Survey process. Resident identifiers: #27 and #32. Facility census: 53.