Cheney Golden Age Home

Inspectors wroteThe facility reported a census of 36 residents. Based on interview and record review, the facility failed to conduct annual performance reviews for five of the five sampled Certified Nurse Aides, employed with the facility over a year.

Inspectors wroteThe facility reported a census of 36 residents. Based on interview and record review, the facility failed to electronically submit complete and accurate staffing information to the Federal regulatory agency through Payroll-Based Journal (PBJ) when the facility failed to accurately submit hourly staffing data for all nursing personnel.

Inspectors wrote- Review of the Electronic Health Record (EHR) for Resident (R)2 included a diagnosis of urinary retention (lack of ability to urinate and empty the bladder) and multiple sclerosis (progressive disease of the nerve fibers of the brain and spinal cord hypertension). The Comprehensive Minimum Data Set (MDS) dated [DATE] documented R2 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The assessment documented R2 required extensive assistance for all Activities of Daily Living (ADL) such as walking, grooming, toileting, dressing, and eating. The MDS did not identify R2 had an indwelling urinary catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid). The Quarterly MDS dated [DATE] documented R2 had a BIMS score of 12, which indicated intact cognition. [...]

Inspectors wrote- The Electronic Health Record (EHR) for R2 included the diagnoses of dementia (a progressive mental disorder characterized by failing memory confusion), pain, major depressive disorder (major mood disorder which causes persistent feelings of sadness),weakness, multiple sclerosis (progressive disease of the nerve fibers of the brain and spinal cord hypertension), hypertension (HTN-elevated blood pressure), urinary retention (lack of ability to urinate and empty the bladder), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The admission Minimum Data Set (MDS) dated [DATE] documented that R2 had a Brief Interview for Mental Status (BIMS) assessment score of 15, indicating intact cognition. [...]

Inspectors wroteThe facility had a census of 36 residents. The sample included 12 residents with three reviewed for hospitalization. Based on observation, interview, and record review the facility failed to provide written notice for facility-initiated transfers for Residents (R) 11, R2, or R6 or their representative when they were transferred to the hospital.

Inspectors wroteThe facility identified a census of 36 residents, which included 12 residents sampled. Based on interviews, observations, and record review, the facility failed to review and revise care plans with appropriate interventions for two of the sampled residents; Resident (R) 6 related to development and implementation of appropriate interventions to prevent additional falls and R11 related to storage of continuous positive airway pressure (CPAP - a device that provides continuous air pressure to keep the upper airway open during sleep) equipment when not in use. These deficient practices resulted in uncommunicated care needs.

Inspectors wroteThe facility census totaled 36 residents, with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to identify a fall, investigate causal factors, and implement fall prevention interventions for Resident (R)6 to prevent further falls.

Inspectors wroteThe facility reported a census of 38 residents. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation, storage and serving to prevent the spread of food borne illness to the residents of the facility.

Inspectors wroteThe facility reported a census of 38 residents with 12 sampled, including three reviewed for Medicare Services. Based on interview and record review, the facility failed to provide the appropriate Notice of Medicare Non-Coverage (NOMNC- informs the beneficiaries of the right to an expedited review by a Quality Improvement Organization), form Center for Medicare/Medicaid Services (CMS)-10123, to all Medicare beneficiaries at least two days before the end of the Medicare covered Part A stay or when all of Part B therapies were ending for the three Residents (R)10, R139, and R140 reviewed.

Inspectors wroteThe facility reported a census of 38 residents, with 12 sampled. Based on interview and record review, the facility failed to complete an accurate comprehensive assessment for one of the resident's sampled that included Resident (R) 35 regarding wounds present on admission to the facility.

Inspectors wroteThe facility census totaled 38 residents with 12 in the sample. Based on observation, interview, and record review, the facility failed to review and revise the care plans for two residents, Resident (R) 8 related to fall prevention interventions and R35, related to DNR (do not resuscitate- or no code, a written legal order to withhold cardiopulmonary resuscitation [CPR], in respect of the wishes of a person in case their heart stopped or they stopped breathing).

Inspectors wroteThe facility reported a census of 38 residents with 12 residents included in the sample. The sample included one resident sampled for Activity of daily living (ADL) cares for dependent residents. Based on observation, interview, and record review, the facility failed to change gloves to provide a sanitary environment while performing peri care to one Resident (R) 5, following his bowel movement.

Inspectors wroteThe facility census totaled 38 residents with 12 in the sample that included three residents for accident hazards. Based on observation, interview, and record review, the facility failed to ensure the fall prevention interventions implemented to prevent further falls for Resident (R) 8.

Inspectors wroteThe facility reported a census of 38 residents, with 12 residents included in the sample, including two residents sampled for respiratory services. Based on observation, interview, and record review, the facility failed to provide necessary respiratory care and services for one Resident (R) 5, who required physician ordered oxygen (O2) and nebulizer inhalation treatments.

Inspectors wroteThe facility census totaled 38 residents with 12 residents sampled, that included six residents sampled for unnecessary medications. Based on observation, interview, and record review, the facility failed to follow physician orders in a timely manner for Resident (R) 8. This failure placed the resident at risk for adverse effects related to medication use.

Inspectors wroteThe facility reported a census of 38 residents with 12 residents selected for review, that included six residents reviewed for unnecessary medications and drug regimen review. Based on observation, interview and record review, the facility's consultant pharmacist failed to ensure one of the six residents, Resident (R)6, regarding as needed (PRN) psychotropic medication stop date.

Inspectors wroteThe facility reported a census of 38 residents with 12 residents selected for review, that included six residents reviewed for unnecessary medications. Based on observation, interview and record review, the facility failed to ensure one of the six residents, Resident (R) 25, regarding monitoring for extrapyramidal (abnormal involuntary body movements caused by medications) symptoms and for R6, regarding as needed (PRN) psychotropic medication stop date and monitoring behaviors.