Dewitt Nursing Home

Inspectors wroteBased on observation, interviews and facility policy review, the facility failed to ensure expired over the counter (OTC) medications were removed from active medication storage and disposed of to prevent administration to residents, for one of one OTC medication storage cabinet reviewed.

Inspectors wroteBased on record review and interview, the facility failed to ensure the facility assessment included pertinent information to assure the necessary care and resources were allocated to meet the needs of the residents in 1 of 1 facility. This deficient practice had the potential to affect all residents of the facility. The total census was 32 residents.

Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure dignity was maintained for 2 sampled (Resident #21, #31) sampled residents.

Inspectors wroteBased on interviews, record review, and policy review, the facility failed to provide access to resident personal funds during the evening and weekends.

Inspectors wroteBased on interviews, record review, and policy review, the facility failed to provide quarterly personal funds account statements to residents or legal representatives. 1. On 09/11/2024 at 1:30 PM, during an interview the members of the Resident Council stated they do not receive a statement of their personal funds account. a. On 09/12/2024 at 9:00 AM, during an interview the Business Office Manager (BOM) she does not send out quarterly statements to the resident or their legal representatives, but she will print a statement when a resident asks for one. b. A policy titled, Management of Resident's Personal Funds, provided by the BOM on 09/12/2024 at 9:45 AM, did not address quarterly statements. 2. On 09/12/2024 at 9:00 AM, the BOM indicated the they have a separate petty cash that they use to keep resident's money. [...]

Inspectors wroteBased on record review, and interview, the facility failed to ensure care plans were revised at least quarterly and/or when the residents care needs changed for 1 (Resident #24) of 12 (Residents #2, #4, #6, #10, #14, #20, #21, #22, #24, #28, #30 and #31) sampled residents whose care plans were reviewed.

Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure potential hazardous chemicals were securely locked away.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure nurse staffing was posted to include the census and names direct care staff with the total number of hours worked and actual hours worked per shift by licensed and unlicensed staff.

Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure that medications and/or biologicals were securely locked away.

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure food items were properly stored and labeled in the refrigerator and freezer in 1 of 1 kitchen, and failed to ensure the ice machine was properly cleaned in 1 of 1 kitchen.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure isolation signage was posted in an area to alert staff, residents and visitors which precautions were required before entering a resident's room who was positive for Coronavirus Disease 2019 (COVID-19) for 1 (Resident #15) of 1 sampled resident who was reviewed for isolation precautions, and failed to ensure the water management program contained the necessary components and was consistently implemented to monitor for Legionella and other water-borne pathogens in 1 of 1 facility.

Inspectors wroteBased on observations, interviews, record reviews, and facility policy reviews the facility failed to ensure personal and medical information was protected for 1 sampled (Resident #14) resident.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure an allegation of abuse was thoroughly investigated for 1 (Resident #24) of 1 sampled resident reviewed for abuse.

Inspectors wroteBased on record review, and interview, the facility failed to ensure a comprehensive plan of care was updated to include the use of oxygen for 1 (Resident #20) of 1 sampled resident who was reviewed for oxygen use.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen was administered at the physician's ordered flow rate to decrease the potential for respiratory complications for 1 (Resident #20) of 1 sampled resident reviewed for oxygen therapy.

Inspectors wroteBased on record review and interivew, the facility failed to ensure a Registered Nurse (RN) worked at least 8 consecutive hours a day, 7 days a week, each week.

Inspectors wroteBased on observation, record review and interview, failed to ensure dented food cans were promptly removed/ discarded to prevent the growth of bacteria; 2 of 2 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen; foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed /discarded on or before the expiration or use by date to prevent the growth of bacteria; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the confidentiality of resident records were kept private by closing the paper medication administration record when not in use.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the residents environment was free of potential accident/hazards for 23 residents who are mobile and who reside in the facility.

Inspectors wroteBased on observation, and interview the facility failed to ensure that medications were stored properly for 1 medication room and 1 of 2 medication carts. The findings had the potential to affect 32 who reside at the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 5 residents who received pureed diets.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure 2 Residents (Resident #19 and Resident #17) catheters were properly secured to prevent potential complications.