East View Healthcare

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the daily staffing was posted and readily accessible for review for 1 of 1 facility reviewed for required postings. - The facility failed to post the facility Direct Care Daily Staffing Numbers on 02/24/26.- The facility failed to post the Direct Care Daily Staffing Numbers in a location visible to all by posting it on the wall in front of the 300 Hall.- The facility failed to include the total hours worked for each type of direct care staff on the Direct Care Daily Staffing Numbers from 01/01/26 to 02/24/26. These failures could affect residents, facility visitors, vendors, and emergency personnel by placing them at risk of not having access to information regarding daily nursing staffing in a timely manner. Findings Include: [...]

Inspectors wroteBased on record review and interview, the facility failed to implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for 4 (CMA D, RN L, LVN B, DES G) of 16 staff reviewed for abuse prevention. -The facility failed to check the EMR every twelve months for staff members CMA D by 8/28/2025 and RN L, LVN B and DES G by 8/29/2025. This failure could place residents at risk of abuse and neglect. Record review of the facility's personnel files, the following staff were identified as having EMRs conducted more than 12 months apart:-CMA D was hired on 6/9/2016 and had EMR checks on 8/28/2024 and 12/15/2025. CMA D was employable.-RN L was hired on 02/07/2024 and had EMR checks on 8/29/2024 and 12/17/2025. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide necessary services to maintain good grooming and personal hygiene for 1 (Resident #51) of 5 residents reviewed for activities of daily living. -The facility failed to remove unwanted facial hair from Resident #51's chin area and above resident's mouth observed on 12/16/2025 and 12/17/2025. This failure placed residents at risk for psychological embarrassment, sadness, and decrease in quality of life. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate administration of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #51) of 5 residents reviewed for pharmacy services. -Resident #51 did not receive Ozempic on 11/12/2025 and 12/17/2025 as ordered by the physician. The deficient practice could place residents at risk of not receiving the therapeutic effects from their medications as intended by the prescribing physician order. [...]

Inspectors wroteBased on observation and interview and record review, the facility failed to dispose of garbage and refuse properly for 1 of 3 dumpsters (Dumpster #2) reviewed for garbage disposal.-The facility failed to close the facility dumpster when not in use on 12/16/2025 when the outside dumpster #2's right sliding door was left open. This failure could place residents at risk of contact with pests and associated diseases. Observation and interview on 12/16/2025 at 8:45a.m., the right sliding door of Dumpster #2 was open. MS A said the dumpster doors should have been closed. When asked what kind of negative effects it could cause, he did not answer the question. Interview with the Dietary Manager on 12/16/2025 at 10:40a.m., she said that the dumpster doors should have been closed. Animals and rodents could get in the trash. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent complications of enteral feeding including but not limited to dehydration in one of two residents (Resident #52), in that: - Resident #52's pump history reflected the resident only received 37.5% of his enteral order in the past 24 hours. - Resident #52's pump history reflected the resident's tube feeding was stalled for 3 hours. - LVN B and ADON B were unaware of the resident's inadequate intake. The failures placed all resident on tube feedings at risk of malnutrition and dehydration.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that drugs and biologicals used in the facility were secured properly for Resident #1 (one of eleven residents) as evidenced by: -Resident #1 had pills in a plastic cup in her right hand and was unattended. This deficient practice could place residents at risk for harm and place the facility at risk for a possible drug diversion.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and served in accordance with professional standards for food service safety in 1 of 1 kitchen, in that: - Food was found unsealed in dry storage - Food was found not labeled and dated in the walk-in cooler - Meals from the kitchen were served without first taking temperatures of the food. - Dietary aide A was touching her face mask and handling ready-to-eat foods without proper hand hygiene. These failures increased residents' risks of consuming contaminated foods and getting a foodborne illness.

Inspectors wroteBased on observation, interview and record review, the facility failed to implement its infection control policies for 6 of 7 residents (Residents #11, #71, #74, CR #69, CR #1 and CR #2) reviewed for infection control, in that: - The facility failed to ensure Residents #71, #74 and #11's rooms had isolation precautions in place on 08/15/2023 despite their being orders for contact isolation. - The facility failed to prevent CNA F from serving a meal tray to a contact isolation room on 08/15/2023 without using necessary PPE. - The facility failed to ensure there was tracking and trending documentation for Resident #69, CR #1 and CR #2 during the months of January to April 2023. This failure placed residents an increased risk for continued infection and lack of proper treatment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program in the kitchen, in that: The facility failed to ensure 5 live roaches were not observed in the kitchen. This failure placed all residents who consume food prepared in the kitchen at increased risk of illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that drugs and biologicals used in the facility were secured properly for Resident #10 reviewed for pharmacy services as evidenced by: The facility failed to ensure Resident #10's liquid intravenous medication bag hanging on the pole at bedside and unattended on top of the bedside table was labeled with the name of nurse, time or date of reconstitution (restoring something dried to its original state by adding water to it). This deficient practice could place residents at risk for harm and place the facility at risk for a possible drug diversion.