Eastridge

Inspectors wroteThe facility had a census of 17 residents. Based on observation, interview, and record review, the facility failed to ensure an environment free from accident hazards when the facility left the active steam table, heating up to 180 degrees Fahrenheit (F), unattended and accessible to residents in the area. The facility reported three cognitively impaired, independently mobile residents who could potentially access the steam table without staff knowledge. This deficient practice placed three cognitively impaired, independently mobile residents in Immediate Jeopardy, and others at risk. The facility also failed to ensure residents did not have access to an unlocked blanket warmer.

Inspectors wroteThe facility identified a census of 17 residents. The sample included eight residents. Based on record review and interview, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. This placed the residents at risk of decreased quality of care.

Inspectors wroteThe facility identified a census of 17 residents. Based on record review and interview, the facility failed to submit accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ) when the facility failed to submit accurate registered nurse (RN) and licensed nurse coverage 24 hours a day.

Inspectors wroteThe facility identified a census of 17 residents. The facility had one medication room and one medication cart. Based on observation, record review, and interview, the facility failed to ensure the medication cart was kept locked and secured when cognitively impaired and independently mobile residents were near the cart. This placed the residents at risk of accidental ingestion of medication and adverse reactions.

Inspectors wroteThe facility identified a census of 17 residents. The sample included eight residents, with one sampled resident reviewed for hospice. Based on observation, record review, and interview, the facility failed to ensure the hospice provider provided the facility with Resident (R) 3's hospice plan of care. This placed R3 at risk of inadequate end-of-life care.

Inspectors wroteThe facility identified a census of 17 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to ensure that daily posted nurse staffing data was posted daily.

Inspectors wroteThe facility identified a census of 19 residents. The sample include nine residents. Based on observation, record review, and interviews, the facility failed to provide consistent activities for the residents during weekends. This deficient practice placed the affected residents at risk for decreased psychosocial wellbeing and boredom. Findings Included: - A review of the facility's Activities Calendar for September, October, and November of 2023 revealed two repeating activities for weekends. The September and October calendars noted catholic communion (10:45AM) and resident's choice (2:00PM) activities on Sundays. The September and October calendars noted recliner time (09:30AM) and movie time (02:00PM) on Saturdays. The November calendar indicated recliner time (09:30AM) and movie time (02:00PM) was noted as the only activities listed for the weekends. [...]

Inspectors wroteThe facility had a census of 19 residents. The sample included nine residents with five residents reviewed for accidents and/or hazards. Based on observation, record review, and interview the facility failed to secure rooms containing hazardous materials out of reach of six cognitively impaired /independently mobile residents. This deficient practice placed the six residents at risk for preventable injuries and accidents Findings Included: - On 11/06/23 at 07:08AM a walkthrough of the facility was completed. An inspection of the facility's Activity Room revealed disinfectant wipes unsecured on a table. An inspection of a supply closet propped open next to the television sitting area revealed a bottle of isopropyl alcohol (rubbing alcohol) and a spray bottle labelled alcohol on a shelf. All products contained the warning Keep out of reach of children. [...]

Inspectors wroteThe facility identified a census of 19 residents. The sample included nine residents. Based on observation, record review, and interview the facility failed to ensure Resident (R) 13 was assessed for the ability to safely self-administer medications. This deficient practice placed R13 at risk for unsafe medication administration and adverse side effects.

Inspectors wroteThe facility identified a census of 19 residents. The sample included nine residents. Based on observation, record review, and interviews, the facility failed to ensure pressure reducing measures were placed on Resident (R) 11's bilateral lower extremities to prevent pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). This placed R11 at increased risk for pressure ulcer development.

Inspectors wroteThe facility identified a census of 19 residents. The sample included nine residents with two residents sampled for position, range of motion (ROM), and mobility. Based on observation, record review and interview, the facility failed to ensure Resident (R) 5's right hand palm cushion was applied as directed to prevent an avoidable reduction of ROM and/or mobility. This deficient practice left R5 at risk for further decline and decreased ROM.

Inspectors wroteThe facility identified a census of 18 residents, with 8 residents included in the sample. Four residents were sampled for accidents. Based on observation, record review, and interview, the facility failed to ensure that a Hoyer lift (a mechanical device used to assist in transferring a resident) full body sling strap (a fabric device used to help suspend and attach to the Hoyer lift when transferring a resident) was fully inserted and clasped into the hook on the lift arm of the Hoyer lift. As a result, Resident (R) 5 slipped from the sling and was lowered to the floor, which resulted in a fractured left ischial tuberosity (the curved bone that makes up the bottom of the pelvis).