Farmington Presbyterian Manor

Inspectors wroteBased on interview and record review, the facility failed to ensure the Nurse Aide (NA) Registry check was completed prior to the employment start date for four employees out of 10 sampled employees. The facility census was 68. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to document a complete and accurate Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility) for four residents (Residents #1, #3, #6, and #48) out of 17 sampled residents and three residents (Residents #2, #30, and #38) outside the sample. The facility's census was 68. Review of the facility's policy titled, MDS Data Accuracy, reviewed 02/03/25, showed: - It is the responsibility of those who complete sections of the MDS to ensure data entered accurately reflects the resident's status and is coded according to Resident Assessment Instrument (RAI) Manual guidelines. If MDS documentation inaccuracies or disparities are ascertained, the process of editing the documentation source, in addition to correcting the MDS, will be initiated; [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain infection control practices to prevent the development and transmission of infection by not performing proper hand hygiene, not utilizing gloves appropriately, and by not wearing appropriate personal protective equipment (PPE-specialized clothing or gear that acts like a barrier to minimize infections) for enhanced barrier precautions (EBP-an infection control strategy in long term care that mandates gowns and gloves during high contact care to prevent the spread of multi drug resistant organisms (MDROs) during urinary catheter (a thin, flexible, hollow tube inserted into the bladder to drain urine) care for one resident (Resident #35) out of one sampled resident with a urinary catheter, by not performing proper hand hygiene or utilizing gloves appropriately during perineal (peri care - cleaning of the [...]

Inspectors wroteBased on interview and record review, the facility failed to respond to or act upon the grievances and dietary recommendations for five residents (Resident #7, #17, #40, #45, and #62) out of 17 sampled residents, six residents (Resident #4, #6, #10, #28, #35, and #66) outside the sample and had the potential to affect all the residents in the facility. The facility's census was 67. Review of the facility's policy titled, Resident Council, revised January 5, 2023, showed: - Residents of each community within each level of living (independent, assisted, and skilled nursing) may organize and participate in resident councils. The resident council shall be composed of representatives from the designated living area (independent, assisted, and skilled nursing), officers of the council and chairpersons of the standing committees; [...]

Inspectors wroteBased on interview and record review, the facility failed to follow physician's orders for three residents (Resident #7, #9, and #36) out of 17 sampled residents. The facility's census was 67. The facility did not provide a policy regarding following physician's orders for weighing residents. 1. Review of Resident #7's medical record showed: - An admission date of 05/24/21; - Diagnoses of heart failure (a condition where the heart muscle is unable to pump enough blood to meet the body's needs), chronic respiratory failure with hypoxia (a serious condition where the body's respiratory system can't remove enough oxygen from the blood), and chronic obstructive pulmonary disease (COPD - a group of lung diseases that cause airflow obstruction and breathing problems). Review of the resident's Physician's Order Sheet (POS), dated January 2025, showed an order to weigh daily, dated 12/06/24. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for supplemental oxygen therapy and oxygen tubing and humidifier changes for one resident (Resident #7) out of 17 sampled residents. The facility's census was 67. Review of the facility's policy titled, Oxygen Therapy, revised 10/08/21, showed: - Oxygen is treated as a medication ordered by the physician; - The order includes the amount per minute to be delivered, the device used for delivery, and during what times to deliver oxygen therapy; - Change tubing once a week or when soiled. Date, time, and initial tubing when changed; - Non-disposable refillable humidifier bottles are changed every seven days; - Date and initial each non-disposable refillable humidifier when changed every seven days or if contaminated; [...]

Inspectors wroteBased on observation and interview, the facility failed to provide a safe and functional environment for the residents by allowing items to be stored on top of over bed light fixtures for residents in ten resident rooms. Storing items on the over bed light creates a hazard of the items falling on the resident below and does not utilize the light fixtures as intended. The deficient practice had the potential to affect all residents and staff in the facility. The facility census was 67. The facility did not provide a policy for over bed lighting safety. 1. Observation on 01/29/25 at 12:26 P.M. of room [ROOM NUMBER] showed seven stuffed animals on top of the light fixture above the resident's bed. 2. Observation on 01/29/25 at 12:28 P.M. of room [ROOM NUMBER] showed four baseball caps on top of the light fixture above the resident's bed. 3. Observation on 01/29/25 at 12:30 P.M. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to implement a care plan with specific interventions to meet individual needs for two residents (Resident #8 and #60) out of 16 sampled residents. The facility's census was 62. Review of the facility's policy titled, Care Plan, dated 07/28/22, showed: - An appropriate plan of care with services and items the resident is to receive is developed to ensure the highest level of functioning the resident may be expected to obtain; - The plan of care is an ongoing, multi-disciplinary, resident incorporated care plan with services that are to be furnished with consideration of the resident's preference to attain or maintain the resident's highest practicable physical, mental, psychosocial well-being, and will also include the resident strengths, goals, life history. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to update and revise the care plan with specific interventions to meet individual needs of one resident (Resident #7) out of 16 sampled residents. The facility's census was 62. Review of the facility's policy titled, Care Plan, dated 07/28/22, showed: - An appropriate plan of care with services and items the resident is to receive is developed to ensure the highest level of functioning the resident may be expected to obtain; - The plan of care is an ongoing, multi-disciplinary, resident incorporated care plan with services that are to be furnished with consideration of the resident's preference to attain or maintain the resident's highest practicable physical, mental, psychosocial well-being, and will also include the resident's strengths, goals, and life history. [...]