Future Care Old Court

Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure staff received ongoing Quality Assurance and Performance Improvement (QAPI) training. This deficient practice was evident for 4 of 5 employee files reviewed during the annual survey.

Inspectors wroteBased on observation and interviews with facility staff, it was determined that the facility failed to a keep a sanitary environment in the kitchen. This was evident during the initial observation of the kitchen during the annual re-certification survey.

Inspectors wroteBased on the kitchen tour and staff interview, it was determined that the facility failed to ensure that stored food items were properly labeled and dated. This deficient practice has the potential to affect all residents in the facility. The Findings Include: On 12/04/24 at 07:45 AM, during the initial kitchen tour with the Certified Dietary Manager (Staff#10), the following deficiencies were observed: 1. The walk-in refrigerator revealed a stand-alone plastic bag of chicken breast, approximately 20 frozen pieces, and a plastic bag of link sausages that did not have labels and were not dated. 2. A bottle of honey was found in the dry storage area with a prep date of 11/26/2024 and a used date of 12/03/2024. Staff #10 stated, honey is good for 3 years. 3. The dry food section had a container of graham crackers in individual packets that were not dated. [...]

Inspectors wroteBased on interviews and administrative record review, it was determined that the facility failed to provide all geriatric nursing assistants (GNA) with the required annual dementia training. This deficient practice was evident for 32 out of 43 GNA's reviewed during the survey.

Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure residents were treated with respect and dignity while assisting residents with meals. This was evident for 1 (Resident #283) of 1 resident observed being fed by staff.

Inspectors wroteBased on reviews of a facility reported incident, interviews, and record review, it was determined that a staff member had removed money from a resident's account without permission. This was evident for 1 of 36 facility reported incidents reviewed during an annual recertification survey.

Inspectors wroteBased on record review and interview with staff, it was determined that the facility failed to timely report an allegation of abuse to the State Agency, the Office of Health Care Quality (OHCQ), immediately but not later than 2 hours after the allegation of abuse was made. This was evident for 2 (Resident #34 and #147) out of 15 residents investigated for abuse during the survey.

Inspectors wroteBased on record review and interview with residents and staff, it was determined that the facility failed to develop and implement a comprehensive care plan for residents. This was evident for 1 (Resident #103) out of 61 residents reviewed during survey.

Inspectors wroteBased on record review and interview with staff, it was determined that the facility failed to facilitate timely care plan meetings after a resident's quarterly assessment to allow the resident and resident representative to participate in the care planning process. This was evident for 1 (Resident #48) out of 2 residents investigated for care planning during the survey.

Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to provide the necessary Range of Motion (ROM) exercises for a resident in the functional maintenance program. This was evident for 1 (Resident #11) out of the 5 residents reviewed for mobility during the survey.

Inspectors wroteBased on record review and interview with resident and facility staff, it was determined that the facility failed to offer and provide showers to a dependent resident twice per week. This was evident for 1 (Resident #103) of 2 residents investigated for Activities of Daily Living (ADL) during the annual survey.

Inspectors wroteBased on record review and interview with staff, it was determined that the facility failed to ensure a physician's order for a STAT (without delay) x-ray was performed timely, preventing a delay in treatment. This was evident for 1 (Resident #34) out of 3 residents investigated for accidents during the survey.

Inspectors wroteBased on interviews, and administrative record reviews, it was determined that the facility staff failed to complete annual nursing aide performance reviews. This was evident for 3 out 7 ( GNA #28, GNA #31, and GNA #53) nursing aide performance appraisals, reviewed during the survey.

Inspectors wroteBased on record review and interview with staff, it was determined that the facility failed to maintain accurate medical records. This was evident for 2 (Resident #51 and #129) out of 61 resident records reviewed during the survey.

Inspectors wroteBased on a review of a Facility Reported Incident, resident interview, and staff interviews, it was determined that the facility failed to ensure that the agency Geriatric Nursing Assistant (GNA) had received the annual abuse education required to work with long-term care residents. This was evident for 1 (staff #32) of 3 GNAs reviewed for abuse education during the survey.

Inspectors wroteBased on a review of the facility investigations, medical records, interviews with facility staff and other pertinent documentation it was determined that the facility failed to 1) document a Rehabilitation screen was done for resident #89, 2) document the correct dates on a narcotic sheet for Resident #123) and 3.) accurately document on the controlled drug receipt record for a resident that received a narcotic medication (#173). This was true for 3 of 39 residents reviewed during the annual survey.

Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to 1) develop and implement an ADL care plan based on a comprehensive assessment that included special instructions/precautions for repositioning Resident #275 who was noted to have left-sided tenderness and pain; and 2) develop and implement a care plan that addressed nutrition and weight loss for Resident #274 who received nutrition via a feeding tube and was noted to have weight loss. This was evident for 2 of 4 residents reviewed for care plan development during this annual survey.

Inspectors wroteBased on medical record review and staff interview it was determined the facility staff failed to: 1) consistently follow a physician's order for the administration of Insulin for Resident #86; and 2) develop and implement a plan to monitor Resident #119 during periods of excessive drowsiness due to the administration of multiple medications that have the potential to induce excessive drowsiness and compromise the resident's safety. This was evident for 2 of 4 residents reviewed for quality of care during this annual re-certification survey.

Inspectors wroteBased on medical record review, staff and resident interview, it was determined facility staff failed to ensure the appropriate method for transferring a functionally impaired resident was utilized to ensure the resident's safety. This was evident for 1 of 3 residents (#114) reviewed for safety.

Inspectors wroteBased on medical record review and staff interview it was determined the facility staff failed to establish and maintain a system for ensuring accuracy in weight measurements for a nutritionally compromised resident (Resident #274). This was evident for 1 of 3 residents reviewed for possible weight loss.

Inspectors wroteBased on observations and interviews with facility staff it was determined the facility failed to ensure that staff adhered to infection control policies and practices to prevent the spread of germs and transmission of infections. This was found to be evident during random observations throughout the survey and have the potential of affecting all residents.

Inspectors wroteBased on review of employee files, training records and staff interview it was determined the facility failed to ensure all nurses' aides received 12 hours of training, annually, that included abuse prevention and Dementia management, and addressed areas of weakness as determined in the nurse aides' performance reviews. This was evident for 2 of 4 geriatric nursing assistants (GNAs; #3 and #4) reviewed for training compliance during this annual re-certification survey.