Good Samaritan Society - Bloomfield

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B)&(C) Based on observations, record review, and interview; the facility failed to complete hand hygiene at appropriate intervals during the provision of cares and to provide care and management of Resident 1's indwelling urinary catheter (a flexible plastic tube inserted into the bladder that remains there to provide continuous urinary drainage) to prevent the potential for cross contamination and urinary tract infections. The sample size was 3. In addition, the facility failed to prevent the potential spread of COVID-19 related to failure to test staff who displayed signs and symptoms of COVID-19, this had the potential to affect all residents. The facility census was 30.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.04(D)Based on observations, record reviews, and interviews: the facility staff failed to ensure sufficient staff were available to provide timely toileting/incontinence cares for Resident 1 and to respond to call lights within expected timeframes. The total sample size was 3 and the facility census was 30.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview, the facility failed to report to the State Agency, complete an investigation and then to submit the investigation within 5 working days an allegation of staff to resident abuse for 1 (Resident 1) of 3 sampled residents. The facility staff identified a census of 30.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii)Based on record review and interview; the facility failed to update Resident 1's comprehensive care plan to reflect the resident's preference for getting up in the morning. The sample size was 3 and the facility census was 30.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(i)(3)Based on observations, record review, and interview; the facility failed to provide timely toileting assistance/incontinence management for Resident 1 who required assistance with activities of daily living. The total sample size was 3 and the facility census was 30.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04 Based on record review and interviews; the facility failed to have staff adequate to meet the needs of Residents 1, 2, 4, and 5. This had the potential to affect all facility residents. The sample size was 5 and the facility census was 35.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H) Based on record review, and interviews the facility failed to provide needed Activities of Daily Living (ADL, tasks related to personal care, such as dressing, eating, and mobility) assistance to Resident 5 in a timely manner. The sample size was 5 and the facility census was 35.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I) Based on record review and interview; the facility failed to review, revise and/or implement care plan interventions to prevent falls for Resident 1. The sample size was 3 and the facility census was 35.

Inspectors wroteBased on record review and interview; the facility failed to have documented clinical rationale for not completing Gradual Dose Reductions (GDR)'s for Residents 13 and 18 Psychotropic (drugs that affect the mind, emotions, and behavior) medications. The sample size was 5 and the facility census was 29.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on interview and record review; the facility failed to ensure practitioner's orders were followed for 1 (Resident 25) of 1 sampled resident. The facility identified a census of 29.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iii)(2) Based on record review and interviews; the facility failed to evaluate pressure ulcers (localized injury to the skin and underlying tissue, typically caused by prolonged pressure on the skin), to monitor interventions to ensure healing and to prevent the development of further pressure ulcers for 1 (Resident 21) of 3 sampled residents. The facility staff identified a census of 29.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I) Based on record review and interviews; the facility failed to implement and monitor Care Plan fall prevention interventions for Resident 20. The sample size was 1 and the facility census was 29.

Inspectors wroteBased on record review and interview; the facility failed to ensure Resident 6, was offered the COVID-19 vaccine, or was provided with education on the benefits and risks of the vaccine in order to make an informed decision on staying up to date on the COVID-19 vaccination status. The sample size was 5 and the facility census was 29.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7 Based on observations, interview, and record review; the facility failed to identify causal factors and to revise and/or develop fall interventions to prevent ongoing falls for Residents 79, 25, and 6 and to implement fall interventions for Resident 6. The sample size was 4 and the facility census was 24.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(D) Based on observation, interview and record review, the facility failed to ensure 4 residents' (Residents 6, 8, 17, and 83) medications had a record of accounting to prevent loss or theft of medications while awaiting disposition. The sample size was 4 and the facility census was 24.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.06 Based on record review and interviews; the facility failed to address repeat grievances, and to ensure sustainable resolutions of concerns related to the provision of cares and activities for Resident 21. The sample size was 1 and the facility census was 24.

Inspectors wroteLicensure Reference Number: 175 NAC 12-006.04(F)(i)5 Based on record review and interviews; the facility failed to notify Resident 21's family/responsible party of changes in the resident's condition related to weight loss and the initiation of nutritional interventions to address weight loss. The sample size was 1 and the facility census was 24.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7 Based on record review and interview; the facility failed to review falls for causal factors and implement measures to prevent ongoing falls for Resident's 15, 17, 20, and 75. The sample size was 4 and the facility census was 21.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09A Based on record review and interview; the facility failed to ensure a Preadmission Screening Resident Review (PASARR- a federally mandated screening program to ensure Nursing Home resident with mental illness and/or developmental disabilities receive the care and services they need in the most appropriate settings) screen was completed accurately and/or a new PASARR was initiated to determine if a Level II PASARR evaluation was warranted for Resident 16. The sample size was 1 and the facility census was 21.

Inspectors wroteLicensure Reference Number: 175 NAC 12-006.09D8a Based on observation, record review and interview; the facility failed to provide Resident 7 with a Level 5 Minced and Moist diet (foods that are ground, soft, moist and easy to chew) as recommended by the Speech Therapist and ordered by the practitioner. The sample size was 1 and the facility census was 21.