Gueydan Memorial Guest Home

Inspectors wroteBased on interview and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 3 (#2, #13, and #42) residents out of 29 sampled residents.

Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure that a resident's enteral feeding was properly labeled for 1 (#5) out of 1 (#5) resident investigated for tube feeding.

Inspectors wroteBased on observation, record review and interview, the facility failed to provide necessary care and services in accordance with professional standards of practice by failing to ensure oxygen was delivered at the ordered rate for 1 (#18) out of 1 (#18) resident investigated for respiratory care.

Inspectors wroteBased on record review, observation, and interviews, the facility failed to ensure: 1. Resident #13 was assessed for the risk of entrapment from assist bars. 2. Informed consent was obtained from the resident or the resident's representative prior to installation of assist bars for Resident #13. The deficient practice occurred for 1 (Resident #13) of 29 sampled residents.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide pharmaceutical services, including accurately documenting controlled medication reconciliation in 1 (Med (medication) Cart 1) of 2 (Med Cart 1 and Med Cart 2) med carts for Resident #43.

Inspectors wroteBased on interviews, observations, and record review the facility failed to ensure medications were stored properly in accordance with currently accepted professional principles as evidenced by: 1. failing to discard an expired medication in 1 (Med (medication) Cart 1) of 2 (Med Cart 1 and Med Cart 2) med carts, 2. failing to discard 2 expired medications in 1 (Med Room) of 1 (Med Room), and 3. failing to ensure food was stored separately from medications.

Inspectors wroteBased on interview and record review, the facility failed to ensure the designated interdisciplinary team member obtained the most recent hospice plan of care, and the physician recertification of the terminal illness for 1 (#9) of 1 (#9) resident investigated for hospice care.

Inspectors wroteBased on record review and interview, the facility failed to ensure residents' personal funds were available during non-banking hours. This failed practice had the potential to affect 51 residents who deposited funds in the residents' trust fund. The facility's total census was 51 with a census of 49 residents physicially in the nursing home at the time of the survey.

Inspectors wroteBased on record review and interviews, the facility failed to ensure residents received mail on Saturdays. This had the potential to affect 49 residents residing in the facility.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that their grievance policy and procedure was followed. The facility failed to ensure the residents and staff were aware of the procedure for filing grievances. The deficient practice had the potential to effect a census of 49 residents.

Inspectors wroteBased on observations, interviews, and review of the facilty's policy and procedures,the facility failed to maintain a clean and sanitary kitchen. This deficient practice had the potential to affect the 44 residents who consumed food from the kitchen. The facility's census was 49.

Inspectors wroteBased on observations, records reviews and interviews the provider failed to ensure that a resident's assessment accurately reflected the resident's status for 3 (#14, #28, #102) residents records reviewed out of a finalized sample of 23 residents as evidenced by: 1. failing to ensure Resident #14's MDS (Minimum Data Set) assessment reflected dialysis; 2. incorrectly identifying physical restraint use on Resident #28's MDS assessment; and 3. failing to ensure Resident #102's MDS assessment reflected oxygen use.

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure residents who smoked were free from potential accidents and hazards, by failing to implement the facility's policy that required unsafe smokers to be provided a smoking apron for 3 (#36, #41 and #43) of 3 (#36, #41 and #43) residents who were care planned as unsafe smokers. The final sample size was 23 residents.

Inspectors wroteBased on record review and interview, the facility failed to provide the resident and the resident's representative a written notice that specified the duration of the bed-hold policy for 1 (#102) of 1 (#102) residents investigated for hospitalizations in a final sample of 23 residents. This deficient practice had the potential to effect a census of 49.

Inspectors wroteBased on observation, record review and interview, the facility failed to provide necessary care and services in accordance with professional standards of practice by failing to ensure oxygen was delivered at the ordered rate for 2 (#2, #102) out of 2 (#2, #102) residents investigated for respiratory care in a final sample of 23 residents.

Inspectors wroteBased on record review and interviews, the facility failed to ensure an RN (Registered Nurse) was on duty for 8 consecutive hours per day 7 days per week. This deficient practice had the potential to affect all 49 residents residing in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received a mechanically altered diet as ordered by the physician for 1 (#35) out of 6 (#2, #34, #35, #43, #44, and #102) residents reviewed for dining.

Inspectors wroteBased on record review and interview, the facility failed to maintain an effective infection control and prevention program by failing to conduct yearly review of the infection program policies and procedures.

Inspectors wroteBased on observation, record review and interview the provider failed to post the nurse staffing data at the beginning of each shift, which would reflect current daily totals of the number of hours worked by categories of licensed and unlicensed nursing staff directly responsible for resident care.

Inspectors wroteBased on observations and interviews, the facility failed to maintain a safe, sanitary environment evidenced by: 1. Failure to ensure cookware was stored in a sanitary manner. 2. Failure to verify dishwasher temperature and chemical concentration every shift. The deficient practice had the potential to affect a total of 43 out of 43 residents that were served a meal tray from the kitchen.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure Agency CNA's (Certified Nursing Assistant's) completed annual in-service training including Dementia, Resident Rights, HIPPA (Health Insurance Portability and Accountability Act), Infection Control, and Abuse/Neglect Prevention for 3 (S5CNA, S6CNA, S7CNA) out of 3 (S5CNA, S6CNA, S7CNA) sampled Agency CNA's personnel files reviewed.

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's assessment accurately reflected the resident's status by failing to ensure a resident's discharge status was accurately coded for 1 (#46) resident of 23 sampled residents.

Inspectors wroteBased on record review and interviews, the facility failed to refer all residents with a newly evident or serious mental disorder, intellectual disability, or a related condition for level II resident review for 1(#10) out of 1 (#10) resident reviewed for Pre-admission Screening and Resident Review (PASARR). The deficient practice had the potential to affect a total census of 43 residents.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that 1 resident (#37) was invited to participate in careplan meetings out of a total sample of 23 residents.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure hospice agencies communicated with facility staff, and maintained and updated the residents' medical record that reflected the services provided for 1 (#20) of 1 (#20) resident that were provided Hospice Services. This deficient practice had the potential to affect the 2 hospice residents who resided in the facility.

Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident received services consistent with accepted professional standards by failing to document that a resident's dialysis shunt was assessed daily prior to and after dialysis treatments for 1 (#17) out of 2 residents (#17, #28) investigated for dialysis.