Hattie Ide Chaffee Home

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety relative to the main kitchen and two of two kitchenettes.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, relative to physician's orders for 2 of 3 residents observed, Resident ID #s 42 and 361.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide appropriate treatment and services for 1 of 3 residents reviewed with an indwelling catheter (a flexible tube that collects urine from the bladder and leads to a drainage bag), Resident ID # 47.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infection, relative to 1 of 2 residents with wound dressing changes observed, Resident ID #17, for 1 of 1 resident on droplet/contact precautions (an infection control measure that is used when a resident is known or expected to be infected to prevent the spread of germs that can be transmitted through respiratory droplets expelled when a person coughs, sneezes, or speaks), Resident ID #24, and for 1 of 2 residents on contact precautions (an infection control measure used in healthcare settings to prevent the spread of germs that can be transmitted by direct or indirect contact with a resident or their environment) for Clostridioides difficile (C. [...]

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to develop, implement, and maintain an effective training program for all newly hired employees and annual training for existing employees consistent with their expected roles, relative to education involving abuse, infection control, dementia behavioral health management, trauma informed care and QAPI (Quality Assurance and Performance Improvement) per the facility assessment, for 7 of 11 newly hired or existing employees, Staff M, N, O, P, Q, R, and S.

Inspectors wroteBased on record review, and staff interview, it has been determined that the facility failed to inform, in advance, the care to be furnished by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she prefers relative to the ordering of and administration of medication for 1 of 1 resident reviewed, Resident ID #1.

Inspectors wroteBased on record review, resident, and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of practice relative to following a physician's order for 1 of 2 residents reviewed for nutrition, Resident ID #1.

Inspectors wroteBased on surveyor observation, record review, and staff interviews, the facility failed to ensure that each resident receives adequate supervision to prevent an accident for 2 of 3 reviewed who require supervision while eating, Resident ID #s 368 and 55.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to complete annual performance reviews for every nurse aide (nursing assistant), at least once every 12 months, for 5 of 5 nursing assistants reviewed, Staff G, K, L, M, and N.

Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to ensure that food is stored and distributed in accordance with professional standards for food service safety, relative to the main kitchen and 1 of 3 kitchenettes observed.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections as the facility failed to implement a water management program (WPM) based upon industry standards and/or the Centers for Disease Control and Prevention (CDC) and to perform and document specified testing for the prevention of Legionella disease (a very serious type of lung infection caused by the bacteria called Legionella which can be found in water). Additionally, the facility failed to implement proper hand hygiene for 1 of 1 resident reviewed for Clostridium difficile (C.diff-a bacteria that may cause an infection in the colon), Resident ID #168. [...]

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure that services being provided meet professional standards of practice related to notifying the physician of unavailable medications for 2 of 2 residents reviewed, Resident ID #s 6 and 33, and for failing to follow a physician order for 1 of 1 resident reviewed for medication parameters, relative to blood pressure and heart rate, Resident ID #39.

Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to store and label drugs and biological's in accordance with currently accepted professional principles for 2 of 3 medication carts and 2 of 2 medication storage rooms observed.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that a resident receives treatment and care in accordance with professional standards of practice for 1 of 3 residents reviewed relative to to mood and behaviors, Resident ID #4.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to ensure the medical care of each resident is supervised by a physician for 1 of 3 resident's reviewed for 1:1 feeding assistance, Resident ID #368.

Inspectors wroteBased on surveyor observation, record review, resident and staff interview, it has been determined that the facility failed to provide food prepared in a form designed to meet individual needs for 1 of 1 resident reviewed for a soft, bite sized diet, Resident ID #55 and 1 of 1 resident reviewed who require nectar thick liquids (thicker than water, falls slowly from a spoon), Resident ID #368.

Inspectors wroteBased on surveyor observation, record review, staff, and resident interview, it has been determined that the facility failed to meet professional standards of quality relative to following physician's orders for 1 of 2 residents reviewed for antibiotics, Resident ID #1, and 1 of 1 resident reviewed for utilizing an insulin pump, Resident ID #2.

Inspectors wroteBased on surveyor observation, record review, resident and staff interview it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive care plan relative to off-loading heels for 2 of 4 residents, Resident ID #'s 4 and 5.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility has failed to adhere to standard precautions to prevent the spread of infections for 1 of 1 resident observed for wound care, Resident ID #247.