Life Care Center of Columbia

Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Manual, record review, interviews and review of facility policy, the facility failed to ensure comprehensive assessments were initiated, completed, submitted, or exported for 17 out of 17 residents reviewed for resident assessments, Resident (R)65, R28, R96, R46, R106, R91, R30, R31, R15, R88, R62, R75, R37, R9, R105, R50 and R55.

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure foods that were are stored in the freezer, coolers, and dry food storage were appropriately sealed, labeled, dated, and/or discarded after the manufacturer's expiration date in 1 of 1 walk in freezer, 1 of 1 walk in cooler, and 1 of 1 dry storage room. This had the potential to affect all residents who received meals from the kitchen.

Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Manual, record review, interview and facility policy, the facility failed to complete and submit a significant change Minimum Data Set (MDS) within 14 days after the facility determined that there had been a significant change in Resident (R55)'s physical or mental condition for 1 of 17 residents reviewed for completion of comprehensive assessment after a significant change.

Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to accurately code the quarterly Minimum Data Set (MDS) assessment for Resident (R)105, specifically coding a glucagon-like peptide receptor agonist (GLP-1) as insulin for 1 out of 17 residents reviewed for resident assessments.

Inspectors wroteBased on observation, interview and review of the facility policy, the facility failed to ensure that medication and biologicals that were outdated or without proper labeling were removed from the medication cart for 3 of 3 medication treatment carts.

Inspectors wroteReview of the policy titled, Sanitation and Maintenance with a complete revision date of 04/26/23, states: The director of Food and Nutrition Services is responsible for ensuring that the department is maintained according to the standards of sanitation and in compliance with federal, state, and local requirements. During observation on 05/07/24 at 2:02 PM revealed two sinks; one sink with hot water, constantly running and sink 2 had water dripping into a small silver pan on the floor that had black slime floating in the pan. During an interview on 05/09/24 at 2:23 PM, the Maintenance Director stated Usually, I get word of mouth or a work order form that has three copies attached, about the request and who is requesting the work order. We have three nursing stations that has a pouch with the work order forms and I check on them several times per day. [...]

Inspectors wroteBased on the facility policy titled, Therapeutic Activities Program, record reviews and interviews, the facility failed to provide an ongoing resident centered program for Resident (R)37 and R53 designed to meet the resident's interests, hobbies and cultural preferences to promote physical, mental and psychosocial well-being for 2 of 2 residents reviewed for activities.

Inspectors wroteBased on review of the facility policy titled, Person Centered Care Planning, record reviews and interviews, the facility failed to ensure Resident (R)53 was afforded the right to participate in the development and implementation of her person-centered comprehensive plan of care for 1 of 1 residents that verbalized they were not included in the care planning process, but would like to be included.

Inspectors wroteBased on interviews, record reviews, and facility policy, the facility failed to report an allegation of abuse to the state agency in the required time frame, for 1 of 3 residents (R)101, reviewed for alleged abuse. Findings Include: [...]

Inspectors wroteBased on the facility policy titled, Notice of Transfers and Discharges, interviews and record reviews, the facility failed to ensure Resident (R)37 personal representative received notice of discharge to the hospital in writing and in a language they could understand of the reason for discharge to the hospital for 1 of 2 residents reviewed for hospitalization.

Inspectors wroteBased on the facility policy titled, Bed-Hold Policy, record reviews and interviews, the facility failed to ensure Resident (R)37 or her personal representative received written information on the duration of the bed hold, and the reserve bed payment in a timely manner for 1 of 2 residents reviewed for hospitalization.

Inspectors wroteBased on interviews, record reviews, and facility policy, the facility failed to provide Activities of Daily Living (ADL) Care, specifically showers, for 1 of 1 resident (R) 104, reviewed for ADL care. Findings Include: Review of the facility policy, Activities of Daily Living, with a revision date of 02/12/24 revealed, The resident will receive assistance as needed to complete activities of daily living (ADLs). A resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. Review of R104's Face Sheet revealed he was admitted to the facility on [DATE] with diagnoses including, but not limited to, acute respiratory failure with hypoxia, hypertension, muscle weakness, need for assistance with personal care, and other lack of coordination. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to manage the resident's pain during a pressure ulcer treatment to support the highest practicable level of physical and mental well-being for one of six sampled residents (Resident (R)1) reviewed for pressure ulcers. This failure caused the resident to experience severe pain during a pressure ulcer treatment.

Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to develop a person-centered baseline care plan within 48 hours of admission to ensure the resident's care needs would be met. This had the potential to affect one Resident (R) 230 of eighteen sampled residents.

Inspectors wroteBased on interview and record review the facility failed to ensure that one resident of six Resident (R) R230) reviewed for unnecessary medications was free from as needed (PRN) psychotropic medication. Specifically, R230 had an order for a PRN anxiolytic medication without a stop date.