Life Care Center of Scottsdale

Inspectors wroteBased on staff interviews, facility documentation, and review of facility's policy, the facility failed to ensure that 1 out of 4 sampled residents (Resident # 52), received only medications that were ordered for them by a physician. The deficient practice could result in adverse drug interactions.

Inspectors wroteBased on clinical record review, resident representative and staff interviews, and policy review, the facility failed to ensure that an incident involving staff to resident abuse was documented completely in the clinical record for 1 of 3 sampled residents (#14). The deficient practice could result in incomplete documentation in resident medical records and continued abuse.

Inspectors wroteBased on closed record review, staff interviews, and review of facility policy, the facility failed to ensure care and services were provided to prevent pressure ulcers from developing and worsening for one (#144) of one resident. The deficient practice could result in a decline in a resident's overall health.

Inspectors wroteBased on clinical record reviews, staff interviews, and review of policy, the facility failed to ensure one of one sampled resident's (#148) and/or the representative were provided opportunities for participation in the care and treatment planning process. The deficient practice could result in residents not being provided the opportunity to participate in the care planning process.

Inspectors wroteBased on documentation, staff and resident interviews, and policy and procedures the facility failed to ensure that one of one sampled residents (#145) received adequate supervision to prevent accidents. The deficient practice could result in resident injuries. Resident #145 was admitted on [DATE] with diagnoses that included fracture of left humerus, subluxation of left shoulder, heart failure, type 2 diabetes, atrial fibrillation, and long term use of insulin. Resident #147's comprehensive care plan initiated on April 25, 2024 and revised on August 09, 2024, included the following: -Resident requires ADL assistance with interventions including to assist with mobility. -Activity of Daily Living (ADL) self-care performance deficit related to limited mobility and pain, with interventions to encourage resident to use bell to call for assistance. [...]

Inspectors wroteBased on observation, staff interviews, and facility policy, the facility failed to ensure that refrigerated food was not expired. The deficient practice could result in potential affect to all residents in facility. During the initial tour of the kitchen on September 09, 2024 at 8:39AM, conducted with the Dietary Manager (Staff #9), during an observation of the refrigerator, one container of Horseradish was labeled with a received date of 11/8/2023 and opened on 11/10/23. Further observed revealed that the best used by date from the manufacture was April 06, 2024. The Dietary Manager stated that they can use the Horseradish condiment after the used by the date for up to a year. The Dietary Manager immediately throw the horseradish condiment into a trashcan. [...]

Inspectors wroteBased on clinical records, facility documents, staff interviews, and facility policy, the facility failed to ensure residents wounds were assessed and treated per professional standards for 3 residents. (#11, 4, 19). This deficient practice can result in significant increases in morbidity and mortality related to wounds.

Inspectors wroteBased on clinical records, facility documents, staff interviews, and facility policy, the facility failed to ensure residents pressure wounds were assessed and treated per professional standards for 1 residents. (#19). This deficient practice can result in significant increases in morbidity and mortality related to wounds.

Inspectors wroteBased on resident and staff interviews, review of the clinical record, facility documentation and policy, the facility failed to ensure that code status was consistent in the medical record for two residents (#21 and #306). The deficient practice could result in resident not receiving care consistent with their signed advance directive.

Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review, the facility failed to ensure two sampled residents (#40 and #35) had a physician order for oxygen use prior to its administration. The deficient practice could result in oxygen not administered appropriately and as recommended by the physician.

Inspectors wroteBased on staff interviews, facility documentation and policy and the Centers for Medicare and Medicaid Services (CMS) interim final rule requirements, the facility failed to ensure twelve staff members (#91, #89, #75, #96, #70, #86, #78, #61, #63, #24, #31 and #29) were vaccinated for COVID-19. The facility census was 57 residents. The deficient practice could result in the spread of COVID-19 in the facility.

Inspectors wroteBased on closed record review, staff interviews, and review of facility policy and procedure, the facility failed to ensure that all transfer/discharge notifications were made for one resident (#53). The deficient practice could lead to notifications of resident transfer/ discharge not being made to all required parties.

Inspectors wroteBased on resident and staff interviews, review of the clinical record, facility documentation and policy, the facility failed to meet professional standards of practice by failing ensure a wound treatment solution was not left at bedside and available for use for one resident (#35). The deficient practice resulted in the resident improperly and inappropriately taking the medication.

Inspectors wroteBased on clinical record review, resident and staff interviews, and policies and procedures, the facility failed to ensure one resident (#354) received ostomy care in accordance with professional standards of practice. The deficient practice could result in untimely waste removal and complications such as skin breakdown.

Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that ongoing assessment and monitoring for complications pre and post-dialysis treatments was provided for one resident (#35). This deficient practice could result in complications with the fistula/shunt not identified and managed.