Life Care Center of Seneca

Inspectors wroteThe facility had a census of 39 residents. Based on observation, interview, and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing.

Inspectors wroteThe facility had a census of 39 residents. The sample size included 13 residents. Based on observation, record review, and interview, the facility failed to adhere to infection control procedures for R33 who had enhanced barrier precautions (EBP - an infection control intervention designated to reduce transmission of resistant organisms that employs targeted gown and glove used during high contact resident care activities), and failed to adhere to personal cares and change gloves for Resident (R) 2 who had a suprapubic catheter (urinary bladder catheter inserted through the abdomen into the bladder) and failed to adhere to infection control procedures when dietary staff placed a rubber dish tub on the table with dirty dishes while the residents were still eating their meal. This placed the residents at increased risk for infection.

Inspectors wroteThe facility had a census of 39 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to provide dignified toileting care by leaving curtains and window blinds open for Resident (R) 3 and R16 during toileting activities, and R2 during suprapubic catheter (urinary bladder catheter inserted through the abdomen into the bladder) care. This placed the residents at risk for impaired dignity and decreased psychosocial well-being.

Inspectors wroteThe facility had a census of 39 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to ensure an environment free from chemicals and hazards for four cognitively impaired, independently mobile residents who resided in the facility.

Inspectors wroteThe facility had a census of 39 residents. The sample included 13 residents, with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to notify the physician of blood sugars (a system which measures blood glucose in the body) outside of ordered parameters for one resident, Resident (R) 28 and failed to hold insulin (medication that lowers the level of glucose [a type of sugar] in the blood) when the medication was out of the physician ordered parameters. This placed the residents at risk for adverse effects related to medication.

Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide dignity during dining for Resident (R) 24 when staff disregarded her repeated requests for assistance and for R11, who had uncombed hair and unclean clothing. This placed R24 and R11 at risk for impaired dignity and decreased psychosocial wellbeing.

Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents of which three were reviewed for urinary catheter (tube inserted into the bladder to drain urine). Based on observation, record review and interview one of the three reviewed, Resident (R) 89, lacked a baseline care plan on admission to the facility for straight catheterization (inserting a catheter into the bladder) twice a day. This placed the resident at risk for inappropriate care due to uncommunicated care needs.

Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents, Based on observation, record review, and interview, the facility failed to revise care plans for two sampled residents, Resident (R) 11 for her refusals to be transferred to her bed or recliner, and R13's interventions to prevent bruising. This placed the residents at risk for unmet care needs.

Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide the required assistance for Resident (R) 24, who was legally blind and required extensive assist with eating and for R11, who required assistance with grooming. This placed the residents at risk for impaired quality of life and care.

Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents, with one reviewed for positioning, Resident (R) 11, and two reviewed for skin conditions not pressure related. Based on observation, record review, and interview, the facility failed to provide care and treatment in accordance with professional standards of practice with staff failed to reposition R11 when she was bent over at the waist in her wheelchair on multiple occasions. Staff further failed to provide interventions to staff to prevent bruises for R13. This placed the residents at risk for decreased function, pain, and further injury.

Inspectors wroteThe facility had a census of 37 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, and serve food under sanitary conditions for the 37 residents who received food from the facility kitchen.

Inspectors wroteThe facility had a census of 37 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to promote care in a manner to maintain and enhance dignity and respect, when staff served one resident from each table and the tablemates had to wait for long periods of time for their meals. This deficient practice affected Resident (R) 7, R9, R11, R12, R16, R18, R22, R25, and R38.

Inspectors wroteThe facility had a census of 37 residents. The sample included 12 residents with four reviewed for activities of daily living (ADL's). Based on observation, record review, and interview, the facility failed to provide the necessary services to maintain good personal hygiene, including bathing for three of four sampled residents, Resident (R) 7, 31 and 40 and good personal hygiene for R1.

Inspectors wroteThe facility had a census of 37 residents. The sample included 12 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility's Consultant Pharmacist failed to report to the Director of Nursing, physician and medical director medication concerns for two of five sampled residents. Resident (R) 9's pulses out of physician ordered parameters, and medication not held when pulses were out of physician ordered parameters for R31.

Inspectors wroteThe facility had a census of 37 residents. The sample included 12 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to hold, and report physician ordered out of parameter pulses for two of five sampled residents, Resident (R)9 and R31.