Marywood Nursing Care Center

Inspectors wroteThis citation pertains to Intake 2706540Based on observation, interview, and record review the facility failed to serve hot liquids in a safe manner for one resident (R700) out of three reviewed for accidents, resulting in a second-degree burn blister.

Inspectors wroteThis citation pertains to Intake #2680166. Based on interview and record review the facility failed to ensure after visit care was provided for two residents (R900, R903) of three residents reviewed for continuity of care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident requests were honored timely or in a dignified manner for one resident (R135) of two residents reviewed for resident rights.

Inspectors wroteBased on observation, interview, and record review, the facility failed to secure confidential medical records for one resident (R139) out of one reviewed for confidential information.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure hand hygiene was completed during medication administration for three residents (R134, R84 and R30) of five residents observed during the medication pass.

Inspectors wroteThis citation pertains to Intake M100152463: Based on interview and record review, the facility failed to maintain a complete medical record for one (R901) of three residents reviewed for medical records. Findings Include: Review of Intake called into the State Agency revealed an allegation that R901 had been discharged from the facility on 04/21/25 and upon review of the home health care admission assessment on 04/22/25, R901 was found to have an intravenous line (IV) remaining in their arm. The report indicated the home care nurse reviewed the facility discharge record which indicated the IV had been physician ordered to be removed on 04/09/25. Review of the facility record for R901 revealed an admission date of 04/08/25 with diagnoses including Right Knee Effusion and Syncope and Collapse. R901's Physician orders included an order dated 04/08/25 stating Discontinue IV in right arm. [...]

Inspectors wroteThis citation is related to Intake MI00147487 Based on interview and record review, the facility failed to report an injury of unknown origin for one resident (R700) of three residents reviewed from abuse.

Inspectors wroteThis citation is related to Intake MI00147487. Based on interview and record review, the facility failed to investigate an injury of unknown origin for one resident (R700) of three residents reviewed from abuse.

Inspectors wroteThis citation pertains to Intake MI00146357. Based on interview and record review, the facility failed to ensure call lights were answered timely for two sampled residents (R321 and R403) and five anonymous residents from a total sample of 20.

Inspectors wroteThis citation pertains to Intake: MI00146299. Based on interview and record review, the facility failed to identify and address a significant weight loss for one resident (R309) of one reviewed for nutrition.

Inspectors wroteThis citation has two deficient practices. Deficient practice number one: Based on observation, interview and record review, the facility failed to ensure opened biologicals, inhalers and or eyedroppers were labeled with the date opened and or a resident identifier in four of four medications carts reviewed.

Inspectors wroteThis citation pertains to Intake: MI00146299. Based on observation, interview and record review, the facility failed to ensure proper donning of Personal Protective Equipment (PPE) for droplet precautions for one sampled resident (R261) of one resident reviewed for infection control practices, resulting in the potential for the spread of infection.

Inspectors wroteThis citation pertains to Intake MI00140765. Based on interview and record review, the facility failed to ensure labs were reviewed and available in the record timely for one resident (R901) of three resident reviewed for labs, resulting in a delay in treatment and hospitalization.

Inspectors wroteBased on observation and interview the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting 88 residents who receive meal services.

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an effective pest control program to ensure that the facility is free of pests resulting in an increased potential for contamination of food, both food and non-food contact surfaces, and foodborne illness potentially affecting staff, visitors and all 88 residents.

Inspectors wroteThis citation pertains to intake MI00137274 Based on observation, interview, and record review the facility failed to ensure that activities of daily living care (ADLs) was provided for dependent residents (R160, R164, R165, R459, R460, and three confidential group residents), of eight residents reviewed for ADLs, resulting in dissatisfaction with care and services.

Inspectors wroteBased up interview and record review, the facility failed to ensure timely completion of the annual Preadmission Screening/Annual Resident (PASARR) Mental Illness/Intellectual Disability/Related Conditions identification forms DCH-3877 and/or DCH-3878 documents for submission to the local state agency for evaluation of mental illness and/or intellectual development disability needs for one (R54) of six residents reviewed for PASARR completion, resulting in the potential for unmet mental health care needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a care plan for an indwelling catheter for one resident (R460) out of two reviewed for care plans resulting in the potential for unmet care needs. Findings Include: On 9/18/2023 at 9:10 AM, R460 was observed in bed with an indwelling catheter hooked on the side of the bed. R460 was asked how long they had the indwelling catheter, but they were unable to recall. On 9/18/2023 at 12:30 PM, an interview was conducted with Family Member (FM) M. FM M was asked how long R460 had the indwelling catheter. FM M stated that R460 had the catheter placed while they were in the hospital because they were retaining urine. FM M stated that R460 had not seen a urologist and that they had been inquiring about if it could be removed. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a care plan intervention of applying a hip abductor for one resident (R461) out of two reviewed for care plans, resulting in improper positioning and discomfort. Findings Include: A review of the medical record revealed that R461 admitted into the facility on 9/14/2023 with the following diagnoses, Presence of Left Artificial Hip Joint, and History of Falling. A review of the most recent Minimum Data Set revealed a Brief Interview for Mental Status score of 5/15 indicating an impaired cognition. R461 also required extensive two person assist with bed mobility and transfers. Further review of the medical record revealed the following care plan initiated on 9/15/2023, Focus: I have an ADL (Activities of Daily Living) Self Care Performance Deficit r/t (related to) Limited Mobility. Goal: [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to apply positioning devices per physician order/facility care plan for two (R38, R54) of two residents reviewed for positioning device implementation, resulting in the potential for joint contracture, loss of range of motion and increased pain. R38 Review of the facility record for R38 revealed an admission date of 12/29/16 with diagnoses that included Traumatic Subarachnoid Hemorrhage, Alzheimer's Disease and Spasmodic Torticollis. The Minimum Data Set (MDS) assessment dated [DATE] indicated R38 primarily requires Total/Maximum assistance for activities of daily living (ADLs). The Brief Interview for Mental Status (BIMS) assessment was not completed. On 09/19/23 at 11:42 AM, R38 was observed sitting up in a geri-chair with a pillow behind her head. R38 did not respond to verbal cues. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain rational for use or remove an indwelling catheter in timely manner for one resident (R460) out of one reviewed for Bowel and Bladder, resulting in the potential for infection, trauma, and unnecessary pain. Findings Include: On 9/18/2023 at 9:10 AM, R460 was observed in bed with an indwelling catheter hooked on the side of the bed. R460 was asked how long they had the indwelling catheter, but they were unable to recall. On 9/18/2023 at 12:30 PM, an interview was conducted with Family Member (FM) M. FM M was asked how long R460 had the indwelling catheter. FM M stated that R460 had the catheter placed while they were in the hospital because they were retaining urine. FM M stated that R460 had not seen a urologist and that they had been inquiring about if it could be removed. [...]