Medicalodges Frontenac

Inspectors wroteThe facility reported a census of 38 residents with three residents reviewed for elopement. Based on interview, interview and record review, the facility failed to prevent one Resident (R)1 from exiting the facility, unattended.

Inspectors wroteThe facility reported a census of 38 residents. Based on observation, record review and interview, the facility failed to display accurate, publicly accessible, and identifiable staffing information, daily, for the 38 residents who reside in the facility.

Inspectors wroteThe facility reported a census of 36 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for three of the five Certified Nurse Aides (CNA) reviewed, CNA R, CNA MM, and CNA NN.

Inspectors wroteThe facility reported a census of 36 residents. Based on interview, and record review the facility failed to electronically submit to the Centers for Medicare and Medicaid Services (CMS), accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e. Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report weekend staffing for Quarters 1 2024 (October 1-December 31), Quarter 2 2024 (January 1-March 31) and Quarter 3 2024 (April 1- June 30). Findings Included: - Review of the Payroll Base Journal (PBJ) Staffing Data Report for fiscal year (FY), Quarter 1 2024 (October 1-December 31), Quarter 2 2024 (January 1-March 31) and Quarter 3 2024 (April 1-June 30), revealed excessively low weekend staffing. [...]

Inspectors wroteThe facility reported a census of 36 residents. Based on observation, interview, and record review, the facility failed to provide a sanitary dressing change for Resident (R)5, failed to track and trend infections and causative organisms, and failed to store personal protective equipment (PPE) in a sanitary manner to prevent the spread of infection.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents sampled, including six residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to safely transfer two Residents (R) 15 and R 32 and failed to ensure chemicals were kept locked on one resident hall, which housed eight confused residents.

Inspectors wroteThe facility reported a census of 36 residents. Based on observation and interview, the facility failed to ensure a safe, sanitary, and homelike environment in two resident rooms and one hallway.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents sampled, including one resident reviewed for hospitalization. Based on observation, interview, and record review, the facility failed to provide Resident (R)14 a Bed Hold upon admission to an acute care hospital.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents selected for review. Based on observation, interview, and record review, the facility failed to ensure the development of a personalize comprehensive care plan for an optimal toileting program for Resident (R)22.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents included in the sample, including three residents reviewed for Activities of Daily Living (ADL). Based on record review, interview and observation, the facility failed to shave Resident (R) 29 on a regular basis.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents selected for review, which included two residents reviewed for urinary incontinence. Based on observation, interview, and record review, the facility failed to ensure adequate toileting opportunities for Resident (R)22.

Inspectors wroteThe facility reported a census of 36 residents. Based on observation, interview, and record review, the facility failed to ensure staff followed the principles of antibiotic stewardship to ensure the residents received appropriate antibiotics for causative organisms.

Inspectors wroteThe facility reported a census of 33 residents. The sample included three residents reviewed for transfers with mechanical lifts. Based on observation, interview, and record review, the facility failed to ensure adequate staff to safely transfer residents, in accordance with professional standards, Occupational Safety and Health Administration (OSHA) guidelines, Food and Drug Administration (FDA) guidelines, and manufacturers recommendations, with use of a mechanical lift. The facility identified eight residents who required a full body mechanical lift and four residents who required a sit-to-stand mechanical lift for transfers. Nursing staff reported they utilized the mechanical lifts for resident transfers, without a second staff member present, due to lack of staff availability to perform the transfers correctly. [...]

Inspectors wroteThe facility reported a census of 33 residents. The sample included three residents reviewed for transfers with mechanical lifts. Based on observation, interview, and record review, the facility failed to ensure nursing personnel had the knowledge, competencies and skill sets to provide care to safely transfer residents, in accordance with professional standards, Occupational Safety and Health Administration (OSHA) guidelines, Food and Drug Administration (FDA) guidelines, and manufacturers recommendations, with use of a mechanical lift. The facility identified eight residents who required a full body mechanical lift and four residents who required a sit-to-stand mechanical lift for transfers. Nursing staff reported they utilized the mechanical lifts for resident transfers, without a second staff member present. [...]

Inspectors wroteThe facility reported a census of 34 residents with three selected for review for activities of daily living (ADL's). Based on observation, interview, and record review, the facility failed to provide adequate bathing for two of the three sampled, who were dependent on staff for bathing services, Resident (R)1 and R3.

Inspectors wroteThe facility reported a census of 38 residents. The review included five direct care staff who worked in the facility over a year. Based on record review and interview, the facility failed to complete an annual performance review for the five direct care staff reviewed to ensure adequate cares provided to the residents by these staff.

Inspectors wroteThe facility reported a census of 38 residents with 14 residents sampled, including three residents reviewed for Activities of Daily Living (ADL). Based on observation, interview, and record review, the facility failed to provide one dependent Resident (R)17 with adequate bathing opportunities to remain clean.

Inspectors wroteThe facility reported a census of 38 residents with 14 residents sampled, including six residents reviewed for activities. Based on observation, interview, and record review the facility failed to provide an ongoing program of appropriate activities for one Resident (R)17, of the six sampled residents.

Inspectors wroteThe facility reported a census of 38 residents with 14 selected for review which included two residents reviewed for quality of care. Based on observation, interview and record review, the facility failed to provide sanitary wound dressing changes to prevent infections, for one resident (R)9 and failed to ensure comfortable and anatomical wheelchair positioning for the other resident (R)8, of the two sampled residents.

Inspectors wroteThe facility reported a census of 38 residents with 14 residents sampled, including one resident reviewed for accidents. Based on observation, interview and record review, the facility failed to provide a safe transfer for the one sampled dependent Resident (R)32, to prevent accidents.

Inspectors wroteThe facility reported a census of 38 residents with 14 selected for review. The 14 sampled residents included one with resident reviewed for catheter/urinary tract infection. Based on observation, interview and record review, the facility failed to provide sanitary catheter care to one resident (R)8 to prevent urinary tract infections.

Inspectors wroteThe facility reported a census of 38 residents with 14 selected for review with five residents selected for review of medications. Based on observation, interview and record review, the facility failed to ensure two of the five residents, (Residents (R) 18 and 20) reviewed recieved medication for adequate bowel movements at least every three days and failed to ensure one of the five residents Resident (R)21 received blood pressure medication within the physician ordered parameters.

Inspectors wroteThe facility reported a census of 38 residents. Review of medication passes for nine residents with a total of 26 medications received, revealed two medication errors for one of the residents, resulting in a medication error rate of 7.7%. Based on observation, interview and record review, the facility failed to ensure a medication error rate of less than 5% when the observations resulted in a total medication error rate of 7.7%.

Inspectors wroteThe facility reported a census of 43 residents. Based on observation, interview, and record review, the facility failed to provide appropriate storage of medications related to the refrigeration of acidophilus (probiotic medication) after opening, in accordance with the directions on the label to refrigerate after opening, for four residents (R)40, R 36, R 26, and R 9 of the facility.

Inspectors wroteThe facility reported a census of 43 residents with 13 selected for review. Based on observation, interview, and record review, the facility failed to revise the care plan for one Resident (R)19 to include her restorative nursing program and her use of oxygen.

Inspectors wroteThe facility reported a census of 43 residents with 13 selected for review, including two residents reviewed for bathing. Based on observation, interview, and record review, the facility failed to assist one resident, Resident (R)20, who was dependent on staff for bathing, seven of 20 opportunities from 06/10/21 through 07/28/21.

Inspectors wroteThe facility reported a census of 43 residents with 13 selected for review, including one resident reviewed for restorative services. Based on observation, record review, and interview, the facility failed to provide Resident (R)19 her restorative ambulation program.

Inspectors wroteThe facility reported a census of 43 residents with 13 selected for review including two residents reviewed for respiratory care. Based on observation, interview, and record review, the facility failed to change the oxygen nasal cannula tubing as scheduled and failed to provide appropriate storage for the nasal cannula for one Resident (R)19.

Inspectors wroteThe facility reported a census of 43 residents with 13 selected for review including five residents reviewed for unnecessary medications. Based on record review and interview, the facility failed to monitor bowel functioning for one Resident (R)39 for constipation (difficulty passing stools) and provide medication ordered as needed.