Medicalodges Iola

Inspectors wroteThe facility reported a census of 43 residents. Based on interview and record review, the facility failed to complete annual performance evaluations for five Certified Nurse Aides (CNAs) who were employed at the facility for more than 12 months. This placed the residents at risk for decreased quality of care.

Inspectors wroteThe facility reported a census of 43 residents with two kitchens. Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage and preparation to prevent the spread of food-borne illness to the residents of the facility. This placed the residents at risk for food-borne illness.

Inspectors wroteThe facility reported a census of 43 residents. Based on interview and record review the facility failed to ensure the designated Infection Preventionist (IP) was trained and certified in infection prevention and control. This failure placed all 43 residents at increased risk for infectious disease.

Inspectors wroteThe facility reported a census of 43 residents. Based on interviews and record review, the facility failed to ensure the mandatory 12 hours of education were completed for Certified Nurse Aides (CNA) as required. This placed the residents at risk for decreased quality of care.

Inspectors wroteThe facility reported a census of 43 residents. The sample included 13 residents, with five residents reviewed for unnecessary medications. Based on interview and record review, the facility failed to ensure informed consent including purpose, risks versus benefits, and expected therapeutic benefits for the use of antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality), anxiolytic (medication used to treat symptoms of anxiety) and other psychotropic medications (drugs that affect the brain and nervous system to treat mental illnesses)) for Resident (R)14, R6, R42, R17 and R2. This placed the residents at risk for adverse side effects of the medications and uninformed decisions.

Inspectors wroteThe facility reported a census of 43 residents. The sample included 13 residents. Based on interviews, observation, and record review, the facility failed to ensure a safe, clean home-like environment in all areas of the facility, including the dining area. This deficient practice placed the residents at risk for tripping hazards and decreased comfort.

Inspectors wroteThe facility reported a census of 43 residents. The sample included 13 residents. Based on observations, interviews, and record review, the facility failed to maintain an effective infection control program related to the Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care). The facility failed to ensure adequate hand hygiene and personal protective equipment (PPE) when caring for residents. Additionally, staff failed to store respiratory equipment in a sanitary manner. This placed the residents at risk for infections.

Inspectors wroteThe facility reported a census of 43 residents; the sample included 13 residents. Based on interviews, observations, and record review, the facility failed to protect the dignity of three residents, Resident (R) 2, when R2 was transported from his room to the shower room via a shower chair only covered with a white sheet with his buttocks exposed. Additionally, staff entered the rooms of R2, R7, and R8 without knocking first and did not identify themselves or await acknowledgment from the resident. These deficient practices placed the residents at risk for negative psychosocial effects related to impaired dignity.

Inspectors wroteThe facility reported a census of 43 residents. The sample included 13 residents. Based on observation, interview, and record review, the facility failed to accurately complete the Minimum Data Set for Resident (R) 5 and R14. This placed the resident at risk for impaired care due to unidentified care needs.

Inspectors wroteThe facility reported a census of 43 residents; the sample included 13 residents. Based on observation, interview, and record review, the facility failed to complete a comprehensive care plan for Resident (R)6 regarding non-pharmacologic pain interventions and for R42 regarding oxygen use. This placed the residents at risk for impaired care due to uncommunicated care needs.

Inspectors wroteThe facility identified a census of 43 residents. The sample included 13 residents, with one resident reviewed for urinary tract infections. Based on observation, interview, and record review, the facility failed to provide Resident (R) 5, who had an indwelling catheter (tube inserted into the bladder to drain urine into a collection bag), with appropriate treatment and services to care for a catheter and to prevent urinary tract infections (UTI-an infection in any part of the urinary system). This deficient practice placed the resident at risk for UTI and other catheter-related complications.

Inspectors wroteThe facility reported a census of 43 residents; 13 residents were sampled, including one resident reviewed for pain. Based on observation, interview, and record review, the facility failed to administer pain medications for Resident (R) 6, who had a diagnosis of trigeminal neuralgia (a chronic painful disease that affects the nerve that carries sensation from the face to the brain). This placed the resident at risk of uncontrolled pain.

Inspectors wroteThe facility reported a census of 36 residents with four residents sampled. Based on observation, record review, and interview, the facility failed to prevent the physical abuse and neglect of R2. On 03/21/24, R2 reported Certified Nurse Aide (CNA) M was rough with her when assisting her to bed around 06:30 PM to 07:00 PM. R2 stated CNA M threw her into her bed by having a hold of her legs and swung her on the bed, while in the lift sling, during the transfer from the wheelchair to her bed. Afterwards, R2 experienced dizziness, nausea, and difficulty breathing due lying flat as the head of the bed was flat. R2 activated her call light and when nobody responded to the call light, R2 started yelling out. When CNA M responded to R2, she did so by yelling at R2 from the hallway saying R2 was not the only resident left to take care of. [...]

Inspectors wroteThe facility reported a census of 36 residents with four residents sampled. Based on observation, record review, and interview, the facility failed to report abuse and neglect of R2 immediately on 03/21/22 at 10:10 PM. On 03/21/24, R2 reported Certified Nurse Aide (CNA) M was rough with her when assisting her to bed around 06:30 PM to 07:00 PM. R2 stated CNA M threw her into her bed by having a hold of her legs and swung her on the bed, while in the lift sling, during the transfer from the wheelchair to her bed. Afterwards, R2 experienced dizziness, nausea, and difficulty breathing due to lying flat as the head of the bed was flat. R2 activated her call light and when nobody responded to the call light, R2 started yelling out. When CNA M responded to R2, she did so by yelling at R2 from the hallway saying R2 was not the only resident left to take care of. [...]

Inspectors wroteThe facility reported a census of 36 residents with four residents sampled. Based on observation, record review, and interview, the facility failed to protect Resident (R) 2 from further abuse and neglect. On 03/21/22 at 10:10 PM when staff failed to notify the administrator immediately of an allegation of abuse and neglect. R2 reported Certified Nurse Aide (CNA) M was rough with her when assisting her to bed around 06:30 PM to 07:00 PM. R2 stated CNA M threw her into her bed by having a hold of her legs and swung her on the bed, while in the lift sling, during the transfer from the wheelchair to her bed. Afterwards, R2 experienced dizziness, nausea, and difficulty breathing due to lying flat as the head of the bed was flat. R2 activated her call light and when nobody responded to the call light, R2 started yelling out. [...]

Inspectors wroteThe facility reported a census of 36 residents, with four residents sampled, including three residents reviewed for risk of elopement (an incident in which a cognitively impaired resident with poor or impaired decision-making ability/safety awareness leaves the facility without the knowledge of staff). Based on observation, record review, and interview, the facility failed to provide adequate supervision and a safe environment, as free of accident hazards as possible, to prevent the elopement of cognitively impaired and independently mobile Resident (R)1. On 04/27/24 during the 05:45 PM to 06:00 AM shift, staff deactivated an exit door alarm on a hallway R1 did not reside on due to a storm causing the alarm to sound. On 04/28/24 at 03:57 PM, R1 attempted to exit a hallway door on the side of the facility the resident resided on, and staff redirected R1. [...]

Inspectors wroteThe facility reported a census of 34 residents. Based on observation, record review and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria.

Inspectors wroteThe facility reported a census of 34 residents with 14 selected for review, which included one resident reviewed for antibiotic use. Based on observation, interview and record review, the facility failed to ensure Resident (R)27 received an appropriate antibiotic, based on culture report. The facility failed to track and trend causative microorganisms for infections and use of appropriate antibiotics.

Inspectors wroteThe resident reported a census of 34 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff in the facility kitchen.

Inspectors wrote- Observation on 01/23/24 and 01/24/23 of Resident (R)1's room revealed the floor with multiple areas of a sticky substance. The over bed table contained rust and a build-up of grime on the base of the table. The room contained a recliner with multiple pillows without pillowcases, and the resident's dresser tops contained unorganized supplies and personal items. Interview, on 01/24/24 at 08:06 AM, Licensed Nurse (LN) H, revealed the resident remained in bed most of the time. LN H stated the floor was dirty and the room needed to be cleaned. Interview, on 01/24/24 at 10:37 AM, with Housekeeping Staff U, revealed housekeeping cleaned R1's room every other day as the resident was in isolation. Housekeeping Staff U stated nursing staff would be responsible for organization of items in the resident rooms. [...]

Inspectors wroteThe facility reported a census of 34 residents with 16 selected for review. Based on observation, interview and record review, the facility failed to revise one Resident (R)1's care plan to include care and treatment of her urinary catheter and failed to revise R4's care plan to include use of a pressure reducing device when sitting in her recliner.

Inspectors wroteThe facility reported a census of 34 residents with 14 residents sampled, including two residents reviewed for Activities of Daily Living (ADL). Based on observation, interview and record review, the facility failed to provide facial grooming for one of the two sampled Residents (R)28 regarding the trimming of his beard and mustache.

Inspectors wroteThe facility reported a census of 34 residents with 14 selected for review which included two residents reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear and/or friction). Based on observation interview and record review, the facility failed to provide sanitary dressing change for one Resident (R)1 pressure ulcer and failed to implement pressure relieving device in R4's recliner.

Inspectors wroteThe facility reported a census of 34 residents with 14 residents sampled, including two residents reviewed for accidents. Based on interview, record review and observation, the facility failed to ensure one Resident (R)31 was kept free of accident hazards by failing to ensure her urinary catheter tubing (insertion of a catheter into the bladder to drain the urine into a collection bag) was contained to prevent a tripping hazard.

Inspectors wroteThe facility reported a census of 34 residents with 14 selected for review which included three residents reviewed for urinary catheter. Based on observation, interview and record review, the facility failed to ensure proper catheter care with securing of the catheter for one Resident (R)1 of the three residents reviewed, to prevent urethral trauma.

Inspectors wroteThe facility reported a census of 34 residents with 14 selected for review. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program with the failure to provide a sanitary room environment for Resident (R)1 and failed to provide sanitary drainage of urinary catheter for R31 to prevent cross contamination and infections.

Inspectors wroteThe facility reported a census of 34 residents. Based on interview and record review the facility failed to complete an annual performance review at least once every 12 months for four of four Certified Nurse Aides (CNA) reviewed, CNA N, CNA P, CNA Q and CNA MM and one of one Certified Medication Aide (CMA) reviewed, CMA S.

Inspectors wroteThe facility reported a census of 36 residents with one resident reviewed, Resident (R)1, for accident hazards. Based on observation, interview, and record review, the facility failed to ensure staff provided a safe environment as free of accidents as possible, when Social Service Staff X propelled R1 in her wheelchair backwards out of the facility's transport van, but failed to ensure the mechanical lift platform was in the proper up position. R1 flipped backwards in her wheelchair out of the van. The resident stated she could not breath as she was upside down having fell approximately two feet from the van door to the lift platform which was at ground level. R1 struck her shoulder and back on the lowered platform and her head on the ground. [...]

Inspectors wroteThe facility reported a census of 41 residents. Based on observation, interview and record review, the facility failed to provide sufficient nursing staff to ensure nursing and related services to attain or maintain the highest physical, mental, and psychosocial wellbeing of the residents residing in this facility.

Inspectors wroteThe facility reported a census of 41 residents. Based on record review and interview, the facility failed to ensure nursing staff followed the principles of antibiotic stewardship in a proactive manner to ensure residents received antibiotics in a safe and effective manner and to prevent unnecessary side effects of antibiotics and antibiotic resistance. The facility failed to track and trend infections and causative microorganisms throughout the facility and failed to compile antibiotic use data for prescribing practitioners.

Inspectors wroteThe facility reported a census of 41 residents with 2 identified as unvaccinated residents. Based on interview and record review the facility failed to ensure staff provided COVID-19 vaccination information/education which included benefit verses risk to ensure informed declination. The facility failed to ensure prompt preparation for administration of the COVID-19 booster to the residents which was available on 05/19/22. The facility currently had five residents with COVID-19 and was in outbreak testing.

Inspectors wroteThe facility reported a census of 41 residents. Based on observation, interview, and record review, the facility failed to provide a clean and sanitary environment in a storage room and in the biohazard room, for the residents of the facility.

Inspectors wroteThe facility reported a census of 41 residents. The 15 residents sampled included four reviewed for urinary incontinence. Based on observation, interview and record review, the facility failed to provide toileting opportunity/check and change opportunity in a timely manner for three of the four sampled residents (R)15, R40, R27 and failed to provide perineal hygiene in a sanitary manner for four of the four sampled residents R15, R23, R40 and R 27. Findings Included: - Review of resident (R) 15's Physician Order Sheet, dated 03/16/22 revealed diagnoses included psychosis (any major mental disorder characterized by a gross impairment in reality), peripheral vascular disease (abnormal condition affecting the blood vessels), and urinary tract infection. [...]

Inspectors wroteThe facility reported a census of 41 residents. The 15 residents selected for review included one resident reviewed for choices. Based on observation, interview and record review, the facility failed to provide a bathing choice opportunity for the one resident (R)9 who requested a shower.

Inspectors wroteThe facility reported a census of 41 residents with 15 residents included in the sample. Based on observation, record review and interview, the facility failed to review and revise the care plan for one sampled Resident (R)20, regarding oxygen use.

Inspectors wroteThe facility reported a census of 41 residents. The 15 residents sampled included two reviewed for other skin issues. Based on observation, interview and record review the facility failed to provide thorough incontinence hygiene care and treatment, in a timely manner, to prevent moisture associated skin damage to one of the two sampled residents (R)15. Findings Included: - Review of resident (R) 15's Physician Order Sheet, dated 03/16/22 revealed diagnoses included psychosis (any major mental disorder characterized by a gross impairment in reality), peripheral vascular disease (abnormal condition affecting the blood vessels), and urinary tract infection. The Annual Minimum Data Set (MDS), dated [DATE] assessed the resident with normal cognitive function the resident required extensive assistance of two staff for bed mobility, toileting, and personal hygiene. [...]

Inspectors wroteThe facility reported a census of 41 residents with 15 residents sampled, including two residents reviewed for pressure ulcers (PU). Based on observation, interview and record review, the facility failed to ensure appropriate treatment and services for one of the Residents (R)40, for failure to prevent the development of one stage II PU (partial thickness skin loss).

Inspectors wroteThe facility reported a census of 41 residents. The 15 residents sampled included four residents reviewed for hydration. Based on observation, interview and record review, the facility failed to ensure one of the four sampled residents (R)9 received a planned fluid restriction, and failed to monitor accurately the resident's fluid intakes, per physician's order.

Inspectors wroteThe facility reported a census of 41 residents with 15 residents sampled, including one resident reviewed for respiratory needs. Based on interview, record review, and observation, the facility failed to obtain a physician order to appropriately administer oxygen to the one sampled Resident (R)20, who used oxygen.

Inspectors wrote- Review of resident (R)5's Physician Order Sheet, dated 03/03/22, revealed diagnosis included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), diabetes (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), major depressive disorder (MDD, major mood disorder), insomnia (inability to sleep), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The resident's, Psychotropic Drug Use Care Area Assessment (CAA), dated 09/08/21 assessed the resident was prescribed antidepressants, anti-anxiety and hypnotic medications. [...]

Inspectors wroteThe facility reported a census of 41 residents. Based on interview and record review, the facility failed to post the daily nurse staffing with the resident census and hours worked as required for the residents, staff and visitors of the facility.