Medilodge of Plymouth

Inspectors wroteBased on observation, interview and record review, the facility failed to provide at least 80 square feet per resident in eight of fifteen resident bedrooms (#109, 110, 111, 112, 113, 114, 115 and 116) and at least 100 square feet in one of five single bedrooms (room#102), resulting in the potential for inadequate space. Observations of resident rooms made on 7/17/25 at 2 P.M., during the environmental tour and review of the facility bed count information sheet with the Regional Director of Operations, who was familiar with facility room waivers, identified the following: Room # Square feet beds102 81 1 1109 143 2 2110 143 2 2111 143 2 2112 143 2 2113 143 2 2114 143 2 2115 143 2 0116 143 2 2 The health and safety of the residents was not affected by the room size. Interviews with the residents noted no complaints concerning room size.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide dignified dining for two residents (R22 and R27) during dining observations, resulting in a staff member standing over the residents during meal assistance which did not resemble the comfortable characteristics of a home.

Inspectors wroteBased on interview and record review, the facility failed to immediately report a Resident-to-Resident incident for two residents (R3 and R40) of three residents reviewed for abuse, resulting in allegations of abuse that were not reported to the State Agency timely and the potential for feeling of not being protected or unsafe within the facility, and for abuse to continue without being reported.

Inspectors wroteBased on observation, interview and record review, the facility failed to implement effective skin care for one resident (R16) of two residents reviewed for skin care, resulting in dry, scaly skin and resident dissatisfaction.

Inspectors wroteBased on observation, interview, and record review, the facility failed to change oxygen tubing in a timely manner for one resident (R16), out of one resident reviewed for oxygen therapy, resulting in the potential for cross contamination and respiratory infection.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident food preference was honored for one resident R16) out of six residents reviewed for food preferences, resulting in resident meal dissatisfaction.

Inspectors wroteBased on interview and record review, the facility failed to demonstrate professional standards of practice by not obtaining vitals per physician's orders for one resident (R39) out of one resident reviewed that died in the facility, resulting in an incomplete gauge of the resident's general health and well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide at least 80 square/feet per resident in eight of fifteen resident bedrooms (# 109, 110, 111, 112, 113, 114, 115 and 116) and at least 100 square feet in one of five single bedrooms (room # 102), resulting in the potential for inadequate space. Findings Include: Observations of resident rooms made on 7/23/24 at 1:49 PM during the environmental tour and review of the facility bed count information sheet with the Maintenance Director identified the following: Room # Square feet Beds 102 81 1 109 143 2 110 143 2 111 143 2 112 143 2 113 143 2 114 143 2 115 143 2 116 143 2 The health and safety of the residents was not affected by the room size. Interviews with the residents noted no complaints concerning the room size.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a qualified Certified Dietary Manager, Certified Food Service Manager, and/or full time Registered Dietitian was in place to lead the dietary department as required, resulting in operational failures which have the potential affect all 33 of the nursing home residents that eat out of the kitchen.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the kitchen was adequately staffed in order to prepare and serve meals in a timely manner and manage and operate the kitchen properly, resulting in resident dissatisfaction, untimely meal service, and standard kitchen operations not being performed affecting all residents eating meals from the kitchen.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the established planned menu for all residents eating from the kitchen, resulting in the residents not being informed of what was being served in advance and the potential for unmet resident nutritional needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to (1) effectively clean food service equipment, (2) properly date-label food in the cooler, (3) ensure staff food was stored separately from resident food, (4) consistently test the dish machine operating temperature, and (5) correctly obtain steam table food temperatures. These deficient practices have the potential to affect all residents who eat food out of the kitchen resulting in the increased potential for cross-contamination, bacterial harborage, and increased potential for resident foodborne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly dispose of refuge and maintain cleanliness of the outside garbage area, resulting in the potential for harborage of pests. This deficient practice had the potential to affect all 34 residents that resided in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate backflow protection for the ice machine resulting in the potential for contamination. This deficient practice had the potential to affect all residents that consume ice from the kitchen.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure adequate catheter care was provided for one elevated risk for urinary infections resident (R27) of three residents reviewed for UTI (urinary tract infection)/catheter care, resulting in the potential for urinary complications, including urethral tears and increased urinary tract infections.

Inspectors wroteBased on observation, interview, and record review, the facility failed to perform a timely nutrition assessment and implement nutrition interventions for two residents (R16 and R141) of seven residents reviewed for maintenance of nutrition status, resulting in the potential for compromise in nutritional status.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide at least 80 square/feet per resident in eight of fifteen resident bedrooms (#109, 110, 111, 112, 113, 114,115 and 116) and at least 100 square feet in one of five single bedrooms (room#102), resulting in the potential for inadequate space. Findings Include: Observations of resident rooms made on 3/8/21 at 2:40 PM during the environmental tour and review of the facility bed count information sheet with the Maintenance Director identified the following: Room# Square feet Beds 102 81 1 109 143 2 110 143 2 111 143 2 112 143 2 113 143 2 114 143 2 115 143 2 116 143 2 The health and safety of the residents was not affected by the room size. Interviews with the residents noted no complaints concerning the room size.