Medilodge of Shoreline

Inspectors wroteThis citation pertains to Intakes 2999148 and 2996472. Based on observation, interview, and record review, the facility failed to transcribe and administer medications as ordered during a change in condition for one resident (R701) of three reviewed for change in condition, resulting in a delay in treatment and subsequent transfer to the hospital.

Inspectors wroteBased on observation, interview and record review, the facility failed to complete annual PASARR (Pre-admission Screening and Annual Resident Review/3877) assessments for four residents (R6, R28, R32 and R61) of four residents reviewed for PASARR assessments.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one (R8) of three residents reviewed for medication administration received the correct dose of a medication and consumed all medications provided.

Inspectors wroteThis citation pertains to Intake 2704083. Based on observation, interview, and record review, the facility failed to provide showers for one resident (R66) of three reviewed for activities of daily living (ADLs).

Inspectors wroteBased on observation, interview, and record review, the facility failed to remove expired medications from two of three medication carts reviewed.

Inspectors wroteBased on interview and record review, the facility failed to ensure the Quality Assessment and Assurance (QAA) meetings were held quarterly, for two of four meetings, potentially affecting all of the 103 residents currently residing in facility resulting in delayed identification and resolution of identified issues.

Inspectors wroteThis citation pertains to Intake MI00147288. Based on observation, interview, and record review, the facility failed to maintain a pest-free environment, resulting in gnats throughout the common areas of the facility and throughout residents rooms. This deficient practice had the potential to affect all 130 residents who reside in the facility.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide care in a dignified manner, for one sample resident (R49) of seven reviewed for dignity.

Inspectors wroteThis citation pertains to MI00147323 Based on observation, interview, and record review the facility failed to ensure communication needs were met for one resident (R10) of three residents reviewed for communication.

Inspectors wroteBased on interview and record review, the facility failed to hold medication per medication parameters for one resident (R102) out of four reviewed for medication administration.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide and document indwelling catheter care (tube inserted into the bladder to drain urine) for one resident (R63) out of two reviewed for an indwelling catheter.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly care for and document colostomy care for one (R88) of one resident reviewed for ostomy care.

Inspectors wroteBased on observation, interview and record review, the facility failed to implement nutritional interventions for one resident (R63) out of two reviewed for nutrition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one resident (R63) out of four reviewed for medication administration were free of any significant medication errors.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store and secure medications for one resident (R48) out of one resident reviewed for medication storage.

Inspectors wroteBased on observation, interview, and record review the facility failed to change an indwelling catheter (tube inserted into the bladder to drain urine) with a urinary tract infection for one resident (R39) out of two reviewed for indwelling catheters.

Inspectors wroteThis citation pertains to Intake MI00144522. Based on observation, interview, and record review, the facility failed to document and provide showers per resident preference and schedule for three residents (R902, R903, R904) of three residents reviewed for showers. Findings Include: R902 On 6/26/2024 at 10:30 AM, R902 was observed in their bed. R902 stated they do not receive showers as they should and they have only received two showers since being in the facility. R902 stated they do receive bed baths but would much rather have a shower. R902 stated they feel as though staff won't give them showers because they are a bit bigger and the staff do not want to do the extra work. On 6/26/2024 at 10:57 AM, R902 was observed receiving a bed bath from two certified nursing assistants (CNA). [...]

Inspectors wroteThis citation pertains to Intake MI00143567. Based on observation, interview, and record review, the facility failed to get residents out of bed per their preference for two residents (R803 and R806) out of two reviewed for resident rights.

Inspectors wroteThis citation pertains to Intakes MI00143495 and MI00143567. Based on observation, interview, and record review, the facility failed to float heels per physician orders for two residents (R802 and R803) out of two reviewed for skin conditions.

Inspectors wroteThis citation pertains to Intake MI00142973. Based on observation, interview, and record review, the facility failed to answer a call light and provide needs in a timely manner for one resident (R805) out of three reviewed for call lights. Findings Include: On 4/23/2024 at 1:50 PM, R805's call light was observed activated. At 2:09 PM, R805 call light was observed still activated. Multiple people were noted in the hallway and walking past the light. R805 was interviewed regarding what assistance they were waiting for Certified Nursing Assistant (CNA) B. R805 stated that they were waiting to be changed and that they had been waiting for an hour and a half. On 4/23/2024 at 2:10 PM, CNA B was observed going into the room with R805 and turning off their call light. CNA B stated that R805 was a two person assist and they had to go find someone to help. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure the repair of damaged walls, doors, ceiling tiles, and vinyl floors, and failed to clean and empty trash in rooms in a timely manner, resulting in an unsafe and unhomelike environment.

Inspectors wroteThis citation pertains to Intake MI00138545. Based on observation interview and record review the facility failed to ensure fall and skin management care plan interventions were consistently implemented for four residents (R7, R44, R27, R10) of 5 whose fall and skin management care plans were reviewed, resulting in the potential for unmet care needs, falls and skin breakdown.

Inspectors wroteR7 On 08/21/23 at 9:01 AM, R7 was observed to be in bed. The aide came in with the breakfast tray and set it on the tray table in front the resident. The roommate talked to the aide and told the aide to ensure R7 was sitting up and the food was cut up and positioned where R7 could reach it as R7 could not use their right side. A knife was not included on the tray and the sausage patty appeared difficult to cut up with the edge of the fork. The aide did not remain to assist R7. On 08/21/23 at 10:14 AM, R7 was observed to be on their back in bed, a pillow under the left side and with the head of the bed up around 30-45 degrees. On 08/21/23 at 12:31 PM, R7 was observed to be in bed, laying on their back, dressed in T-shirt and brief. The left leg was flexed up and a right hand contracture was observed. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to accommodate resident/resident representative's choices and preference for bed rails for one sampled resident (R46) of one reviewed for self-determination resulting in feelings of frustration and loss of control.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a pacemaker check for one sampled residents (R32), of one reviewed for pacemakers.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure proper hand hygiene and maintain appropriate infection control practices during patient care for three residents (R7, R33, R72, Resident L) of six reviewed for infection control practices, resulting in the potential for the spread of infection.