Miners Colfax Medical Center

Inspectors wroteBased on record review and interview, the facility failed to ensure that 5 (R #6, 8, 10, 17, and 22) of 5 5 (R #6, 8, 10, 17, and 22) residents medication regimen was reviewed by a licensed pharmacist. That the licensed pharmacist documented any recommendations or changes to each resident's medication regimen and that the physician reviewed these recommendations and submitted a written response to accept or reject these recommendations. These deficient practices could likely result in residents receiving medications that are no longer necessary and may cause unnecessary drug interactions and adverse side effects.

Inspectors wroteBased on observation and staff interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: 1. Proper labeling and dating of food items in the kitchen freezer. 2. Inadequate food storage practices including leaving box of white rice open to air. 3. Employees wore appropriate hair restraints. These deficient practices are likely to affect all 23 residents listed on the census provided by the Administrator on 05/12/25 and may lead to foodborne illnesses in residents if proper food storage and safe food handling practices are not adhered. A. On 5/12/2025 at 2:00 PM, during an observation of the kitchen revealed one twenty-five-pound box of white rice was left open to air and stored on a shelf in the dry storage area. B. [...]

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff revised the care plan for 2 (R #'s 1 and 18) of 2 (R #'s 1 and 18) residents reviewed when staff failed to: 1. Update R #1's plan of care to include skin irritation (itchiness) that required topical skin medication/lotion. 2. Update R #18's plan of care to include Albuterol (medication used to prevent and treat wheezing and difficulty breathing) use via a nebulizer (oral medical device used for producing a fine spray of liquid), and storage of nebulizer. These deficient practices are likely to result in residents' care and needs not being addressed if care plans are not updated.

Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS; a federally mandated comprehensive assessment of a resident's functional, medical, psychosocial and cognitive assessment completed by facility staff) was accurate for 1 (R #13) of 1 (R #13) resident reviewed for anticoagulant (blood thinner) medication use. This deficient practice could result in a failure to provide adequate care and treatment of the resident's needs.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide a quality care that meets professional standards for 2 (R #3 and R #41) of 2 (R #3 and R #41) residents when the facility failed to: - Obtain physician orders prior to providing oxygen (O2) and having O2 equipment readily available in a resident's room. - Obtain physician orders for over the counter medicaiton (OTC; medications sold to individuals without a prescription) and for the resident to self-administer medication. If the facility is not obtaining physician orders for medications and treatments, then the physician and staff may be unaware of the potential for medication interactions, overdosing, or side effects.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure medications, including over the counter medications (OTC; medications sold to individuals without a prescription), were not accessible to all residents located on the [NAME] Hall. This deficient practice could result in impairment or decline in a resident's mental or physical condition if a resident came in contact with the medications.

Inspectors wroteBased on interview and record review, the facility failed to ensure staff communicated and collaborated with the dialysis (clinical purification of blood as substitute for normal kidney functioning) facility regarding dialysis care and services for 2 (R #6 and #12) of 2 (R #6 and #12) residents reviewed for dialysis. If the facility is unaware of the status, condition, or complications that arise during dialysis treatment then residents are likely not to receive the appropriate monitoring and care they need.

Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (R #7) of 2 (R #7 and #12) residents reviewed for comprehensive care plans when staff did not develop a care plan for oxygen (O2) use. Failure to develop and implement a resident-centered care plan may result in staff not understanding and implementing the needs and treatments of residents, possibly resulting in decline in abilities.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff revised the care plan for 1 (R #6) of 1 (R #6) residents reviewed when staff failed to update the care plan to reflect new dietary behaviors. These deficient practices are likely to result in residents' care and needs not being addressed if care plans are not updated.

Inspectors wroteBased on observation, record review, and interview, the facility failed to meet professional standards of care for 1 (R #4) of 1 (R #4) residents by not obtaining physician's orders for the use of a therapeutic cup. This deficient practice is likely to result in residents receiving assistive devices that are not needed or ordered by the physician.

Inspectors wroteBased on record review and interview, the facility failed to meet professional standards for maintaining resident records for 1 (R # 6) of 1 (R #6 ) residents when staff failed to ensure R #6's code status readily viewable in the resident's Electronic Health Record (EHR). This deficient practice is likely to result in residents end-of-life medical care choices not being honored.

Inspectors wroteBased on observation and interview, the facility failed to store and serve food under sanitary conditions by not ensuring food items were stored off of the floor. This deficient practice is likely to affect all 26 residents. If the facility fails to adhere to safe food handling practices, in which residents are likely to be exposed to foodborne illnesses (illness caused by food contaminated with bacteria, viruses, parasites, or toxins).

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that the Matrix (a form used to identify pertinent care categories (relevant) for residents) was accurate by reflecting R #19 was on Transmission Based Precautions (TBP) status. (the second tier of basic infection control and are to be used in addition to Standard Precautions for patients who may be infected or colonized with certain infectious agents for which additional precautions are needed to prevent infection transmission) This deficient practice is likely to result in residents not receiving the appropriate care and treatment they need.

Inspectors wroteBased on interview and record review, the facility failed to meet professional standards for 1 (R #16) of 1 (R #16) by not weighing in accordance with the physician's orders. This deficient practice is likely to have residents experience un-noticed weight loss.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication that was placed on hold per physician order was not administered to 1 (R #17) of 6 (R #1,3,7,8,10 and 17) residents reviewed during random observation. This deficient practice is likely to result in adverse health consequences such as excessive dosing.

Inspectors wroteBased on interview, the facility failed to give the resident council feedback on their concerns for 4 (R #1, 3, 12 and 15) of 4 (R #1,, 3, 12, and 15) residents reviewed in the resident Council Meeting Minutes. If the facility is not ensuring that the Resident Council grievances are responded to and resolved, then residents are likely to feel that their issues/concerns are not taken seriously.