New Iberia Manor North

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to store and serve food in accordance with professional standards for food service safety, and to ensure sanitary conditions were maintained by failing to:ensure two ice scoops were properly stored;properly store and label food items in the dry storage, walk-in cooler, and walk-in freezer;ensure deep fryer was cleaned properly and timely;wear gloves when preparing pureed foods; andensure all temperatures were obtained and documented for breakfast, lunch, and dinner meals The facility had a census of 80 residents.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure a person-centered care plan was implemented for each resident, by failing to implement physician's orders for compression stocking/socks for 1(Resident #13) of 32 sampled residents.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that services provided met professional standards, as evidenced by the nurse leaving medication at a resident's bedside to self-administer for 1 (#4) of 1 resident investigated for respiratory care.

Inspectors wroteBased on observations, record reviews, and interviews the provider failed to carry out Activities of Daily Living (ADL) for 1 (#8) resident out of 5 residents reviewed for ADLs in a sample of 32 residents.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure ongoing communication and collaboration with the dialysis facility through use of dialysis communication forms for 1 (Resident #61) of 32 sampled residents.

Inspectors wroteBased on observation and interview, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles by failing to ensure 1 (Med Cart A) of 2 medication carts inspected were free of loose pills.

Inspectors wroteBased on observation, interviews, and record review the facility failed to maintain an infection prevention and control program as evidenced by:1. Staff failing to perform hand hygiene prior to and during tracheostomy care for Resident #8. 2. Staff failing to perform hand hygiene during medication administration on Hall B.

Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles as evidenced by having medication labels and physician orders that did not reflect the correct route of administration for 2 (#28, #54) out of 2 (#28, #54) residents whose physician orders and medication labels were reviewed.

Inspectors wroteBased on observations and interviews, the facility failed to maintain a clean and sanitary kitchen, as evidenced by: 1. Equipment: A. Build-up of debris and brown substance inside the conventional oven and the inside of the oven doors. 2. Food storage: A. Walk-in Refrigerator 1. A container of Roux (thickening agent for cooking) not labeled with the date it was opened. 2. A container of chopped garlic with an expiration date of 03/17/2025. B. Walk-in Freezer 1. A bag of beef patties not labeled with the date it was opened. C. Dry Storage 1. One dented canned good. 2. A bag of pasta not labeled with the date it was opened. D. Main Kitchen: 1. Three bags of bread were not labeled with the date it was opened. 3. S4DC (Dietary Cook) without a hair restraint while in the kitchen. This deficient practice had the potential to affect 75 residents who consumed food from the kitchen.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the resident's Minimum Data Set (MDS) assessment was completed accurately for 1 (#40) of 1 resident investigated for hospice services out of a finalized sample of 33 residents.

Inspectors wroteBased on observations, record review, and interviews, the facility failed to develop and implement a person-centered care plan for 1 (#72) out of 1 (#72) sampled resident reviewed for respiratory care by: 1. Failing to follow physician's orders for changing nebulizer treatment tubing every week; and 2. Failing to follow physician's orders for respiratory prior and after orders when administering nebulizer treatments

Inspectors wroteBased on observations, interview and record review, the facility failed to ensure residents unable to carry out activities of daily living (ADL) received the necessary services to maintain good grooming and personal hygiene for 1 (#44) out of 33 sampled residents. The facility had a census of 78.

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure a resident's (#34) indwelling urinary catheter drainage bag was positioned off the floor for 1 (#34) out of 2 (#34 and #48) residents investigated for urinary catheter. The total census was 78 residents.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure there was a sufficient number of Certified Nurse Aides (CNAs) and Shower Aides to provide services in accordance with resident care plans for 1 (Resident #2) of 4 (Residents #1 - #3, and R1) sampled residents. The facility's census was 76.

Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were free from verbal abuse for 1 (Resident #1) out of 5 (Resident #1, Resident #2, Resident #3, Resident #R1, and Resident #R2) sampled residents investigated for abuse.

Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate and adequately intervene when the resident reported his pain medication was not treating his pain effectively for 1 resident (#326) out of 1 sampled resident (#326) for pain.

Inspectors wroteBased on record review, and interviews, the facility failed to ensure the Nurse Practitioner (NP): 1. Re-evaluated Resident # 66's urinary tract infection symptoms after lab (laboratory) results were received for 1(#66) of 3 residents (#66, #35, #52) investigated for UTI (Urinary Tract Infection); and 2. Responded to staff reporting a change in medical status for 2 (#66, #326) of 2 residents (#66, #326) investigated for UTI and Pain. This deficient practice had the potential to affect 73 residents that reside at the facility.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that their medication error rate was less than five percent, by failing to administer medications at the right time for 4 of 4 (#16, #41, #53, and #67) residents observed during morning medication pass. This deficient practice had the potential to affect a census of 74 residents.

Inspectors wroteBased on record reviews, observations, and interview, the facility failed to ensure the resident was treated with respect and dignity as evidenced by the facility failing to keep a resident's urine collection bag covered and private for 1 (Resident # 35) of 3 residents (# 35, # 52 and # 66) investigated for urinary catheter or urinary tract infection.

Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's Minimum Data Set (MDS) was completed accurately for 1 (#31) out of 35 sampled residents.

Inspectors wroteBased on record review and interview, the facility failed to refer a resident with a newly diagnosed mental disorder to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 2 (Resident #37 and #57) of 2 (#37 and #57) residents investigated for PASARR in a final sample of 35 residents.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that a resident with a qualifying mental disorder, was not admitted to the facility before a preadmission screening by the State Office of Behavioral Health (OBH) was completed or obtained for 1 (#33) of 4 (#31, #33, #37, and #57) residents investigated for PASARR (Preadmission Screening and Resident Review) out of 34 sampled residents.

Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to develop and implement a person-centered care plan for 2 (#37 and #66) out of 2 residents investigated for care plans out of a total sample of 35 residents by: 1. failing to follow physician's orders for completing wound care for Resident #37, 2. failing to request a urine C/S (culture and sensitivity) from the laboratory after order was received for Resident #66

Inspectors wroteBased on record review and interview, the facility failed to perform daily wound care as ordered by the physician and failed to provide weekly wound assessments for 1 (#48) of 3 (#17, #35 and #48) residents investigated for pressure ulcers.

Inspectors wroteBased on observation, record review and interview the facility failed to ensure that a resident (#62) with limited range of motion received the appropriate treatment and services by failing to implement recommendation by the physical therapy department for the restorative nursing program for 1 (#62) of 1 resident investigated for position/mobility in a total sample of 35 residents.

Inspectors wroteBased on record review and interview, the facility failed to ensure the resident was free from accidents for 1 (#37) of 2 (#37 and #61) residents investigated for accidents.

Inspectors wroteBased on observations, record reviews and interview, the facility failed to ensure a resident received necessary respiratory care and services as evidenced by: 1. Failing to ensure the resident was assessed for respiratory therapy and 2. Failing to obtain a physician's order for respiratory therapy. This deficient practice was evidenced for 1 (Resident # 35) of 3 residents (# 35, # 50 and # 71) investigated for respiratory care.

Inspectors wroteBased on record review and interview, the facility failed to ensure ongoing communication and collaboration with the dialysis facility as evidenced by failing to change the physician's order to reflect dialysis treatment days for 1 (#48) out 1 (#48) resident investigated for dialysis.

Inspectors wroteBased on record review and interview, the facility failed to ensure a RN (Registered Nurse) was on duty for 8 consecutive hours per day for 7 days per week.

Inspectors wroteBased on observation and interview, the facility failed to ensure the menu was followed for 2 (#27, #37) residents out of 3 (#27, #30, #37) residents who received pureed diets.

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure the resident received a mechanically soft chopped meats diet as ordered for 1 (# 61) of 3 (# 61, # 66, and # 71) residents investigated for food concerns in a final sample of 34 residents.

Inspectors wroteBased on observation and interview the facility failed to store food in accordance with professional standards for food service and ensure sanitary conditions were maintained in the kitchen by failing to: 1. Ensure cooked food items were not stored on the same shelf as raw food items; 2. Remove expired food items from the kitchen's walk in cooler.

Inspectors wroteBased on observation, record review and interview, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections as evidenced by failing to ensure clean laundry and linen was not stored on the contaminated side of the laundry department.

Inspectors wroteBased on records reviewed and interviews, the facility failed to have a plan in place to ensure how treatments were going to be completed when the treatment nurse resigned. This deficient practice had the potential to affect the 75 residents who resided in the facility.

Inspectors wroteBased on records reviewed, interviews, and observations, the facility failed to ensure the resident's care plan and physician's orders were followed for 6 (#1, and R1-R5) out of 8 (#1-#3, R1-R5) sampled residents as evidenced by: 1. Failing to ensure a floor mat was at the bedside for Resident #1 and; 2. Failing to ensure skin and wound treatments were completed as ordered for Residents R1, R2, R3, R4, and R5.

Inspectors wroteBased on record review and interview, the facility failed to ensure that a resident's care plan was accurately updated with the appropriately identified problem areas and interventions to reflect the resident's current wound status for 2 (#2, and #3) out of 8 (#1, #2, #3, R1, R2, R3, R4 and R5) sampled residents.

Inspectors wroteBased on record review, observation and interview, the facility failed to provide weekly wound assessments and failed to perform daily wound care as ordered for 2 (#2 and #3) out of 2 (#2 and #3) residents investigated for pressure ulcers out of a final sample of 8 residents (#1-#3 and R1-R5).

Inspectors wroteBased on observations, record review and interview, the facility failed to provide a safe and sanitary, environment to help prevent the development and transmission of communicable diseases and infections by failing to remove contaminated gloves and perform hand hygiene during wound care for 1 (#3) resident out of 7 (#2, #3, R1, R2, R3, R4, R5) residents investigated for wound/skin treatments.