Oakview Manor Health Care Center

Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to maintain a urinary catheter bag in a manner to prevent potential contamination and urinary tract infections when Resident 86's urinary catheter bag was observed on the floor on five occasions on three of the four days of the survey. This affected Resident #86, one of three residents reviewed with catheters.

Inspectors wroteBased on observations, interviews, and a review of facility policies titled FOOD TEMP LOG POLICY & PROCEDURE, and Cleaning Dishes / Dish Machine, the facility failed to ensure: 1.) the holding temperature of all foods on the steam table were measure before beginning tray-line service and the holding temperature of fried chicken was at least 135 degrees Fahrenheit and 2.) four pans were not wet and stacked in a manner that prevented air-drying. This was observed on 11/13/19 during the supper meal and had the potential to affected 127 of 127 residents receiving meals from the kitchen. Findings Include: 1.) A facility policy titled: FOOD TEMP LOG POLICY & PROCEDURE dated 09/18/12 revealed Food temperatures will be taken . when placed on the serving line for all meal service . [...]

Inspectors wroteBased on observation, interviews, a review of a facility policy Perineal Care, and a facility Laboratory Report, the facility failed to ensure the Certified Nursing Assistant (CNA) did not use the same soiled gloves she had on to place a clean brief on Resident Identifier (RI) #54, a resident with a history of Urinary Tract Infections (UTI). This was observed on 11/13/19 and affected one of two residents observed for incontinent care. Findings Include: A review of a facility policy titled Perineal Care with a revised date of October 2010 revealed Purpose The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections . RI #54 was admitted to the facility on [DATE]. A diagnosis included Urinary Tract Infection. A review of a facility Laboratory Report revealed PROCEDURE CULTURE URINE . COLLECTED 10/30/19 . [...]

Inspectors wroteBased on observations, interviews and a review of facility policies and a document titled, Dishware and Glassware Safety, Tray Line Temp Log, and FOOD TEMPT LOG POLICY & (and) PROCEDURE, the facility failed to ensure : 1. residents were not served food on chipped plates and 2. a second temperature was taken for the egg rolls, a temperature was taken of the orient vegetables and the second batch of chicken. This had the potential to affect 125 of 125 residents who received meals from the kitchen. Findings Include: 1) A review of a policy titled, Dishware and Glassware Safety, with a date of 2013 revealed: .Procedure: 1. Chipped or cracked .or china are discarded immediately. On 11/14/2018 at 11:56 a.m., the surveyor observed EI #9, the cook putting food in a chipped plate. The survyor observed 14 chip plates under a table in the dish room with utensils on top of the table. [...]

Inspectors wroteBased on observation, interview and a review of a facility policy titled, Waste Disposal, the facility failed to ensure: the dumpster doors were closed on two of three dumpster's on site. This had the potential to affect all resident residing at the facility. Findings Included: A review of a facility policy titled, Waste Disposal, with a date of 2013 revealed, .Procedure: .2. Trash will be deposited into a sealed container outside the premise. On 11/13/18 at 10:52 a.m., the surveyor observed three dumpster's on site. Dumpster number two doors was opened at the front side and back side of the dumpster. Dumpster number three door was opened at the back side of the dumpster. There was food debris on the front side of dumpster number three. On 11/15/18 at 9:50 a.m., the surveyor conducted an interview with (Employee Identifier) EI #6, Dietary Manager. [...]

Inspectors wroteBased on record review, interview, review of a facility abuse reportable to the State Agency and review of the facility policy titled Abuse, Neglect and Exploitation, Misappropriation of Resident Property, the facility failed to ensure two allegations of abuse were reported to the State Agency within the required two hour reporting time frame. This affected two of three allegations reported to the state agency. Findings Include: A review of a facility policy titled Abuse, Neglect and Exploitation, Misappropriation of Resident Property with an implementation date of 11/28/17 revealed . Policy Explanation and Compliance Guidelines: .The components of the facility abuse prohibition plan . :VII. Response and Reporting of Abuse . [...]

Inspectors wroteBased on record review and interviews the facility failed to ensure the Quarterly Minimum Data Set (MDS) dated [DATE] for Resident Identifier (RI) #123 accurately reflected RI #123 transfer status. This affected one of 32 residents who were reviewed for MDS accuracy. Findings Include: A review of RI #123's Quarterly MDS assessment, with Assessment Review Date (ARD) of 11/08/2018 revealed that his/her transfer status was supervision on self-performance and setup help only on support provided. RI #123 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses of Repeated Falls and Obesity. On 11/15/2018 at 10:10 AM, an interview was conducted with Employee Identifier (EI) # 11, Certified Nursing Assistant. EI #11 was asked what were her duties. EI #11 stated, activity of daily living, feeding, and general assistance to residents. [...]

Inspectors wrote2) A Review of a revised date October 2010, facility policy titled Instillation of Eye Drops revealed: . The purpose of this procedure is to provide guidelines for instillation of eye drops to treat medical conditions, eye infections and dry eyes . Steps in the Procedure 2. Perform hand hygiene. 3. Put on gloves . RI#52 was admitted to the facility on [DATE] with a diagnosis of unspecified macular degeneration. A review of RI #52's November 2018 Physician orders revealed: .OLOPATADINE HCL 0.2% Eye Drop instill 2 drops in both eyes Twice Daily . On 11/14/18 at 8:09 AM, EI #5 Licensed Practical Nurse (LPN) was observed giving RI #52's morning medication. EI #5 gave the by mouth medications. EI #5 put on gloves without washing her hands and administered the eye drop medication. EI #5 removed the gloves and washed her hands and put eye drops back into the medication cart. [...]