Piqua Manor

Inspectors wroteBased on record review, observation, interviews, and facility policy review, the facility failed to ensure staff completed hand hygiene. This affected three residents, (#02, #07, and #17) of three reviewed for infection control. The facility census was 90. Findings Include: 1. Review of medical record for Resident #02 revealed the resident was admitted to the facility on [DATE]. Diagnoses included epilepsy, neuromuscular dysfunction of bladder, atrial fibrillation, and obesity. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #02 had Brief Interview of Mental Status (BIMS) score of 15 indicating intact cognition. Resident #02 was dependent on dressing her lower body and toileting hygiene. Resident #02 required substantial to maximal assistance for bathing and personal hygiene. Resident #02 used a manual wheelchair to ambulate. 2. [...]

Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to store food in a safe manner. This had the potential to affect all residents who received food from the kitchen. The facility identified four (#12, #38, #85, and #98) residents who received nothing by mouth. The census was 87.

Inspectors wroteBased on observation, resident interview, and staff interview, the facility failed to ensure a reasonable accommodations were made for a resident related to placement and use of a urinal in the resident's room. This affected one (#71) of one residents reviewed for accommodation of needs. The census was 87.

Inspectors wroteBased on paper and electronic medical record review, staff interview, and policy review, the facility failed to ensure the resident's code status was consistent throughout the entire medical record. This affected one (#103) of one residents reviewed for advanced directives. The census was 87.

Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to notify the physician of a change in condition in a timely manner. This affected two (#106 and #96) of two residents reviewed for change in condition. The facility census was 87.

Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to investigate a resident skin condition obtained from trauma. This affected one (#38) of six residents reviewed for skin care. The census was 87.

Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure medications were maintained in a safe and secure manner. This affected one (#71) of one residents observed for medication storage. The census was 87.

Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure the medical record was complete and accurate related to a resident's change in condition. This affected one (#106) of two residents reviewed for change in condition. The facility census was 87.

Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to ensure staff wore appropriate personal protective equipment during high contact care interactions with residents in enhanced barrier precautions. This affected two (#12 and #38) of 11 residents reviewed for EBP. The census was 87.

Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure influenza and pneumococcal vaccinations were offered and administered to residents. This affected three (#7, #38, and #70) of five residents reviewed for immunizations. The census was 87.

Inspectors wroteBased on medical record review, staff interviews, review of the facility investigation information and policy review, the facility failed to report an allegation of abuse. This affected one (#85) resident out of three reviewed for abuse. The facility census was 90.

Inspectors wroteBased on medical record review, staff interviews, review of the facility investigation information and facility policy review, the facility failed to thoroughly investigate an allegation of abuse. This affected one resident (#85) out of three reviewed for abuse. The facility census was 90.

Inspectors wroteBased on medical record review, observations, interviews, and policy review, the facility failed to ensure showers were provided as scheduled. This affected three (Residents #89, #72 #85) of three residents reviewed for bathing. The facility census was 94.

Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, facility investigation review, observations, staff and resident interviews, and facility policy review, the facility failed to administer medications according to the physician orders. This affected one (Resident #95) of three residents reviewed for medication errors. The census was 94.

Inspectors wroteBased on observations, medical record review, and staff interview, the facility failed to provide privacy for residents receiving enteral feedings/flushes via gastrostomy tube (g-tube). This affected two residents (#71 and #72) of three residents reviewed for dignity and respect. The facility census was 79.

Inspectors wroteBased on medical record review, staff interview, observations and review of facility policy, the facility failed to ensure pharmaceutical medications were stored properly. This affected three residents (#17, #42 and #62) reviewed for medication storage. Facility census was 79.

Inspectors wroteBased on observation, staff interview and policy review, the facility failed to ensure staff followed Enhanced Barrier Precautions (EBPs) during personal care. This affected three residents (#69, #71, and #72) of the five residents reviewed for infection control. Facility identified 39 residents who were on EBPs. The facility census was 79.

Inspectors wroteBased on medical record review and staff interview, the facility failed to accurately complete a Minimum Data Set (MDS) 3.0 Assessment for a residents discharge. This affected one (#1) out of one resident reviewed for accuracy of assessments. The facility's census was 84.

Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure a physician reviewed and responded to pharmacy reviews. This affected three (#47, #80 and #42), out of five residents reviewed for pharmacy reviews. The facility's census was 84.

Inspectors wroteBased on medical record review, observation, staff and physician interview, review of the facility policy and review of medication information from Medscape, the facility failed to ensure all contraindicated medications were not crushed prior to administration resulting in a significant medication error. This affected one (#85) out of five residents reviewed for medication administration. The current census is 84.