Prestige Care Center of Plattsmouth

Inspectors wroteNebraska Licensure reference: NAC 75: 12-006.11(E); NAC 75: 12-007.10(A) Based on observation, interview, and record review, the facility failed to ensure all foods were labeled, sealed, and dated after opening, ensure outdated foods were not available for use, and satellite refrigerators were kept clean, ensure staff performed hand hygiene and gloving to prevent cross contamination during meal prep and dining, and failed to handle resident dinnerware and utensils in a sanitary manner. The facility census was 87 residents.

Inspectors wroteLicensure Reference Number 175 NAC 12.006.19(C)(i)Licensure Reference Number 175 NAC 12.006.18(B)Licensure Reference Number 175 NAC 12.006.18(D)Based on observation, interview, and record review, the facility failed to ensure staff handled clean clothing and linens, completed hand hygiene during 1 (Resident 2) of 4 sampled resident's wound care, failed to ensure a medication aide wore gloves when opening a medication capsule for 1 (Resident 69) of 4 sampled residents, failed to ensure 1 (Resident 34) of 1 sampled resident's Continuous Positive Airway Pressure device (CPAP)(a machine used to treat sleep apnea) mask and nebulizer (neb)(a machine used to deliver liquid medications to the lungs) kit were stored, failed to ensure staff performed hand hygiene between glove changes to prevent potential cross contamination (transfer of bacteria from one surface to another), and failed to follow [...]

Inspectors wroteLicensure Reference Number 175 NAC 12.007.04(D)Licensure Reference Number 175 NAC 12.006.19(A)Licensure Reference Number 175 NAC 1.009.02Based on observation, interview, and record review, the facility failed to ensure the exhaust ventilation system was working in all resident's restrooms. This affected all residents that resided in the facility. The facility census was 87.

Inspectors wroteNebraska Licensure reference: 175 NAC 12-006.09(I)Nebraska Licensure reference: 175 NAC 1-009.04(D)(i)(1&2)Based on observation, interview, and record review, the facility failed to maintain safe hot water temperatures to prevent accidents in occupied resident rooms 301, 302, 303, 306, 308, 503, 506, and 512. The facility census was 87 residents.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.11D Based on observation and interview, the facility staff failed to ensure food was provided in a manner that was maintained at a temperature that was appealing to residents. This had the potential to affect 72 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents in semi-private rooms had their own private designated closet space. The facility census was 87.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(D) Based on observation, record review, and interviews, the facility failed to ensure that the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used for care planning), was accurately coded related to incontinence and an indwelling catheter for 1 (Resident 8) of 3 sampled residents. The facility census was 87.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Based on observation, interview, and record review the facility failed to ensure that providers orders were followed for wound care for Resident 5. The facility had a census of 87.

Inspectors wroteLicensure reference: 175 NAC 12-006.09(H)(ii)Based upon record review and interview, the facility failed to ensure that 1 (resident 3) of 1 sampled resident received proper treatment and assistive device to maintain vision. The facility census was 87 residents at the time of survey.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)Based on record review and interview, the facility failed to monitor and record blood pressures for the continued use of blood pressure support medications for 1 (Resident 66) of 5 sampled residents. The facility staff identified a census of 87.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D)Based on observation, interview and record review, the facility failed to ensure that the medication error rate was less than 5%. The facility had a census of 87.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D)Based on observation, interview and record review, the facility failed to ensure that 1 resident (Resident 47) of 4 residents surveyed was free of a significant medication error. The facility had a census of 87.

Inspectors wroteBased on interview and record review, the facility failed to ensure that the daily posted nurse staffing sheets included the facility name and staffing number and actual hours worked for each shift. The facility census was 87.

Inspectors wroteLicensure Reference Number NAC 175 12-006.11(E) Nebraska Food Code 2017 4-202.16 Based on observation, interview, and record review; the facility failed to maintain the reach in refrigerator and a utility cart in a sanitary manner and failed to ensure food containers were not placed directly on the floor in the facility kitchen. This had the potential to affect 81 of 82 residents that ate food from the facility kitchen. The facility failed to ensure food items were sealed and dated on the memory care unit which had the potential to affect 16 of 16 residents that reside on the memory care unit. The facility identified a census of 82.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.19 Based on observation, and interview the facility failed to ensure that a doorbell was functional at the north entrance of the facility, this had the potential to affect 32 residents identified as independent with mobility from a facility census of 82. The facility failed to ensure wallpaper,walls, light covers,and fixtures were maintained in clean condition and good repair, in 9 (302, 303, 306, 405, 408, NW4, NW7, NW8, and NW9) of 43 occupied resident rooms. The facility failed to maintain a utility sink in good repair in the memory care unit. This had the potential to affect 15 of 16 residents that reside on the unit. The facility to ensure an exterior stair hand railing was secured to the bottom step at the entrance to the south side of the facility. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iii)(3) Based on observation, interview and record review the facility failed to ensure wound treatment orders were provided according to the practitioner's orders for 1 (Resident 331) of 4 residents sampled. The facility census was 82.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I)(i)(1) Based on observation, interview and record review the facility failed to implement interventions to prevent falls for 1 (Resident 54) of 4 residents sampled. The facility census was 82.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(J) Based on record review and interview the facility failed to provide nutritional supplements for 1 (Resident 54) of 2 residents sampled. The facility census was 82.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D) Based on observation, interview and record review the facility failed to ensure a medication error rate of 5% or less as evidenced by 2 errors out of 28 opportunities for error resulting in a medication error rate of 7.14%. This affected 1 (Resident 328) of 3 residents sampled. The facility census was 82.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Based on observation, record review and interview; the facility failed to follow Enhanced Barrier Precautions (EBP, use of gown and gloves during high-contact resident care activities) and failed to ensure supplies for wound care were not in contact with soiled items for 1 (Resident 49) of 5 sampled residents. The facility identified a census of 82.

Inspectors wroteNAC 175 12.006.11D Based on observation, interview and record review the facility failed to prepare food that was palatable and served at a temperature to prevent the potential for food borne illness. This had the ability to affect 71 of 72 residents that reside who ate food from the kitchen. The facility census was 72.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.16C Based on observation, interview, and record review the facility failed to ensure the residents medical records were safe from unauthorized use. This had the ability to affect all residents in the facility. The facility reports a census of 72.

Inspectors wroteNAC 175 12-006.18 Based on observation and interview the facility failed to ensure bathroom baseboards were secure in rooms [ROOM NUMBER] and failed to ensure a safe and secure sink in bathroom shared by room [ROOM NUMBER] and 308. This affected 10 of 18 sampled residents (Residents 69, 6, 9, 17, 59, 7, 22, 1, 31, and 49). The facility census was 72.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09B Based on record review and interview, the facility failed to ensure a Level II PASRR screen was completed after Resident's 17 and 47 were diagnosed with a serious mental illness while residing in the facility. This affected 2 (Resident 17 and 47) of 5 sampled residents. The facility identified a census of 72.

Inspectors wroteBased on record review and interview the facility failed to ensure that 1 resident (Resident 63) had a guardian/conservator as recommended by physician. The facility reported a census of 72.