Seaside Healthcare LLC

Inspectors wroteBased on review of the facility's incident report, internal investigation, clinical record, and interviews, the facility failed to ensure that a resident had a choice about his/her care in the area of bathing for 1 of 1 residents reviewed (R1).

Inspectors wroteBased on interviews and record review, the facility failed to ensure resident records contained information regarding the transfer or discharge of a resident to a hospital, and failed to provide transfer, discharge and bed hold information to the resident, or designated representative, for 3 of 9 residents reviewed for hospitalization (R1, R6, R11).

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure care plans were developed and implemented in the areas of accident hazards, unnecessary medications, and urinary tract infection, for 3 of 7 residents reviewed for care planning (R11, R29, R39).

Inspectors wroteBased on observation and interview, the facility failed to ensure that residents were served a meal in a homelike setting and treated with dignity and respect during a meal service observation on 1 of 6 units (400 unit).

Inspectors wroteBased on interview and record review, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours that included the instructions needed to provide minimum healthcare information necessary to properly care for 1 of 10 sampled residents reviewed for new admissions (#27).

Inspectors wroteBased on record review and interviews the facility failed to ensure that physicians' orders were obtained for treatment of an existing wound for 1 of 1 resident who was admitted on [DATE] resulting in a delay of treatment for the wound (R165).

Inspectors wroteBased on record review and interviews, the facility failed to use the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week on 1 of 61 days reviewed for RN coverage.

Inspectors wroteBased on record review and interviews, the facility failed to ensure that a resident's choice in the area of dental were being followed for 2 of 4 sampled residents reviewed for dental (Resident #15 and #26).

Inspectors wroteBased on interview and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT), that included, to the extent possible, participation of the resident and/or his/her representative after each assessment for 3 of 24 sampled residents (#10, #26 and #53).

Inspectors wroteBased on observations and interviews, the facility failed to ensure that medications were stored properly by having unlocked and unattended medication cart with medication stored on top of the cart allowing residents and unauthorized persons access to them on 1 of 5 days of survey. In addition, the facility failed to adequately date and properly dispose of open medications according to manufacturer specifications and failed to ensure expired medications were removed from the supply available for use on 2 of 4 units observed (Unit 2 and Unit 5).

Inspectors wroteBased on observations and interviews, the facility failed to provide a sanitary environment to help prevent the development and transmission of infections related to the storage of residents' personal care items for 3 of 5 days of survey on 3 of 5 units (Unit 2, Unit 4 and Unit 5).

Inspectors wroteBased on interview and record review, the facility failed to follow physician orders for 1 of 24 sampled Residents (#53) .

Inspectors wroteBased on record reviews and interviews the facility failed to adequately monitor residents receiving antipsychotic medications for tardive dyskinesia and/or other movement disorders for 2 of 5 residents reviewed for unnecessary medication. (#21 and #50)

Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and in a sanitary condition on 3 of 5 Units. (Unit 4, Unit 5, and Unit 2).

Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and sanitary conditions on 4 of 6 units (100, 200, 300, and 400) for 1 of 1 Environmental tours.

Inspectors wroteBased on interviews and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT), that included, to the extent possible, participation of the resident and/or his/her representative to review and revise the care plan after each assessment for 5 of 40 sampled residents (#56, #33, #86, #7, #28). In addition, facility failed to revise a resident's care plan to reflect the current needs in the area of infection control (#3).

Inspectors wroteBased on observation and interview, the facility failed to label a multidose Tuberculin Purified Protein Derivative (TB) vials that was available for use, with an open date, in 1 of 3 medication storage refrigerators (Wing 5). In addition, the facility failed to store medication properly (100 unit) on 3/17/2021 and a medication cart was left unlocked and unattended (200 unit) on 3/17/2021 and 3/19/2021).

Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for 1 of 1 kitchen tour observations.

Inspectors wroteBased on interviews and observations, the facility failed to ensure staff followed facility policy and followed the Centers for Disease Control (CDC) recommendations for infection control practices, regarding hand hygiene practices, to provide a sanitary environment to help prevent the development and transmission of disease and infection related to hand hygiene for 1 of 4 days of survey. Further, the facility failed to handle linen in a manner to prevent the spread of infection on 1 of 4 days of survey. In addition, the facility failed to provide a sanitary environment to help prevent the development and transmission and infection related to bed pan storage and Foley bag (urine drainage bag) for 2 of 4 days of survey. (Unit 100) (room [ROOM NUMBER]-2) (Resident #25)

Inspectors wroteBased on observation and interview the facility failed to ensure that a call bell was accessible to 1 of 40 sampled residents (#23). On 3/16/2021 at 10:29 a.m., during an interview with Resident #23, a surveyor observed that the call bell was out of reach to the resident, preventing resident from activating the call bell for assistance. Resident stated it is not long enough. It has always been that way. Resident stated he/she has the roommate ring for assistance when needs help. On 3/16/2021 at 2:11 p.m. this finding was discussed with the Senior Health Care Corporate Operations Officer and Interim Administrator.

Inspectors wroteBased on record review and interview, the facility failed to ensure a smoking assessment was conducted for 1 of 3 residents reviewed for smoking (#71). In addition, the facility failed to ensure chemicals were properly secured during 1 fo 4 days of survey on 1 of 6 units (100 unit).

Inspectors wroteBased on observation and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests on 1 of 4 days of survey.