Silver Creek Rehab and Healthcare Center

Inspectors wroteBased on record review and staff interview, the facility failed to obtain written authorization of residents who choose to deposit personal funds with the facility relative to 4 of 7 residents reviewed, Resident ID #s 2, 6, 77, and 111.

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that services provided meet professional standards of quality relative to following physician's orders for 1 of 1 resident who has an order for simvastatin (a medication prescribed to treat high cholesterol), Resident ID #45, for 1 of 2 residents recently admitted that were reviewed for weekly weights, Resident ID #14, and for 1 of 3 residents observed receiving a skin treatment, Resident ID #27.

Inspectors wroteBased on surveyor observations, clinical record review, and staff interview, the facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles for 1 of 1 central (medication) supply closet and 2 of 3 medication carts reviewed.

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that residents have a right to be treated with respect and dignity, related to providing privacy during a skin treatment for 1 of 3 treatments observed, Resident ID #27.

Inspectors wroteBased on surveyor observation, clinical record review, and resident and staff interview, the facility failed to ensure the assessments accurately reflect the resident's status for 2 of 4 residents reviewed with dental concerns, Resident ID #s 6 and 9, and for 1 of 1 resident reviewed who is prescribed clozapine (an antipsychotic medication), Resident ID #27.

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote and maintain skin integrity for 1 of 1 resident reviewed, relative to a fungal rash, Resident ID #27.

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that a resident with limited range of motion receives the appropriate treatment to prevent further decrease in range of motion for 1 of 2 residents reviewed who utilizes a hand roll (an assistive device that helps maintain or prevent decline in mobility), Resident ID #54.

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure each resident's drug regimen is free from unnecessary drugs for 1 of 3 residents reviewed with a topical treatment, Resident ID #6.

Inspectors wroteBased on surveyor observation, clinical record review, and staff interview, the facility failed to ensure that residents receive laboratory services relative to diagnostic testing, for 1 of 1 resident reviewed with a physician's order for clozapine (an antipsychotic medication) level (a laboratory test that measures the amount of medication in the blood to ensure that the medication is at a therapeutic range), Resident ID #27.

Inspectors wroteBased on surveyor observations, clinical record review, and staff interview, the facility failed to ensure a sanitary environment to help prevent the transmission of infections for 2 of 3 residents observed during treatments, Resident ID #s 27 and 122.

Inspectors wroteBased on surveyor observation and staff interview, the facility failed to post in a place readily accessible to residents, family members, and legal representatives of residents, the results of the most recent surveys conducted of the facility.

Inspectors wroteBased on surveyor observation, record review, and resident and staff interview it has been determined that the facility failed to ensure that the residents' environment remains as free from accident hazards as possible, as the facility experienced a fire incident.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide care consistent with professional standards of practice for 3 of 3 residents reviewed with an ostomy (colostomy/ileostomy; are surgical procedures that reroute the bowel to an opening in the abdomen, called a stoma. A wafer, which is fitted or cut to the individual size of the stoma, and a pouch are attached externally around the stoma, to collect the stool from the intestines), Resident ID #s 24, 60, and 99.

Inspectors wroteBased on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections, relative to Enhanced Barrier Precautions (EBP; involves using gown and gloves during high-contact resident care activities) for 1 of 1 resident observed for transfers, Resident ID #76, and relative to COVID-19 for 1 of 1 resident reviewed for COVID-19 precautions, Resident ID #78.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote wound healing and prevent new ulcers from developing for 1 of 1 resident reviewed with a deep tissue injury (DTI; a purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of the underlying soft tissue from pressure), Resident ID #76.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to keep a resident free from physical abuse for 2 of 4 residents reviewed, Resident ID #s 2 and 3.

Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to provide evidence that an alleged violation of abuse was investigated, relative to an allegation of resident-to-resident abuse between Resident ID #s 1 and 3, which in turn resulted in Resident ID #2 sustaining abuse by the same alleged perpetrator, Resident ID #1.

Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to ensure that residents who require supervision with meals, received supervision when eating, for 1 of 4 residents reviewed, Resident ID #1.

Inspectors wroteBased on record review and staff interview it has been determined that the facility failed to keep a resident free from physical abuse for 1 of 4 residents reviewed, Resident ID #4.

Inspectors wroteBased on surveyor observation, record review, resident and staff interview, it has been determined that the facility failed to ensure that each resident receives the necessary care and services to maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 1 resident reviewed with congestive heart failure (CHF), who experienced an acute change in condition which resulted in a hospital admission, Resident ID #1.

Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent new ulcers from developing for 1 of 2 residents reviewed for pressure ulcers (a localized injury to the skin or underlying tissue due to pressure), Resident ID #2.

Inspectors wroteBased on record review and staff interview, it has been determined that the facility failed to review and revise the resident's care plan, relative to the presence of an infection for 1 of 2 residents reviewed, Resident ID #46.

Inspectors wroteBased on surveyor observation and staff interview, it has been determined that the facility failed to store and label drugs and biologicals in accordance with currently accepted professional principles for 1 of 2 medication storage rooms observed and 3 of 3 medication carts observed.

Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections relative to the lunch meal service, 1 of 4 residents reviewed for an indwelling catheter, Resident ID #31 and 1 of 5 residents reviewed for wound care, Resident ID #101.

Inspectors wroteBased on record review and staff interview, it has been determined that services provided by the facility failed to meet professional standards of quality relative to physician's orders for 1 of 4 residents reviewed for a non-pressure wound treatment order without provider notification, Resident ID #5 and 1 of 1 dialysis resident reviewed for weight variances, Resident ID #87.

Inspectors wroteBased on surveyor observation, record review and staff interview it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, relative to reporting a change in a resident's condition timely, following physician's orders relative to oxygen administration and obtaining daily weights, for 1 of 1 resident reviewed with a change of condition relative to the diagnosis of congestive heart failure (CHF- when the heart does not pump adequately), Resident ID #69.

Inspectors wroteBased on surveyor observation, record review and staff interview, it has been determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice, to promote wound healing and prevent new ulcers from developing for 1 of 4 residents reviewed with pressure ulcers (a localized injury to the skin and/or underlying skin usually over a boney prominence), Resident ID #101.

Inspectors wroteBased on surveyor observations, record review and staff interview, it has been determined that the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 1 of 2 residents reviewed for call lights, Resident ID #67.