Solaris Healthcare Celebration

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a person-centered comprehensive care plan to address a hearing impairment, including interventions to promote the resident's highest practicable well-being for 1 of 1 residents reviewed for communication/sensory needs, of a total sample of 57 residents, (#189).

Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain wound care orders and document wound care treatment per the resident's comprehensive, person-centered care plan, (#188); and failed to implement physician orders for treatment of psoriasis consistent with professional standards of practice, (#33), for 2 of 2 residents reviewed for non-pressure skin conditions, of a total sample of 57 residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the flow rate for Oxygen (O2) therapy was administered as per physician's order for 1 of 2 residents reviewed for O2 therapy, of a total sample of 57 residents, (#88).

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement physician orders for pain management accurately and timely; and failed to effectively manage pain in accordance with the resident's care plan and goals, for 1 of 2 residents reviewed for pain, of a total sample of 57 residents, (#189).

Inspectors wroteBased on observations, staff interview, cleaning schedule, and policy and procedure review, the facility failed to maintain food safety standards, such as ensuring food employees used beverage containers that prevented contamination from hands; resident Time/Temperature Control for Safety (TCS) food was not stored too long under refrigeration; ensure that food and non-food contact surfaces were clean to sight and touch; bathrooms used by food employees were equipped with handwashing signage; ensure that exposed food, clean equipment and clean utensils were protected from contamination from non-Food and Nutrition Services staff unrestrained hair; and clean equipment and utensils were stored in a clean and dry location and protected from splash. These findings have the potential to cause foodborne illness for 101 out of 109 residents who consumed the facility's food.

Inspectors wroteBased on observation, interview, and record review, the facility failed to honor resident's rights to choose their bathing preference for 1 of 3 residents reviewed for choices, of a total sample of 47 residents, (#17).

Inspectors wroteBased on interview and record review, the facility failed to provide written Notification of Transfer or Discharge forms to the residents or their representative for 3 of 3 residents reviewed for hospitalization, of a total sample of 47 residents, (#51, #64 and #117).

Inspectors wroteBased on interview and record review, the facility failed to employ a qualified professional to serve as the Activity Director.

Inspectors wroteBased on meal observation, resident and staff interviews, menu review, and medical record review, the facility failed to provide three residents (#43, #106, and #419) their prescribed sodium-restricted diets out of three residents reviewed for food quality and a randomly observed resident during the Dining Observation Task. This occurred at three meals during the four day survey.

Inspectors wroteBased on interview and record review, the facility failed to indicate the duration of an as needed (PRN) anti-anxiety/anxiolytic medication for 1 of 1 residents reviewed for psychotropic medications, of a total sample of 47 residents, (#56).

Inspectors wroteBased on observation, interview, and record review, the facility failed to complete an accurate admission assessment coding of the Minimum Data Set (MDS) under Functional Abilities and Goals for 1 of 1 resident reviewed for limited range of motion, of a total sample of 47 resident, (#42).

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident received appropriate health care services to minimize further decrease in range of motion by not applying a palm grip cushion, or carrot for contracted left hand for 1 of 3 residents reviewed for limited range of motion, of a total sample of 47 residents, (#42).

Inspectors wroteBased on observation, interviews, and record review, the facility failed to assure safe and accurate medication administration for 1 of 6 residents reviewed for Medication Administration, of a total sample of 47 residents, (#270).

Inspectors wroteBased on meal observation, resident and staff interviews, menu review, and medical record review, the facility failed to provide food that accommodated preferences for one (#106) of three residents reviewed for food quality for two meals out of two meals observed.

Inspectors wroteBased on observation, interview, and policy and procedure review, the facility failed to ensure that a garbage receptacle in the kitchen food preparation area was covered during non peak food production time. This was observed on one out of 4 Kitchen Observation Task visits.

Inspectors wroteBased on observation, and interview, the facility failed to ensure staff donned appropriate Personal Protective Equipment (PPE) before or upon entry into the environment of a resident on transmission-based precautions (e.g., contact precautions) for Clostridioides difficile (a germ that causes diarrhea and inflammation of the colon and can be life-threatening) and perform soap and water handwashing before exiting; and failed to ensure nursing staff followed appropriate hand hygiene practice during medication administration for 4 of 8 residents reviewed for medication administration, of a total sample of 47 residents, (#25, #98, #42 and #32) .

Inspectors wroteBased on interview and record review, the facility failed to ensure the baseline care plan summaries were reviewed with the resident or resident representative for 4 of 4 new admission residents out of a total sample of 42 residents (#15, #88, #273 & #274).

Inspectors wroteBased on observation, record review and interview, the kitchen staff failed to follow hygienic practices, during food distribution, to prevent the cross contamination of food, utensils, and clean equipment.

Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician ordered liters of oxygen administration for 1 of 1 resident reviewed for oxygen therapy out of a total sample of 42 residents (#274).