Springs at 3030 Park, the

Inspectors wroteBased on review of the clinical record, facility policy, and interviews for 3 of 3 residents (Residents # 7, 12, and 16) reviewed for dental services, the facility failed to offer routine dental services to long-term care residents, per the facility policy.

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interview for 1 resident (Resident #30) reviewed for staff to resident altercation, the facility failed to ensure the resident was free from abuse.

Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 3 of 3 resident (Resident #3, 28, and 32) reviewed for transmission based precautions, the facility failed ensure that appropriate signage was posted for Resident #3 who was on contact precautions, failed to ensure nursing staff adhered to appropriate infection control techniques for Resident #28, who was on droplet precautions, and failed to ensure nursing staff adhered to appropriate infection control techniques for Resident #32 who was on enhanced barrier precautions.

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 residents (Resident #223) reviewed for ADL's and who required assistance with toileting, the facility failed to ensure care that promoted the resident's dignity.

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for of 3 of 4 residents (Resident #13, 3 and 173) reviewed for advance directives, the facility failed to ensure a physician's order was obtained that reflected the resident/resident representatives wishes for code status (code status refers to the level of medical interventions a person wishes to have started if their heart or breathing stops).

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #223) reviewed for medication administration, the facility failed to notify the physician when medications and creams were not available/provided according to the physician's order.

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #223) reviewed for medication administration, the facility failed to administer medications and creams according to the physician's order.

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for of 3 of 3 residents (Resident # 7, 3 and 16) reviewed for pressure ulcers, for Resident #7 the facility failed to conduct comprehensive skin assessments by a registered nurse following the identification of a pressure injury consistent with professional standards, for Resident #3, the facility failed to complete a required nutritional assessment related to the presence of a newly identified pressure injury and for Resident #16 the facility failed to ensure the air mattress was set by the residents' weight per the physician order.

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 residents (Resident #17) reviewed for accidents, the facility failed to implement interventions and supervision to prevent falls.

Inspectors wroteBased on review of facility documentation and interviews, the facility failed to maintain a complete and accurate record of residents identified with Multidrug-resistant organisms (MDRO) in accordance with infection control standards.

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one of four sampled residents (Resident #1) who required staff assistance with getting in and out of the bed and chair, via a mechanical lift, the facility failed to ensure a proper transfer to prevent a fall that resulted in Resident #1 sustaining bilateral femur fractures.

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy and interviews for one of four sampled residents (Resident #1) who were reviewed for a mechanical lift (Hoyer) transfer, the facility failed to provide documentation that staff education and competencies were conducted to ensure safe transfer techniques.

Inspectors wroteBased on review of facility documentation, observations of the kitchen and interviews, the facility failed to ensure that food temperatures were taken and documented daily at each meal and failed to ensure proper infection control practices for hand washing were maintained while plating food at mealtime.

Inspectors wroteBased on clinical record review, facility policy review, and interviews for 1 sampled resident (Resident # 171) reviewed for edema, the facility failed to ensure that a baseline care plan was completed within 48 hours of resident admission to address the resident's needs.

Inspectors wroteBased on clinical record review, facility policy review and interviews for 1 sample resident (Resident #10) reviewed for hospitalization, the facility failed to ensure the resident was assessed comprehensively after significant change of condition in accordance to the professional standard and facility practice.

Inspectors wroteBased on clinical record review, facility policy and interviews for 1 sampled resident ( Resident # 171) reviewed for edema, the facility failed to ensure body weights were obtained as ordered by the physician.

Inspectors wroteBased on observation, facility policy review and interviews, the facility failed to ensure that staff was wearing a N-95 mask and face shield/goggles prior to going in a positive COVID-19 room in accordance to facility practice.

Inspectors wroteBased on clinical record review, facility documentation, facility policy review and interviews for 1 of 5 residents (Resident #9) reviewed for vaccinations, the facility failed to administer pneumovax vaccine following a request to receive the vaccinations.