St. Catherine's C C of Fostoria

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, label, date, and maintain food in a manner to prevent contamination and spoilage in accordance with acceptable food safety practices. This deficient practice had the potential to affect all residents, as all facility residents received food prepared and distributed from the facility kitchen. The facility census was 52.

Inspectors wroteBased on observation, interview, review of facility shower schedule, and medical record review, the facility failed to ensure a resident who was not dependent on staff for activities of daily living received bathing services as scheduled. This affected one resident (#44) of three residents (#30, #41, and #44) reviewed for Activities of Daily Living (ADLs). The facility census was 52. Findings Include: [...]

Inspectors wroteBased on observation, staff interview, medical record review, and review of facility policy, the facility failed to provide necessary assistance with personal hygiene to maintain grooming and cleanliness for one resident (#41) of three residents (#30, #41, and #44) reviewed for activities of daily living (ADLs). The facility census was 52. Findings Include: [...]

Inspectors wroteBased on record review, staff interview, observation of wound care, and policy review, the facility failed to timely assess and treat a pressure ulcer. This affected one resident (#8) of three residents reviewed for pressure ulcers. The facility census was 52.

Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to ensure a catheter securement device was utilized for one resident (#4) of three residents reviewed for catheter securement devices. The facility census was 52.

Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure personal protective equipment (PPE) was applied during resident care as required and enhanced barrier precautions were in place. This affected two (#4,and #8) of three residents reviewed for enhanced barrier precautions. The facility census was 52.

Inspectors wroteBased on record review, staff interview, and facility policy review the facility failed to ensure prescribed medications were with the resident on discharge. This affected one Former Resident ( #52) of three former residents (#52, #53, #54) reviewed for discharge. The facility census was 42.

Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, staff interview, and facility policy review, the facility failed to adequately monitor a resident's (Former Resident #52) wound on admission the throughout her stay. The facility census was 42.

Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure a resident was supervised for eating. Resident #19 obtained and ate whole food when ordered a pureed diet, choked, received the Heimlich maneuver, and was admitted to the hospital. This deficient practice affected one resident (#19) of three reviewed (#11 and #24) for choking. In addition, two residents (#19, #53) of four reviewed (#11 and #24) failed to have fall precautions in place which resulted in falls. The facility census was 42.

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure foods and cooking equipment were maintained in a clean and sanitary manner. This had the potential to affect all 36 residents receiving food from the kitchen as the the facility identified no residents who received nothing by mouth. The facility census was 36.

Inspectors wroteBased on medical record review, observation, resident and staff interview, and policy review, the facility failed to maintain the facility environment in a clean, safe, and functional manner. This affected five (#4, #17, #22, #32, and #86) of six residents reviewed for environment. The facility census was 36.

Inspectors wroteBased on observation, resident and staff interview, and medical record review, the facility failed to maintain resident dignity of by not covering a urinary catheter collection bag. This affected one (#8) of one residents reviewed for dignity. The facility census was 36.

Inspectors wroteBased on medical record review, resident and staff interview, review of shower schedules, and policy review, the facility failed to honor a resident's preference for bathing on scheduled days. This affected one (#26) of one resident reviewed for choices. The facility census was 36.

Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to ensure hearing aids were offered to maintain adequate hearing. This affected one (#16) of one residents reviewed for hearing. The facility census was 36.

Inspectors wroteBased on observation, resident and staff interview, and medical record review, the facility failed to ensure range of motion (ROM) devices were in place as ordered. This affected one (#8) of one residents reviewed for range of motion. The facility census was 36.

Inspectors wroteBased on medical record review, review of a facility incident report, review of a staff statement, review of hospital reports, review of a weather report, interviews with staff and Family Member #240, and review of the policy on elopement, the facility failed to provide adequate supervision to prevent Resident #01, who had mild cognitive impairment with recent increased confusion due to a urinary tract infection, from leaving the facility unsupervised and unknown to staff. Additionally, the facility failed to complete a thorough investigation into the elopement incident. [...]

Inspectors wroteBased on observation, medical record review, resident and staff interviews, and review of shower schedules, the facility failed to ensure resident choice for activities of daily living (ADLs) was honored. This affected two (#35 and #197) of five residents reviewed for ADLs. The facility census was 38.

Inspectors wroteBased on medical record review, review of a self-reported incident, resident and staff interviews, and review of an abuse policy, the facility failed to prevent resident to resident abuse. This affected two (#18 and #29) of two residents reviewed for abuse. The census was 38.

Inspectors wroteBased on review of a self-reported incident (SRI), staff interview, and review of an abuse policy, the failed to thoroughly investigate an allegation of abuse. This affected two (#18 and #29) of two residents reviewed for abuse. The facility census was 38.

Inspectors wroteBased on observation, medical record review, resident and staff interviews, and policy review, the facility failed to have a physician order for respiratory services and equipment. This affected one (#35) of one resident review for respiratory services. The facility census was 38.

Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to ensure a blood pressure medication was administered per physician orders. This affected one (Resident #27) of three residents observed for medication administration. The facility census was 38.

Inspectors wroteBased on interview with staff and residents, review of resident medical records, review of meal tickets, and review of the menu, the facility failed to accommodate food-related allergies. This affected two (#8 and #40) of four residents reviewed for food allergies. The census was 38.