The Blossoms at Newport Rehab & Nursing Center

Inspectors wroteBased on observations, interviews, record review and facility policy review, it was determined that the facility failed to protect one (Resident #85) of two residents from physical abuse during a resident-to-resident altercation that occurred between Resident #85 and Resident #86 after the secured unit was left unsupervised by LPN #2 and CNA #5, staff who were assigned to the secured unit.

Inspectors wroteBased on observation, interviews, record review and facility policy review, it was determined that the facility failed to ensure staff followed Enhanced Barrier Precautions (EBP) and wore appropriate Personal Protective Equipment (PPE) to prevent the potential for cross contamination when providing direct, high contact care to a resident that had a feeding tube for one (Resident #34) of one resident reviewed for infection control.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure dietary staff thoroughly washed their hands and changed gloves when contaminated and before handling food and clean equipment when contaminated; food items stored in the refrigerator, freezer and dry storage area were covered or sealed. expired food items and spices were promptly removed/discarded on or before the expiration or use by date; 1 of 1 ice machine and 1 of 1 scoop holder were maintained in a sanitary condition for 2 of 2 meals observed.

Inspectors wroteBased on record review, interview, facility document review, and facility policy review, it was determine the facility failed to ensure written information regarding the right to formulate an advanced directive was provided to residents or their responsible parties, to enable them to make informed decisions regarding which measures would be provided or withheld at end of life for 02 (Resident #62, #2) of 2 sample mix residents reviewed for Advance Directive.

Inspectors wroteBased on observation, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure the comprehensive care plan addressed and individualized appropriate care and services for 2 (Resident #54, #72) of 2 sample mix residents reviewed for care plan.

Inspectors wroteBased on observation, interview, record review, facility document review, and facility policy review, it was determined the facility failed to ensure female residents had hair removed from their face for 1 (Resident #46) of 1 sample mix resident to promote good hygiene; ensure residents clothing was changed when stained or dirty for 2 (Resident #24, #52) of 2 sample mix residents to promote good hygiene; to ensure residents fingernails were kept clean and trimmed for 3 (Resident #2, #179, #52) of 3 sample mix residents to promote good hygiene.

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure that clean linen carts were properly covered and Enhanced Barrier Precautions (EBP), were implemented for 1 (Resident #279) of 1 sampled resident to prevent potential infection and/or the spread of infections.

Inspectors wroteBased on observation, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure residents were dressed appropriately for the day for 1 (Resident #179) of 1 sample mix residents.

Inspectors wroteBased on observation, interview, record review, and facility document review, it was determined the facility failed to ensure physician orders were in place for wound care treatment for 1(Resident #24) of 1 sample mix residents reviewed for pressure ulcer that was acquired within the facility.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to ensure that nutritionally balanced meals were provided for the residents for 1 of 1 meal observed.

Inspectors wroteBased on observation, record review, interview, and review of the facility policy, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 1 of 1 meal observed.

Inspectors wroteBased on observation, interview, record review, and facility document review, it was determined that the facility failed to ensure proper assistive devices are utilized during meals for 1 (Resident #52) of 1 sample mix residents observed during meals who feed themselves.

Inspectors wroteBased on interviews, record review, facility document review, and facility policy review, the facility failed to ensure physicians orders were followed for follow up doctor's appointments and physician's orders for wound care for 1 (Resident #6) of 1 resident reviewed for discharge from hospital following surgery.

Inspectors wroteBased on observation, interview, and record review, the facility failed to remove damaged canned goods from storage areas, and to maintain the kitchen can opener in a clean and sanitary manner. These failed practices had the potential to affect 77 residents who received meals from the kitchen.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure isolation precaution signs with instructions for personal protective equipment (PPE) (gown, mask etc.) needed when entering the room was placed on the door for 2 (Residents #29 and #340) and staff provided proper isolation procedures when dispensing ice for 1 (Resident #340) of 2 (Residents #29 and #340) sampled residents who were on isolation precautions.

Inspectors wroteBased on observation and record review, the facility failed to ensure an effective pest control program was in place to keep the kitchen area free of rodents.

Inspectors wroteBased on interview, and record review the facility failed to ensure 3 (Residents #22, #29, and #35) sampled residents had an Advance Directive readily available in their clinical record.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow care planned interventions for nail care for 1 (Resident #51) of 6 (Residents #12, #37, #43, #50, #51 and 78) sampled residents who had a diagnosis of Diabetes and required assistance with nail care.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the environment was free of potential accident hazards as evidenced by failure to ensure a curling iron was not plugged in for 1 (Resident #20) sampled resident who was independently ambulatory on the 200 Hall; and mouthwash and razors were not left in the bathroom for 1 (Resident #37) sampled resident who was independently ambulatory on the secured unit as documented on a list provided by the Administrator on 12/7/23 at 2:17 PM; and oxygen signage was placed on the door for 5 (Residents #28, #42, #44, #50 and #339) sampled residents who received oxygen as documented by a list provided by the Administrator on 12/7/23 at 4:45 PM.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow care planned interventions to elevate the head of bed when administering medications and enteral nutrition for to one (Resident #51) of three (Residents #29, 51, 79) sampled residents with percutaneous endoscopic gastrostomy (PEG) tubes.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen was consistently administered at the flow rate ordered by the physician for 1 (Resident #44); a physician's order was obtained to administer oxygen for 1 (Resident #42) to minimize the potential for hypoxia or other respiratory complications; and oxygen tubing was dated and contained for 1 (Resident #44) of 5 (Residents #28, #42, #44, #50 and #339) sampled residents who received oxygen.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow a physician's order for 1 (Resident #12) of 5 (Residents #4, #37, #51, #65 and #79) sampled residents who required a routine Hemoglobin A1C (a blood test that shows what your average blood sugar (glucose) level was over the past two to three months) laboratory draw.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 1 of 1 meal observed. This failed practice had the potential to affect 4 residents who received pureed diets as documented on a list provided by the Director of Nursing Supervisor on 12/7/2023 at 3:35 PM.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure an indwelling catheter drainage bag was concealed in a privacy bag when visible to promote dignity and privacy for 1 (Resident #29) of 4 (Residents #29, #41, #50 and #340) sampled residents who had an indwelling catheter.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the urinary catheter tubing was secured to prevent potential trauma for 1 (Resident #340) of 4 (Residents #29, #41, #50 and #340) sampled residents who had an indwelling urinary catheter.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the call light was accessible to 1 (Resident #22) of 18 (Residents #4, #12, #20, #22, #28, #29, #32, #35, #37, #42, #43, #44, #50, #52, #65, #79, #339 and #340) sampled residents who used a call light.

Inspectors wroteBased on record review and interview the facility failed to use a two-person transfer, as determined necessary by the comprehensive care plan, during a mechanical lift transfer of 1 (Resident #1), which resulted in a fall with the resident sent to the emergency room for evaluation of complaint of pain to touch of right hip. This failed practice had the potential to affect 12 residents who require a mechanical lift for transfers.