The Blossoms at Rogers Rehab & Nursing Center

Inspectors wroteBased on record review, interview, facility document review, and facility policy review, the facility failed to ensure Physician's Orders were transcribed without error and consistently administered and followed for two (Resident #7 and Resident #26) of five sampled residents, reviewed for medications.

Inspectors wroteBased on observations, interview and record review, the facility failed to ensure hand sanitizer was used between delivery and set up of resident meal trays.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure call lights were placed in reach for resident's use and failed to ensure residents with functional limited range of motion call lights were placed in reach and accessible for use for 1 (Resident #30) of 1 sampled resident.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure housekeeping and maintenance services were provided to repair scrapes, scratches and cuts in the walls and floors in the resident rooms; furniture and residents geriatric and specialized chairs were in good repair; and areas in the facility were free of odors to maintain a safe, clean, and homelike environment in 1 (C-North) of 5 Resident Halls.

Inspectors wroteBased on record review, interview and observation, the facility failed to ensure Resident #3 oral care was performed to ensure daily personal hygiene needs for 2 (Residents #3) of 2 sampled residents on C-North Hall.

Inspectors wroteBased on observation, record review, and interview, the facility failed to perform hand hygiene when giving eye drops and nose spray for 1 (Residents #48) of 1 sampled resident.

Inspectors wroteBased on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items; to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen, failed to ensure food items stored in dry goods area were sealed; failed to ensure 1 of 1 ice machine scoop/holder was maintained in a sanitary condition, and trash receptacles were clean and in hands free working order. The failed practices had the potential to affect 92 residents who received meals from 1 of 1 kitchen according to a list provided by the dietary manager on 9/29/22 at 9:00 AM.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide nailcare to promote good hygiene and prevent possible skin infections for 1 (Resident #49) of 20 (5, 10, 12, 19, 28, 49, 52,60, 61, 66, 72, 73, 76, 77, 80, 87, 89, 94, 196, 346) of 20) sampled residents who require assistance with nail care.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide treatment and care in accordance with professional standards of practice as evidenced by providing treatment without a physician's order and not documenting assessments or monitoring for complications of impaired skin integrity for 1 (Resident #60) which is the sampled resident.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that tube feedings hanging in bag were labeled with type of formula, date, time, and initials in accordance with acceptable standards of practice for 2 (Resident #52, and #87) of 4 (Resident #52, #77, #87, and #94) sample residents with feeding tubes.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure bottles of eye drops stored in 2 (C South and B North medication carts) of 2 medication carts were labeled, dated, and disposed of in accordance with the manufacturer's instructions to prevent potential administration of eye drops that had been opened and stored beyond the manufacturer's specified timeframes and failed to ensure that medication was not left at the bedside. The failed practice had the potential to affect 4 (Resident's #10, #52, #76, #80) sample residents who had physician orders for eye drops, and 1 (Resident #19) whose medications were left at the bedside, according to a list provided by the Director of Nurses (DON) on [DATE].

Inspectors wroteBased on observation and interview the facility failed to dispose of refuse properly. The failed practice had the potential to impact all 95 residents residing in the facility according to a list provided by the Business Office Manager (BOM) on 09/26/22 at 11:00 AM.

Inspectors wroteBased on record review and interview the facility failed to inform the residents, their representatives, and families of those residing in facilities by 5 PM, the next calendar day following the occurrence of either a single confirmed infection of COVID-19 or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other. The failed practice had the ability to affect the 95 residents who reside in the facility, according to the room/bed list provided by the Business Office Manager (BOM) on 9/26/22 at 11:00 AM.

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure a baseline care plan was developed and implemented for 1 resident (Resident #196) of 5 (Resident #10, #54, #66, #89, #96) sample residents that included the instructions needed for safe smoking and storage of smoking materials to provide effective and person-centered care of the resident that meet professional standards of quality care. This failed practice had the potential to affect 22 residents who use tobacco products according to a list provided by the Assistant Director of Nursing (ADON) on 09/29/22 at 10:00 AM.

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure one resident (resident # 87) of 4 (resident #77, #87, #89, #196) sampled residents reviewed who had orders for oxygen therapy had dates on oxygen tubing and humidity bottle consistent with professional standards of practice to prevent possible infection and complications from using equipment past standard accepted practice for infection control. This failed practice had the potential to affect 10 residents who had orders for oxygen therapy according to a list provided by the ADON on 09/29/22 at 10:00 am. 1. Resident # 87 admitted to the facility on [DATE] with Diagnoses of Acute and Chronic Respiratory Failure, Pneumonitis due to inhalation of food and vomit, Gastrostomy, and Tracheostomy. [...]

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure proper hand hygiene and universal precautions were followed to prevent the spread of infection as evidenced by staff not wearing gloves for blood glucose monitoring during the medication pass observed on 09/27/22. This failed practice had the potential to affect 18 residents who required Capillary blood glucose levels to be checked according to a list provided by the Assistant Director of Nursing (ADON) on 09/29/22 at 10:00 AM.

Inspectors wroteBased on interview and record review, the facility failed to notify the state agency for a Pre-admission Screening and Resident Review (PASARR) for a new mental illness diagnosis for 1 (Resident #94) sampled resident to ensure the resident received appropriate mental health services.