Thrive of Fox Valley

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a clean environment for residents. This applies to 3 of 5 residents (R1, R2, and R3) reviewed for housekeeping services in the sample of 5.

Inspectors wroteBased on interview and record review, the facility failed to provide educational instructions for a resident (R5) discharging with a cardiac monitor. This applies to 1 of 4 residents (R5) reviewed for discharges.

Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and treat a resident's (R2) skin conditions as ordered. This applies to 1 of 3 residents (R2) reviewed for skin care.

Inspectors wroteBased on interview and record review, the facility failed to safely transport a resident (R1) in a wheelchair, resulting in him falling and sustaining multiple lacerations. This applies to 1 of 3 residents (R1) reviewed for accidents.

Inspectors wroteBased on interview and record review, the facility failed to administer a resident's (R2) as needed analgesic when requested. This applies to 1 of 3 residents (R2) reviewed for pain management.

Inspectors wroteBased on observation, interview, and record review the facility failed to assess, monitor, document, and care plan a resident with a cholecystostomy drain and failed to provide care and services for a resident needing staff assistance for 2 of 4 residents (R2, R4) reviewed for quality of care in the sample of 4.

Inspectors wroteBased on interview and record review, the facility failed to have clear resident care policies to ensure a resident's neurological evaluations were completed and monitored after an unwitnessed fall. This applies to 1 of 3 residents (R1) reviewed for quality of care in a sample of 5.

Inspectors wroteBased on interview and record review the facility failed to resolve Resident Council and individual resident's concerns regarding extended wait times for call light response. This applies to 3 of 3 residents (R1, R2, and R4) reviewed for improper nursing care related to call light response times, in the sample of 4.

Inspectors wroteBased on interview and record review the facility failed to administer medications timely in accordance with the facility policy. This applies to 2 of 3 (R2, R4,) in a sample of 3 reviewed for timely administration of medications.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly label, date, seal, and store food items in the kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide a resident with a functioning over bed light and failed to provide an adaptive call/light button. This applies to 2 (R26, R31) of 2 residents reviewed for accommodation of needs in a sample of 19.

Inspectors wroteBased on observation and interview the facility failed to provide timely incontinence care. This applies to 1 (R26) of 3 residents reviewed for assistance with ADLs (Activities of Daily Living) in a sample of 19.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the residents received their medications per physician's orders and resident's choices for 2 of 2 residents (R260 and R262) reviewed for medication administration in the sample of 19.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident received respiratory care services that are in accordance with professional standards of practice for 3 of 3 residents (R15, R20 and R265) reviewed for respiratory therapy in the sample of 19.

Inspectors wroteBased on interview and record review, the facility failed to administer ordered intravenous antibiotics for residents with infections. This applies to 2 of 4 residents (R3 and R44) reviewed for intravenous medications in a sample of 19.

Inspectors wroteBased on interview and record review the facility failed to ensure ostomy care was provided in a manner to prevent skin irritation. This applies to 1 of 2 residents (R1) reviewed for ostomies in the sample of 7.

Inspectors wroteBased on interview and record review the facility failed to ensure a CPAP machine (continuous positive airway pressure machine) was operated as ordered by the physician for 1 of 3 residents (R1) reviewed for CPAP machines in the sample of 3.

Inspectors wroteBased on interview and record review the facility failed to follow their policy for assessment of a resident's surgical wounds and failed to follow physician orders for wound/incision care. This applies to 1 of 3 residents (R2) reviewed for wounds in the sample of 7.

Inspectors wroteBased on observation, interview and record review, the facility failed to serve pureed and mechanical soft diet consistencies to residents with diet orders for the same. This applies to 5 of 5 residents (R1, R7, R11, R27, R99) reviewed for dining in the sample of 17.

Inspectors wroteBased on observation and interview, the facility failed to provide a bed that could comfortably accommodate a resident. This applies to 1 of 1 resident (R19) reviewed for accommodation of needs in the sample of 17.

Inspectors wroteBased on observation, interview, and record review, the facility failed to have a Physician's order for the care of a PICC (peripherally inserted central venous catheter) and failed to provide PICC insertion site dressing changes and monitoring in accordance with facility policy. This applies to 1 of 3 residents (R24) reviewed for intravenous catheters in the sample of 17.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that oxygen was delivered to a resident at the prescribed dosage. This applied to 1 of 1 resident (R201) reviewed for oxygen in the sample of 17.

Inspectors wroteBased on observation, interview, and record review the facility failed to perform comprehensive pain assessment and develop an individualized plan of care to manage the resident's pain. This applies to 1 of 3 residents (R300) reviewed for pain management in the sample of 17.

Inspectors wroteBased on observation, interview, and record review, the facility failed to administer medications as ordered by the physician. There were 25 opportunities with 2 errors, resulting in an 8% medication error rate. This applies to 1 of 6 residents (R300) observed during the medication pass in the sample of 17.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow proper sanitation, complete required log sheets, and remove expired items. This applies to all residents receiving oral nutrition and foods prepared in the facility kitchen.

Inspectors wroteBased on interview and record review, the facility failed to obtain vital information regarding residents' pacemakers and ensure that it was readily available in the resident's medical record. This applies to 4 out of 4 residents (R95, R244, R248, R250) reviewed for pacemakers in a sample of 16.