Uptown Care Center

Inspectors wroteBased on observations, record review and interviews, the facility failed to provide resident care in a dignified and respectful manner for one (#1) of four residents reviewed for dignity out of 10 sample residents. Specifically, the facility failed to ensure that Resident #1 was allowed to sit on the floor per his request.

Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#6) of six residents reviewed for abuse out of 38 sample residents were free from abuse. Specifically, the facility failed to protect Resident #6 from abuse by Resident #60.

Inspectors wroteBased on record review and interviews, the facility failed to revise and implement an effective discharge plan for one (#81) of four residents reviewed for discharge planning out of 38 sample residents. Specifically, the facility failed to: - Ensure that Resident #81's discharge care plan was updated when the resident's discharge plan changed; -Notify the facility's ombudsman in writing of Resident #81's against medical advice (AMA) discharge; and -Notify Resident #81's physician of the resident's AMA discharge.

Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the resident environment remained as free of accident hazards as possible for one (#69) of four residents reviewed for accident hazards out of 38 sample residents. Specifically, the facility failed to ensure Resident #69 did not sustain a fall during an assisted transfer and implement effective fall interventions.

Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were free from significant medication errors for two (#59 and #69) of six residents reviewed for medication errors out of 38 sample residents. Specifically, the facility failed to:-Ensure Resident #59 was administered her blood pressure medication per the physician orders; and, -Ensure Resident #69 was administered her rescue seizure medication per the physician order.

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure two (#1 and #2) of nine residents reviewed for abuse out of 10 sample residents were kept free from physical abuse. Resident #1 admitted to the facility on [DATE] with diagnoses of hemiplegia (paralysis affecting one side of the body) affecting the right dominant side, aphasia (a partial loss of language skills due to brain damage) and nicotine dependence. According to Resident #1's care plan, he had a history of reaching out and grabbing others. Resident #2 was admitted to the facility on [DATE] with a diagnosis of schizoaffective disorder bipolar type (mental health condition with symptoms of hallucinations and delusions and mood disorder), attention-deficit hyperactivity disorder (ADHD) and cognitive communication deficit. [...]

Inspectors wroteBased on observations and interviews, the facility failed to provide a comfortable and homelike environment for the residents of the facility on two out of three units. Specifically, the facility failed to ensure: -Residents were provided with hand towels and washcloths; and, -Residents' room windows and electrical outlets were properly maintained.

Inspectors wroteBased on observations and interviews the facility failed to ensure one out of two medication refrigerators stored narcotic medications in accordance with accepted professional standards and that only licensed staff had access to resident-prescribed medications. Specifically, the facility failed to: -Ensure the treatment carts were locked when left unattended; and, -Ensure controlled medications were in a locked storage container permanently secured to the refrigerator.

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure menus were followed. Specifically, the facility failed to ensure food items served were consistent with the daily menu.

Inspectors wroteBased on observations and interviews, the facility failed to label and date stored food items and distribute and serve food in a sanitary manner in two of three food storage units reviewed. Specifically, the facility failed to: -Ensure food was labeled and dated in the freezers in the main kitchen; and, -Ensure food that left the kitchen was covered.

Inspectors wroteBased on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of diseases and infection for two out of three units at the facility. Specifically, the facility failed to: -Ensure residents were provided with an opportunity to participate in hand hygiene before and after meals; -Ensure proper infection control measures for housekeeping were followed; and, -Ensure appropriate hand hygiene was performed during medication administration.

Inspectors wroteBased on observations, record review and interviews, the facility failed to provide the assistance needed to maintain the ability to complete activities of daily living (ADLs) for one (#62) of two residents out of 35 sample residents. Specifically, the facility failed to identify and develop an intervention for the staff to assist Resident #62 with her ADLs effectively due to the resident's diagnosis of mental illness.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure one (#43) of four residents reviewed for dementia care out of 35 sample residents received the appropriate treatment and services to attain or maintain the highest practicable physical, mental and psychosocial well-being. Specifically, the facility failed to develop a comprehensive plan of care, to include person-centered interventions to address Resident #43's behaviors.

Inspectors wroteBased on observations, interviews, facility document review, and facility policy review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility failed to: 1. Ensure a staff member performed hand hygiene after touching her mask/eye wear during pureed food preparation. This had the potential to affect two (Residents #21 and #44) of two residents who were to be served a pureed diet; and 2. Ensure the dishwasher sanitizer concentration was within the required range and failed to test/document the dish machine wash cycle temperature and sanitizer concentration per their policy. This had the potential to affect 71 of 72 residents in the facility who were served food from the kitchen. (One resident had a feeding tube and received no nourishment/hydration per mouth.)

Inspectors wroteBased on interviews, document review, record review, and facility policy review, it was determined that the facility failed to ensure residents, their representatives and families of residents residing in the facility were notified of a confirmed positive COVID-19 result in the facility by 5:00 PM the following calendar day. This had the potential to affect all residents. The facility's Daily Census, dated 08/22/2022, indicated there were 72 active residents.