Vivo Healthcare Normandy

Inspectors wroteBased on kitchen food service observations, staff interviews, and a review of facility policies and procedures, the facility failed to follow proper food safety sanitation standards and food handling practices to prevent potential injury and the potential outbreak of foodborne illness to residents by failing to serve meals using dinnerware in clean and good condition. Food handling and sanitation are important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure that can compromise residents' well-being. This failure had the potential to affect all residents who consumed food from the facility's kitchen.

Inspectors wroteBased on interviews, record review, and a review of facility policies and procedures, the facility failed to ensure food served was prepared by methods that conserved nutritive value and appearance by failing to follow standardized recipes to provide appetizing and appealing food in accordance with professional standards for food service. Residents at nutritional and hydration risk could be affected, potentially impacting their ability to heal, and possibly resulting in an overall health status decline.

Inspectors wroteBased on observations, interviews and record review, the facility failed to update comprehensive care plans to accurately reflect residents' current status related to intravenous access (Resident #30), skin condition (Resident #60), and Life Vest (Resident #139) for three of 22 residents reviewed for care plan development, implementation and revision.

Inspectors wroteBased on observations, interviews, record reviews and a review of facility policies and procedures, the facility failed to ensure adequate grooming for one resident (#116) who was unable to carry out activities of daily living (ADLs) independently, out of four residents reviewed for ADLs, from a total survey sample of 39 residents. Failure to provide assistance with ADLs can result in resident discomfort and negatively impact a resident's feelings of self-worth.

Inspectors wroteBased on observations, interviews and record review, the facility failed to provide residents treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #11) of two residents reviewed for wound care and for one (Resident #129) of one resident reviewed for positioning/mobility, from a total survey sample of 39 residents.

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure that a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection for one (Resident #99) of one resident reviewed for pressure ulcer care and treatment.

Inspectors wroteBased on interviews and record review, the facility failed to appropriately document the correct location of the Peripherally Inserted Central Catheter (PICC) line in five of 14 daily chart notes for one (Resident #30) of eight residents reviewed for required resident record components, from a total survey sample of 39 residents.

Inspectors wroteBased on facility observations, interviews, and a review of facility policies and procedures, the facility failed to provide a safe, sanitary, and comfortable homelike environment for residents, by failing to ensure separate rooms for resident showers and equipment storage for the 32 residents residing on the 100 hallways, from a total facility census of 110 residents. This had the potential to put residents at risk for infection, compromised dignity and privacy, and physical harm.

Inspectors wroteBased on the kitchen food service observations, nourishment room observations, staff interviews, facility document review and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness with the potential to affect all of the residents in the facility when the walk-in cooler, a reach-in cooler, juice dispensing equipment and nourishment rooms were not regularly cleaned, and the floors were not maintained. Dietary staff also failed to implement the proper procedures for hand hygiene, disposable glove use and proper sanitation practices by failing to change contaminated gloves and wash their hands between glove changes during the lunch meal service. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a safe, clean, comfortable, and homelike environment, and provide maintenance services as necessary for residents in five (Rooms 106, 202, 402, 407 and 204) of six rooms identified with environmental concerns from a total of 62 resident rooms.

Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility policy and procedure review, the facility failed to 1) Implement the comprehensive person-centered care plan for one (Resident #145) when the physician-ordered, pressure-reducing foam boots for her heels were not applied, and 2) Implement the comprehensive person-centered care plan for two (Residents #26 and #29) when oxygen flow rates were not set at the physician-ordered liters per minute. Seven residents were being treated for pressure ulcers and 10 residents were receiving respiratory therapy from a total of 30 sampled residents. Failure to implement the care plan puts the resident at risk of not receiving appropriate interventions and could potentiate medical or physical complications and/or injury.

Inspectors wroteBased on observation, staff interviews and a review of the facility's Policy and Procedure for Nail Care, the facility failed to provide nail care for one (Resident #65) of 30 sampled residents who was dependent for activities of daily living.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that a resident who needed respiratory care, was provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan for three (Residents #26, #29 and #391) of 10 residents receiving respiratory therapy from a total of 30 sampled residents.

Inspectors wroteBased on observation, staff interview, clinical record review, facility document review and facility policy and procedure review, the facility failed to ensure a member of the Interdisciplinary Team was designated to coordinate the hospice care and obtain a plan of care and physician's certification form from the hospice provider before hospice care was furnished to one (Resident #143) of two residents receiving hospice care, from a total of 30 residents in the sample.