Wisner Care Center

Inspectors wroteLicensure Reference Number 175 NAC 12-006. 11(E) Based on observation, record review, and interview; the facility failed to ensure the facility dishwasher was reaching temperatures to ensure adequate sanitation of dishes to prevent the potential for food borne illness. This had the potential to affect all facility residents. The facility census was 33.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview; the facility failed to have informed consent and/or comprehensive informed consent for the use of psychotropic medications (any medications that affect behavior, mood, thoughts, or perception) in advance of administration that included the current dose and/or alternate treatment plan options for Residents 2, 14, 15, 31, and 32. The sample size was 5 and the facility census was 33.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview; the facility failed to report a hot liquid spill with injury as potential abuse/neglect for Resident 32. The sample size was 1 and the facility census was 33.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview; the facility failed to investigate a hot liquid spill with injury for Resident 32 and to send the results of the investigation to as required to the State Agency. The sample size was 1 and the facility census was 33.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(H)(i)3 Based on observations, record review and interviews; the facility failed to provide assistance with toileting and incontinence cares for 1 (Resident 7) of 1 sampled resident who required assistance with all activities of daily living. The facility census was 33.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Based on record review and interview; the facility failed to have documented evidence of any education provided to Resident 15 related to ongoing refusal of insulin and to keep the physician updated regarding this refusal. The sample size was 5 and the facility census was 33.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(l)(i)Based on observations, record review and interview; the facility failed to implement fall prevention interventions for Resident 7 who had been assessed at high risk for falls. The sample size was 3 and the facility census was 33.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on observations, interview and record review; the facility failed to implement enhanced barrier precautions for Resident 15. The sample size was 15 with a census of 33. A. Review of the facility policy Enhanced Barrier Precautions implemented on 5/17/24 revealed the following: [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.17D Based on observation, record review, and interview, the facility failed to: 1) complete hand hygiene and change gloves to prevent possible cross contamination during the provision of incontinence cares for Resident 14; 2) ensure Transmission Based Precautions (TBP-additional control measures used to prevent the transmission of colonized infectious agents) were implemented for Resident 23; and 3) implement measures to prevent the growth of Legionella (severe type of pneumonia/lung infection caused by bacteria which can be found in water) and/or waterborne pathogens in the facility. The facility census was 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record review and interview; the facility failed to report an allegation of potential staff to resident abuse for 1 (Resident 11) of 1 sampled resident to the required state agency. The facility census was 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09C Based on record review and interview, the facility failed to develop comprehensive care plans to reflect the current status for 2 of 16 sampled residents (Resident 13's antipsychotic medication [a type of psychoactive medication which alters chemicals in the brain to affect changes in behavior, mood, and emotion] and Resident 16's self-administration of medication. The facility census was 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10A2 Based on observation, record review and interview; the facility failed to ensure 1 (Resident 5) of 1 sampled resident's insulin was prepared and administered according to standards of practice. The facility census was 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D3(1) Based on observation, record review and interview; the facility failed to provide care and services according to standards of practice, for the prevention of urinary tract infections for 1 (Resident 13) of 1 sampled resident who had an indwelling urinary catheter [a flexible plastic tube inserted into the bladder that remains in place to provide continuous urinary drainage]. The facility census was 25.

Inspectors wroteBased on record review and interview; the facility to ensure residents received trauma informed care related to diagnosis of Post Traumatic Stress Disorder (PTSD) and to identify potential triggers as well as resident preferences to prevent and/or mitigate re-traumatization for 1 (Resident 17) of 2 sampled residents. The facility census was 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview; the facility failed to have indications for continued use of an antibiotic medication for 1 (Resident 14) of 6 sampled residents. The facility staff identified a census of 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview, the facility failed to ensure psychotropic medications [a type of psychoactive medication which alters chemicals in the brain to affect changes in behavior, mood, and emotion] had the required diagnosis or documentation of specific behaviors for 1 (Resident 13) of 5 sampled residents. The facility census was 25.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10A4 Based on record review and interview; the facility failed to ensure medications were safely administered and secured according to standards of practice for 1 (Resident 16) of 11 sampled residents. The facility census was 25.