Suburban Woods Health And Rehab
Based on facility documentation, clinical records and interviews with facility staff, it was determined that the nursing facility failed to notify the physician of medication omission for three residents of 24 residents total reviewed. The findings included the following: A review of Resident’s R108’s physician orders. A review of the hospital physician consultation dated December 4, 2012 indicated that antibiotics were recommended to deter a future amputation of the lower right leg. A review of Resident R108’s Medication Administration Record. An interview with Employee E4, a licensed nurse, on December 13, 2012, at 11:00a.m., confirmed that the physician had not been notified for four days of the antibiotic omission. Review of R43’s transfer orders from the hospital, dated December 7, 2012, included admission medication orders for high blood pressure by mouth every day. Review of R43’s clinical record revealed that the resident was admitted to the facility at 6:00p.m. on December 12, 2012. In an interview with Employee E2, on December 10, 2012 at 2:00p.m. confirmed that there were three medications not available and not administered as ordered. There was no evidence of a physician notified.
Based on reviews of residents’ personal funds, resident and staff interviews, it was determined that the facility failed to provide an individual quarterly statement for each resident’s personal funds entrusted to the facility on the resident’s behalf for 14 of 24 residents reviewed. The findings included the following: The financial records for certain residents revealed that these residents had personal funds entrusted by the nursing home. Noted residents revealed that the facility had not maintained or provided an individual quarterly statement for each resident’s personal funds entrusted to the facility on the resident’s behalf throughout the period of July 6, 2012 through December 13, 2012. This was confirmed during group meeting interviews with the residents on December 12, 2012.
Based on an observation, resident and staff interviews, it was determined that the facility failed to make survey results readily accessible to residents and post notice of their location and availability. Findings included the following: During an environmental tour of the facility on December 12, 2012 with Employee E15, maintenance director, there was no signs posted for the location of survey results. An observation of the first and second floor dining rooms revealed a binder laying flat on the kitchen counter top which had surveys inside. During the residents’ group interview conducted on December 12, 2012, six alert and oriented residents indicated that they did not know where the survey results are located. In an interview with Employee E15 on December 12, 2012 at 11:00a.m. it was confirmed that residents could not see where the binder was located or what the binder contained. Another observation revealed that the content of the binders revealed copies of recent visits to the facility were not legible due to extremely dark print.