| 5204 |
EL DORADO MANOR NURSING HOME |
285253 |
71434 HWY 25, BOX 97 |
TRENTON |
NE |
69044 |
2016-11-08 |
520 |
H |
0 |
1 |
8A4D11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC ,[DATE].07 Based on record reviews and interviews; the facility failed to re-evaluate prior plans of correction to correct and maintain correction for previously cited deficient practice related to: dignity, housekeeping/maintenance, sanitation in the kitchen and accident hazards for residents and resolution of resident and/or family grievances. The facility failed to ensure that the Quality Assurance/Assessment Committee identified quality of life and quality of care issues, related to the abuse prohibition policies and procedures, to ensure that staff followed the procedures to protect Residents from abuse. The failures resulted in potential deficiencies affecting all 37 residents. The facility census was 37 at the time of the survey. Findings are: Record review of previous complaint and annual survey deficiencies for the facility revealed the following: -F241 The facility failed to treat residents in a dignified manner by entering resident rooms without permission, posting personal care information in a conspicuous place, exposing a resident's medical condition, and failing to cover a resident that was exposed in the dining room. -F253 The facility failed to 1)fix the doors to the room, bathrooms and closet doors that were chipped and marred, 2) clean the ceiling vents in the bathrooms, 3) replace the linoleum that has holes or a cut by equipment, 4) replace linoleum that has stains in bathrooms, holes, or scrapes, 5) paint the window frames, 6) clean the windows with a brown debris, 7) fix the ceiling light fixture hanging from the ceiling, 8) fix the cracks in the resident room between the dry wall and the cinder blocks, 9) failed to remove screw and nails that were a harm to the residents, 10) fix the dry wall with scrapes or holes and 11) fix the resident's recliner for the resident to use. -F280-The facility failed to update and revise the care plan to reflect a resident's pressure ulcer. -F371-The facility staff failed to restrain their hair and keep the range hood clean to prevent possible food contamination. -F323-The facility failed to maintain side rails to prevent a potential entrapment hazard. The facility failed to store drugs and biologicals secured away from the availability of residents. -F431-The facility failed to ensure that biologicals for resident use were not expired. F441-The facility staff failed to change gloves after they were contaminated and failed to cleanse a pressure ulcer to prevent potential cross contamination during a dressing change. -F520-The facility failed to protect residents from abuse by failing to: 1) suspend employees after receiving reports of alleged verbal, psychological, and physical abuse ; and 2) immediately initiating an investigation of these allegations Interview with the Quality Assurance Coordinator on [DATE] at 3:40 PM revealed the committee had been working on skin care issues, infection control issues, and spot checking on cleaning. Monthly in-services were conducted with various topics like infection control, resident rights, severe weather, harassment and abuse/neglect. Review of the facility form entitled the Facility Quality Assurance Plan, no date of origin), revealed the Standard Quality Assurance was an organized structure, process, and procedures designed to ensure that care practices were consistently applied and the facility meets or exceeds an expected standard of quality. The quality deficiency was meant to describe a deficient or an area for improvement. |
2020-02-01 |