5473 |
GOOD SAMARITAN SOCIETY - WOOD RIVER |
285198 |
1401 EAST STREET |
WOOD RIVER |
NE |
68883 |
2017-03-22 |
520 |
K |
1 |
1 |
HUVK11 |
> LICENSURE REFERENCE NUMBER 175 NAC 12-006.07 Based on record review and interviews; the facility's Quality Assurance Committee (QA) failed to develop and implement plans of actions to correct issues of deficient practice relevant to resident care and services and the facility failed to implement effective plans of action to maintain correction for 5 areas of deficient practice identified on the 1-26-2016 survey, including: F314, F332, F431, F441, F520. This survey also had had 4 other IJ's (immediate jeopardies) cited during the survey at F223, F323, F431, and F490. This had the potential to affect all residents that reside in the facility. The facility census was 59. Findings are: Record review of the Statement of Deficiencies for the annual survey completed 1-26-2016 revealed citations at -F314 Facility failed to prevent and provide ongoing monitoring for pressure ulcers. -F332 medication error rate was at 12%. -F431 Facility failed to ensure medications were secured at all times. -F441 Infection control failed to maintain an Infection Control program and failed to prevent cross contamination in the unit refrigerators. -F520 Quality Assurance failed to develop and implement plans of actions to correct issues of deficient practice. The facility was also cited with the year prior annual survey on 12-23-14 at F 314 and F441. Additional tags cited this survey 3-22-17 included: F157, F159, F179, F223, F225, F226, F253, F309 F323, F 329, F329, F334, F425, F428, F431, F490, F497, F498, and F520. Observation, record review, and interviews during the survey revealed 4 other IJ's at -F223 Facility failed to ensure residents were not subject to physical abuse. -F323 Facility failed to provide supervision during bathing and prevent accidents during van transportation. -F431 Facility failed to ensure medications were secured at all times. -F490 Failed to have an effective Administration to oversee the facilities compliance with regulations. Interview on 3-22-17 at 3:39 PM with the interim Administrator revealed the Administrator had only been there since (MONTH) 6, (YEAR). The QA committee met monthly but currently did not have any PIPs (process improvement plans) in process. |
2020-01-01 |