LOUISVILLE, KY- LANDMARK OF IROQUOIS PARK REHAB AND NURSING CENTER/PARKWOOD HEALTH & REHABILITATION

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey, that can be found by clicking on “Full State Report” at the bottom.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on observation, interview, record review, and review of the facility’s policies, the facility failed to provide a clean and homelike environment for residents. The bathrooms and hallways had a strong odor of urine and were not clean, floors were soiled, sticky, stained and/or rusted. The failure to maintain a clean, homelike environment had the potential to affect Resident (R) 31, R44, and R75, as well as, all other residents residing on two of the three facility halls, with 15 resident rooms on each hallway.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Based on interview, record review and review of the facility policy, the facility failed to develop a
comprehensive person-centered care plan for one (Resident (R) 85) of 76 sampled residents, that included measurable objectives and timeframes to meet the resident’s medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment. The Care Area Assessments (CAA) that triggered for care planning, as well as, other areas such as medical needs, goals, and discharge planning, were not included in R85’s comprehensive care plan by the required completion date (no later than 21 days from admission).

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Based on observation, interview, record review and policy review, the facility failed to provide the necessary care and services to ensure that two (Resident (R) 49 and R 58) of two sampled residents reviewed for activities of daily living/communication did not decline in their ability to communicate. The residents were not provided communication tools in accordance with their plans of care.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Based on observation, interview, record review, and review of facility policy and food storage reference material, the facility failed to store food in accordance with facility policy and accepted standards of food service/management. Foods were not dated and/or labeled when opened. The deficient practice had the potential to affect 85 of 89 residents who consumed food stored and /or used in this kitchen.

Provide and implement an infection prevention and control program.

Based on observation, interview, record review and policy review, the facility failed to implement an infection prevention and control program designed to prevent the development and transmission of communicable disease and infections for two of 76 sampled residents (Resident (R)11 and R35). Staff failed to perform hand hygiene when indicated, as well as failed to handle and dispose of a soiled dressing in a manner to prevent the possible spread of infection. In addition, the facility failed to ensure that required Personal Protective Equipment (PPE) was readily available and worn by staff when providing care for a resident who was on Enhanced Barrier Precautions (EBP).