NORTH HUNTINGTON, PA- THE GROVE AT NORTH HUNTINGDON

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Based on observations and staff and resident interviews, it was determined that the facility failed to provide in a manner that enhanced resident dignity during dining services for two of 11 residents (Resident R14 and R66).

Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Based on review of the facility policy and clinical records and staff interviews, it was determined that the facility failed to provide the opportunity to formulate an advance directive (written instructions such as a living will or durable power of attorney for health care for when the individual is incapacitated) for six of the nine residents reviewed (Resident R4, R25, R39, R58, R63, R301).

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 review of facility policy, observations and staff interviews, it was determined that the facility failed to maintain a clean, homelike environment on three of three nursing units (A Wing, B Wing and C Wing) and in two of two shower rooms and outside of the facility near to back of the building at A wing back entrance and failed to provide a homelike environment for one of five residents (Resident R91).

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Based on review of facility policies, clinical records, grievance forms and staff interview, it was determined that the facility failed to ensure that three of four residents (Residents R10, R16 and R38) were free from abuse by not identifying allegations of neglect as potential abuse and allowing staff to continue to care for residents.

Respond appropriately to all alleged violations.

Based on review of facility policies, clinical records, grievance forms and staff interview, it was determined that the facility failed to ensure that three of four residents (Residents R10, R16 and R38) allegations of abuse/neglect were thoroughly investigated and/or reported to the State Agencies as required.

Ensure each resident receives an accurate assessment.

Based on a review of Resident Assessment Instrument (RAI) User’s Manual, clinical records, and staff interviews, it was determined that the facility failed to ensure that MDS assessments accurately reflected the resident’s status for two of eight residents (Resident R32 and Resident R54).

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

Based on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop comprehensive care plans to meet resident care needs for three of eight residents (Residents R18, R54, and R90).

Honor each resident’s preferences, choices, values and beliefs.

Based on a review of facility documents, observations, clinical record review, and staff interview, it was determined that the facility failed to ensure residents receive culturally sensitive care to maintain the highest level of psychosocial wellbeing for one of two non-English speaking residents (Resident R68).

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Based on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to notify physicians of increased and decreased Capillary Blood Glucose (CBG) levels and failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood glucose), for seven of ten Residents (Residents R4, R10, R23, R25, R34, R47, and R54).

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Based on a review of facility policy, resident interviews, Resident Group meeting, observation, and staff interviews, it was determined that the facility failed to provide the residents with a palatable meal, and at an appetizing temperature for one of one lunch meal observed. (Lunch Meal on 12/18/23).

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Based on review of the facility’s admission agreement and staff interviews, it was determined that the facility failed to ensure a neutral and fair arbitration process by ensuring both the resident or his or her representative, and the facility agree on the selection of a neutral arbitrator.

Hire a qualified full-time social worker in a facility with more than 120 beds.

Based on a review of facility documents, personnel records, and staff interview, it was determined that the facility failed to employ a qualified social worker for one of two employees (Employee E3).

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Based on review of facility documents and staff interview, it was determined that the facility failed to provide Communication training to direct care facility staff.