SALEM, KY- SALEM SPRINGLAKE HEALTH & REHABILITATION CENTER

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

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

    Based on observation, interview, record review, and facility policy review, it was determined the facility failed to treat each resident with respect, dignity, and care in a manner that promotes maintenance or enhancement of his/her quality of life, recognizing each resident’s individuality, for two (2) of twelve (12) sampled residents (Residents #11 and #14).

Staff failed to close the blinds/curtain when providing a skin assessment for Resident #11, leaving the resident’s buttocks exposed to anyone who could have looked in the window. In addition, staff placed Resident #14’s medication in his/her mouth with her bare hand and the resident stated it made him/her feel
like a child.

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

Based on observation, interview, record review, and facility policy review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident’s medical, nursing, mental, and psychosocial needs that are identified in the comprehensive assessment for two (2) of twelve (12) sampled residents, (Residents #11 and #29), related to oxygen administration, and stoma/suctioning.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Based on observation, interview, record review, and facility policy review, it was determined the facility failed to update and revise the comprehensive nursing care plan for one (1) of (12) sampled residents (Resident #34)

Resident #34 was readmitted to the facility on [DATE] with a new indwelling urinary catheter and was on oxygen therapy. However, review of Resident #34’s Comprehensive Care Plan revealed the facility failed to revise the care plan to reflect the use and/or care of the indwelling urinary catheter and oxygen.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Based on observation, interview, record review, and facility policy review, it was determined two (2) residents in the selected sample of twelve (12) were identified on the facility’s Census and Condition to have a urinary catheters. The facility failed to have an effective system in place to ensure appropriate treatment and services was provided to one (1) of twelve (12) sampled residents (Resident #34).

Resident #34 was readmitted to the facility on [DATE] with an indwelling urinary catheter in place. However, the facility failed to ensure the resident had a valid justification for use, a Physician’s Order for the use of the catheter, interventions in place to address the care of the catheter, and appropriate care and services to prevent infections was provided.

Provide safe and appropriate respiratory care for a resident when needed.

Based on observation, interview, record review, and facility policy review, it was determined the facility failed to have an effective system to ensure oxygen therapy was provided according to the Physician’s Order and care plan for one (1) of twelve (12) sampled residents (Resident #11).

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation, interview, and review of the facility’s policy and procedure, it was determined the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable.

Provide and implement an infection prevention and control program.

Based on observation, interview, facility policy review, and review of the Centers for Disease Control (CDC) and Prevention guidelines, it was determined the facility failed to ensure staff followed standard and transmission-based precautions to prevent the spread of infections; and, hand hygiene procedures when involved in direct resident contact.

Resident #34 was on contact and droplet precautions due to being readmitted to the facility from hospital, however, observation revealed staff provided incontinent care to the resident without wearing a gown and shield. In addition, licensed staff placed Resident #14’s medication in his/her mouth with her bare hand.