Wilkins Health & Rehabilitation Community

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On 03/25/25 at 5:45 p.m., the Oklahoma State Department of Health was notified and verified the existence of an immediate jeopardy situation related to the facility's failure to provide safety and interventions to prevent elopement from the facility. Resident #1 was a high risk for elopement and wandering and was let into the court yard unattended. Resident #1 exited through a gate located on the Southeast corner of the facility and staff did not identify and know the resident was missing.
On 03/25/25 at 6:05 p.m., the administrator and director of nursing were notified of the immediate jeopardy and provided the immediate jeopardy template.
On 03/26/25 at 11:45 a.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. The plan of removal, read in part,
WILKINS HEALTH & REHABILITATION COMMUNITY
IMMEDIATE JEOPARDY- PLAN OF REMOVAL
March 26, 2025
1. Facility Administrator was informed on 3/25/2025 at 6:05pm of Immediate Jeopardy related to Elopement.
2. The Need for Immediate Action stated: 'The facility failure to ensure residents with a risk for wandering elopement are provided interventions and safety could lead to serious injury, harm, impairment or death.'
3. THE FACILITY PLAN OF REMOVAL IS AS FOLLOWS:
A. The gate in question has been secured in a different way to ensure residents do not exit through it. (3/25/25)
B. Review and revision of Policy and Procedure regarding elopements was conducted (3/25/2025)
C. Review of Wandering Risk scales was conducted on all residents. 3/25/25
D. Accuracy of these assessments was ensured.
E. Identified all residents scoring 11 or higher on the Risk Scale in order to review the interventions already placed and to evaluate whether additional interventions are necessary. Began 3/25/25 and completed 3/26/2025 by 1200.
F. 30 Minute physical checks instituted on all wander-guarded residents until new magnetic locks and Wanderguard system updated to include exits leading to the facility courtyard. Began 3/25/25 completed3/26/2025 by 1200.
G. New procedure inserviced and instituted to supervise all Wander-guarded residents when outside the facility including in the facility courtyard. Began 3/25/25 completed3/26/2025 by 1200.
*Any staff not yet to be inserviced, will not be allowed to work until properly inserviced and response received.
H. Immediate Inservice training completed to all staff concerning Elopement. Began 3/25/25 completed3/26/2025 by 1200.
I. Administrator placed call to Wanderguard companies to request immediate order and setup of system on 4 additional doors. 3/26/25
J. Gate which is newly secured will be checked twice daily to ensure that it is locked.
Completed 0800 3/26/25
Plan of Removal submitted by [name withheld] Administrator
On 03/26/25 at 5:41 p.m., the facility submitted an amended plan of removal. The plan of removal, read in part, Any staff not yet to be inserviced, will not be allowed to work until properly inserviced and response received.
On 03/26/25 after interviews with facility staff, review of resident elopement wander risk assessments, and in-services, the immediacy was lifted, effective 03/26/25 at 5:41 p.m. The deficient practice remained at and isolated level with the potential for more than minimal harm.
Based on observation, record review, and interview, the facility failed to provide supervison and interventions to prevent elopement for 1 (#1) of 3 sampled residents reviewed for elopement. Resident #1 was a high risk for elopement and wandering and eloped from the facility with a wander guard in place. Resident #1 was a known exit seeker through exits not equipped with wander guard (a device to secure exit doors if some is that is at risk for elopement is attempting to exit the building) and staff were not aware of Resident #1 being gone until the facility transportation driver returned to the facilty. The driver did not know Resident #1 resided in the facility.
The DON identified five residents at high risk for wandering, elopement, and had a wanderguard in place.
Findings:
On 03/25/25 at 12:04 p.m., all exit doors to the center court yard were observed to be unlocked and not equipped with a wander guard system. The gate on the Southeast side of the building was observed. There was a chain with a clip release on the gate. The clip could easily be removed and the gate opened. The only exits equipped with wander guards were the two main entrances in the front of the building.
A policy titled Identifying and Protecting Residents at Risk for Wandering and Elopement, revised 03/01/22, read in part, The facility will strive to prevent unsafe wandering by identifying those at risk for elopement and follow-up with interventions to ensure safety for all.The resident's care plan will indicate the residents is at risk for elopement or other safety issues. Interventions try to maintain safety, such as a detailed monitoring plan will be included.
Resident #1 admitted to the facility on [DATE] with diagnoses which included dementia, agitation, acute kidney failure, and heart failure.
The admission Minimum Data Set assessment, with an assessment reference date of 10/10/24, showed Resident #1 had a brief interview for mental status score of 12, which showed they had moderate cognitive impairment in decision making. The assessment showed Resident #1 had no wandering and was independent with walking and ambulating.
An incident report form, Oklahoma Department of Health form 283, dated 10/13/24, showed Resident #1 was presented to the facility from the police where they were approximately two blocks away from the facility. The report showed an innocent bystander notified the police due to a potential fall. The report showed the care plan was updated for risk of wandering and wander guard placement. The report showed staff conducted visual monitoring every thirty minutes. The incident report showed the resident was a recent admission, was anxious due to noise in the current room, and had a history of dementia with agitation.
Resident #1's Wandering Risk Scale, dated 10/13/24, showed they were a high risk for wandering and elopement with a score of 11. A score of 11 or greater showed they were a high risk for wandering and elopement.
There was no documented care plan after Resident #1 had eloped from the facility on 10/13/24.
Resident #1's progress note, dated 12/25/24 at 6:27 p.m., read in part, This nurse heard the alarm for back door go off and went to investigate, resident noted exiting the back door, when asked what [they] was doing resident stated [they] was ready to go home. This nurse was able to talk resident into coming back inside building. Resident proceeded to go to front door when that alarm went off and resident realized door was locked, resident sat in chair next to door, state[sic] [they] will just sit there until [their] [family] comes to get [them].
Resident #1's progress note, dated 12/26/24 at 3:35 p.m., read in part, Resident exited out the back door causing it to alarm to sound. Aide and office nurse walked with resident around the side of the building and assisted resident back into the building. Residents became irritated when staff attempted to redirect the first of the encounter.
There were no documented interventions to address Resident #1 exit seeking through doors in the facility that were not secured with the wander guard system.
Resident #1's care plan, initiated 01/20/25, read in part, Focus I HAVE A WANDERGUARD AT THIS TIME R/T MY PREVIOUS ELOPEMENT FROM FACILITY ON 10/13/24. I WAS LOCATED BY POLICE SEVERAL BLOCKS FROM FACILITY. I STATE THAT I WAS CLOCKING OUT AND GOING HOME. I HAVE HAD AN INCREASE IN WANDERING AND WILL OCCASIONALLY WANDER TO EMERGENCY EXIT DOOR, IN WHICH WANDERGUARD DOES NOT WORK ON. I WAS MOVED INTO THE MEMORY CARE UNIT FOR SAFETY REASONS ON 12/6/24. ON 12/11/24 I PUNCHED ANOTHER RESIDENT IN FACE D/T [them]. WANDERING INTO MY ROOM. I WAS SENT TO [name withheld] ER AND admitted TO [name deleted]. UPON RETURN TO FACILITY, I AM RESIDING IN PATHWAY AND HAVE WANDERGUARD IN PLACE. I FREQUENTLY EXIT SEEK AND YELL AT STAFF WHEN ATTEMPTING TO ASSIST ME .Goal .I WILL HAVE A DECLINE IN BEHAVIORS OVER THE NEXT 90 DAYS .Interventions. ACTIVITY STAFF TO POST AN ACTIVITY CALENDAR IN MY ROOM MONTHLY .STAFF TO REMIND AND ENCOURAGE ME TO ATTEND ACTIVITIES .PROVIDE IN ROOM ACTIVITIES PER MY CHOICE.family] TO VISIT AS ABLE.STAFF TO ENSURE WANDERGUARD IS IN PLACE AT ALL TIMES.STAFF TO INITIATE ELOPEMENT PROCEDURES IF I AM UNABLE TO BE LOCATED, .STAFF TO OBSERVE ME AND INTERVENE IF PROBLEM BEHAVIORS ARE NOTED TO AIDE IN PREVENTION OF INJURY TO MYSELF AND OTHERS.
A care plan, initiated 01/20/25, was the first care plan that addressed wandering and elopement. There continued to be no interventions in place to address the resident exit seeking through doors not equipped with the wander guard system.
Resident #1's progress note, dated 03/06/25 at 4:30 a.m., read in part, Awaken at this time and ambulating without walker. Yelled at the nurse's aide when [they] took walker to res [Resident]. Exit seeking at this time trying to open front door and yelling at staff to put code in. Wander guard in place to L [left] ankle.
A facility incident report, dated 03/06/25, read in part, Transportation driver [initials withheld] called this nurse [at] 1205 stated that the resident was outside the building on the north side, walking east with walker. [initials withheld] was able to get resident to come back into the building [at]1207. Resident wander guard still in place. Resident was noted at the back door of pathway [at]1150 when staff asked [them] where [they] was going. [They] stated [they] just wanted to go outside. CNA [initials withheld] showed resident that [they] could go through the dining area to the back courtyard. Which is an enclosed area. Resident was last seen at 1155 sitting in a chair outside pathway dining area. Resident states [they] just wanted to go outside.
There were no documented intervention changes to address Resident #1 exit seeking through doors in the facility that was not secured with the wanderguard system.
On 03/25/25 at 12:10 p.m., LPN #1 stated they were present on 03/06/25 when Resident #1 eloped from the facility. LPN #1 stated Resident #1 was sitting in the courtyard by the dining room and they did not know the resident was gone. LPN #1 stated it was determined Resident #1 left through the gate on the Southeast side. LPN #1 stated the Southeast gate chain could easily be removed and the gate would open. LPN #1 was asked how a resident with a wander guard was able to leave the building. LPN #1 stated only the front doors were equipped with the wander guard system and not the doors to the courtyard. LPN #1 stated Resident #1 had a history of exit seeking and it was documented in the progress notes. LPN #1 was asked about Resident #1 attempting to exit through doors not equipped with the wander guard system. LPN #1 stated they were not aware of any attempts to exit seek through doors not equipped with the system.
On 03/25/25 at 12:26 p.m., CNA #1/facility transporter stated they were returning to the facility from the North side of the building and turned the corner to head South. CNA #1 stated they saw a person with a walker at the end of the building getting ready to cross the street to the East, heading toward second street. CNA #1 stated they notified the first nurse they saw when entering the facilty and they went out to talk with the person. CNA #1 stated the nurse notified them at that time it was a resident. CNA #1 stated they were not familiar with Resident #1 and did not even know they were a resident because they did not work with them.
On 03/25/25 at 1:02 p.m., LPN #2, stated Resident #1 would walk around the facility to the dining room and sun room. LPN #2 stated Resident #1 was at risk for wandering and elopement because they wandered out of the facility and would attempt to exit seek. LPN #2 stated Resident #1 had a wander guard and would do visual checks every 30 minutes to an hour, but it was never documented. LPN #2 stated Resident #1 would attempt to exit through the back door, but while on the memory care unit they never attempted to get out. LPN #2 stated Resident #1 was sent out to the hospital and when they returned was moved off the memory care unit with a wander guard.
On 03/25/25 at 1:26 p.m., CNA #2 stated Resident #1 had behaviors of pacing back and forth and would get angry. CNA #2 stated Resident #1 walked with a walker, would wander to the front and back, and sit by themselves. CNA #2 stated Resident #1 would attempt to go through the front door and it would alert them because of the wander guard. CNA #2 stated they asked Resident #1 on 03/06/25 what was wrong and showed them the door opened into the courtyard and let them out. CNA #2 stated they thought the courtyard was secure and Resident #1 got out and they did not have any idea where Resident #1 went. CNA #2 stated they asked the other staff where Resident #1 was and no one knew. CNA #2 stated the wander guard only activated the front doors and not the other exits to the facility. CNA #2 then stated the nurse found out through the transporter who came in and informed them someone was outside with a walker. CNA #2 stated they knew of no times Resident #1 attempted to exit through doors other then the main entrance. CNA #2 then stated again they thought the courtyard was secured, but it was not and Resident #1 got out.
On 03/25/25 at 1:58 p.m., LPN #3/ADON stated Resident #1 was admitted to the facility the first of October and became a high risk for elopement after they eloped from the facility on 10/13/24. LPN #3 stated Resident #1 had no range of motion deficits and was able to ambulate with a walker. LPN #3 stated the interventions that were put into place were a wander guard, to check placement, redirect, and diversionary activities. LPN #3 stated the care plan addressed to check on Resident #1, but did not specify how often. LPN #3 then stated 30 minute checks should have been implemented and on the care plan. LPN #3 stated the wander guard only was effective on the front doors because it was the most traveled. LPN #3 stated all other doors could not be secured and needed to remain open. LPN #3 was asked about the intervention of Resident #1 being on the memory care unit and moved back to the non-memory care unit. LPN #3 stated it was due to the decline and Resident #1 did not exit seek and elope. LPN #3 stated they were not aware of Resident #1 exit seeking through doors not secured with a wander guard, but it was on the care plan. LPN #3 stated there must have been a history. LPN #3 was asked about the elopement that occurred on 03/06/25. LPN #3 stated Resident #1 was seen by the driver when returning from a run. LPN #3 stated Resident #1 was located at the North end of the facility getting ready to cross the road. LPN #3 stated Resident #1 was at the end of the parking lot heading East towards a busy city street. LPN #3 stated highway seven was located North of the facility approximately three blocks away. LPN #3 stated highway seven was busy with a lot of traffic all the time. LPN #3 then stated it was determined Resident #1 left through the gate located on the Southeast corner of the building. LPN #3 stated the care plan was not developed until 01/20/25 for wandering and elopement.
On 03/25/25 at 2:37 p.m., the DON stated Resident #1 became a high risk for elopement and wandering on 10/13/24 when they eloped from the facilty. The DON stated Resident #1 had moderate cognitive skills for daily decision making and had a diagnosis of dementia. The DON stated Resident #1 was ambulatory and had no range of motion deficits. The DON stated a wander guard was placed on Resident #1 and visual checks were every thirty minutes. The DON stated the visual checks were not being completed until February 2025. The DON then stated the wander guard was to lock down the doors and was not allowed to be put on the exit doors other than the front door. The DON stated Resident #1 attempted to exit from doors that were not equipped with a wander guard and Resident #1 was redirected away from the doors. The DON was asked when a care plan was developed for elopement and wandering. The DON stated after the first elopement, then after reviewing the care plan, stated 01/20/25. The DON stated Resident #1 was moved to the memory care unit on 12/06/25 and then moved back to the long term care side with a wander guard when returning from the hospital on [DATE]. The DON was asked if the care plan addressed the exit seeking from doors not equipped with the wander guard system. The DON stated Resident #1 was to be redirected away from the doors. The DON stated on 03/06/25 Resident #1 had a second elopement and the transport driver notified the nurse of a person outside the facility. The DON stated Resident #1 was going towards Second street which was a residential street. The DON stated highway seven was located about three to four blocks away and was a busy highway. The DON stated the gate was easily accessible on the Southeast side of the building and that was the way Resident #1 left the courtyard.
On 03/25/25 at 3:15 p.m., the administrator stated only the front two doors were secured with the wander guard system. The administrator stated all other exit doors and the courtyard doors were emergency exits and did not have the system in place. The administrator stated they determined Resident #1 exited through the gate located on the Southeast corner of the facility.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to:
a. provide adequate supervision and interventions to prevent falls which resulted in injury for one (#1) of three sampled residents reviewed for falls; and
b. provide adequate supervision and interventions to prevent elopement for one (#4) of three sampled residents reviewed for elopement.
The DON reported 109 residents resided in the facility.
The DON reported two residents had eloped in the previous six months and four residents were at risk for elopement/wandering behaviors.
Findings:
A policy titled Identifying and Protecting Residents at Risk for Wandering and Elopement, dated 03/01/22, read in parts,The facility will strive to prevent unsafe wandering by identifying those at risk for elopement and follow-up with interventions to ensure safety for all .Complete and send state an incident report.
A policy titled Falls Prevention & Management, dated 10/03/23, read in parts, As part of the initial review of preadmission medical records, the clinician reviewing as well as admission nurse will identify individuals with a history of falls and risk factors for subsequent falling .The staff will address risk factors for falling and work with care plan coordinator in developing a fall care plan individualized to resident.
1. Resident #1 was admitted to the facility on [DATE] with diagnoses which included schizophrenia, Parkinson's disease, and chronic obstructive pulmonary disease.
A fall assessment, dated 10/12/24, documented Resident #1 was a high risk for falls.
An incident report, dated 10/12/24, read in parts, Resident laying next to bed in the floor on right side .Resident was wet with urine .Resident reported trying to go to the bathroom .No injuries noted at the time of the incident.
A care plan addendum, dated 10/12/24, read in parts, Ask every one to two hours if I need to use the bathroom .Remind to ask for assistance .Reorient to call light if necessary .Answer call light promptly.
A incident report, dated 10/14/24, read in parts, Resident found in the floor .Family member
[name withheld] reported the resident was found crumpled up on the footboard .Resident attempted to tell the nurse what happened but speech was unintelligible. The incident report documented the resident was transported to the hospital by EMS for evaluation.
An ODH Form 283 incident report, dated 10/14/24, read in parts, History of multiple falls .Corrective Measures: Floor mat placed on resident floor next to bed .Staff to make more frequent checks on resident .Assess resident for any needs or wants resident may have.
An after visit hospital summary, dated 10/15/24, documented the reason for the visit was a fall. The summary documented diagnoses of head injury and subarachnoid hemorrhage. The summary also documented a new medication of Keppra (a medication to treat seizures), 500 mg 1 tablet by mouth in the morning and at bedtime for 13 doses, and to follow-up with primary care physician in two to three days.
A comprehensive assessment, dated 10/23/24, documented Resident #1 was severly impaired with cognition and dependent on staff for most activities of daily living.
Incident notes for Resident #1, dated 10/12/24 throught 12/28/24, documented the resident had 15 falls.
On 01/03/25 at 9:25 a.m., the administrator reported the facility had tried multiple things to prevent the resident's falls. The administrator reported the facility had put a staff member outside the resident's room Monday through Friday from 8:00 a.m. to 5:00 p.m. and one on one supervision when staffing allowed.
On 01/03/25 at 12:50 p.m., family member #1 reported walking into Resident #1's room and finding the resident had fell with their head against the footboard of the bed. The family member reported the resident told them the fall occurred while trying to get to the bathroom. The family member reported the resident was wet with urine due to staff not assisting the resident to the bathroom which they believed resulted in the fall.
2. Resident #4 had diagnoses which included cerebral infarction and chronic atrial fibrillation.
A Wandering Risk Scale, dated 12/04/24, documented the resident was at low risk for wandering. The form documented the resident could not follow instructions, was ambulatory, and had no history of wandering.
An incident report, dated 12/07/24, documented the charge nurse received a phone call from a CMA who was driving the facility van returning a resident to the facility. The CMA reported Resident #4 was observed walking down the street. The CMA reported they stopped and attempted to get the resident in the van, but the resident refused. The report documented the nurse drove their private vehicle to retrieve the resident. The report documented the resident told the nurse, I'll go back with you but I will plan my next escape better. The report documented a WanderGuard was applied to the resident's ankle and staff were instructed to watch the resident for any attempts to leave and to check on the resident every 30 minutes.
A care plan addendum - Elopement/WanderGuard form, dated 12/07/24, documented the resident would wear a WanderGuard device to prevent elopement.
An admission assessment, dated 12/09/24, documented the resident was severely impaired with cognition. The assessment documented the resident was independent with activities of daily living.
A progress note, dated 12/10/24 at 9:51 a.m., documented at 9:20 a.m. the facility received a call reporting Resident #4 was observed walking down the street. The note documented the charge nurse and a CNA took the nurse's personal vehicle to the area the resident was last seen, located the resident, and was able to convince the resident to return with them. The note documented the resident was returned to the facility and immediately taken to the secured memory care unit. The note documented the WanderGuard could not be located. The note documented the resident had last been seen, prior to the elopement, at 9:10 a.m. at the nurses station talking to the nurse about needing a cell phone, then was observed to walk back toward their room.
A care plan addendum - Elopement/WanderGuard form, dated 12/10/24, documented the resident would be admitted to the secured unit for the resident's safety.
On 01/13/25 at 4:15 p.m., the DON reported there was no documentation of 30 minute checks related to Resident #4's elopement incident on 12/07/24. The DON reported an incident report could not be located for Resident #4's elopement on 12/10/24. The DON reported the resident had sustained no injuries during either of the elopement incidents and required no treatment.

Based on observation, record review, and interview, the facility failed to provide respiratory care consistent with professional standards of practice and per the facility policy for one (#22) of two residents reviewed for respiratory care.
The administrator reported 15 residents received oxygen therapy.
Findings:
A facility policy and procedure, Respiratory Therapy Utilization and Care of Equipment, not dated, documented in part, .All O2 tubing, humidifier bottles, O2 mask, nebulizer tubing, nebulizer mask, and hand held nebulizer are to be changed on the 10-6 shift twice monthly on the 1st and the 15th and prn .All tubing are to be dated for date changed .weekend R.N. audits weekly to ensure task has been completed as per policy and procedure .
Res #22 had diagnoses which included congestive heart failure.
A physician order, dated 08/03/22, documented to change the oxygen tubing, mask, or nasal cannula and humidifier bottle on the 1st and 15th day of each month on the nightshift.
A physician order, dated 12/05/22, documented oxygen at 2 liters via nasal cannula to keep oxygen saturations above 90%, every night for shortness of breath and/or wheezing.
A quarterly MDS assessment, dated 01/12/24, documented the resident was cognitively intact and required oxygen therapy.
A care plan, dated 01/17/24, documented the resident required oxygen therapy related to congestive heart failure to keep O2 saturations above 90%.
Treatment administration records, for January 2024, documented the O2 tubing and humidifier bottle was changed the night of 01/01/24. There was no documentation to indicate the tubing and canister was changed on the 15th as ordered.
On 01/23/24 at 10:54 a.m., the resident's O2 tubing and humidifier bottle was observed to be dated 01/02/24. The resident stated they used the O2 as needed and mainly at night. The resident reported they were unsure how often the tubing and canister was changed.
On 01/26/24 at 12:44 p.m., the resident's O2 tubing was observed to still have the date of 01/02/24 on the tubing, as well as on the humidifier bottle.
On 01/26/24 at 2:52 p.m., the ADON reviewed the January TAR and confirmed the tubing and humidifier bottle had not been changed on the 15th as ordered.

Based on observation, record review, and interview, the facility failed to have ongoing communication and collaboration with the dialysis facility, for monitoring before and after dialysis treatments for one (#59) of one resident reviewed for dialysis.
The administrator reported two residents received dialysis treatments.
Findings:
Res #59 had diagnoses which included chronic kidney disease and dependence on renal dialysis.
A physician order, dated 08/17/23, documented the resident would receive dialysis treatments on Tuesday, Thursday, and Saturday. The order documented to remove the dressing from the left upper arm at bedtime for dialysis fistula.
A quarterly MDS assessment, dated 11/10/23, documented the resident was moderately impaired with cognition. The assessment documented the resident received dialysis treatments.
A care plan, dated 11/24/23, documented the resident would receive hemodialysis every Tuesday, Thursday, and Saturday related to chronic kidney disease, end stage renal disease.
On 01/26/24 at 10:59 a.m., LPN #2 reported the facility did not have a dialysis communication form in use. The LPN reported if there were any changes or new orders, the dialysis nurse or physician called the facility and staff charted by exception. The LPN was asked if the facility provided any kind of report to the dialysis center when the resident went for treatments, and she stated, no, they did not have any form of communication like that in place for giving or receiving report before and after treatments.
On 01/26/24 at 11:28 a.m., the resident reported he had been to dialysis the previous day. The resident reported he didn't take anything with him and the facility did not send anything with him to the dialysis center.
On 01/29/24 at 9:33 a.m., the administrator reported he had talked with the dialysis center and would be implementing a communication form. The administrator stated the EMR also had an option for a dialysis communication form, which they would check into for use in the future.

Based on observation, record review, and interview, the facility failed to ensure a physician response was obtained for a nutritional recommendation for one (#42) of four residents reviewed for impaired nutrition.
The administrator reported a census of 101 residents and all residents received nutrition from dietary services.
Findings:
Res #42 was admitted with diagnoses which included dementia, diabetes mellitus, and depression.
A consultant dietician nutrition form, dated 10/30/23, recommended an appetite enhancer medication for documented weight loss.
A health status note, dated 11/08/23 at 1:16 p.m., documented the dietician's recommendation had been returned with no answer from the physician. The note documented a fax was sent again to the physician asking if they wanted to start the resident on Remeron (a medication used as an appetite enhancer).
A quarterly MDS assessment, dated 01/02/24, documented the resident was independent with eating.
A care plan, dated 01/08/24, documented the resident was able to eat independently and choose their meals, but had weight loss and their appetite had been poor.
On 01/24/24 at 9:10 a.m., the resident was observed to consume 75% of the breakfast meal. A pink beverage identified as a supplement house shake had approximately 50% left in the glass. The resident reported they felt full and had no complaints related to the food served.
On 01/25/24 at 9:43 a.m., RN #1 reported she reviewed weights weekly and had discussed the resident's weight loss with the physician. The RN stated the medication, Remeron, had been considered because the resident was inconsistent with meals.
A physician response, dated 01/25/24, documented new physician orders for Remeron and Megace (medications used for weight gain and appetite stimulants).
On 01/29/24 at 12:03 p.m., the DON reported the physician response should have been more timely but there was no specific timeframe for receiving a response. The DON stated this should have been addressed during weekly weight reviews.

Based on record review and interview, the facility failed to notify OHCA of residents with a new diagnosis of a serious mental illness, for two (#6 and #18) of two residents sampled for PASRR assessments.
The administrator reported a census of 101 residents.
Findings:
1. Res #6's PASRR level I assessment, dated 01/13/16, documented no evidence or diagnoses of severe mental illness.
A care plan, dated 11/26/23, documented the resident was at risk for decline of psychosocial well-being related to depression and anxiety, as well as a diagnosis of schizophrenia and bipolar disorder. The care plan addressed verbal behaviors.
Res #6's clinical record documented a diagnosis of bipolar disorder on 07/22/14 and schizophrenia on 01/23/16. There was no documentation OHCA was notified when the facility became aware of the new serious psychiatric diagnoses.
2. Resident #18 had diagnoses which included schizophrenia, Parkinson's disease, psychosis with auditory hallucinations, anxiety, and depression.
A quarterly MDS assessment, dated 10/25/23, documented the resident was cognitively intact.
Res #18's care plan documented the resident was at risk for decline in mood and psychosocial well-being. The care plan documented the resident was seen by a psychiatrist outside of the facility.
The resident's clinical record documented a Level I PASRR was completed on 08/22/13 and documented no Level II PASRR was required at that time. The record documented the resident had a new diagnosis of psychosis on 01/31/24, major depressive disorder 05/12/17, schizoaffective disorder 05/12/17, schizophrenia 01/02/18, hallucinations 05/02/19, and psychophysiologic insomnia 05/02/19.
On 01/29/24 at 10:40 a.m., LPN #1 reported she was not aware a PASRR Level II screening was required when a resident received a new psychiatric diagnosis after admission.
On 01/29/24 at 11:53 a.m., the Psych/ID analyst with OHCA reported if dementia was the primary diagnosis, then a Level II PASRR would not be required. He reported for a diagnosis of Parkinson's disease, major depressive disorder, or Alzheimer's disease with a new psych diagnosis, etc., the new diagnosis would still need to be reported so it could be documented and determined if a Level II PASRR screening was required.
On 01/29/24 at 12:15 p.m., the administrator and DON reported they were under the impression a Level II PASRR screening was not required for certain diagnoses, even when a resident had a new psychiatric diagnosis.

Based on record review and interview, the facility failed to ensure residents were informed, with a signed acknowledgment from the resident, of items and services for which the resident might be charged for skilled services, for two (#1 and #2) of three residents sampled for beneficiary notification review.
The Administrator reported 16 residents who had discharged from skilled services in the last six months.
Findings:
The clinical record for Resident #1 documented the resident was admitted to skilled services on 07/22/22 and was discharged on 09/16/22. The Advanced Beneficiary Notice (ABN), form CMS-10055, was not signed by the resident or their representative.
The clinical record for Resident #2 documented the resident was admitted to skilled services on 08/01/22 and was discharged on 09/17/22. The ABN, form CMS-10055, was not signed by the resident or their representative.
On 11/02/22 at 2:11 p.m., the social services director reported she had written on the forms verbal consent, instead of having the resident or their representative sign the form to indicate they were given information related to possible charges.
On 11/02/22 at 4:15 p.m., the Administrator reported the ABN forms should have been signed by the resident or their representative.

Based on record review and interview, it was determined the facility failed to ensure assessments were accurate for one (#88) of 12 records reviewed for accuracy.
This had the potential to effect all 107 residents. Findings:
Resident #88 was admitted with diagnoses which included diabetes mellitus, depression, peripheral vascular disease, and stage 3 kidney disease.
A significant change assessment, dated 03/01/19, documented the resident's active diagnoses which included diabetes mellitus, depression and peripheral vascular disease.
The resident's quarterly assessment, dated 06/21/19, documented the resident's active diagnoses which included diabetes mellitus, depression, and peripheral vascular disease.
A physician's progress note, dated 06/14/19, documented the resident's medical history reviewed: dementia with behavioral disturbances and stage III chronic kidney disease.
A physician's progress note, dated 05/13/19, documented medical history updated: dementia with behavioral disturbance and stage III chronic kidney disease.
On 07/11/19 at 11:12 a.m., the assessment coordinator was shown the above findings. She agreed the diagnoses of dementia and chronic kidney disease should have been included in the active diagnoses.
At 11:30 a.m. the director of nursing was informed of the inaccurate assessment.

Based on record review and interview, it was determined the facility failed to ensure the physician was notified of a recent weight loss for one (#88) of 12 records reviewed.
This had the potential to effect all 107 residents. Findings:
Resident #88 was admitted with diagnoses which included diabetes mellitus, depression, and peripheral vascular disease.
The resident's quarterly assessment, dated 06/20/19, documented the resident's cognition was mildly impaired, required supervision with eating, and received a therapeutic diet.
The resident's care plan, dated 06/20/19, documented the resident was at risk for decline in nutritional status and to notify the medical doctor (MD) of any decline in appetite and report any significant weight fluctuations.
A dietary progress note, dated 06/18/19, documented a significant weight loss and to alert the MD.
The clinical record had not contained any documentation of the MD notification.
07/11/19 at 11:30 a.m., the director of nursing was made aware of the above findings and stated the doctor was notified today of the resident's weight loss.