Inspection Reports for
Eskridge Operator LLC

The Plan of Correction details multiple corrective actions including review and revision of care plans for residents with falls, staff education on hygiene and medication practices, securing therapy equipment, ensuring medication Black Box Warning (BBW) information is documented and non-pharmacological interventions are offered, cleaning and infection control procedures for ice machines, crisis management policy updates, and monthly mental health evaluations by a psychiatric nurse.

All previously cited deficiencies identified by regulation numbers 483.20(d)(3), 483.10(k)(2), 483.25(a)(2), 483.25(h), 483.25(l), 483.60(c), and 483.65 were corrected as of the revisit date.

The report documents that previously cited deficiencies identified by regulation numbers 28-39-234(c) and 28-39-235(a) have been corrected as of 03/21/2016.

The survey found the most serious deficiencies to be 'F' level deficiencies, widespread, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance and the plan of correction.

The visit included complaint investigations #KS00096689 and #KS00096149.

The facility failed to ensure the written policy and procedure for crisis intervention was available to residents and their families, and the policy did not address alternative methods for dealing with residents with violent behaviors. Additionally, the facility failed to ensure a contracted psychiatric nurse performed monthly written evaluations of each resident's response to their mental health plan of care.

The survey found the most serious deficiency to be at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. The facility was required to submit an acceptable plan of correction within ten calendar days.

The revisit confirmed that all previously cited deficiencies, including those with ID prefixes F0247, F0253, and F0323, were corrected as of 01/09/2015.

The report documents that deficiencies identified in prior inspections were corrected by the dates listed, confirming compliance with the cited regulations.

The Plan of Correction addresses deficiencies related to resident notification prior to room moves, facility cleanliness and maintenance, and fall prevention interventions. Corrective actions include improved documentation, daily monitoring of cleanliness and repairs, and implementation of care plans to prevent falls.

The survey found the most serious deficiency at a 'G' level, resulting in enforcement remedies including a denial of payment for new Medicare admissions effective March 10, 2015, until substantial compliance is achieved or the provider agreement is terminated.

The survey found the most serious deficiency in the facility to be at a 'G' level, indicating significant noncompliance. Enforcement remedies including denial of payment for new Medicare admissions were imposed effective March 10, 2015, with potential termination if substantial compliance is not achieved within six months.

The complaint investigation revealed failure to provide notice before roommate changes for two residents, unsanitary conditions in multiple areas, and failure to prevent multiple injury falls for a resident with cognitive impairment and mental illness.

The facility failed to provide residents with notice prior to roommate changes, maintain a sanitary environment, and prevent multiple injury falls for a resident with a history of mental illness and impaired judgment. Multiple deficiencies were documented including lack of documentation of notice, unsanitary conditions in utility and resident rooms, and inadequate fall prevention interventions.

The survey found a most serious deficiency classified as an 'F' level deficiency, widespread, with no harm but potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance was not achieved.

The survey found the most serious deficiency to be an 'F' level deficiency, widespread, with no harm but potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance was not achieved.

The Plan of Correction details multiple corrective actions including development and revision of care plans, daily action rounds to monitor resident care and hygiene, quarterly reviews of care plans, monitoring of bowel and bladder care, and electrical safety improvements to prevent recurrence of deficiencies.

The revisit report confirms that all previously cited deficiencies related to various regulatory requirements were corrected as of the revisit date.

The report indicates that deficiency with ID prefix S1364 related to regulation 26-40-305 (3) was corrected as of 09/18/2013. No other deficiencies or findings are listed.

The visit was complaint-related as part of a Health Resurvey and Complaint Investigation #KS67234.

The facility failed to provide a ground-fault circuit interrupter for one hydrocollator unit in the therapy room, which is required for electrical safety in hydrotherapy equipment.

The Plan of Correction addresses multiple deficiencies including failure to provide bed hold policy during hospital transfers, incomplete hospice care plans, improper resident positioning during meals, inadequate behavior management documentation, and dental care follow-up. The facility outlines systemic changes, staff re-education, monitoring, and audit plans to ensure compliance and prevent recurrence.

The revisit confirmed that all previously reported deficiencies identified by regulation numbers 483.12(b)(1)&(2), 483.20(d), 483.20(k)(1), 483.25, 483.25(l), 483.55(b), and 483.60(c) were corrected as of 06/01/2012.

The inspection was triggered by complaint #56259.

The facility failed to provide a bed-hold policy notice to a resident and family after hospital transfer, failed to develop coordinated care plans for hospice services, failed to ensure proper positioning during meals for a resident, failed to identify and monitor targeted behaviors related to psychotropic medications for multiple residents, and failed to timely provide dental services to a resident with dental pain and needed extractions.