Inspection Reports for
Life Care Center in Idaho Falls

F 0578 Honor the resident's right to request, refuse, and/or discontinue treatment: the facility failed to honor residents' Do Not Resuscitate (DNR) and Do Not Intubate (DNI) orders, resulting in CPR being started on a resident who was a DNR (previously cited).

F 0755 Provide pharmaceutical services: the facility failed to ensure controlled medications were tracked and kept secure, with narcotic accountability records missing required nurse signatures.

F 0578 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: the facility failed to honor residents' DNR and DNI orders and did not ensure residents and representatives received assistance to exercise their rights, resulting in a resident receiving CPR and intubation contrary to documented wishes (previously cited).

F 0584 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: the facility failed to maintain safe water temperatures, clean and repair resident rooms and common areas, resulting in potential diminished quality of life and resident safety.

F 0641 Ensure each resident receives an accurate assessment: the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 8 residents, including incorrect documentation of feeding tube use, mental illness diagnoses, PASRR screenings, and catheter presence.

F 0645 PASARR screening for Mental disorders or Intellectual Disabilities: the facility failed to refer 4 residents for PASARR Level II evaluations despite diagnoses indicating need, risking lack of specialized mental health services.

F 0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured: the facility failed to follow a resident's care plan requiring two staff for bed mobility, resulting in staff providing assistance alone.

F 0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals: the facility failed to revise care plans for 4 residents to reflect current needs and treatments, including wound care, medication self-administration, excoriation treatment, and feeding tube discontinuation.

F 0658 Ensure services provided by the nursing facility meet professional standards of quality: the facility failed to notify a physician after multiple refusals of a nicotine patch medication for one resident, risking adverse effects.

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: the facility failed to have physician orders for wound care for one resident and oxygen therapy for another, risking inadequate care.

F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility allowed a medical device to be plugged into a power strip in a resident's room, creating a fire hazard.

F 0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being: licensed nurses failed to follow standing orders for oxygen administration for a resident with low oxygen saturation, risking adverse health effects.

F 0761 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: the facility failed to ensure medications were stored appropriately at bedside for two residents, risking inappropriate self-administration.

F 0761 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: wound care supplies and scissors were left out in a resident's room, risking contamination.

F 0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician: the facility failed to employ a qualified director of food and nutrition services as required by regulation.

F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the facility failed to ensure food was stored safely and sanitary, including expired yogurts, undated and open food packages, and pest infestation in the kitchen.

F 0880 Provide and implement an infection prevention and control program: the facility failed to maintain infection control practices including proper storage of oxygen supplies, catheter bags on the floor, and inadequate cleaning of glucometers, risking cross contamination and infection.

F 0908 Keep all essential equipment working safely: the facility failed to ensure glucometers were calibrated consistently, risking inaccurate blood glucose results.

F 0641 Ensure each resident receives an accurate assessment: the facility failed to document Resident #44's use of a BIPAP machine in the quarterly MDS assessment and incorrectly coded Resident #65's discharge status, potentially affecting care planning.

F 0695 Provide safe and appropriate respiratory care: the facility failed to obtain a complete physician order for Resident #44's BIPAP machine, lacking documentation of mode, pressure settings, mask type, oxygen use, and frequency, risking respiratory distress.

F 0550 Honor the resident's right to a dignified existence: the facility failed to maintain residents' dignity during dining when meals were served at different times to residents seated at the same table.

F 0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination: the facility failed to ensure residents' preferences for bathing schedules were honored, restricting showers to set days despite resident requests.

F 0584 Honor the resident's right to a safe, clean, comfortable and homelike environment: the facility failed to maintain comfortable water temperatures during showers, causing fluctuations that negatively impacted residents' comfort.

F 0656 Develop and implement a complete care plan: the facility failed to include oxygen use and bathing needs in the comprehensive care plan for Resident #29, risking inadequate care.

F 0677 Provide care and assistance for activities of daily living: the facility failed to ensure Resident #29 consistently received bathing assistance as scheduled, with unexplained missed showers.

F 0684 Provide appropriate treatment and care according to orders and preferences: the facility failed to follow physician orders for bowel care medications for Residents #29, #36, and #37, risking complications from constipation.

F 0806 Ensure each resident receives food accommodating allergies, intolerances, and preferences: the facility failed to provide appropriate meal alternatives to Resident #50, including incorrect egg preparation and unavailability of requested soup.