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 with a DNR order due to a misidentification of the POST document.

F 0755 Provide pharmaceutical services: the facility failed to ensure controlled medications were tracked and kept secure, as evidenced by a narcotic accountability record missing a required nurse signature.

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, resulting in unnecessary CPR and intubation for Resident #24 (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: observed unsafe water temperatures, missing closet drawer fronts, unclean showers, damaged walls, ceiling splatter, dust and gray fuzzy substances on vents and light fixtures throughout the facility.

F 0641 Ensure each resident receives an accurate assessment: the facility failed to accurately code Minimum Data Set (MDS) assessments for 8 residents, including feeding tube status and serious mental illness diagnoses, leading to inaccurate resident records and potential care gaps.

F 0645 PASARR screening for Mental disorders or Intellectual Disabilities: the facility failed to refer 4 residents for required PASARR Level II evaluations after positive Level I screens, risking lack of appropriate 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: Resident #41's care plan required two staff for bed mobility but documentation showed single staff assistance, risking resident safety.

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: care plans for Residents #12, #23, #59, and #65 were not updated to reflect current conditions or treatments, risking inadequate care.

F 0658 Ensure services provided by the nursing facility meet professional standards of quality: Resident #222 refused nicotine patches multiple times without physician notification, risking unmanaged tobacco use.

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: Residents #12 and #65 lacked physician orders for wound care and oxygen therapy respectively, risking inadequate treatment.

F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: Resident #30 had a medical device plugged into a power strip, which is unsafe and risks 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 Resident #41 despite documented low oxygen saturations.

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: Residents #51 and #58 had medications and wound supplies improperly stored at bedside, risking unsafe self-administration and contamination.

F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: expired yogurts, undated and open food packages, and pest infestation were observed in the kitchen, risking food contamination and resident illness.

F 0880 Provide and implement an infection prevention and control program: oxygen supplies were improperly stored, catheter bags were found on the floor, and glucometers were not cleaned according to policy, risking cross contamination and infection.

F 0908 Keep all essential equipment working safely: glucometer calibration and solution testing were inconsistently performed, risking inaccurate blood glucose readings.

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

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

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 at the same table, causing potential decrease in residents' self-worth.

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 residents' requests for changes.

F 0584 Honor the resident's right to a safe, clean, comfortable and homelike environment: the facility failed to maintain comfortable and consistent water temperatures in showers, causing fluctuations that could lead residents to avoid showers and negatively impact their sense of control.

F 0656 Develop and implement a complete care plan that meets all the resident's needs: the facility failed to include oxygen use and bathing needs in Resident #29's care plan, risking inadequate or inappropriate care.

F 0677 Provide care and assistance to perform activities of daily living: the facility failed to ensure Resident #29 received bathing assistance consistent with his needs, resulting in missed showers and potential embarrassment and decreased self-worth.

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: 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 and the facility provides food that accommodates resident allergies, intolerances, and preferences: the facility failed to provide appropriate meal alternatives to Resident #50, including serving a hard-fried egg instead of a hard-boiled egg and denying requested chicken noodle soup, risking hunger and weight loss.