Inspection Reports for
Life Care Center of Seneca

The facility was found deficient in multiple areas including resident dignity and privacy during toileting, environmental safety hazards due to unsecured chemicals, medication management failures related to blood sugar monitoring and insulin administration, inaccurate staffing data submission, and infection prevention and control practices.

The facility failed to provide dignified toileting care by not ensuring privacy during personal care, failed to maintain a safe environment by leaving hazardous chemicals unsecured, failed to notify physicians of out-of-parameter blood sugars and improperly administered insulin, submitted inaccurate staffing data, and failed to adhere to infection control procedures including improper use of PPE and unsafe dining practices.

The plan addresses multiple deficiencies including residents' rights related to privacy, accident hazards due to unlocked housekeeping closet doors, drug regimen issues involving blood sugar management, payroll based journal compliance, and infection prevention and control concerns. Corrective actions include staff education, audits, and policy reviews.

The facility was found deficient in multiple areas including failure to maintain resident dignity during dining, incomplete baseline care plans, failure to update care plans to reflect resident refusals and needs, inadequate assistance with activities of daily living, failure to provide appropriate grooming care, failure to provide required assistance with eating, improper wheelchair positioning, and lack of interventions to prevent bruising for residents on anticoagulation therapy.

The plan addresses multiple deficiencies related to residents' rights, care planning accuracy, assistance with activities of daily living (ADLs), hygiene, skin care, and personal preferences. The facility outlines corrective actions including staff education, audits, and follow-up through the Quality Assurance/Assessment Committee.

The inspection was triggered by Complaint #KS00181309.

The facility failed to provide dignity during dining for Resident 24 and failed to maintain grooming and hygiene for Resident 11. The facility also failed to develop and revise baseline and comprehensive care plans for residents, provide necessary assistance with activities of daily living, and ensure proper positioning and skin care interventions, placing residents at risk for impaired dignity, unmet care needs, and injury.

The complaint investigation found that R2 entered R1's room uninvited and struck R1 multiple times. The police were called, and R2 was transferred to a behavioral unit. The facility implemented a motion sensor alarm on R2's door and planned to move R2's room away from R1's upon return. R1 showed bruising but denied fear or anxiety related to the incident.

The facility failed to protect Resident 1 (R1) from abuse by Resident 2 (R2), resulting in physical harm and psychosocial risk. The incident involved R2 entering R1's room and striking her multiple times before staff intervened.

The plan addresses an incident involving two residents, including immediate corrective actions, supervision, reporting to authorities, and staff education to prevent future occurrences.

The complaint survey KS00281082 and KS00181083 was substantiated by findings of resident-to-resident abuse occurring on 06/25/2023. The facility failed to protect Resident R1 from abuse by Resident R2.

The facility failed to provide adequate supervision to prevent a resident-to-resident altercation resulting in physical abuse. Resident R1 was struck multiple times by Resident R2, causing bruising and placing R1 at risk for injury and psychosocial harm.

The facility addressed deficiencies related to dining services, personal hygiene, medication administration per physician orders, and dietary equipment cleanliness. Corrective actions include staff education, monitoring, and policy reviews to ensure compliance and resident dignity.

The visit was complaint-related, triggered by concerns about dignity during dining, inadequate personal hygiene care, medication management failures, and unsanitary food handling practices. Substantiation status is not explicitly stated.

The facility failed to promote dignified care during meal service, provide necessary bathing and hygiene services to several residents, ensure the consultant pharmacist reported medication irregularities, and maintain sanitary conditions in food storage and preparation areas.

The facility was found deficient in multiple areas including failure to maintain resident dignity during meal service, inadequate personal hygiene care for dependent residents, failure to report and act on out-of-parameter medication pulses, and unsanitary food storage and preparation conditions.

The facility was found to be in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The COVID19 Health Survey resulted in no deficiency citations related to applicable regulations under 42 CFR Part 483, Subpart B for long-term care facilities.

The plan addresses deficiencies related to maintaining a safe, clean, and homelike environment, ensuring nutritive value and proper food preparation, and installing a new exhaust fan in the beauty and barber shop.

The facility failed to provide a beauty shop exhaust fan to the outside, which is required for proper ventilation. This deficiency places residents receiving services in the beauty shop at risk for breathing problems.

The survey found an isolated 'D' level deficiency indicating no actual harm but potential for more than minimal harm without immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective 2019-01-25.

The facility failed to report an allegation of potential abuse involving Resident #29 to the State agency. The resident had a history of making false accusations against staff, but the facility did not report the incident of a nurse allegedly spitting on the resident as required by regulations.

The investigation found allegations of abuse, neglect, or exploitation involving resident #29. The facility implemented education and monitoring measures to ensure compliance with abuse reporting protocols.

The facility had deficiencies in labeling and storing drugs and biologicals, including inhalers and level 2 narcotics, and in infection control practices related to sanitizing resident rooms and equipment.

The visit included a complaint investigation identified by complaint numbers KS00113961 and KS00101417.

The facility failed to provide separately locked, permanently affixed compartments for storage of Schedule II controlled medications and failed to label drugs and biologicals properly. Additionally, the facility did not effectively sanitize resident rooms and equipment, failing to follow infection control policies.

The survey found a most serious deficiency at level "F", 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 reviewed and accepted, resulting in a finding of substantial compliance effective 11/21/2017.

The plan addresses deficiencies related to elopement risk assessments and care plans, including updating care plans for residents at risk, staff education on elopement prevention, and implementation of new signage and policies to prevent resident elopement.

Partial extended complaint investigation #105311. The complaint was substantiated with findings of failure to develop care plans and provide supervision to prevent elopement.

The facility failed to develop comprehensive care plans and provide adequate supervision to prevent elopement for cognitively impaired residents exhibiting exit seeking behavior. Two residents exited the facility without staff knowledge or supervision, placing one resident in immediate jeopardy.

The survey found the facility was not in substantial compliance and that conditions constituted immediate jeopardy to resident health or safety related to F323, "J", CFR 483.25(h). Enforcement remedies including denial of payment for new admissions were imposed.

The plan addresses multiple deficiencies related to care planning, medication management, infection control, pressure ulcer prevention, fall prevention, and noise level management. The facility outlines corrective actions, education, monitoring, and compliance dates for each cited deficiency.

The survey found the most serious deficiencies to be an "F" level deficiency, 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, resulting in a finding of substantial compliance effective December 21, 2015.

The facility was found deficient in maintaining comfortable sound levels, developing comprehensive care plans including targeted behaviors for psychotropic medication use, timely care plan revisions for fall prevention, coordination of hospice care, prevention and treatment of pressure ulcers, maintenance of restorative therapy programs, fall prevention interventions, monitoring of psychotropic medication effects, and infection control practices.

The survey found the most serious deficiencies to be 'F' level, widespread, with no harm but potential for more than minimal harm, and 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 is not achieved.

The report confirms that the deficiencies previously cited on the CMS-2567 have been corrected as of the dates indicated.

The complaint investigation #KS00085778 found that the facility did not ensure the resident environment was free of accident hazards. The resident fell due to a malfunctioning lift chair known to staff but not properly addressed. The resident sustained a hip fracture and required surgical repair.

The facility failed to ensure a resident's environment was free of accident hazards, resulting in a fall from a malfunctioning electric lift chair that caused a hip fracture. Multiple staff were aware of the malfunction but failed to remove the chair from service or properly report the issue to maintenance.

This Plan of Correction is related to a complaint investigation. The incident was self-reported on 2015-04-06. No substantiation status is provided.

The facility identified a deficiency related to inadequate supervision and assistive devices for Resident #1 and risks associated with electric lift chairs. Corrective actions were implemented including staff in-service training, equipment checks, and ongoing monitoring to prevent recurrence.

The plan addresses multiple deficiencies including care plan updates, assessments for power lift chair use, behavior monitoring for medications, dietary compliance with pureed diets, assistive device provision, medication monitoring, tuberculin vial management, staff education, and laundry procedures. Corrective actions include education, audits, and ongoing monitoring with compliance dates set for 09/05/2014.

The report documents that previously cited deficiencies identified by regulation numbers 28-39-158(a) and 26-40-303 (8)(a)(i)(ii)(iii)(iv)(v) have been corrected as of the revisit date.

The survey found the most serious deficiencies to be 'F' level, 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 is found to be in substantial compliance based on the credible allegation of compliance.

The facility failed to revise care plans, assess safety of electric recliner chairs, monitor psychotropic medication effectiveness, follow pureed diet recipes, provide assistive eating devices as planned, monitor thyroid medication labs, and properly dispose of expired medications.

The survey found the most serious deficiencies to be widespread 'F' level deficiencies with no harm but potential for more than minimal harm, not constituting immediate jeopardy. A plan of correction was required to address these deficiencies.

The report documents that previously reported deficiencies have been corrected as of the revisit date.

The plan addresses multiple deficiencies including discharge procedures for Medicare services, pressure ulcer prevention, dietary services for pureed diets, food storage and sanitation, Medical Director attendance at QAA meetings, and dietary manager certification.

The facility failed to document specific skilled services on Liability Notices for residents, failed to prevent the development of a pressure ulcer for one resident, failed to provide pureed diets meeting nutritional needs, failed to maintain sanitary food storage and preparation conditions, and failed to ensure physician attendance at Quality Assessment and Assurance meetings.