Inspection Reports for Odelia Healthcare

The complaint investigation focused on issues related to interpreter services, inaccurate MDS coding, and inadequate treatment for hematuria for resident #7. Interviews with family members, Social Services Assistant, MDS Coordinator, and Director of Nursing confirmed these deficiencies.

The facility failed to provide interpreter services for a Spanish-speaking resident, resulting in communication issues. The resident's MDS assessment did not accurately include a diagnosis of hematuria, affecting care planning. Additionally, the facility failed to provide care for the resident's hematuria diagnosis as documented in hospital discharge paperwork, including failure to complete ordered urinalysis.

The facility failed to provide sufficient support staff for food and nutrition services, resulting in delayed meal deliveries and cold food being served. Staffing shortages, including six vacant positions and a cook walking out during dinner, contributed to these issues.

The facility was found deficient in maintaining a homelike environment, accurate resident assessments, medication administration, accident prevention, food service quality, pharmaceutical services, and kitchen sanitation. Specific issues included improper storage of items, inaccurate Minimum Data Set (MDS) coding, failure to post wet floor signs, incorrect tube feeding administration, medication order discrepancies, incomplete lab work follow-up, serving food at improper temperatures, and multiple kitchen sanitation violations.

Complaint received on 05/17/24 alleging misappropriation by the Transport Driver who stole up to $480 from resident R #1. The complaint was substantiated after investigation, leading to the Transport Driver's termination and law enforcement involvement.

The facility failed to prevent staff-to-resident exploitation when the Transport Driver used a resident's debit card without authorization to withdraw a total of $480. The Transport Driver was suspended and subsequently fired after an investigation, and the facility reeducated staff on exploitation policies.

The complaint involved the facility's refusal to readmit resident R #1 after hospital discharge and failure to notify the resident, their Power of Attorney, and the Ombudsman about the discharge. The complaint was substantiated based on record reviews and interviews with facility staff, hospital social worker, and the resident's POA.

The facility failed to readmit resident R #1 after hospital discharge despite recommendations, did not notify the resident or their Power of Attorney about the discharge, and did not provide written notice to the resident representative or Ombudsman. The facility staff believed R #1 required memory care and refused readmission without proper communication.

The facility was found deficient in multiple areas including failure to keep call lights within residents' reach, safeguarding protected health information, proper PICC line care, following physician orders for STAT x-rays, pressure ulcer prevention, foot care, oxygen therapy humidification, medication cart security and labeling, and infection prevention practices such as hand hygiene.

The complaint investigation was triggered by concerns that the facility failed to recognize and respond to a resident's deteriorating condition in a timely manner, resulting in the resident's death. The investigation confirmed immediate jeopardy to resident health and safety due to failure to notify the medical provider and other related deficiencies.

The facility failed to timely notify the medical provider of a resident's deteriorated condition, resulting in the resident's death without appropriate medical intervention. Additional deficiencies included failure to update care plans after falls, inadequate assistance with activities of daily living, failure to reassess resident smoking safety, improper infection control practices in laundry handling, and unsafe storage and labeling of cleaning products.