Inspection Reports for
Rockpoint Care Center LLC

The plan addresses issues including proper use of CMS forms for Medicare non-coverage notices, updating care plans to include supplemental oxygen use, and ensuring appropriate orders and monitoring for psychotropic medications with stop dates or re-evaluations.

The facility failed to issue the required Notice of Medicare Non-Coverage (NOMNC) to two residents, failed to revise a resident's care plan to include oxygen use, and the consultant pharmacist failed to identify psychotropic medications lacking required 14-day stop dates for one resident. Additionally, the facility failed to ensure two residents were free from unnecessary psychotropic medications due to lack of physician evaluation and documentation.

The plan addresses multiple deficiencies including inadequate lighting, improper hair restraint during food service, expired insulin medication management, and improper peri-care procedures. The facility outlines corrective actions, staff education, monitoring, and auditing to ensure compliance.

The facility was found deficient in providing adequate lighting, sanitary food handling, proper drug labeling and storage, and infection control practices. Specific issues included inadequate lighting in a resident's room, failure of nursing staff to wear hairnets while serving food, expired and unlabeled medications, and improper glove use during incontinent care.

The survey found the most serious deficiencies to be 'E' level deficiencies, 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 credible allegation of compliance and evidence of correction.

The facility was found not in substantial compliance with participation requirements, with conditions constituting Immediate Jeopardy and Past Non-compliance to resident health or safety for specific regulatory tags F225 and F226. Following an Independent Informal Dispute Resolution, the severity of F225 was lowered.

The complaint investigation involved an allegation of abuse by licensed nursing staff J against resident #1. Direct care staff H reported the allegation via phone message to administrative licensed nurse E approximately 2 hours and 25 minutes after the incident, but the accused staff continued to provide care for about 7 hours and 20 minutes. The facility delayed reporting and investigation, with administrative staff not becoming aware until approximately 25 hours after the initial allegation. The resident denied mistreatment during follow-up, but the facility failed to follow its abuse reporting policy.

The facility failed to protect residents from potential abuse when a staff member reported an allegation of abuse by another staff member, who continued providing care for the remainder of the shift. The facility also failed to implement timely reporting policies and procedures regarding abuse allegations.

The survey found the facility was not in substantial compliance and conditions constituted Immediate Jeopardy and Past Non-compliance to resident health or safety for specific regulatory tags. Following an Independent Informal Dispute Resolution, one deficiency severity was lowered.

The plan addresses past noncompliance issues identified under tags F0000, F225-D, and F226-F, all of which required no plan of correction.

The survey found the most serious deficiencies at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

All previously reported deficiencies were reviewed and corrective actions were confirmed completed on 12/02/2015. The revisit verified that the facility addressed the cited regulatory issues.

The report confirms that all previously identified deficiencies have been corrected as of the revisit date.

The plan details corrective actions including staff training on resident rights and abuse prevention, resident interviews on bathing preferences, skin breakdown risk assessments, meal assistance documentation, restorative program implementation, and blood pressure monitoring procedures. Compliance will be monitored through audits and QAPI committee reviews.

The survey found the most serious deficiencies to be an 'E' level deficiency, pattern, 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 2, 2015.

The survey found the most serious deficiencies to be an 'E' level deficiency, pattern, 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.

The facility was found deficient in multiple areas including failure to immediately report and investigate allegations of abuse, failure to assess and provide resident bathing preferences, failure to prevent development of a pressure ulcer due to inadequate assessment and care, failure to provide assistance with eating, failure to provide restorative range of motion services as ordered, and failure to follow up on blood pressure readings outside physician-ordered parameters.

The survey found the most serious deficiencies to be isolated 'D' level deficiencies with no harm but potential for more than minimal harm, and no immediate jeopardy was identified.

The survey found the most serious deficiencies to be isolated 'D' level deficiencies with no harm but potential for more than minimal harm, not constituting immediate jeopardy. A plan of correction was required and enforcement remedies were recommended if substantial compliance is not achieved.

The revisit confirmed that the deficiency identified under regulation 483.12(a)(2) was corrected as of the revisit date.

The plan addresses a deficiency related to the process of resident discharge notices, specifically the need for written confirmation of verbal rescindments and ensuring all notices comply with state and federal regulations.

The survey found a 'D' level deficiency that was isolated and constituted no actual harm but had potential for more than minimal harm without immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance.

The report documents that the previously cited deficiency under regulation 26-40-303 (b)(i)(ii)(iii)(iv)(c) was corrected as of 09/05/2014. No other deficiencies or findings are listed.

The facility failed to ensure that one resident was not involuntarily discharged when the discharge was unnecessary and the facility could meet the resident's needs. The resident was discharged due to the facility's refusal to continue transportation to dialysis despite the state agency's directive to withdraw the discharge notice.

The report documents that the previously cited deficiency under regulation 26-40-303 (b)(i)(ii)(iii)(iv)(c) was corrected as of the revisit date.

The facility submitted plans to correct multiple deficiencies including environmental maintenance, individualized care planning, fall prevention, medication management, staffing on the special care unit, dietary procedures, housekeeping protocols, and facility repairs. The facility intends to achieve substantial compliance by August 8, 2014.

The survey found the most serious deficiency at a 'G' level related to pressure ulcers (F314). Due to noncompliance, a denial of payment for new Medicare admissions was imposed effective October 9, 2014, with potential termination if substantial compliance is not achieved within six months.

The survey found the most serious deficiency at a 'G' level related to pressure ulcers (F314). Due to noncompliance, a denial of payment for new Medicare admissions was imposed effective October 9, 2014, with potential termination if substantial compliance is not achieved within six months.

The visit was a Health Resurvey and Complaint Investigation #KS00072253 and #KS00074891.

The facility failed to maintain a clean and comfortable environment, develop comprehensive care plans, prevent pressure ulcers, provide appropriate urinary care, maintain sufficient staffing, sanitize dishware properly, and maintain a safe external environment.

The report documents that previously cited deficiencies have been corrected as of the revisit date. Only one deficiency with ID prefix S0740 and regulation number 28-39-160 is noted as corrected.

The plan addresses multiple deficiencies related to resident care assessments, care plan updates, medication monitoring, infection control, and environmental safety. The facility outlines corrective actions, staff in-service training, audits, and monitoring processes to achieve substantial compliance.

The report documents that the deficiency identified by regulation 28-39-160 with ID prefix S0740 was corrected as of 04/19/2013.

The facility was found deficient in multiple areas including failure to post required Medicare/Medicaid information, incomplete comprehensive resident assessments, inaccurate Minimum Data Set (MDS) documentation, failure to develop and revise comprehensive care plans, inadequate infection control practices, unsafe environment in shower rooms, unsanitary food handling, failure to provide dental services, and failure to monitor medication effectiveness.