| + |
Poplar Grove |
03/20/2025 |
Upcoming |
04/01/2025 |
|
| - |
Happy Valley Nursing |
02/20/2025 |
In-Progress |
03/20/2025 |
|
| |
Tag# |
Regulation |
Deficiency Description |
Severity |
Plan of Correction |
|
F-684 |
Quality of Care |
The facility failed to monitor and document wound care treatment for a resident with a pressure ulcer. |
D – Isolated issue, potential for harm |
1. Re-educate nursing staff on wound care documentation. 2. Implement weekly wound care audits. 3. Compliance monitored by DON. |
|
F-880 |
Infection Control |
The facility failed to ensure proper hand hygiene during medication administration. |
E – Pattern, no actual harm |
1. Conduct hand hygiene training for all staff. 2. Post hand hygiene reminders in med rooms. 3. Monitor compliance through audits. |
|
F-689 |
Accident Prevention |
A resident at risk for falls was not provided proper supervision, leading to an unwitnessed fall. |
G – Widespread, actual harm |
1. Review and revise fall prevention policy. 2. Implement hourly rounding. 3. Retrain staff on fall risk interventions. |
