Granada Rehabilitation & Wellness Center, Lp

F 0684 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

drains but it was not being done at the nursing facility. Physician 4 described Resident 1's drain collection bag had an accordion bellow (an accordion-shaped bulb) that needed to be compressed to promote negative pressure to draw out the fluid but clarified that it would not work if the drains were not being flushed.A review of the facility's Facility Assessment, dated August 2025-July2026, indicated, Another core competency is to work together cooperatively, recognizing that the power of our combined efforts exceeds what we can accomplish individually.This is demonstrated when our team of caregivers provides personalized, highly sophisticated health care.Licensed nurses provide skilled services including wound care.clinical assessments.Prior to admit we would do some research into the diagnosis or condition to see if we can meet the person's needs. Things to consider include.staff competency and/or ability to train competency.We would involved our medical director.as needed.Competencies that are necessary to provide the level and types of support and care needed for our residents.Person-centered care- This should include but not be limited to person-centered care planning.Measurements-.recording intake and output.Resident assessment and examinations- admission assessment, skin assessment.A review of a facility policy and procedure titled Jackson Pratt Drain, dated 9/19/19, indicated, To guide licensed nurse in

the provision of safe, competent, and ethical care in the procedure of caring for and emptying Jackson Pratt drains.Emptying.Empty contents into measuring container; note amount and appearance of drainage.Fully compress the collection reservoir with one hand, then replace the spout plug with the other hand.Compress

the reservoir by squeezing blub flat, replacing plug while compressed.The collection reservoir should remain compressed, if not; repeat procedure and notify physician.Fasten below the level of the wound to promote drainage.Documentation: Appearance of site.Appearance of drainage.Output.Physician notified of any problems.A review of an undated [NAME]-Close(R) patient and nursing information guide indicated, Dual anti-reflux valves prevent liquids and air from backing up into the catheter or wound drain.To ensure continuous flow, attach the bag to the patient gown or bedding below the level of the drainage site.To re-activate the system, compress the bellows. The fluid in the bellows will be discharged into the bag and

the suction will be re-established.Although the graduation marks on the bag are approximations only, approximate volumes collected can be recorded on the white ‘write-on' area on the bag. When recording

these approximations, first empty bellow contents into the bag.

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