Beverly West Healthcare
Inspection Findings
F-Tag F622
F-F622
Findings:
During a review of Resident 1's Admission Record , the record indicated the resident was admitted to the facility on [DATE REDACTED] with diagnoses including; paranoid schizophrenia, anemia, diabetes mellitus (DM-, major depressive disorder and hypertensive (high blood pressure) heart disease. The same record further indicated Resident 1 was self- responsible.
During a review of the Minimum Data Set (MDS - a resident assessment tool) dated 8/19/24 indicated Resident 1's cognitive (relating to mental action or process of acquiring knowledge and understanding) skills for daily decisions were severely impaired and had medically complex conditions. The MDS further indicated Resident 1 required set up or clean-up assistance to supervision or touching assistance from staff for activities of daily living (ADLs- routine tasks/activities such as bathing, dressing and toileting a person performs daily to care for themselves), toilet transfers and walking, and was independent with bed mobility.
During a telephone interview with Medical Doctor (MD) 1 on 3/13/25 at 1:14 pm, MD 1 the facility was not one of his (that he sees residents at).
During an interview with concurrent record review with Medical Records Director (MRD) on 3/13/25 at 3:00 pm Resident 1's physician's progress notes for his entire stay at the facility (11/13/23-9/11/24) were reviewed. The MRD verified there were no physician notes in the medical record after 2/8/24 and stated the physician should have made visits after that but he didn't (per the record review).
During a review of the facility's P&P titled Physician's Visits reviewed 1/25/25 indicated The Attending Physician must make visits in accordance with applicable state and federal regulations. 1. The Attending Physician will visit residents in a timely fashion, consistent with applicable state and federal requirements .
The Attending Physician must visit his/her patients at least once every thirty (30) days for the first ninety (90) days following the resident's admission, and then at least every sixty (60) days thereafter.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 555139