Almond Vista Healthcare
ALMOND VISTA HEALTHCARE in MODESTO, CA — inspection on August 2, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an observation on 07/30/24 at 1:32 PM, the Restorative Nursing Assistant pulled back the covers in the bed over R203's left hand and the bandage/sock combination was in place.
The Restorative Nursing Assistant stated she did not know why R203 had the bandage/sock combination in place.
Review of the Care Plan, dated 07/26/24 and located in the EMR under the Care Plan tab, revealed a problem of ADL self-care performance deficit r/t [related to] weakness/decreased mobility, dx [diagnosis] of acute encephalopathy, DM [diabetes mellitus], dysphagia [swallowing disorder], hx [history] of CVA [cerebrovascular accident or stroke].
The Care Plan did include application of a sock to R203's hand and did not identify restraint use.
During an interview on 07/31/24 at 3:42 PM, CNA2 stated she had not applied a sock to R203's hand and had not seen this. CNA2 stated R203 had previously unfastened his incontinence brief on one side and then urinated in the bed, soiling the bedding and that was likely why he had something applied to his left his hand. CNA2 stated R203 was confused and dependent for care.
During an interview on 08/01/24 at 1:18 PM, LVN3 (the wound care nurse) stated she was not aware of R203 wearing a sock on his left hand and further stated he should not be wearing one. LVN3 stated R203 had one skin tear to his forearm that had a dry dressing applied; however, she was not aware of other skin issues to his arms or scratching. ADON1, who was present, stated the sock would prevent R203 from accessing his body and there should be a physician's order for something like that.
During an interview on 08/02/24 at 3:35 PM, LVN5 stated she was R203's nurse on 07/30/24 during day shift. LVN5 stated she was notified by the day shift CNA around 6:30 AM on 07/30/24 that R203 had a sock on his left hand. LVN5 stated she had not been aware of the sock being there prior to that day. LVN5 stated there was nothing in report about the sock and she asked the night shift nurse about it and was told the night shift nurse did not know about it. LVN5 stated she meant to go and check on the application of the sock on R203's left hand but got busy, and when she went to give R203 medications, his arm was covered with the bedding and she forgot. LVN5 stated she was not aware of a reason for the application of the sock. LVN5 stated R203 was anxious at times and placed his hand in his incontinence brief and rubbed himself. LVN5 stated R203 was not able to put the sock on his hand and would not be able to remove it either.
During an interview on 08/02/24 at 3:32 PM, the hospice LVN stated she had never seen a sock on R203's hand and there were no directions from hospice that would warrant it.
The hospice LVN stated R203 would not have been able to put the sock on himself and did not think he could remove it.
The hospice LVN stated R203's sister stated he was putting his hand in his brief and was fidgeting in that area.
555118
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555118 B.
Wing 08/02/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Almond Vista Healthcare 2030 Evergreen Avenue Modesto, CA 95350
During an interview on 08/01/24 at 3:15 PM, the DON confirmed the facility had a PIP in place for ensuring Bed Hold notifications were provided to residents or their responsible parties.
The DON confirmed the PIP included conducting audits for bed hold notifications, which she was not able to provide.
During an interview on 08/02/24 at 3:01 PM, ADON1 stated she was aware of the PIP for bed holds but had not been conducting audits herself, because this was being done by Medical Records.
555118
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555118 B.
Wing 08/02/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Almond Vista Healthcare 2030 Evergreen Avenue Modesto, CA 95350