Community Extended Care Hospital Of Montclair
Community Extended Care Hospital Of Montclair in Montclair, CA — inspection on July 15, 2024.
Found 1 citation. 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
Based on observation, interview, and record review, the facility failed to ensure the facility's policy regarding safety and supervision of residents was implemented, when one of the four sampled residents (Resident 1) was not supervised during lunchtime, which potentially resulted to a change of condition leading to Resident 1 being transferred to a general acute hospital for evaluation and treatment.
This failure had the potential to place a clinically compromised resident (Resident 1) at risk for aspirating when resident was not supervised by the staff during mealtime.
Findings:
During a review of Resident 1's History and Physical H&P) dated February 3, 2023, the H&P indicated that Resident 1 had a diagnosis that included paraplegia (loss of muscle function and senses of the legs and lower body), seizure (a sudden uncontrolled burst of electrical activity in the brain that can cause changes in behavior, movement[uncontrollable shaking, with muscles contracting and relaxing repeatedly, however, some have mild symptoms without shaking] feelings, and level of consciousness), and dysphagia (difficulty of swallowing).
During a review of facility provided document titled SBAR (stands for situation, background, appearance, review and notify.) communication form and progress notes for RNs/LVNS/LPNs (registered nurses, licensed vocational nurses & licensed practical nurses). It indicated Resident 1 was found unresponsive and necessitated initiation of a code blue (a hospital code for an emergency that requires resuscitation - the process of reviving a patient that lacks breathing or pulse). was initiated, and subsequently transferred to an acute hospital.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
056444
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 056444 B.
Wing 07/15/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Community Extended Care Hospital of Montclair 9620 Fremont Avenue Montclair, CA 91763
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.