Eagle Ridge Post Acute
EAGLE RIDGE POST ACUTE in GRAND JUNCTION, CO — inspection on June 12, 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
According to the note, there were no injuries or bruising and the resident did not hit her head.
-The review of the progress notes did not identify there was a second fall between 2/10/24 and the resident's discharge on 2/14/24.
-The review of the progress notes did not identify the resident had bruising and swelling to her face or other related injuries.
The 2/10/24 change of condition evaluation documented in part, that a change of condition had been noted.
The symptoms included a fall on 2/10/24.
-The resident was not identified to have injuries to her face.
-The review of the resident'sassessments did not identify the resident had a second fall or injuries to her face from a fall or hitting her scooter.
The 2/10/24 post fall review documented the resident had not had any falls at the facility prior to the 2/10/24 fall.
The 2/10/24 fall risk observation/assessment read the resident was at a moderate risk for falls and ambulated with problems and devices.
The 2/10/24 unwitnessed incident report read Resident #173 was transfering from her bed to the scooter, lost her balance and lowered herself to the floor so she would not fall.
According to the incident report, the resident was assessed after the fall and there were no injuries observed at the time of the fall.
The interdisciplinary team (IDT) fall note read Resident #173 had an unwitnessed fall on 2/10/24 at 6:32 a.m.
The note did not identify the details of the fall or if the resident had injuries.
According to the note, the intervention after the 2/10/24 fall was to ensure non-slip footwear or non-skid socks were on during resident transfers.
The 2/12/24 daily skilled charting form for the night shift, completed on 2/13/24 at 5:15 a.m. read the resident needed extensive assistance with transfers with two staff but was able to reposition herself in bed.
According to the skilled charting, the resident had bilateral leg edema and a healing post surgical incision. No other concerns were identified for the resident's skin.
065286
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 065286 B.
Wing 06/12/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Eagle Ridge Post Acute 2425 Teller Ave Grand Junction, CO 81501
According to the note, there were no injuries and the resident did not hit her head.
The 2/10/24 change of condition evaluation documented in part that a change of condition had been noted.
The symptoms included a fall on 2/10/24.
Under the resident representative notification section, the evaluation listed Resident #173 as the family/resident representative notified on 2/10/24 at 6:10 a.m.
-The evaluation did not identify the resident's family/representative was notified after the fall.
The 2/10/24 unwitnessed incident report identified Resident #173 was notified of her fall on 2/10/24 at 6:47 a. m.
-The incident report did not identify the resident's representative was notified after the fall.
IV.
Staff interviews
The director of nursing (DON) was interviewed on 6/12/24 at 11:58 a.m.
The DON said staff needed to notify the physician, the DON and the power of attorney (POA) after a resident fell .
The DON said the family of the resident should always be contacted when listed as the emergency contact.
The DON was interviewed again on 6/12/24 at 4:11 p.m.
The DON reviewed the documented notifications after Resident #173's fall on 2/10/24.
The DON said the notification of the fall should not have been the resident but the resident's family.
She said the resident's emergency contact should have been notified after the fall.
065286
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 065286 B.
Wing 06/12/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Eagle Ridge Post Acute 2425 Teller Ave Grand Junction, CO 81501