Avante At St Cloud Inc
AVANTE AT ST CLOUD INC in SAINT CLOUD, FL — inspection on August 15, 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
Review of resident #276's medical record revealed she was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, anemia and depression.
Review of resident #276's medical record revealed Progress Notes dated 8/05/24 and 8/06/24 which showed she was alert and oriented to person, place and time.
On 8/12/24 at 12:54 PM, resident #276 stated a nurse collected a urine sample using a catheter without her consent, through force, which hurt her. Resident #276 indicated she was taken to the bathroom, but she was unable to urinate at that time.
She explained when she could not urinate, the nurse told her she would get the urine sample another way and collected the specimen using a catheter.
Review of resident #276's physician orders revealed an order dated 8/05/24 which read, U/A C&S (urinalysis and culture and sensitive).
The Treatment Administration Record (TAR) showed this was completed on 8/05/24.
There was no evidence of a physician order to collect the U/A via urinary catheterization in the medical record.
Urinary catheterization is the aseptic process of inserting a sterile hollow pliable tube into the urethra to facilitate urine drainage .
Urinary catheters should be inserted only when medically [necessary] .
Document attempts at and inadequacy of alternative methods for bladder elimination prior to insertion of the indwelling catheter .
Urinary catheters should be placed only under the direction of a physician order, (Retrieved from https://www.ahrq.gov/ on 8/22/24).
On 8/12/24 at 3:39 PM, Registered Nurse (RN) Q in broken English stated resident #276 had a physician order for a urinalysis and culture and it needed to be a sterile procedure.
She explained she told the resident the procedure and resident #276 agreed.
She stated she first asked resident #276 if she could go to the bathroom and she tried to collect the urine sample in the bathroom, but resident #276 was unable to urinate at that time.
She explained the resident returned to her bed and she told her to relax.
She waited a few minutes for resident #276, to calm down.
She stated she told resident #276, Procedure, catheterize urine and cultivo urinary, me catheterize, I can, while showing her the equipment she was going to use.
She indicated resident #276 responded yes more than once. RN Q stated she, Did not even touch her much, because the urine came out fast. I almost did not touch her.
She recalled resident #276's husband approached her during morning report at the nurse's station.
She stated he was upset and said his wife told him she was handled roughly, and was catheterized without her consent.
105670
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 105670 B.
Wing 08/15/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Avante at St Cloud Inc 1301 Kansas Ave Saint Cloud, FL 34769
Review of resident #64's medical record revealed a hospital record dated 4/25/24 showed the resident had a diagnosis of O2 dependence, and used 2 LPM of O2 via nasal cannula.
Resident #64 had a care plan for O2 therapy initiated on 6/09/23.
Interventions included the use of O2 via nasal cannula at bedtime per resident request as ordered.
On 8/15/24 at 11:03 AM, MDS coordinator #1 and MDS coordinator #2, both Licensed Practical Nurses (LPNs) stated they were both responsible for completing the MDS assessments.
They confirmed resident #64 had been on O2 since he was admitted to the facility, nor was there an order in the medical record for O2 therapy.
They explained it was therefore missed during the last Quarterly MDS assessment.
32131
4.
Resident # 95 was admitted to the facility on [DATE], with diagnoses that included chronic obstructive pulmonary disease (COPD) with acute exacerbation, asthma, malignant neoplasm bronchus or lung, cough, and dependence on supplemental oxygen.
A physician order dated 7/10/24 was for continuous O2 at 3 LPM via nasal cannula for shortness of breath.
The resident's Admission MDS assessment with ARD of 7/16/24 revealed the resident's cognition was intact with a BIMS score of 15 out of 15.
Section O for O2 therapy while a resident was not assessed.
105670
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 105670 B.
Wing 08/15/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Avante at St Cloud Inc 1301 Kansas Ave Saint Cloud, FL 34769