Crossings At East Lake Of Journey Llc, The
CROSSINGS AT EAST LAKE OF JOURNEY LLC, THE in DECATUR, GA — inspection on January 9, 2025.
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 R64's Annual Minimum Data Set (MDS) dated [DATE] revealed, Section C (Cognitive Pattern), a Brief Interview of Mental Status (BIMS) of 15 which indicated R64 had intact cognition and Section M (Skin conditions) revealed, R64 had a stage 4 pressure ulcer.
Review of R64's physician's orders dated 12/10/2024 revealed orders that included but not limited to, 1.
Wound care: Cleanse area to sacrum with Dakin's.
Apply Dakin's wet to moist dressing.
Cover with protective dressing every day shift for skin integrity AND as needed for skin integrity; 2.
Collagenase Ointment 250 UNIT/gram (GM), Apply to sacrum topically every day shift for wound healing; 3.
Renew Wound Consult: Follow and treat until wound is healed.
Observation on 1/8/2025 at 11:27 am revealed, Wound Care Nurse (WCN) HH performing wound care on R64's stage four sacral wound.
During observation WCN HH removed her gloves and put on a clean pair of gloves without sanitizing her hands.
Interview on 1/8/2025 at11:40 am with WCN HH confirmed she did not sanitize her hands after she removed the used gloves and before putting on a new pair of gloves.
She stated she should have sanitized her hands in between glove change to prevent the spread of germs to R64.
She stated the resident could get an infection if she did not sanitize her hands after removing her gloves and before putting on a new pair of gloves.
Interview on 1/8/2025 at 11:50 am with Unit Manager (UM) MM revealed, that staff should wash their hands or hand sanitize before going into the residents' rooms, rendering care to the residents, after removing gloves and before putting on a new pair of gloves.
She stated if hand hygiene was not performed the outcome would be the residents could get infections.
115482
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 115482 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030
Observation on 1/6/2025 at 10:04 am revealed that R8 was sitting in his chair with his right hand contracted and his fingernails dirty and long and digging into the skin.
Observation on 1/7/2025 at 4:11 pm revealed R8 was in the dining room, and his fingernails remained long and dirty.
In an interview on 1/7/2025 at 4:17 pm, Certified Nursing Assistant (CNA) II confirmed R8's fingernails were long and dirty.
She stated she had not noticed his nails being long and dirty.
She further stated since R8 was diabetic, she would notify the nurse.
Registered Nursing (RN) GG stated she could attempt to cut R8 nails, but due to their thickness, she would need to consult the podiatrist. RN GG confirmed that it was not a good idea to leave R8's nails so thick and long. RN GG asked R8 if he would be okay with getting his nails clipped, and R8 responded, Yes, it's hurting me really bad.
115482
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 115482 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030