Arcadia Care Aledo
ARCADIA CARE ALEDO in ALEDO, IL — inspection on June 5, 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 record review, and observation, the facility failed to place signage in a conspicuous location to clearly identify the category of transmission-based precautions, instructions for PPE (Personal Protective Equipment) and/or instruction to see the nurse prior to entering the resident's room for 1 of 1 (R32) residents that required transmission-based precautions in a sample of 43 residents.
B.
Based on interview and record review the facility failed to have interventions in place to mitigate the growth and spread of legionella and failed to maintain logs of interventions.
This has the potential to affect all 44 residents that reside at the facility.
Findings include:
A.
The Multidrug-Resistant Organisms in Non-Hospital Healthcare Settings, revised 11/30/09, documents 2.
Multi-resistant drug organisms are bacteria and other microorganisms that have developed resistance to antimicrobial drugs.
Common examples of these organisms include: MRSA- Methicillin/Oxacillin-resistant Staphylococcus aureus.
The Transmission-Based Precautions, revised 12/14/09, documents Contact Precautions: Are designed to reduce the risk of transmission of epidemiologically important microorganisms by direct or indirect contact.
The Isolation Room Set Up policy, revised 5/30/14, documents It is the policy of this facility to set up isolation for communicable diseases.
Procedure: 7.
Place sign on door to resident's room for visitors to inquire at nurse's desk prior to entering room.
On 5/18/24, R32 was readmitted to the facility with a diagnosis of MRSA in R32's leg wounds on 5/14/24 which required Intravenous Antibiotics and daily dressing changes.
Between 6/2/24 at 10:30 AM and 6/5/24 at 1:00 PM, R32's room lacked signage to identify the category of transmission-based precautions, instructions for PPE (Personal Protective Equipment) and/or instruction to see the nurse prior to entering the residents room.
B. On 6/5/24 at 1:30 PM, V2 (Director of Nursing/Infection Preventionist) stated V25 (Maintenance Supervisor) oversees Legionella management and this was all V25 has and then provided a log of water flushes every two weeks dated 10/3/20 through 5/24/24.
The Infection Control Plan Index, no date, lacked inclusion of a Legionella prevention policy.
The Quality Assurance Performance Improvement (QAPI) Agenda, updated 8/3/17, lacked inclusion of Legionella monitoring.
The QAPI scope documents Maintenance We provide comprehensive building safety, repairs, and inspections to ensure all aspects of safety are enforced, assuring the safety and well being for each resident, visitor and staff who enter the building.
145886
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 145886 B.
Wing 06/05/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Arcadia Care Aledo 304 S.W. 12th Street Aledo, IL 61231