Quabbin Valley Healthcare

Review of the Nursing Progress Note dated 6/7/24, indicated that Resident #25 was administered a COVID-19 rapid test.

Review of Resident #25's June 2024 Physician's orders indicated no documentation that Resident #25 had an order for COVID-19 rapid testing.

2. Resident #103 was admitted to the facility in October 2023.

Review of the Nursing Progress Note dated 6/1/24, indicated Resident #103 was administered a COVID-19 rapid test.

Review of Resident #103's June 2024 Physician's orders indicated no documentation that Resident #103 had an order for COVID-19 rapid testing.

3. Resident #112 was admitted to the facility in May 2024.

Review of the Nursing Progress Note dated 6/1/24, indicated Resident #112 was administered a COVID-19 rapid test.

Review of Resident #112's June 2024 Physician's orders indicated no documentation that Resident #112 had an order for COVID-19 rapid testing.

During an interview on 6/17/24 at 12:57 P.M., the Infection Preventionist (IP) said all Resident's should have a Physician's order in place for COVID-19 rapid testing.

The surveyor and the IP reviewed Residents #25, #103, and #112's medical records and the IP said Resident's #25, #103, and #112 did not have orders in place for COVID-19 rapid testing.

The IP said the orders should have been placed into the Residents medical records at the time the Residents were admitted to the facility.

225296

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 225296 B.

Wing 06/17/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Quabbin Valley Healthcare 821 Daniel Shays Highway Athol, MA 01331