Eastport Memorial Nursing Home
EASTPORT MEMORIAL NURSING HOME in EASTPORT, ME — inspection on January 29, 2025.
Found 7 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
F-F636, signed on 2/14/25, indicated the facility would print weekly MDS reports to identify residents needing assessments, the MDS coordinator would receive education on the process, and a monitor would be completed to ensure all residents have a Comprehensive Minimum Data Set (MDS) assessment timely.
On 3/18/25 at 11:15 a.m., during an interview with the Administrator and the Director of Nursing, a surveyor confirmed the facility lacked evidence the PoC was implemented, that education was provided, that education was received by the MDS coordinator, or that a monitor was completed weekly.
2.
The facility's accepted PoC for
F-F637, signed on 2/14/25, indicated the Director of Nursing would monitor nursing documentation of resident significant change and MDS assessment submission, the MDS coordinator would receive education on the process, and a monitor would be completed to ensure all residents with a significant change in status have a Comprehensive Minimum Data Set (MDS) assessment timely.
The PoC indicated an anticipated date of compliance of 3/5/25.
The facility lacked evidence that education was provided, that education was received by the MDS coordinator, or that a monitor was completed weekly.
On 3/18/25 at 11:15 a.m., during an interview with the Administrator and the Director of Nursing, a surveyor confirmed the facility lacked evidence that the PoC was implemented, that education was provided, that education was received by the MDS coordinator, that a monitor was completed weekly, and deficient practice was identified after the PoC's anticipated date of compliance.
3.
The facility's accepted PoC for
F-F656, signed on 2/14/25, indicated nursing staff would receive education on how to add a diagnosis to a resident's diagnosis list and update the care plan to correspond with the diagnosis, and the Director of Nursing would monitor all physician's notes after visits and ensure any new diagnoses were updated.
On 3/18/25 at 11:15 a.m., during an interview with the Administrator and the Director of Nursing, a surveyor confirmed the facility lacked evidence that the PoC was implemented, that education was provided, that education was received by nursing staff, or that monitoring was completed.
205146
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 205146 B.
Wing 01/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Eastport Memorial Nursing Home 23 Boynton Street Eastport, ME 04631
F-F684, signed on 2/14/25, indicated staff would receive education, and the Director of Nursing would monitor all orders and Gradual Dose Reduction (GDR) recommendations for 6
potential for actual harm On 3/18/25 at 11:15 a.m., during an interview with the Administrator and the Director of Nursing, a surveyor
that education was received by staff, or that monitoring was completed for GDR recommendations.
5. On 2/14/25, the facility signed a Plan of Correction (PoC) indicating an Elopement/Wandering policy would be established by 3/15/24, staff would be educated on the new policy, drill would be conducted at randomly selected times, and a monitor of staff response to the drills would be completed.
The PoC indicated the anticipated date of compliance as 3/5/25.
The facility lacked evidence that the policy was established, education was provided to staff, received by staff, drills completed, and/or a monitor of staff response was completed.
On 3/18/25 at 10:15 a.m., during an interview with a surveyor and the Director of Nursing, the Elopement and Wandering Policy draft was reviewed.
The DON indicated staff had not received education as this policy has not been approved by the board of directors. At this time the surveyor confirmed the Plan of Correction had not been implemented to prevent a resident identified as an elopement risk from leaving the building unnoticed.
6.
The facility's accepted PoC for
F-F689 (Free of Accident Hazards/Supervision/Devices) was implemented in order to prevent repeat deficient practice.
The deficiencies
F-F695, signed on 2/14/25, concentrators will be cleaned, weekly walking rounds would be completed to residents with oxygen orders, staff would receive education, and monitored results would be documented.
The PoC identified 3/5/25 as the anticipated date of compliance.
On 3/18/25 at 11:15 a.m., during an interview with the Administrator and the Director of Nursing, a surveyor confirmed the facility lacked evidence that the PoC was fully implemented, that education was provided to staff, that education was received by staff, that weekly walking rounds and/or monitoring were completed / documented.
Deficient practice was identified at the time of the revisit, after the PoC's anticipated date of compliance.
7.
The facility's accepted PoC for
F-F761, signed on 2/14/25, indicated staff would receive education on dating insulin vials / pens, discarding insulin after the expiration date, and weekly monitors would be conducted for 6 months.
On 3/18/25 at 11:15 a.m., during an interview with the Administrator and the Director of Nursing, a surveyor confirmed the facility lacked evidence that the PoC was fully implemented, that education was provided to staff, that education was received by staff, or that weekly audits were completed.
Deficient practice was identified at the time of the revisit, after the PoC's anticipated date of compliance.
205146
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 205146 B.
Wing 01/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Eastport Memorial Nursing Home 23 Boynton Street Eastport, ME 04631