Aurora Health And Rehabilitation

Second degree burn of right elbow.

Record review of wound culture dated 5/22/25 revealed results of bacteria of Enterococcus Faecalis.

Record review of wound culture dated 6/19/25 revealed results of bacteria pathogens of Methicillin-Resistant Staphylococcus Aureus (MRSA) and Enterococcus Faecalis.

Record review of the Order Summary Report revealed an order on 5/29/25 - 6/5/25 for Augmentin Oral Tablet 500-125 milligrams two times a day for right elbow wound infection for 7 days; order on 6/25/25 7/2/25 for Bactrim DS Oral Tablet 800-160 milligrams one tablet two times a day for right elbow wound infection; and an order on 6/27/25 - 7/11/25 for Doxycycline oral tablet 100 milligrams two times a day for right arm infection for 14 days.

Record review of Resident #1's electronic Medication Administration Record revealed the resident received the antibiotics for the wound infections as ordered.

Record review of Resident #1's admission Record revealed the resident was admitted to the facility initially on 3/27/24 with the most recent admission date of 10/1/24, with diagnoses that included Traumatic Subarachnoid Hemorrhage, Paraplegia, and Autonomic Dysreflexia.

Record review of Resident #1's Minimum Data Set (MDS) Section C - Cognitive Patterns dated 7/2/25 revealed a Brief Interview for Mental Status (BIMS) score of 15 which indicted the resident was cognitively intact.The facility has documented evidence date of corrections prior to the state agency entrance, therefore, this is cited as past noncompliance.

The facility implemented corrective actions on 05/5/25, including staff education, enhanced monitoring, and completed safety monitoring.

Validation of the corrective actions were verified through staff interviews, record reviews and observations.

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