Greendale Park Nursing And Rehab

F-F700).

The facility did not complete a thorough fall investigation, determine a root cause for his fall, complete reassessments to determine if bed rails continue to be appropriate for R8, and create a care plan with interventions in a timely manner.

Findings include:

The facility's Fall Risk Assessment that is not dated, documents:

Each resident will be assessed for the risks of falling and will receive care and services in accordance with the level of risk to minimize the likelihood of falls.

1.

The facility utilizes a standardized risk assessment for determining fall risk.

The risk assessment categorizes residents as a high risk with a score of 10 or greater.

The risk assessment will be completed upon admission, quarterly, or when a significant change is identified.

2.

Upon admission, the nurse will complete a fall risk assessment along with the admission assessment to determine the resident's level of fall risk.

3.

The nurse will initiate interventions on the resident's baseline care plan if the resident indicates high risk.

4.

Each resident's risk factors, and environmental hazards will be evaluated when developing the residents comprehensive plan of care.

5.

When any resident experiences a fall, the facility will:

Assess the resident.

Complete an event documentation report.

Complete a fall risk assessment.

Notify physician and family.

Review the residence care plan and update as indicated.

Document all assessments and actions.

525549

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 525549 B.

Wing 01/08/2025

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

Heritage Square Health Care Center 5404 W Loomis Rd Greendale, WI 53129