Careview Health And Rehab Of Minocqua

Urinary output for dayshift is documented as ?n.' No amount noted.

Urinary output for nightshift is

No provider notification noted.07/16/25: Urinary output for dayshift is documented as ?x.' No amount

Urinary output for nightshift is noted as zero. No provider notification noted.07/25/25: Urinary output for nightshift is documented as ?cna.' No amount noted.07/30/25: Urinary output for nightshift is documented as ?cna.' No amount noted.Surveyor reviewed R2's nurse administration record for August 2025:08/01/25: Urinary output for nightshift is documented as zero. No provider notification noted.08/03/25: Urinary output for nightshift is documented as ?xx'. No amount noted.08/05/25: Urinary output for nightshift is documented as zero. No provider notification noted.08/07/25: Urinary output for nightshift is documented as ?yello'. No amount noted.08/08/25: Urinary output on nightshift has nothing documented.08/13/25: Urinary output for nightshift is documented as ?A'. No amount noted.08/17/25: Urinary output on nightshift has nothing documented.08/27/25: Urinary output for nightshift is documented as ?N'. No amount noted.08/28/25: Urinary output on nightshift has nothing documented.08/30/25: Urinary output on nightshift has nothing documented.Facility did not provide any additional documentation.Example 3R5 was admitted to the facility on [DATE] with pertinent diagnoses of osteomyelitis of vertebra and neuromuscular dysfunction of bladder.R5's most recent MDS, dated [DATE], noted the presence of an indwelling catheter.R5's care plan, dated 01/08/25, with a target date of 12/25/25, states: Monitor and document intake and output as per facility policy.

Monitor/record/report to MD for s/sx UTI: pain, burning, blood tinged urine, cloudiness, no output.R5's physician orders:12/28/24 SP: Document SP catheter output every shiftSurveyor reviewed R5's nurse administration record for July 2025:07/02/25: No urinary output documented.07/04/25: No urinary output documented for dayshift.07/05/25: Urinary output for nightshift is documented as ?clear.' No amount noted.07/08/25: Urinary output for dayshift is documented as zero. No provider notification noted.07/10/25: Urinary output for nightshift is documented as ?yello.' No amount noted.07/14/25: Urinary output for dayshift and nightshift is documented as zero. No provider notification noted.07/16/25: Urinary output for dayshift is documented as zero. No provider notification noted.07/19/25: Urinary output for nightshift is documented as zero. No provider notification noted.Surveyor reviewed R5's nurse administration record for August 2025:08/05/25: Urinary output for nightshift is documented as zero. No provider notification noted.08/11/25: No urinary output documented for nightshift.08/16/25: No urinary output documented for nightshift.08/17/25: No urinary output documented for nightshift.08/18/25: No urinary output documented for dayshift.08/19/25: No urinary output documented for dayshift.08/26/25: Urinary output for nightshift is documented as ?CLR.' No amount noted.08/27/25: Urinary output for nightshift is documented as zero. No provider notification noted.

525678 09/03/2025

Careview Health and Rehab of Minocqua 9969 Old Hwy 70 Rd Minocqua, WI 54548

Based on observation, interview and record review, the facility did not ensure all drugs and biologicals

residents (R) reviewed (R1).-Medication storage room had R1's lorazepam, with an opened date of 12/01/24, stored in unlocked refrigerator.-Medication storage room had 2 open, unlabeled bottles of eye drops in refrigerator.-Medication storage room had 4 opened boxes of expired intermittent catheters.This is evidenced by:Facility policy titled, Storage of Medications, with a revised date of 04/2007, states in part: The facility shall store all drugs and biologicals in a safe, secure, and orderly manner. 4.

The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. 7.

Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes.) containing drugs and biologicals shall be locked when not in use.9.

Medications requiring refrigeration must be stored in a refrigerator located in the drug room at the nurses's station or other secured location Medications must be stored separately from food and must be labeled accordingly.Facility policy titled, Discarding and Destroying Medications, with a revised date of 04/2007, states in part: All controlled substances shall be retained in a securely locked area with restricted access until authorized individuals destroy them.On 09/02/25 at 10:19 AM, Surveyor observed Certified Medication Aide (CMA) C prepping medications at the med cart in hall 200.

Surveyor asked CMA C how resident meds are stored. CMA C showed Surveyor the drawers being organized by resident room number.

All medications were labeled and dated. On 09/02/25 at 10:34 AM, Surveyor interviewed Licensed Practical Nurse (LPN) D regarding medication storage. LPN D stated only nurses have access to the medication room and demonstrated entry into locked med storage room.

Surveyor asked LPN D where catheters were stored. LPN D began opening cabinet doors in med storage room and pointed to some open boxes.

Surveyor observed multiple boxes of various sized intermittent catheters.

Surveyor asked LPN D how she knew if catheter was expired.

LPN D picked up one of the packaged catheters and looked at the labels and stated she did not know, but that it looked like the one she was holding might be expired.

Surveyor asked if any residents were currently using intermittent catheters. LPN D stated not being sure, but did not use any recently.On 09/02/25 at 11:06 AM, Surveyor entered medication room with Director of Nursing (DON) B.

Surveyor observed small refrigerator located next to medication dispenser system. A lock was noted on top of refrigerator that was not secured.

Surveyor asked DON B to open refrigerator to observe items inside.

DON B opened the refrigerator without having to unlock it.

Surveyor observed one medication inside.

DON B removed the medication.

Surveyor observed it to be lorazepam, and it was labeled with R1's information.

The bottle was noted as opened on 12/01/24. DON B stated this medication should not be in there as it was expired.

Surveyor asked DON B if the refrigerator should be locked. DON B stated that it should be.Surveyor then observed another larger refrigerator in the medication room and observed 2 opened bottles of eye drops inside.

One was noted to be latanoprost ophthalmic solution with no label or open date. On the side of the bottle, PM was written.

The other bottle was noted to be timolol maleate with no label or open date. On the side of this bottle, AM was written.

Surveyor asked DON B what these medications were. DON B stated she did not know, but acknowledged they should be labeled.Surveyor continued to observe the medication room storage cabinets and observed 4 opened boxes of intermittent catheter supplies.

The expiration date noted on 3 of the boxes was 05/31/2020.

The expiration on one of the boxes was 07/05/2020.

Surveyor asked DON B to note the expiration date on the catheter supplies. DON B stated recognition that they were expired and shouldn't be in the cabinet. DON B stated these would be removed.