Mcintosh Care and Rehabiltation Center

A survey prompted by #CO37926, #CO37930 and #CO38376 was conducted 11/25/24 to 11/26/24. One deficiency was cited. Based on record review and interviews, the facility failed to ensure resident rights were promoted and dignity was maintained for one (#1) of three residents out of five sample residents.Specifically, the facility failed to ensure Resident #1' s care was provided in a dignified and respectful manner by certified nurse aide (CNA) #1.Findings include:I. Resident #1A. Resident statusResident #1, age greater than 65, was admitted on 9/25/2020. According to the November 2024 computerized physician orders (CPO), diagnoses included epilepsy (seizure disorder), bipolar disorder (mental disorder that causes unusual shifts in behaviors), low back pain and muscle weakness.The 9/12/24 minimum data set (MDS) assessment revealed the resident was cognitively intact with a brief interview for mental status (BIMS) score of 15 out of 15. She was dependent on one staff member' s assistance with toileting hygiene. She required substantial/maximal assistance for putting on/taking off footwear. She required partial/moderate assistance for bathing, upper/lower body dressing and personal hygiene.The MDS assessment indicated the resident did not have any behavioral symptoms or rejection of care during the review period.B. Resident interviewResident #1 was interviewed on 11/25/24 at 3:05 p.m. Resident #1 said that certified nurse aide (CNA) #1 was rough with her, for example, when turning her during her incontinence care she rolled her too quickly, made her do her activities of daily living (ADL) tasks in a hurry, and was impatient with her when she was unable to move as quickly as CNA #1 wanted her too. Resident #1 said she could not move as quickly as CNA #1 wanted her to because she was in a wheelchair and could not walk. Resident #1 felt that the way CNA #1 treated her was rude. Resident #1 said CNA #1 made her feel terrible, she could not stand it and it made her feel helpless. Resident #1 said CNA #1 was a sour apple and she wanted her banned from taking care of her and wanted her fired. Resident #1 said this happened a few weeks ago in ..

Based on observation and staff interview during the course of the survey it was determined the facility failed to maintain smoke barriers in accordance with NFPA 101, 8.5.1. This was evidenced by the following:1. Ceiling penetration in storage room across from room 309.2. Ceiling penetration in storage room in 200-300 corridor. NFPA 101, Section 8.5.1, in part, smoke barriers shall be provided to subdivide building spaces for the purpose of restrictin.. Based on observation and staff interview during the course of the survey, it was determined that the facility failed to maintain corridor doors in accordance with the Life Safety Code Section 19.3.6.3This was evidenced by the following: 1. Fire/smoke corridor doors near 200-300 copy room do not close completely,2. Fire/smoke corridor doors near room 316 do not close completely.NFPA 101, 19.3.6.3.1* Doors protecting corridor openings in other than requir.. Based on observation and staff interview, it was determined that the facility failed to maintain the means of egress in accordance with Life Safety Code Section 19.2 and Chapter 7. This was evidenced by the following: 1. Emergency exit door from 400 corridor is difficult to open.NFPA 101, 7.1.10.1* General. Means of egress shall be continuously maintained free of all obstructions or impediments to full instant use in the case of fire or other emerg.. Based on observation during the survey, it was determined that the facility failed to maintain a hazardous area in accordance with NFPA 101, Life Safety Code, Section 19.3.2.1.3.This was evidence by the following:1. Resident room 300 has an excessive accumulation of combustible material and storage that creates a hazardous area.NFPA 101, 19.3.2.1.3 Doors. Doors to hazardous areas shall be self-closing or automatic-closing in accordance with 21.2.2.4.This.. Based on observation, it was determined that the facility failed to maintain proper electrical practices in accordance with NFPA 101, 9.1.2, and NFPA 70, National Electrical Code Section 110.12. This was evidenced by the following deficiencies:1. Exposed wiring in junction box due to missing cover in hall 2 temporary room.2. Improper use of extension cord, cord running through the wall in employee breakroom. NFPA 101, Section 9.1.2 Electrical Systems. El.. Based on observation, it was determined that the facility failed to maintain the automatic sprinkler system in accordance with National Fire Protection Association (NFPA) 25,5.3.1.1.1 and NFPA 101, 19.7.6, and 4.6.12.This was evidence by the following.1. Missing quarterly fire sprinkler inspection reports.2. Sprinklers throughout the facility appear to be at their 50-year service life.3. Paint on sprinkler heads in laundry room storage.NFPA 101 Life Safety Co.. Based on record review and staff interview during the survey, the facility failed to maintain all corridors in accordance with NFPA 90A, Standard for the Installation of Air-Conditioning and Ventilation Systems; Section 4.3.12.1.1 - Egress Corridors.This was evidenced by the following: 1. During the survey, it was found that the facility is utilizing 3 outside heat sources to provide warm air for the corridors, resident rooms, and adjacent areas which turns both of the corrid.. Based record review it was determined that the facility failed to maintain the fire alarm system components and devices in accordance with the NFPA 101, Life Safety Code Section 19.3.4.1 and NFPA 72.This was evidenced by:1. No records or documentation for 2-year smoke detector sensitivity testing.NFPA 101, Section 9.6.1.5* To ensure operational integrity, the fire alarm system shall have an approved maintenance and testing program complying with.. INITIAL COMENTS (ID Prefix Tag #K000) are informational only and a representation of the facility' s general characteristics.This survey was conducted in accordance with the Federal Register at Section 42 CFR 483.70(a).This survey was conducted on March 12, 2024 for compliance with the National Fire Protection Association, (NFPA 101) Life Safety Code (2012) Chapter 19 "Existing Health Care Occupancies."This structure is a one (1) story, Type V (111) cons..