The Covington

The facility failed to ensure follow-up with the primary care provider (PCP) for blood sugar levels greater than written parameters and a mammogram referral for 2 of 5 sampled residents. Specifically, for Resident #3, there were multiple instances between November 2022 and January 2023 where finger stick blood sugar results exceeded 550, but there was no documentation that the PCP was notified.

The facility failed to ensure follow-up with the primary care provider (PCP) for blood sugar levels exceeding established parameters and failed to provide a mammogram referral for two residents. Specifically, for Resident #3, there were multiple instances between November 2022 and January 2023 where finger stick blood sugar results exceeded 550, but there was no documentation that the PCP was notified.

The facility failed to ensure there were no chronic unpleasant odors on the special care unit. Observations revealed generalized odors of urine, feces, and body odor in the hallways, common areas, and resident rooms.

The facility failed to ensure required staffing hours were met on the first and second shifts for 23 out of 42 sampled shifts between 05/24/20 and 06/07/20. Specifically, during a period where the census was 57, multiple shifts showed significant shortages in aide coverage hours.

The facility failed to ensure the required staffing hours were met to meet the needs of the residents on the first and second shifts. Based on record reviews and interviews, this deficiency was evident in 23 out of 42 sampled shifts between 05/24/20 and 06/07/20.

The facility failed to ensure that one of seven sampled residents had a care plan that was completed annually. Specifically, Resident #5's care plan was outdated, as the most recent assessment was dated 01/31/19 despite the resident having been admitted in 2017.

The facility updated its Plan of Correction regarding Tag 367 on May 13, 2020. Specific details of the original deficiency are not provided in this addendum text, but the document confirms an amendment was made to the existing plan.

The facility failed to safely store oxygen tanks in a manner that prevents obstructions and hazards. Specifically, multiple 'E' tanks and a large 'M' tank were stored in a resident's room, creating a lack of floor space that prevented the resident from easily moving their wheelchair. Additionally, oxygen tubing was found lying on the floor, creating a potential trip hazard.