Waltonwood Cotswold

The facility failed to ensure a resident was referred to the emergency department for evaluation and treatment following a fall that resulted in a femoral neck fracture. Despite the resident exhibiting severe pain, skeletal abnormalities, and a confirmed fracture, the facility delayed the necessary emergency referral for two days.

The facility failed to ensure a resident was referred to the emergency department for evaluation and treatment following a fall that resulted in a femoral neck fracture. Despite the resident exhibiting severe pain, skeletal abnormalities, and a change in condition, the facility delayed the necessary emergency referral for two days.

The facility failed to ensure accurate medication administration and documentation. The facility must now monitor the EMAR daily and ensure physician notification occurs for all medication refusals.

The facility failed to provide residents with the correct therapeutic diets as outlined in their care plans. This necessitated retraining for culinary and resident care staff on therapeutic diet requirements.

The facility failed to maintain full compliance with DHSR regulations and internal Waltonwood policies.

The facility failed to provide personal care and supervision according to the resident care plan. This required a revision of the care plan to reflect specific resident preferences regarding cueing during meal times.

Medication Technicians failed to submit proper documentation prior to administering medications. The facility has implemented bi-weekly audits on new hires to ensure documentation compliance.

The facility failed to properly verify medication lists and clarify admission or readmission orders with attending physicians. The facility must now verify medication lists with residents and POAs upon move-in.

The facility failed to provide required cueing and reminders to a resident during meals as identified in their care plan. Specifically, staff provided a meal and left the room without providing the necessary assistance for a resident with dysphagia and a mechanical soft diet. This lack of supervision contributed to a failure to maintain the resident's prescribed diet consistency.

The facility failed to maintain residents' right to privacy because six cameras with audio recording capabilities were being used without full disclosure. Observations confirmed that cameras in common areas and the special care unit would initiate both video and audio recording upon movement, and residents were largely unaware of the audio capability.

The facility failed to ensure that the resident's physician authorized personal care services and certified the care plan by signing and dating it within 15 calendar days of the assessment completion. Specifically, for one resident, the care plan assessment was completed on 10/15/16, but the physician had not signed the plan by the time of the survey.

The facility failed to ensure that a resident's physician authorized personal care services by signing and dating the care plan within 15 calendar days of the assessment completion. Specifically, for one resident, the care plan assessment was completed on 10/15/16, but the physician had not signed the document by the time of the survey.