Health inspection·May 8, 2024

F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, and the comprehensive person-centered care plan for 1 of 3 residents (Resident #1) reviewed for respiratory care. Residents Affected - Few The facility failed to ensure Resident #1's oxygen tubing was dated. These failures affected residents and placed them at risk of not receiving the needed services for respiratory care. Findings include: Record review of Resident #1's face sheet, revealed an [AGE] year-old female was admitted on [DATE] with a primary diagnoses of DEMENTIA,WITHOUT BEHAVIORAL DISTURBANCE, PSYCHOTIC DISTURBANCE, MOOD DISTURBANCE; CHRONIC RESPIRATORY FAILURE (a condition that occurs when the lungs cannot get enough oxygen into the blood or eliminate enough carbon dioxide from the body), Record review of Resident # 1's Medication Administration Record, dated May 2024 revealed change and label O2 tubing and humidifier bottle and clean O2 concentration filter weekly, every night shift every Sunday for oxygen. Start date 03/19/2023 shift 10 pm - 6 am. Record review of Resident #1's Care Plan dated 03/02/2024 revealed Resident had FOCUS care plan for Oxygen: Resident used oxygen therapy routinely or as needed and is at risk for ineffective gas exchange. Intervention: provide a nasal cannula for meals, as allowed by the physician. In an observation on 05/08/2024 at 10:50 A.M. revealed Resident #1 was lying in bed on her side with a nasal cannula positioned appropriately in her nostrils. The oxygen concentrator was powered on and appeared to be working properly. The nasal cannula tubing was not dated. Interview with LVN A on 05/08/2024 at 2:50 P.M reflected surveyor asked LVN A to accompany her to Resident #1's room to verify the nasal cannula tubing was not dated. LVN A declined and stated that she believed that the nasal cannula tubing was not dated. She stated that the night nurse scheduled on Sunday is responsible for dating and labeling nasal cannula tubing. Observation and interview with DON on 05/08/2024 at 3:12 P.M. reflected that the nasal cannula tubing was not labeled and dated; it was the responsibility of the Sunday night nurse to change and date nasal cannula tubing. The Nasal cannula tubing should be changed weekly to prevent the risk of Page 1 of 2 455996 455996 05/08/2024 The Renaissance at Kessler Park 2428 Bahama Dr Dallas, TX 75211

F 0695 infection. Level of Harm - Minimal harm or potential for actual harm Review of the facility policy dated 02/10/2020 Respiratory: Oxygen Administration revealed Change disposable parts once a week and label with date and initials. Residents Affected - Few 455996 Page 2 of 2