4Angels of Byromville Healthcare Center

In the surveyor’s words

From the most serious findings on record at 4Angels of Byromville Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 12, 2024

  Based on observation, staff interview, and review of the policy titled, Food Preparation and Service, the facility failed to discard food in the refrigerator by the use by date and failed to label opened food items in the freezer. The deficient practice had the potential to place four residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings include: Review of the facility policy titled Food Preparation and Service, revised November 2022, revealed the Policy Statement of Food and nutrition employees prepare, distribute and serve food in a manner that complies with safe food handling practices. The Food Storage after opening section stated, Follow the following food storage guidelines after opening: . 6. […]

• No harm, potential for more than minimal, widespreadF880Sep 12, 2024

  Based on observation, staff interviews, and review of the facility policy titled Laundry and Bedding, Soiled, the facility failed to ensure the storage and processing of linens and clothing to produce hygienically clean laundry and prevent the spread of infections and cross-contamination risk for four of four residents. These failures had the potential to expose residents to infections due to cross-contamination. Findings include: Review of the facility policy titled Laundry and Bedding, Soiled, revised September 2022, revealed the Policy Statement was Soiled laundry/bedding shall be handled, transported and processed according to best practices for infection prevention and control. […]

• No harm, potential for more than minimal, widespreadF881Sep 12, 2024

  Based on staff interviews and record review, the facility failed to have the Antibiotic Stewardship Program acknowledged by the Pharmacist and Medical Director. This deficient practice had the potential to affect all residents residing in the facility. The facility census was four residents. Findings include: Review of the Antibiotic Stewardship Program documents revealed there were no antibiotic stewardship acknowledgment forms for the Pharmacist or the Medical Director to acknowledge their accountability. Interview on 9/12/2024 at 4:12 pm, the Director of Nursing (DON)/Infection Preventionist (IP) revealed the facility did not have an acknowledgment form for the Pharmacist or Medical Director for the facility's Antibiotic Stewardship Program. […]

• No harm, potential for more than minimal, patternF584Sep 12, 2024

  Based on observations and interviews, the facility failed to ensure a safe, clean, and comfortable environment was maintained for four of four resident rooms (Rooms 101, 102, 103, and 107). The facility census was four residents. These deficient practices had the potential to place the residents at risk of living in an unsanitary and unsafe living environment and a potential for diminished quality of life. Findings include: Observations on 9/10/2024 at 8:14 am revealed the ceiling intake vents in resident rooms [ROOM NUMBERS] had heavy dust buildup. Observation on 9/10/2024 at 8:20 am of resident room [ROOM NUMBER] revealed the toilet bowl had a dark gray thick substance buildup and the paper towel holder was broken. […]

• No harm, potential for more than minimal, isolatedF693Apr 9, 2026

  Based on observations, staff interviews, record review and review of the facility's policy titled Enteral Nutrition, the facility failed to ensure appropriate treatment and services were provided by not checking placement and residual per physician's orders for one of one resident (R) R6 receiving tube feed. This deficient practice had the potential to cause feeding intolerance, aspiration and worsening of R6's medical conditions.Findings include:Review of the facility's policy titled Enteral Nutrition revised November 2018 documented Policy Interpretation and Implementation:. 11. The nurse confirms that orders for enteral nutrition are complete. Complete orders include: a. the enteral nutrition product; b. […]