Abingdon Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Abingdon Health & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 7, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility kitchen. The findings included: The facility staff stacked (nested) wet chafing pans together after washing. On 8/05/24 at 7:00 PM, the surveyor observed a shelving unit with multiple stacks of stacked (nested) small chafing pans. At the surveyor's request, Dietary Staff Member (DSM) #1 separated individual pans from three separate stacks and found water droplets between pans in each stack. DSM #1 stated staff would wash the pans again. […]

• No harm, potential for more than minimal, isolatedF684Aug 7, 2024

  Based on staff interviews, clinical record review, and document review, facility staff failed to ensure provider ordered medications were administered for 1 of 23 current residents sampled. (Resident #31) The findings were: For Resident #31, facility staff failed to administer the resident four (4) doses of provider ordered Gabapentin in May 2024. Resident #31's diagnoses included but were not limited to Coalworker's Pneumoconiosis. Section C (cognitive patterns) of the minimum data set with an assessment reference date of 06/20/24 coded the resident's brief interview for mental status as 14 out of 15 points. […]

• No harm, potential for more than minimal, isolatedF880Jan 8, 2021

  Based on staff interview, clinical record review and in the course of a complaint investigation the facility staff failed to maintain and infection prevention program as evidenced by a staff member failing to properly wear PPE (personal protective equipment) for 1 of 4 residents, Resident #2. The findings included: For Resident #2 the facility failed to ensure facility staff were properly wearing PPE. Resident #2's face sheet listed dianoses not limite to [MEDICAL CONDITIONS], type 2 diabetes mellitus, [MEDICAL CONDITION], dementia, hypertension, and depression. […]

• No harm, potential for minimal, patternF842Aug 7, 2024

  Based on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for 6 of 23 residents, Residents #100, 101, 115, 263, 36, and 57. The findings include: 1. For Resident #100, the facility staff failed to complete a preliminary consent to treat form in the residents clinical record. Resident #100's diagnoses included muscle wasting/atrophy and diabetes. Section C (cognitive patterns) of Resident #100's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 05/06/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. The clinical record included the following documents. Provider order dated 01/30/24 for a full code. […]