Adept Nursing & Rehab of Ashland

In the surveyor’s words

From the most serious findings on record at Adept Nursing & Rehab of Ashland, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 5, 2025

  Licensure Reference Number 175 NAC 12.006.09(I) Based on observation, interview, and record review, the facility failed to implement interventions to prevent falls for 3 (Residents 1, 2, and 3) of 4 sampled residents. The facility census was 82. Findings are: A record review of the facility's Fall Risk Assessment dated 8/2023 revealed it was the policy of the facility to provide an environment that was free from accident hazards over which the facility had control and provide supervision and assistive devices to prevent avoidable accidents. […]

• Actual harm, isolatedF689Sep 12, 2023

  Licensure Reference: 175 NAC 12-006.09D7 Based on observation, interview, and record review, the facility failed to implement interventions to protect 2 [Residents 1 and 2] of 3 sampled residents from potential burns. The facility had a total census of 88 residents. Findings are: A. A review of Resident 1's admission information in electronic medical record revealed Resident 1 was admitted to the facility on [DATE] with diagnoses of Quadriplegia, C5-C7 incomplete [a form of paralysis that affects all four limbs, plus the torso]. A review of Resident 1's quarterly MDS [Minimum Data Set, a comprehensive assessment used for care planning] with assessment reference date of 6/14/2023 revealed a Brief Interview for Mental Status (BIMS) score of 15. […]

• No harm, potential for more than minimal, widespreadF947Jun 17, 2024

  Licensure Reference Number 175 NAC 12-006.04B(ii)(1) Based on interview and record review that facility failed to ensure 2 staff members (Nurse Aide (NA)-O and NA-P) that had been employed longer than one year had completed the 12 hours of continuing education required to maintain a Nurse Aide (NA) license. The sample size was 5. The facility identified a census of 83. Findings Are: A record review of education hours for 5 staff members that had been employed at the facility for more than one year revealed that 2 staff members (NA-O and NA-P) had not received 12 hours of continuing education in the last one year as required to maintain their Nurse Aide (NA) certification. […]

• No harm, potential for more than minimal, widespreadF756May 24, 2022

  Based on record review and interview, the facility failed to have policies and procedures related to the monthly Medication Regimen Review. This had the potential to affect all residents. Facility census was 71. Findings are: A record review of the facilities policies and procedures revealed no evidence of a Medication Regimen Review policy and procedure. An interview with the Corporate Registered Nurse, (CRN) on 05/23/22 at 04:45PM confirmed the facility does not have a Medication Regimen Review policy and procedure. An interview with the Director of Nursing (DON) on 05/24/22 at 09:31 AM confirmed the facility does not have a Medication Regimen Review policy and procedure.

• No harm, potential for more than minimal, widespreadF761May 24, 2022

  Licensure Reference Number 175 NAC 12-006.12E7 Based on observation and interview, the facility failed to ensure a medication was labeled in accordance with professional standards of care. This had the potential to affect all residents that resided in the facility. Findings are: An observation on 05/23/22 at 03:30 PM of the locked refrigerator in Medication room [ROOM NUMBER] revealed a plastic bag with 19 syringes containing a tan/brown colored cream substance with the name of Resident 62 written on the outside of the bag. An Interview on 5/23/2022 at 03:30PM with Registered Nurse - B (RN-B) confirmed the syringes were unlabeled and there was no way to identify what the substance was or who it was prescribed for. […]