Adept Nursing & Rehab of South Sioux City

In the surveyor’s words

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

• Immediate jeopardy, isolatedF755Nov 1, 2023

  Licensure Reference Number 175 NAC 12-006.12 Based on interview and record review, the facility failed to ensure that anti-seizure medications (medication to prevent seizures) was provided for Resident 1 to prevent potential seizures (a burst of uncontrolled electrical activity between brain cells stiffness, twitching, or limpness) and pain-relieving medication were provided for Resident 2. This affected 2 (Resident 1 and 2) of 3 sampled residents. The total facility census was 49. […]

• Actual harm, isolatedF692Jul 14, 2021

  Licensure Reference Number 175 NAC 12-006.09D8b Based on observation, interview and record review; the facility failed to assist with nutritional intake or deliver meals to a resident (Resident 1) to avoid continued significant weight loss resulting in hospice admission and failed to implement intervention to prevent the potential for weight loss for 2 residents (Resident 3 and 4) of 6 sampled residents. The facility census was 56. Findings are: A. Record review of the Admission Record revealed Resident 1 was admitted on [DATE]. Resident 1 had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF919Sep 24, 2024

  Licensure reference: 175 NAC 12-007.04(G) Based on observations, interviews, and record reviews, the facility failed to ensure staff were notified to residents calls for assistance within facility. This has the potential to affect all 52 residents of the facility. Findings are: A. A review of Resident 3's Admission Record revealed Resident 3 was admitted to the facility on [DATE] with diagnoses of Cerebral Infarction [stroke] and fracture of the shaft of the left fibula [a break in the outside bone of the lower leg]. A review of Resident 3 MDS [Minimum Data Set; a comprehensive assessment used for care planning] dated 9/2/24 identified Resident 3 as having a score of 15 on the Brief Interview for Mental Status indicating Resident 3 is cognitively intact. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2024

  Licensure Reference Number 175 NAC 12.006.11(E) Based on observations and interviews, the facility failed to a) ensure food products were disposed of prior to expiration dates, b) failed to implement and maintain the cleaning of food preparation equipment and surfaces to prevent the potential for food borne illness. This had the potential to affect 48 of 49 residents who eat from the kitchen. The facility census was 49. Finding are: During the initial kitchen tour on 06/24/24 from 9:05AM to 9:30 AM revealed the following: The walk-in refrigerator: -Gallon of 2% milk found in the walk-in refrigerator was open and only had 1/2 contents left was undated. In the walk-freezer: -Walk-in freezer had visible frost/ice buildup on the outside of the freezer door on the lower portion near the floor. […]

• No harm, potential for more than minimal, widespreadF812Feb 9, 2022

  Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview, the facility failed to ensure the refrigerators, ovens, ranges, and food warmers were maintained in a clean and safe operating condition to prevent the potential for food-borne illness. This had the potential to affect the 46 residents that consume food from the kitchen. Total census was 46. Record review of the Cleaning Schedules Policy for the kitchen revealed: The Dietary staff shall maintain the sanitation of the Dietary Department through compliance with written, comprehensive cleaning schedules developed for the facility by the Dietary Manager. […]