Alice Byrd Tawes Nursing Home

In the surveyor’s words

From the most serious findings on record at Alice Byrd Tawes Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF640Nov 20, 2024

  Based on review of reporting data, clinical records and interview it was determined that the facility staff failed to ensure assessments were sent to the Centers for Medicare and Medicaid Services as required. This was evident for 4 (#11, #51, #56, and #69) out of the 7 residents reviewed for late reporting. The findings include: The Minimum Data Set (MDS) is a federally mandated assessment tool that helps nursing home staff gather information on each resident's strengths and needs. The information collected drives resident care planning decisions. MDS assessments need to be accurate to ensure each resident receives the care they need. A review of seven residents' clinical records was conducted secondary to the survey process triggering this task for missing resident assessments. […]

• No harm, potential for more than minimal, patternF655Nov 20, 2024

  Based on review of medical records and interview with facility staff, it was determined that the facility failed to provide a baseline care plan summary to residents and/or resident's representative within 48 hours after admission. This was evident for 6 (#57, #8, #19, #36 # 30, and #10) out of 12 residents reviewed for baseline care plans during the recertification survey. The findings include: A baseline care plan (BLCP) must be completed within 48 hours of a resident's admission to the facility and include the initial goals based on admission orders, physician orders, dietary orders, therapy services, and social services. A summary of the BLCP as well as a list of the resident's current medications must be given to each resident and/or his/her representative. […]

• No harm, potential for more than minimal, patternF732Nov 20, 2024

  Based on observation and interview it was determined the facility failed to post required staffing information. This was evident for 3 out of 3 floors of the facility during the recertification survey. The findings include: On 11/12/24 at approximately 10:15AM surveyors entered the building for the facility's recertification survey and upon entering, no staffing information was observed posted on the first floor. On 11/12/24 at 11:47AM the surveyor conducted a tour of the facility's second floor nursing unit. Observation of a dry erase board on the unit revealed there was no facility name displayed, the following date was observed: November 1, 2024, there was no total number of staff displayed, and no actual hours worked listed by category for 7 out of 11 nursing staff. […]

• No harm, potential for more than minimal, patternF812Nov 20, 2024

  Based on observations and interviews, it was determined that the facility failed to properly store, date, and label food items to prevent food from being served that may be unsafe to eat and to prevent cross contamination. This was evident by the initial kitchen observations of the facility's dessert freezer during the recertification survey. The findings include: On 11/12/24 at 10:55 AM during the initial kitchen observation the surveyor entered the kitchen and spoke with the Food Service Supervisor (FSS) #22. Together a walkthrough of the refrigerator and freezers was conducted. During the inspection of the freezer, which had frozen desserts inside, the surveyor noticed a large full bag of brownies in a clear Ziplock bag and a large full bag of cookies in a clear Ziplock bag. […]

• No harm, potential for more than minimal, isolatedF609May 20, 2026

  Based on record review and interview, it was determined the facility failed to report an allegation of seclusion/abuse immediately or no later than 2 hours after the allegation was made aware to the facility's Administration team. This was evident for 1 (#4) out of 1 resident reviewed for allegations of abuse during the complaint survey. The findings include the following:Intake # 2964422 was reviewed on 5/20/26 at approximately 10:30AM for seclusion/ abuse allegations involving Resident #4.During an interview on 05/20/2026 at 11:40 AM with the Director of Nursing she stated, On 03/19/2026 there was an allegation of seclusion/abuse involving Resident #4, the facility investigated and the allegation was not substantiated. […]