Alpine Health and Rehabilitation of Asheboro

In the surveyor’s words

From the most serious findings on record at Alpine Health and Rehabilitation of Asheboro, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF744Apr 22, 2021

  Based on observation, record review, Nurse Practitioner interview, and staff interview, the facility failed to develop a person centered and individualized care plan which addressed the needs of a resident with dementia and how staff were to provide their care and treatment for 1 of 3 residents (Resident #73) reviewed for dementia care. The findings included: Resident #73 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #73 ' s cognition was severely impaired and her active diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #73 was dependent on 2 or more staff for bed mobility and transfers, and dependent on 1 for eating, dressing, personal hygiene, and toileting. […]

• No harm, potential for more than minimal, patternF756Apr 22, 2021

  Based on record review and interviews with Pharmacy Consultant, Nurse Practitioner, Psychiatric Physician ' s Assistant, and staff, the Pharmacy Consultant failed to identify and address the need for evaluation of [CONDITION(S)] medications for gradual dose reductions (Resident #13) and the need for the facility to identify and monitor target behavioral symptoms for the use of [CONDITION(S)] medications (Residents #73, and #102). In addition, the facility failed to act upon recommendations made by the Pharmacy Consultant (Resident #73). This was for 3 of 5 residents reviewed for unnecessary medications. The findings included: 1a. […]

• No harm, potential for more than minimal, patternF758Apr 22, 2021

  Based on record review, observation, and interviews with Nurse Practitioner, Psychiatric Physician ' s Assistant, Pharmacy Consultant, and staff, the facility failed to evaluate residents on [CONDITION(S)] medications for gradual dose reductions (Resident #13) and failed to identify and monitor target behavioral symptoms for the use of [CONDITION(S)] medications (Residents #73 and #102). This was for 3 of 5 residents reviewed for unnecessary medications. The findings included: 1. […]

• No harm, potential for more than minimal, isolatedF561Apr 22, 2021

  Based on record review, observations, and interviews with resident and staff, the facility failed to honor a resident's choice related to showers. This was for 1 of 3 residents reviewed for choices (Resident #16). The findings included: Resident #16 was originally admitted to the facility on [DATE] with a recent readmitted [DATE]. His diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #16 was cognitively intact and had no rejection of care. He required extensive assistance for dressing, toileting and personal hygiene and was dependent on staff for bathing. […]

• No harm, potential for more than minimal, isolatedF641Apr 22, 2021

  Based on record review and staff interview, the facility failed to code the Minimum Data Set (MDS) assessments accurately in the areas of prognosis (Resident #85), tobacco use (Resident #1), medications (Resident #83), cognition (Resident #25), and oxygen therapy (Resident #59) for 5 of 26 sampled residents. The findings included: 1. Resident #85 was most recently readmitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #85' s cognition was moderately impaired. He was on hospice services. The MDS assessment indicated Resident #85 had no condition or chronic disease that could result in a life expectancy of less than 6 months. […]