Anderson County Hospital Ltcu

In the surveyor’s words

From the most serious findings on record at Anderson County Hospital Ltcu, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 13, 2024

  The facility reported a census of 25 residents. The sample included one resident reviewed for elopement. Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent the elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff) of cognitively impaired Resident (R)1, who had a history of falls. On 01/30/24, Certified Nurse Aide (CNA) M heard the facility doorbell ring and used her access badge to let the visitor out of the facility but failed to ensure only the visitor exited. R1 followed the visitor out and exited the facility unsupervised on 01/30/24 at 10:26 AM. […]

• Actual harm, isolatedF689Jan 23, 2024

  The facility identified a census of 23 residents. The sample included three residents identified as at risk for falls. Based on record review, observation, and interview, the facility failed to ensure Resident (R)1 received adequate supervision and assistance to prevent a serious injury accident. On 11/14/23 at approximately 08:14 AM during an assisted transfer, staff failed to ensure R1's wheelchair brakes were locked. R1 slid to the floor, complained of right hip pain, and was transferred to a local hospital for evaluation and treatment. An x-ray revealed R1 sustained a proximal right femur (long bone in the leg and closer to the hip joint) fracture. […]

• No harm, potential for more than minimal, patternF679Feb 13, 2025

  The facility identified a census of 27 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to provide direct, interactive activities based on resident preferences for the residents on weekends. This deficient practice placed the affected residents at risk for decreased psychosocial well-being, boredom, and isolation. Findings Included: - A review of the facility's Activity Calendars for December 2024, January 2025, and February 2025 was completed. The calendars revealed religious services provided at 09:00 AM and 03:15 PM for Saturdays but lacked staff-led activities. The calendars revealed a devotional group was held at 09:00 AM on Sundays. […]

• No harm, potential for more than minimal, patternF689Feb 13, 2025

  The facility had a census of 27 residents. The sample included 12 residents, with two reviewed for accidents. Based on observation, record review, and interview, the facility failed to secure 15 pressurized medical oxygen tanks in a safe, locked area, and out of reach of the nine cognitively impaired independently mobile residents. This deficient practice placed the residents at risk for preventable accidents and injuries. Findings Included: - On 02/11/25 at 07:20 AM, an inspection of the facility's oxygen storage room revealed that the door was not secured. An inspection of the room revealed 15 full supplemental oxygen cylinders in the storage rack. The door closed and locked upon exit. […]

• No harm, potential for more than minimal, patternF756Feb 13, 2025

  The facility identified a census of 27 residents. The sample included 12 residents, with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) recommendations were acknowledged and/or acted upon for Resident (R) 2, R20, and R25. The facility failed to ensure the CP identified and reported the non-approved indication for R10's antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication. These deficient practices placed the residents at risk for unnecessary medication use and physical complications. […]