Annandale Healthcare Center

In the surveyor’s words

From the most serious findings on record at Annandale Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Oct 9, 2024

  Based on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to assess all residents so they could safely and independently leave the facility property specifically for the identified five of 63 residents in the survey sample, Residents #421, #164, #155, #52 and #125. Resident #421 left the facility and was involved in a hit-and-run accident with life-threatening injuries on [NAME] Pike, the four-lane divided highway in front of the facility, which placed this resident in the presence of immediate jeopardy at the time of the accident. The extent of this issue could result in serious injury, harm, impairment, or death, which constituted the determination of Immediate Jeopardy (IJ), as cited at level K. […]

• Actual harm, isolatedF760Apr 28, 2022

  Based on complaint investigation, staff interviews, clinical record review, and facility documentation, the facility staff failed to ensure 1 of 4 residents (Resident #2) in the survey sample were free of significant medication errors. Resident #2 was administered three blood pressure medications (Losartan 100 mg, Carvedilol 12.5 mg, and Amlodipine 10 mg) that were prescribed for another resident. On 04/12/22, Resident #2 was noted hypotensive with a blood pressure reading of 86/52, pulse rate of 58, and complaints of dizziness. Resident #2 was transferred via 911 (emergent) to the local hospital on 04/12/22. Resident #2 received fluids bolus via intravenous (IV) en route to the hospital for hypotension and bradycardia. […]

• Actual harm, isolatedF689Mar 5, 2021

  Based on observations, record review, complaint investigation and staff interviews the facility staff failed to ensure one resident (Resident #259) was provided with supervision and a safe environment to prevent a fall with serious injury in the survey sample of 51 residents. The findings included: Resident #259 was admitted to the facility on [DATE] with diagnoses that included dementia with behavioral disturbance and impaired decision making, muscle weakness, difficulty walking, cognitive communication deficit, repeated falls, [CONDITION(S)], and occasional hallucinations. Resident #259 fell down a flight of steps after going through an unsecured gate. […]

• No harm, potential for more than minimal, widespreadF838May 27, 2021

  Based on observations, staff interviews and review of facility documentation, the facility failed to ensure emergency medical equipment was in place and operational, and that staff were able to demonstrate they were able to provide the required emergency care to residents on 6 of the facility's 6 units. The findings include: According to the review of the facility's assessment dated ,d+[DATE] through ,d+[DATE], it indicated the following: The purpose of the assessment is to determine what resources are necessary to care for residents competently during both day to day operations and emergencies. […]

• No harm, potential for more than minimal, widespreadF814Mar 5, 2021

  Based on staff interview and facility document review, it was determined that facility staff failed to maintain three of three facility dumpsters in a sanitary manner. The findings included: On 3/2/21 at 3:00 p.m., observation of the facility dumpster was conducted with OSM (Other Staff Member) #1, the Dietary Manager. More than 15 plastic gloves were observed on the ground around the facility dumpsters. These gloves did not appear to be visibly soiled. Plastic bottles and other debris were also observed around the facility dumpsters. All three dumpsters were shut, however bags of trash were observed on top of each dumpster. On 3/2/21 at 3:00 p.m., an interview was conducted with OSM #1, the Dietary Manager. […]