Anson Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF554Mar 3, 2022

  Based on record review, observation and resident and staff interview, the facility failed to assess a resident whether the self-administration of medications was clinically appropriate for 1 of 1 sampled resident who was observed to have medication at bedside (Resident #36). Findings included: 1. Resident # 36 was admitted to the facility on [DATE] with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #36 had a doctor's order dated 11/3/21 for [MEDICATION(S)] 90 micrograms (mcg) - 2 puff 4 times a day for [CONDITION(S)]. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated that Resident #36's cognition was intact. Resident #36 was observed on 3/2/22 at 8:25 AM to have the [MEDICATION(S)] inhaler in his room. […]

• No harm, potential for more than minimal, isolatedF686Mar 3, 2022

  Based on record reviews, observations and staff interviews, the facility failed to ensure the alternating pressure reducing air mattress was set according to the resident's weight (Residents #7 and #75). This was for 2 of 6 residents reviewed for pressure ulcers. The findings included: 1) Resident #7 was originally admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #7's active physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #7's weight history included the following: - On [DATE] was 229 pounds (lbs.) - On [DATE] was 232 lbs. - On [DATE] was 231.2 lbs. - On [DATE] was 221.8 lbs. […]

• No harm, potential for more than minimal, isolatedF689Mar 3, 2022

  Based on observations, resident and staff interviews and record review, the facility failed to ensure and monitor that a disposable lighter was secured when not in use or left unattended by a resident identified as a safe smoker. This was for 1 (Resident #36) of 3 residents reviewed for accidents. The findings included: Resident #36 was admitted on [DATE] with a diagnosis of a [CONDITION(S)]. Resident #36's quarterly Minimum Data Set, dated dated dated [DATE] indicated he was cognitively intact and exhibited no behaviors. Review of a smoking risk assessment dated [DATE] indicated Resident #36 was a safe independent smoker. Resident #36 was care planned dated 7/2/21 and revised 2/15/22 indicated he used tobacco. […]

• No harm, potential for more than minimal, isolatedF692Mar 3, 2022

  Based on observations, record review, and staff interviews, the facility failed to provide a physician's ordered diet for 1 of 6 residents (Resident #40) reviewed for nutrition. The findings included: Resident # 40 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident's quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident was severely cognitively impaired, required assistance with meal set up, and received a therapeutic, mechanical soft diet during the assessment period. Resident #40's comprehensive care plan was last updated 2/21/2022 and had a focus for difficulty eating related to side effects from [CONDITION(S)] therapy for [CONDITION(S)]. […]

• No harm, potential for more than minimal, isolatedF695Mar 3, 2022

  Based on record review, observations and staff interviews, the facility failed to administer oxygen at the prescribed rate for 1 of 3 residents reviewed for respiratory care (Resident #7). The findings included: Resident #7 was originally admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the active physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #7's active care plan revealed a problem area, last reviewed 12/28/21, for oxygen therapy secondary to [CONDITION(S)], chronic respiratory therapy and obstructive sleep apnea. The interventions included to administer oxygen per physician orders. […]