APPOMATTOX HEALTH & REHABILITATiON CENTER

In the surveyor’s words

From the most serious findings on record at APPOMATTOX HEALTH & REHABILITATiON CENTER, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 13, 2025

  Based on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to provide proper medical treatment for abnormal lab values resulting in hospitalization for one of six residents in the survey sample (Resident #4).The findings include:Resident #4 (R4) was admitted to the facility with diagnoses that included chronic kidney disease, bacteremia, endocarditis, congestive heart failure, liver cirrhosis, obesity, diabetes, anemia, atrioventricular block, thrombocytopenia, hypertension, non-alcoholic steatohepatitis (NASH), and diverticulosis. […]

• Actual harm, isolatedF760Aug 13, 2025

  Based on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure one of six residents (Resident #4) was free from a significant medication error resulting in hospitalization for treatment of hyperkalemia.The findings include:Resident #4 (R4) was admitted to the facility with diagnoses that included chronic kidney disease, bacteremia, endocarditis, congestive heart failure, liver cirrhosis, obesity, diabetes, anemia, atrioventricular block, thrombocytopenia, hypertension, non-alcoholic steatohepatitis (NASH), and diverticulosis. […]

• No harm, potential for more than minimal, patternF689May 10, 2023

  Based on observation, staff interview, facility document review and clinical record review, the facility staff failed to implement safety interventions consistent with the individualized needs and standards of practice for one of sixteen residents (Resident #4). Staff failed to appropriately position the safety interventions (bilateral floor mats) identified in Resident #4's care plan. In addition to the ongoing monitoring of effectiveness, Staff failed to perform a risk/safety assessment prior to implementing devices. The findings include: Resident #4 was observed in bed without protective floor mats being positioned properly as required in the plan of care for injury prevention. […]

• No harm, potential for more than minimal, patternF692May 10, 2023

  Based on observation , resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to ensure adequate nutritional needs for the prevention of weight loss for one of 16 residents, Resident #1. Findings were: Resident #1 was admitted to the facility with the following diagnoses, including but not limited to: encephalopathy, diabetes mellitus, COPD (chronic obstructive pulmonary disease), major depressive disorder, vascular dementia, hypertension, and hypothyroidism. A quarterly MDS (minimum data set) with an ARD (assessment reference date) of 04/26/2023, assessed Resident #1 as moderately impaired with a cognitive summary score of 09 out of 15. 05/08/2023, Resident #1 was observed while finishing lunch in his room. […]

• No harm, potential for more than minimal, patternF761May 10, 2023

  Based on observation, staff interview, and review of facility policy and procedure, the facility failed to ensure medications were properly dated on two of two medication carts. Undated multi-dose medication bottles were observed in the East Unit medication cart and the Central Unit medication cart. The findings include: 1. At 3:20 p.m. on 5/9/2023, an observation of the East Unit medication cart was conducted in the presence of RN # 2 (Registered Nurse). The medication cart included the following medications: A 32 oz (ounce) bottle of Milk of Magnesia (MOM) appeared to be nearly empty, but had no open date. A 16oz bottle of Geri Tussin Guaifenessin oral solution, with a punctured inner seal, but had no open date. […]