Asheboro Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Sep 22, 2021

  Based on observation, record review, and interview of staff, resident, and medical staff, the facility failed to protect residents ' right to be free from abuse (Residents #1 and #18) as evidenced by Resident #2 grabbed Resident #18 ' s arm and Resident #2 placed his arm around resident #1 ' s neck in a choke hold. Both altercations required staff to physically remove Resident #2 from both Resident #1 and Resident #18. Resident #1 sustained a neck injury. Both altercations resulted in Resident #2 being sent to an acute care setting for evaluation. This deficient practice affected 2 of 3 sampled residents reviewed for abuse. […]

• Immediate jeopardy, isolatedF725Sep 22, 2021

  Based on observation, record review, resident and staff interview, the facility failed to have sufficient nursing staff to supervise a confused ambulatory resident (Resident #2) which resulted in two resident-to-resident altercations (Resident #18 and #1) on 8/8/21 and 8/30/21 with injury to Resident #1, and failed to provide staff assistance to get a resident out of bed daily (Resident #9) for 3 of 20 residents sampled. Immediate Jeopardy began on 8/8/2021 when Resident #2 abused Resident #18 and the facility did not put effective interventions in place to prevent further occurrences of abuse. Immediate Jeopardy was removed on 9/18/2021 when the facility implemented a credible allegation of Immediate Jeopardy removal. […]

• Actual harm, isolatedF684Apr 20, 2023

  Based on observations and staff, Nurse Practitioner (NP), Medical Director (MD) interviews and record review, the facility failed to have systems in place to identify a contracture which resulted in an avoidable wound where 3 fingernails on the resident's left hand punctured 2 areas into the palm of his contracted left hand requiring the need for wound care. The facility also failed to complete and document weekly assessments of the wound (Resident #70). This was for 1 of 2 residents reviewed providing care according to professional standards of practice. The findings included: 1. […]

• No harm, potential for more than minimal, patternF756Sep 6, 2024

  Based on record review and interviews with staff, Pharmacy Consultant and Nurse Practitioner, the Pharmacy Consultant failed to identify the facility's need to identify target behavioral symptoms, to monitor those symptoms as well as the need to monitor residents for side effects of psychotropic medications (Residents #73, #82 and #68). This was for 3 of 5 residents reviewed for unnecessary medications. The findings included: 1. Resident #73 was originally admitted to the facility on [DATE] with a recent readmitted [DATE]. Her diagnoses included bipolar disorder, depression, anxiety disorder and unspecified psychotic disorder. […]

• No harm, potential for more than minimal, patternF758Sep 6, 2024

  Based on record review, staff, Administrator, resident, Nurse Practitioner (NP) #1 and Consultant Pharmacist interviews, the facility failed to identify the targeted clinical behaviors and side effects to be monitored for the use of psychotropic medications for Resident's #82, #73 and #68. The facility also failed to complete a baseline abnormal involuntary movement scale (AIMS) with the initiation of a newly prescribed antipsychotic for Resident #145. This was for 4 of 5 residents reviewed for unnecessary medications. The findings included: 1. […]