Ashland Post Acute

In the surveyor’s words

From the most serious findings on record at Ashland Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF697Jan 22, 2024

  Based on observation, interview, and record review it was determined the facility failed to provide pain medications and clarify physician orders for 2 of 6 sampled resident (#s 2 and 212) reviewed for pain management and medications. Resident 212 experienced severe pain. Findings include: 1. Resident 212 admitted to the facility in 2024 with diagnosis which included osteomyelitis (infection of the bone). A 1/3/24 care plan revealed Resident 212 had pain with interventions including to administer medications as ordered, anticipate Resident 212's need for pain relief and respond immediately to any complaint of pain. A 1/8/24 Pain evaluation indicated Resident 212 had back pain with a pain level of three on a scale of one to 10. […]

• Actual harm, isolatedF684Oct 7, 2022

  Based on interview and record review it was determined the facility failed to follow physician's orders for 2 of 8 sampled residents (#s 8 and 23) reviewed for hospitalization and medications. This failure resulted in Resident 8 requiring admission to the Intensive Care Unit (ICU) for recurrent seizures. Findings include: 1. Resident 8 admitted to the facility in 4/2022 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An 4/6/22 physician's order indicated the resident was to receive 20 ml of [MEDICATION(S)] (an anti-[CONDITION(S)] medication) twice a day. […]

• Actual harm, isolatedF600Feb 2, 2021

  Based on interview and record review it was determined the facility failed to ensure residents were free from abuse for 1 of 3 (#1) sampled residents reviewed for abuse. Resident 1 was subjected to verbal, physical and emotional abuse when the resident was transferred by a staff member from a wheelchair to bed resulting in psychosocial harm and pain (10 out of 10). Findings include: Resident 1 was admitted to the facility in 4/2020 with [DIAGNOSES REDACTED]. The facility's Abuse Policy dated 2/2019 directed staff to: (6) protect our residents from abuse. […]

• No harm, potential for more than minimal, widespreadF812Oct 7, 2022

  Based on observation, interview and record review it was determined the facility failed to provide a clean and sanitary kitchen and food service related to floors, surfaces, refrigeration, beverage service and food storage and failed to provide a system for nutritionally appropriate food substitutions for 1 of 1 kitchen and 1 of 1 dining room. This placed residents at risk for food borne illnesses and compromised nutrition. Findings include: On [DATE] at approximately 2:00 PM the kitchen walk-in refrigerator was observed with the following: -A tub of fruit mixed with a white dressing labeled with a date of [DATE] and a pull date of [DATE]. -A tub of butterscotch pudding labeled with a pull date of [DATE]. -A metal container of chopped meat and bag of meat links with no label or date. […]

• No harm, potential for more than minimal, patternF802Aug 7, 2026

  Based on observation, interview, and record review it was determined the facility failed to ensure staff were competent to carry out the tasks of dishwashing for 1 of 1 kitchen reviewed for food service safety. This placed residents at risk for food borne illnesses. Findings include:During a review of the facility's dishwashing machine on 8/6/26 at 11:55 AM the manufacturer signage indicated the dishwasher was a low-temperature, chemical-sanitizing machine with a required wash temperature of 120 F in combination with proper chemical concentration to sanitize the dishes.On 8/6/26 Staff 30 (Dietary Aide) ran the dishwasher at 11:57 AM and the thermometer revealed the temperature reached a high temperature of 110 F during the dishwashing cycle.On 8/6/26 at 12:26 PM, Staff 30 stated monitoring… […]