Augusta Medical CTR Skilled Ca

In the surveyor’s words

From the most serious findings on record at Augusta Medical CTR Skilled Ca, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF655Jul 14, 2021

  Based on resident interview, staff interview, facility policy review and clinical record review, the facility stafffailed to develop baseline care plans to address immediate care needs and failed to provide a written summary of the plan for seven of seven new admission residents in the survey sample. Baseline care plans for Residents #65, #66, #67, #69, #165, #168 and #169 did not include all immediate care needs regarding management of a PICC (peripherally inserted central catheter), pain management, therapy services, medications and/or anticoagulant use. These residents nor their representatives were provided a written summary of the baseline care plan. The findings include: 1. Resident #65 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812May 15, 2024

  Based on observations, staff interviews, and facility document, it was determined that the facility staff failed to prepare and store food in a safe and sanitary manner for one of one unit. The findings included: The facility staff failed to hold the cold food at a safe temperature, to label food items for storage, and to discard food by the used by date. On 5/13/24 at 6:30 p.m. a tour of the facility's kitchen was conducted. During the observation of the refrigerator, there was kidney beans, beets, prunes, celery - which was brown, and cut red onions stored in containers with no labels. […]

• No harm, potential for more than minimal, isolatedF583May 15, 2024

  Based on observation, resident interview, family interview, staff interview, and facility documentation review, the facility staff failed to maintain a resident's personal privacy affecting one resident (Resident #110- R110) in a survey sample of 11 residents. The findings included: For R110, the facility staff failed to ensure the resident's privacy was maintained during care, conversations with visitors, and during phone calls, due to the constant monitoring of the resident while in their room, via a video camera with auditory monitoring being observed by a staff member 24 hours a day. […]

• No harm, potential for minimal, patternF625Jul 14, 2021

  Based on staff interview, facility policy review and clinical record review, the facility staff failed to provide written notice of the bed-hold policy for one of ten residents in the survey sample, Resident #10. No written notice of the bed-hold policy was provided to Resident #10 upon admission or at the time of transfer to the hospital. The findings include: Resident #10 was admitted to the facility on [DATE] and discharged to the hospital on 4/16/21. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The minimum data set (MDS) dated [DATE] assessed Resident #10 as cognitively intact. Resident #10's clinical record documented the resident was discharged to the hospital on 4/16/21 due to increased shortness of breath and tachycardia. […]