Augusta Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, patternF689Oct 18, 2024

  Based on observations, staff interviews, resident interviews, clinical record review, and facility documentation review, the facility staff failed to provide an environment that was free from accident hazards and provide adequate supervision to prevent an avoidable accident/elopement for one resident (Resident #113-R113) in a survey sample of 29 residents. R113, while wearing a wander guard device, eloped from the facility, left the premises, fell , and was unable to get up, which resulted in complaints of back pain, requiring treatment and new order for x-rays, constituting harm. During the survey, the survey team identified that the wander guard system was not consistently functioning properly, and immediate jeopardy was identified. […]

• Immediate jeopardy, patternF600Aug 6, 2024

  Based on resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure five residents were free from abuse (Resident #9- R9, Resident #7- R7, Resident #8- R8, Resident #12- R12, and Resident #13-R13), which resulted in psychosocial harm, and had the potential to affect the 59 female residents residing in the facility, as the perpetrator was targeting female residents. This resulted in immediate jeopardy. The facility staff also failed to ensure two residents (Resident #20 and Resident #21), in a survey sample of 28, were free from neglect. The findings included: 1. […]

• Immediate jeopardy, patternF609Aug 6, 2024

  Based on resident interviews, facility staff interviews, clinical record review and facility documentation review, the facility staff failed to report allegations of abuse and sexual harassment by resident #10 (R10), affecting five residents and resulted in psychosocial harm for all five (resident #9, Resident #7, Resident #8, Resident #12 and Resident #13). This failure resulted in immediate jeopardy being identified. The findings included: 1. For resident #9 (R9), the facility staff failed to report the sexual behavior endured by R10, when R9's ability to consent had not been assessed. Failure to report to other regulatory and protective services did not afford R9 the opportunity to have other agencies which can provide protective services and conduct an investigation. […]

• Immediate jeopardy, patternF610Aug 6, 2024

  Based on resident interviews, facility staff interviews, clinical record review and facility documentation review, the facility staff failed to investigate allegations of abuse and sexual harassment by Resident #10 (R10) who was targeting female residents, and to take measures to protect residents and prevent further potential abuse, which had the potential to affect 59 residents that were female out of 98 residents residing in the facility. This failure resulted in immediate jeopardy being identified and resulted in psychosocial harm for six residents. The findings included: 1. For Resident #9 (R9), the facility staff failed to take measures to protect the resident from further potential abuse and conduct an investigation to determine if R9 had the capacity to consent to sexual activity. […]

• Immediate jeopardy, patternF675Aug 6, 2024

  Based on resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to provide care and services to ensure residents attain or maintain the highest practicable physical, mental, and psychosocial well-being, which resulted in psychosocial harm for five residents (Resident #7- R7, Resident #8- R8, Resident #12- R12, Resident #13- R13, and Resident #15- R15). The resident who was the known aggressor, was targeting female residents. Therefore 59 of the 98 residents residing in the facility who were female, had the potential to be affected. This deficient practice resulted in immediate jeopardy. The findings included: 1. […]