Autumn Care of Mechanicsville

In the surveyor’s words

From the most serious findings on record at Autumn Care of Mechanicsville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Feb 26, 2025

  Based on observation and staff interview, the facility staff failed to maintain one of two dumpsters in a sanitary manner. Facility staff failed to close one of two lids on the top of a facility's dumpster. The findings include: On 02/24/2025 at approximately 11:35 a.m., an observation of the facility's two dumpsters located behind the facility was conducted with OSM (other staff member) #4, assistant dietary manager. The observation revealed the left lid of the dumpster on the right side (when facing the dumpsters) was resting on a bag(s) of trash in an open position. Further observations revealed the trach bag(s) were exposed. When asked how often the dumpsters were emptied OSM #4 stated they were emptied six days a week. […]

• No harm, potential for more than minimal, patternF684Feb 26, 2025

  Based on clinical record review staff interview, the facility staff failed to maintain the resident's highest level of well-being for 1 (one) of 35 residents in the survey sample, Resident #31 (R31). The findings include: For R31, the facility staff failed to follow the physician's order for daily weights. R31 was admitted to the facility with a diagnosis that included but was not limited to CHF (congestive heart failure) (1). On the most recent MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 01/12/2025, R31 scored 0 (zero) out of 15 on the BIMS (brief interview for mental status), indicating R31 was severely impaired of cognition for making daily decisions. The physician's order for R31 documented in part, Daily weight for CHF Monitoring. […]

• No harm, potential for more than minimal, patternF692Feb 26, 2025

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to monitor a significant weight loss for one of 35 residents in the survey sample, Resident #120. The findings include: For Resident #120 (R120), the facility staff failed to obtain physician ordered daily weights after the resident experienced a significant weight loss. A review of R120's clinical record revealed the resident's weight was 159 lbs. (pounds) on 1/2/25 and 142 lbs. on 2/1/25 (a 10.69% weight loss in 30 days). A note signed by the RD (registered dietician) on 1/29/25 documented, Tube Feeding reviewed as weekly follow up. #CBW (Current Body Weight): 137 Lbs. BMI (Body Mass Index): 22.86 WNL (Within Normal Limits) but low for age. […]

• No harm, potential for more than minimal, patternF812Feb 26, 2025

  Based on observation, staff interview, and facility document review, facility staff failed to store food in a sanitary manner in one of one facility kitchens and failed to maintain holding temperatures during lunch in one of two dining rooms observed. The findings include: 1. On 02/24/2025 at approximately 11:15 a.m., an observation of the facility's walk-in refrigerator in the facility kitchen was conducted with OSM (other staff member) #4, assistant dietary manager. An observation revealed an open three-pound package of sliced ham with approximate one pound remaining and an open bag of shredded cheddar cheese sitting on the middle shelf in the back of the walk-in refrigerator. Further observations of the packages of ham and cheese failed to evidence an open date. 2. […]

• No harm, potential for more than minimal, patternF909Feb 26, 2025

  Based on observations, resident / staff interviews, clinical record review and facility document review, it was determined the facility staff failed to evidence bed inspections for four of 35 residents in the survey sample, R20, R59, R409 and R31. The findings include: 1.The facility staff failed to perform bed rail inspections for the use of positioning / assist bars for R20. The facility's bed inspections were reviewed since last survey, they were completed 1/2023 and 2/12/2024. R20 was observed in bed on 2/24/25 at 2:30 PM and 2/25/25 at 8:14 AM in bed with 1/2 rails bilaterally. […]