Autumn Care of Statesville

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 25, 2022

  Based on observations, record review, staff, family, and Nurse Practitioner (NP) interviews the facility failed to have a working call bell for the resident to use to call for help and the resident attempted to get up and fell into the floor and then the facility failed to investigate the fall out of bed which required the resident to be sent to the emergency room (ER) and was diagnosed with an acute nondisplaced nasal fracture (Resident #156). Resident #156 fell from his bed during the night and was transferred off the floor back to bed and developed a nosebleed and had to be transferred to the ER where he was diagnosed with a nondisplaced nasal fracture and required silver [MEDICATION(S)] (used to burn the skin to stop bleeding). […]

• Actual harm, isolatedF697Aug 25, 2022

  Based on observation, record review and resident, staff, pharmacy, and Nurse Practitioners (NP) interviews, the facility failed to manage a resident's pain when she was provided the incorrect dosage of a narcotic pain medication for 1 of 1 resident reviewed for pain management (Resident #38). Findings included: Resident #38 was admitted to the facility on [DATE] with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #38's physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The order read as follows: An order dated 3/25/21 for [MEDICATION(S)] 10/325mg (milligram)- give 1 tablet by mouth every 6 hours PRN (as needed) for pain. […]

• No harm, potential for more than minimal, widespreadF880Jan 7, 2022

  Based on observations, record review, local health department representative and staff interviews, and the Center for Disease Control (CDC) COVID-19 Data Tracker for Iredell County transmission rate the facility failed to follow the CDC guidance regarding appropriate Personal Protective Equipment (PPE) for counties of high county transmission rates when 1 of 2 wound care personnel (Wound Nurse) failed to wear eye protection while performing wound care for 1 of 3 residents who required wound care (Resident #1), 3 of 6 Nurse Aides (NA) provided care to 4 of 4 residents (Resident #10, Resident #11, Resident #12, and Resident #13) without wearing eye protection, 1 of 6 NAs delivered meal trays to 4 of 4 residents (Resident #6, Resident #7, Resident #8, and Resident #9) without wearing eye… […]

• No harm, potential for more than minimal, patternF677Aug 25, 2022

  Based on observations, record reviews, staff and resident interviews the facility failed provide bathing assistance to dependent residents for 3 of 5 residents (Resident #1, Resident #81 and Resident #82) reviewed for activities of daily living. The findings include: 1. Resident #1 was admitted to the facility on [DATE]. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 was cognitively intact and totally dependent on staff for bathing. The MDS also indicated the Resident had the behavior of rejecting care 1 to 3 days in the look back period. Resident #1's care plan revised on 06/02/22 revealed he was at risk for altered moods and behaviors related to behavioral disturbances. […]

• No harm, potential for more than minimal, patternF812Aug 25, 2022

  Based on observation and staff interview, the facility failed to discard out of date food items in the dry storage area in the kitchen. The facility also failed to maintain a clean kitchen when appliances and kitchen surfaces were found to be greasy and with leftover food particles were still attached in the kitchen. These practices had the potential to affect food served to residents. The findings included: An observation of the kitchen was made on [DATE] at 9:53 AM with the Day shift cook (Cook #1). […]