Axiom Healthcare of Rosiclare

In the surveyor’s words

From the most serious findings on record at Axiom Healthcare of Rosiclare, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Jun 10, 2024

  Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety and maintain floors, walls, and equipment in a safe and sanitary condition. This failure has the potential to affect all 40 residents residing in the facility. Findings Include: The facility Nurses Midnight Census provided to this surveyor on 6/3/24 documents 40 residents currently reside at the facility. On 6/3/24 at 11:16 AM, this surveyor opened the refrigerator door in the kitchen and observed fruit in individual bowls sitting on the shelf, uncovered and undated. […]

• Actual harm, isolatedF686Jun 10, 2024

  Based on observation, interview, and record review the facility failed to implement interventions to prevent the development of new pressure ulcers for a resident at high risk and failed to timely identify a new pressure ulcer for 1 of 3 (R13) residents reviewed for pressure ulcers in the sample of 17. This failure resulted in R13 developing an unstageable pressure ulcer to her right heel. Findings Include: R13's New Admission Record undated, documented R13's initial admitted to the facility as 11/05/2014. R13's POS (Physician Order Sheet) dated 6/1/2024, documents diagnosis to include Dementia, Hypertension, Diabetes Mellitus, Hyperlipidemia, Degenerative Joint Disease, Cyclic Neutropenia, and Depression. […]

• Actual harm, isolatedF692Dec 6, 2023

  Based on observation, interview, and record review the facility failed to provide assistance with eating for 1 (R30) of 4 residents reviewed for nutrition out of a sample of 38. This failure resulted in R30 having a significant weight loss of 14.8% in 6 months. The Findings Include: R30's Minimum Data Set (MDS) documents a most recent admitted [DATE]. The November 2023 Physician Orders includes the following diagnoses: Chronic Obstructive Pulmonary Disease, Hypertension, malignant neoplasm of eye, and dementia. Current Diet order is listed as regular diet. R30's care plan with a goal date of 2/24 lists a goal that resident weight will be a proper Body Mass Index (BMI). […]

• Actual harm, isolatedF689Feb 17, 2023

  Based on interview and record review, the facility failed to ensure a gait belt was used when transferring/lifting a resident for 1 (R2) of 3 residents reviewed for accidents in a sample of 7. This failure resulted in R2 sustaining a right proximal humerus fracture and inferior subluxation of the humeral head as it relates to the glenoid. This past non-compliance occurred between 1/19/23 and 1/25/23. The findings include: R2's New Admission Information documents that R2 was admitted to the facility on [DATE]. R2's Physician's orders dated 2/1/23-2/28/23 document diagnoses including Acute Ischemic Left MCA (Middle Cerebral Artery) Stroke, CKD (Chronic Kidney Disease), IDDU (sic Insulin Dependent Diabetes Mellitus), dysphagia, dialysis, seizures, Proximal Right humerus fracture. […]

• No harm, potential for more than minimal, widespreadF725Jul 10, 2026

  Based on interview and record review, the facility failed to ensure that direct resident care staffing was adequate to meet the needs of residents in the facility. The failure has the potential to affect all 29 residents residing in the facility. Findings include:On 7/8/2026 at 8:22AM, V10 (Certified Nurse Assistant/CNA) stated there is usually always 3 CNAs on the dayshift and she feels like with 3 CNAs the residents get good care, and showers can get done as scheduled. V10 was asked if she was working on 6/28/2026. V10 stated she came in at 6:00AM on 6/28/2026 and there were only 2 CNAs scheduled for that shift, so the night shift CNA had to stay over 4 hours because he was the dot for that day. […]