Baptist Homes of Adrian

In the surveyor’s words

From the most serious findings on record at Baptist Homes of Adrian, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF730Nov 19, 2025

  Based on interview and record review, the facility failed to complete a performance review of nurse aides at least once every 12 months and provide regular in-service education for three Certified Nursing Assistants (CNA) (CNA C, CNA D, and CNA E) out of five sampled CNAs. The facility census was 28 residents. Review of the facility's In-Service Training, Nurse Aide policy, undated, showed:-All personnel were required to participate in regular in-service education.-Annual in-services included:--Continued competence of nurse aides.--Training that addressed the care of residents with cognitive impairment.-Supervised practical training was defined as training in a setting in which instruction and oversight were provided by a person who had relevant education and/or experience specific to the… […]

• No harm, potential for more than minimal, patternF756Nov 19, 2025

  Based on interview and record review, the facility failed to ensure the Medication Regimen Review (MRR) was completed monthly by the contracted pharmacist and then reviewed and responded to by the facility physician(s) for three sampled residents (Resident #5, Resident #21 and Resident #28) out of five residents sampled for MRR's. The facility census was 28 residents. Review of the facility's Medication Regimen Review policy, undated, showed:-The purpose of the policy was to ensure MMRs were conducted in accordance with professional standards of practice.-The facility had MRR's completed monthly in accordance with professional standards.-The licensed pharmacist completed drug regimen reviews on al facility residents monthly and a full report was provided to the facility that included any… […]

• No harm, potential for more than minimal, patternF812Nov 19, 2025

  Based on observation and interview, the facility failed to ensure safe food handling and storage by not properly labeling opened food containers with the date it was opened; storing outdated, expired or not properly sealed food; and not refrigerating opened food. This practice had the potential to affect all residents who consume food from the kitchen. The facility census was 28 residents.Review of the facility's Food Receiving and Storage Policy, dated October 2017, showed:-Foods shall be received and stored in a manner that complied with safe food handling practices.-Non-refrigerated foods were stored in the dry storage unit.-Dry foods stored in bins were removed from original packaging, labeled and dated with a use by date. […]

• No harm, potential for more than minimal, patternF880Nov 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure staff was adhering to infection control practices while preforming wound care for one sampled resident (Resident # 7) and failed to put into place Enhanced Barrier Precautions (EBP- an infection control strategy that uses gloves and gowns during high-contact resident care to reduce the spread of multidrug-resistant organisms (MDRO) for two sampled residents (Resident #7 and Resident #13) who had wounds out of 13 sampled residents. […]

• No harm, potential for more than minimal, patternF947Nov 19, 2025

  Based on interview and record review, the facility failed to provide the required 12 hours of nurse aide in-service training that included the topics of dementia (a progressive mental disorder causing confusion, and impairment of control, memory, judgement, and impulses), and Abuse, Neglect and Exploitation (ANE) for three out of five sampled Certified Nursing Assistants (CNA) (CNA C, CNA D, and CNA E) for October 2024 through September 2025. The facility census was 28 residents.Review of the facility's In-Service Training, Nurse Aide policy, undated, showed:-All personnel were required to participate in regular in-service education.-Annual in-services included:--Continued competence of nurse aides.--No less than 12 hours per employment year.--Training that addressed the care of residents… […]