Bibb Medical Center Nursing Home

In the surveyor’s words

From the most serious findings on record at Bibb Medical Center Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Nov 30, 2023

  Based on observation, interviews, the Resident Council Meeting on 11/29/2023, a test tray on 11/29/2023, and a facility policy titled, Food Service, the facility failed to ensure food was served warm, palatable and enjoyable. This had the potential to affect 114 of 114 residents receiving meals from the kitchen. Findings include: The facility's undated policy, Food Service documented: . PROCEDURES: . 4. A conscientious effort is made to make the food, trays, and service as attractive as possible. Resident Identifier (RI) #22 was admitted to the facility on [DATE]. During tour of the facility on 11/27/2023 at 12:06 PM, RI #22 stated, most of the time food was cold, especially breakfast. […]

• No harm, potential for more than minimal, widespreadF812Nov 30, 2023

  Based on observations, interviews, the facility policy Proper Labeling of Food items , and the 2022 Food Code from the United State (U.S.) Food and Drug Administration (FDA); the facility failed to ensure: 1) food stored in the freezer was covered and sealed properly, outdated food was discarded and; 2) the temperature of blended (puree) foods was measured before serving to residents. This had the potential to affect 114 of 114 resident receiving food from kitchen. Findings Include: 1. The 2022 U.S. FDA Food Code included the following: 3-305.11 Food Storage. (A) . FOOD shall be protected from contamination by storing the FOOD: . […]

• No harm, potential for more than minimal, widespreadF880Nov 30, 2023

  Based on observations, interviews, and review of a facility policy titled Hand Hygiene, Laundry/Linen Distribution, and Handling Clean Linen the facility failed to ensure: 1) staff performed hand hygiene when a Certified Nursing Assistant (CNA) delivered meal trays, picked an item off the floor, and touched a resident's food, when a Laundry Aid (LA) delivered clean linen to eight different resident's rooms on the 200 hall, and before a Laundry Assistant (LAS) handled clean linen; 2) a LAS did not hold clean linens against her personal clothing; and 3) clean linen was covered while being transported on the 200 hall. […]

• No harm, potential for more than minimal, patternF550Nov 30, 2023

  Based on observations, interviews, resident record review, and review of the facility policy Promoting/Maintaining Resident Dignity During Mealtimes, the facility failed to ensure Resident Identifier (RI) #38's lunch meal was not served on Styrofoam on 11/27/2023 and the staff delivering laundry gained permission to enter residents' rooms before entering on 11/27/2023. This had the potential to affect RI #38, one of 10 sampled residents observed at mealtime and residents residing on the 200 hall. Findings include: On 11/27/2023 at 12:53 PM, Laundry Aide (LA) #18 was observed delivering resident's clothing to room numbers 213, 211, 210, 208, 207, 204, 203, and 202, entering each room without knocking, announcing herself, or waiting for permission before entering. […]

• No harm, potential for more than minimal, isolatedF641Nov 30, 2023

  Based on interviews, resident record reviews, and review of the Centers for Medicare & (and) Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.18.11, the facility failed to ensure Resident Identifier (RI) #64's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/15/2023 was accurately coded for weight loss or gain and RI #114's quarterly MDS assessment with an ARD of 10/24/2023 was accurately coded to reflect RI #114 did not receive an anticoagulant medication during the assessment period. This had the potential to affect two of 29 sampled residents whose MDS assessments were reviewed. Findings include: The Long-Term Care Facility Resident Assessment Instrument User's Manual documented: . […]