Birch Healthcare Center

In the surveyor’s words

From the most serious findings on record at Birch Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Dec 16, 2021

  1. Based on observation, interview, and record review, it was determined that the facility failed to restrict health care personnel with signs and symptoms of COVID-19/respiratory illness from work in the facility. The facility's failure to restrict acutely ill healthcare personnel from work over 4 different days increased the likelihood of exposure to pathogens for the facility's census of 53 residents and staff. The facility failed to ensure that COVID-19 screenings for residents were completed per CDC guidelines for 3 out of 3 residents reviewed for resident COVID-19 assessments in a final sample of 19 residents. […]

• Immediate jeopardy, isolatedF689Sep 16, 2022

  Based on interview and record review, it was determined that the facility failed to provide adequate supervision to prevent a fall which resulted in actual harm that was immediate in which resident sustained a [CONDITION(S)] and eventual death for 1 of 3 residents reviewed for falls (Resident identifier is #1). The facility also failed to provide adequate supervision to prevent elopement for 1 of 3 residents reviewed for elopement risk. (Resident identifier is #3.) Findings include: Resident #1 Interview on 9/14/22 at approximately 3:36 p.m. with Resident #1's responsible party revealed that Resident #1 fell and broke their hip at the facility and later passed away. […]

• Actual harm, isolatedF689Apr 16, 2024

  Based on interview and record review, it was determined that the facility failed to ensure that staff use equipment properly during transfers, resulting in a fall with a fracture for 1 of 1 residents reviewed for accidents (Resident Identifier #1). Finding include: Review on 4/16/24 of Resident #1's nurse's note dated 3/25/24 revealed that Staff A (Registered Nurse) heard a loud noise in Resident #1's room. Upon entering, Resident #1 was on the floor. The Licensed Nursing Assistants (LNAs) informed Staff A that Resident #1 slid off the Hoyer pad while being lifted. Resident #1 was complaining of back pain. Resident #1 was sent to the hospital for further evaluation. […]

• Actual harm, isolatedF690Dec 16, 2021

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that residents with an indwelling catheter were assessed for the use and removal of the catheter; that a resident who entered the facility without an indwelling catheter was not catheterized unless the resident's clinical condition demonstrates that catheterization was necessary; and that residents received the appropriate care and services for catheter care for 2 of 2 residents reviewed for indwelling catheters in a final sample of 19 residents. (Resident identifiers are #50 and #38). Findings include: Resident #50 Interview on 12/13/21 at approximately 10:00 a.m. with Staff B (Unit Manager) revealed that Resident #50 had an indwelling catheter in place. […]

• No harm, potential for more than minimal, patternF812Jul 8, 2022

  Based on observation and interview, it was determined that the facility failed to maintain sanitary environment for food service safety in 1 of 1 main kitchen observed. Findings include: Review on 7/11/22 of the Food Code U.S. Public Health Service 2017 U.S. Department of Health and Human Services, retrieved from https://www.fda.gov/food/fda-food-code/food-code-2017 revealed the following: - Page 180: 6-201.17 Walls and Ceilings, Attachments. (A) Except as specified in ¶ (B) of this section, attachments to walls and ceilings such as light fixtures, mechanical room ventilation system components, vent covers, wall mounted fans, decorative items, and other attachments shall be EASILY CLEANABLE. […]