Bladen East Health and Rehab

In the surveyor’s words

From the most serious findings on record at Bladen East Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 18, 2024

  Based on record review and staff interviews, the facility failed to provide care in a safe manner resulting in a fall from a bed that was in the elevated position which resulted in a closed displaced fracture of left clavicle shaft, closed fracture of the left third, fourth and fifth ribs and hospitalization for 1 of 3 sampled residents reviewed for supervision to prevent accidents (Resident #1). The findings included: Resident #1 was initially admitted to the facility on [DATE] with the last readmission on 9/6/2024. Her diagnoses include diabetes, dementia and heart failure. Resident #1's significant change Minimum Data Set Assessment (MDS) dated [DATE] coded the resident as moderately cognitively impaired and dependent with bed mobility and toileting. […]

• No harm, potential for more than minimal, widespreadF801Jun 18, 2026

  Based on record review and staff interviews, the facility failed to employ a director of food and nutrition services that met the minimum qualifications. This had the potential to affect 58 of 62 residents who consumed food. Findings included: During an interview on 6/15/26 at 10:36 AM with the Dietary Manager she revealed that she did not have any of the following: certification as a dietary manager or food manager, national certification for food service management and safety, an associate's or higher degree in food service management or in hospitality, 2 or more years of experience in the position of Director of Food and Nutrition Services in a nursing facility setting. […]

• No harm, potential for more than minimal, widespreadF867Dec 15, 2022

  Based on staff interviews and record review, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor these interventions that the committee put into place following the 10/28/2021 recertification survey. This was for a recited deficiency on the current recertification survey in accuracy of assessments. The continued failure during two federal surveys shows a pattern of the facility's inability to sustain an effective QAA program. […]

• No harm, potential for more than minimal, patternF812Mar 6, 2025

  Based on observations and staff interviews, the facility failed to label and date resident's personal food items and discard expired food items stored in 1 of 1 nourishment refrigerator. This practice had the potential to cause foodborne illnesses. Findings included: An observation of the nourishment refrigerator with the facility's Dietary Manager on [DATE] at 1:28 PM revealed the following: a. 2 yogurt cups with the expiration date of [DATE] b. A Ranch dressing bottle with the expiration date of [DATE] c. Partially eaten chicken wings and corn on the cob in a disposable plate with no date or label d. A 2-liter soda bottle approximately two thirds full with no label or date e. […]

• No harm, potential for more than minimal, patternF644Oct 28, 2021

  Based on staff interview and record review, the facility failed to obtain a Level II Preadmission Screening and Resident Review (PASRR) for residents with an active diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] Findings included: Resident #54 was admitted to the facility on [DATE]. A review of the facility's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) dated [DATE] had resident #54 coded as cognitively intact with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] The comprehensive care plan dated 10/03/2021 had focus' of uses antidepressant medication [MEDICATION(S)] r/t Depression and Anxiety, a mood problem r/t Disease Process Anxiety Disorder, has depression r/t facility placement. […]