Blue Ridge Therapy Connection

In the surveyor’s words

From the most serious findings on record at Blue Ridge Therapy Connection, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Sep 25, 2025

  Based on staff interview, clinical record, and facility document review, the facility staff failed to develop a comprehensive care plan for 6 of 33 current residents, Residents #1, #6, #126, #2, #12, and #17. The findings include. 1. For Resident (R) #1, the facility staff failed to develop a comprehensive care plan (CCP) that included their current code status. R1's clinical record included the diagnoses of toxic encephalopathy, unspecified abnormalities of gait and mobility, and muscle weakness. Section C (cognitive patterns) of R1's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of [DATE] included a brief interview for mental status (BIMS) score of 11 out of a possible 15 points. […]

• No harm, potential for more than minimal, patternF584Oct 19, 2022

  Based on observation, resident interview, staff interview, and facility document review, the facility staff failed to maintain a clean, comfortable home-like environment for 1 of 3 units (2nd Floor) and 5 of 27 residents in the survey sample, Resident #18, #106, #58, #41, and #55. The findings included: 1. The facility staff failed to maintain a clean, sanitary resident shared shower chair and failed to maintain a window in good repair on the 2nd Floor. On 10/19/22 at 1:15 pm, surveyor and the 2nd Floor Unit Manager (UM) entered the unit shower room and observed the shower chair. At the request of the surveyor, the UM turned the shower chair over revealing a black, damp appearing substance with strands of hair intertwined on the lower section of the chair legs and around the wheels. […]

• No harm, potential for more than minimal, patternF908Oct 19, 2022

  Based on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to maintain essential equipment for 1 of 27 resident (Resident #122) and for 3 of 3 facility elevators. The findings include: 1. For Resident #122, the facility staff failed to ensure the residents heater was in working order. Resident #122's diagnoses included, but were not limited to, dementia, depression, anxiety, and peripheral vascular disease. Section C (cognitive patterns) of the resident #122's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 09/22/22 included a brief interview for mental status (BIMS) summary score of 10 out of a possible 15 points. […]

• No harm, potential for more than minimal, isolatedF550Sep 25, 2025

  Based on observation, staff interview, clinical record review and facility document review, the facility staff failed to treat each resident with respect and dignity for one of 33 current residents in the survey sample, resident # 155 (R155).The findings included: R155's diagnoses included but were not limited to unspecified dementia without behavioral disturbance, major depressive disorder, anxiety disorder, heart failure, hypertension, and generalized weakness. The minimum data set (MDS) assessment with an assessment reference date of 7/22/2025 indicated that R155 has impaired short- and long-term memory as well as impaired decision-making capabilities and is dependent on staff for all activities of daily living (ADL) care. […]

• No harm, potential for more than minimal, isolatedF644Sep 25, 2025

  Based on staff interview, clinical record review, and facility document review the facility staff failed to complete a Level II Preadmission Screening and Resident Review (PASARR) for 1 of 33 current sampled residents. (Resident #12)The findings included:For Resident #12, the facility staff failed to complete a level II PASARR (pre-admission screening and resident review). A PASARR is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. Resident #12's diagnosis list indicated diagnoses that included, but were not limited to, PTSD (post-traumatic stress disorder), Anxiety Disorder, Schizoaffective Disorder-Bipolar Type, Parkinson's Disease, Depression, Mild Cognitive Impairment, Weakness, and Diabetes Mellitus Type 2. […]