Bolivar Health & Rehabilitation LLC

In the surveyor’s words

From the most serious findings on record at Bolivar Health & Rehabilitation LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 9, 2025

  Based on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when staff failed to properly label food items stored in the nourishment refrigerator and when 1 of 1 staff (Dietary [NAME] C) failed to perform hand hygiene when preparing meal trays. The facility had a census of 61 with 61 of those residents receiving a tray from the kitchen. The findings include: 1. Review of the facility policy titled, Handling, Serving, and Transporting Foods, dated 5/15/2020, revealed .Foods will be presented attractively, under sanitary conditions .Practice good personal hygiene . […]

• No harm, potential for more than minimal, isolatedF550Apr 9, 2025

  Based on policy review, medical record review, and interview, the facility failed to maintain or enhance resident's dignity and respect when 2 of 2 (Resident #5 and #48) sampled residents were not given showers on their assigned shower days per their preference. The findings include: 1. Review of the Resident Rights, dated 11/2018, revealed .The resident has a right to a dignified existence, self-determination .the resident's wishes and preferences must be considered .receive services in the facility with reasonable accommodation of resident needs and preferences . 2. Review of the medical record review revealed Resident #5 was admitted to the facility on [DATE], with diagnoses including Parkinson's Disease, Diabetes, Heart Disease, and Spondylosis. […]

• No harm, potential for more than minimal, isolatedF684Apr 9, 2025

  Based on policy review, medical record review, and interview, the facility failed to provide a communication process, including how the communication will be documented between the facility and the hospice provider to ensure resident needs are addressed and met for 1 of 1 (Resident #21) sampled residents. The findings include: 1. Review of the facility policy titled, Hospice Services Policy, revised 10/2021, revealed .A communication process, including how the communication will be documented between the facility and the hospice provider to ensure the needs of the Resident are addressed and met 24 hours per day . 2. […]

• No harm, potential for more than minimal, isolatedF689Apr 9, 2025

  Based on the facility policy review, medical record review, observations and interviews, the facility failed to ensure residents were free from accident hazards when staff failed to properly store and secure a portable oxygen cylinder for 1 of 1 (Resident #47) sampled resident. The findings included: 1. Review of the facility policy titled, Precautions-Oxygen Safety, dated 12/2013, revealed .One must remember that safety comes first. We expect these regulations to be followed as well as any others that may become necessary .Cylinders shall never be left free-standing . 2. […]

• No harm, potential for more than minimal, isolatedF880Apr 9, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed during medication administration when 1 of 3 nurses (Licensed Practical Nurse (LPN) A) completed a Percutaneous Gastrostomy, (Peg- peg tube a tube inserted into the stomach for nutrition and medications) medication administration and immediately gave eye drops to resident without changing gloves or perform hand hygiene. The findings include: 1. […]