Booker T. Washington Skilled Nursing and Rehabilit

In the surveyor’s words

From the most serious findings on record at Booker T. Washington Skilled Nursing and Rehabilit, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578Jun 9, 2026

  Based on record reviews and interviews the facility failed to provide documentation regarding the existence of any written advance directives for 3 (#4, #25, #69) of 8 residents reviewed for Advanced Directives. Findings: Review of the facility's Advance Directives policy (revised 05/31/2023) revealed in part: Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so. 6. Prior to or upon admission of a resident, the Social Services Director or designee will inquire of the resident, his/her family members and/or his or her legal representative, about the existence of any written advance directives. 8. […]

• No harm, potential for more than minimal, patternF636Jun 9, 2026

  Based on record review and interviews, the facility failed to ensure Safe Smoking Assessments were completed on admit and with each subsequent MDS assessment per policy for 1 (#26) of 1 residents reviewed for smoking. Findings: Review of the facility's Smoking Policy - Residents (revised 03/08/2023) included in part:The resident will be evaluated on admission to determine if he or she is a smoker or non-smoker. If a smoker, the evaluation will include the ability to smoke safely with or without supervision per a completed Safe Smoking Evaluation or equivalent form. Once a resident is determined to be a smoker, his/her ability to smoke safely will be evaluated upon admission, subsequent MDS and PRN. […]

• No harm, potential for more than minimal, patternF637Jun 9, 2026

  Based on record review and interview the facility failed to ensure a significant change assessment was completed for 1 (#15) of 1 reviewed for significant change assessment. Findings: Review of Resident #15's medical record revealed an admission date of 06/13/2022 with diagnosis that included, in part, hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, aphasia following cerebral infarction, dysphagia following cerebral infarction, acute respiratory failure with hypoxia, chronic kidney disease stage two, peripheral vascular disease with heart failure, chronic diastolic congestive heart failure, unspecified systolic congestive heart failure, and atherosclerotic heart disease of native coronary artery without angina pectoris. […]

• No harm, potential for more than minimal, patternF678Jun 9, 2026

  Based on record review and interviews, the facility failed to ensure residents' code status wishes for emergency basic life support were consistent and accurate across all areas of residents' medical records for 2 (#4, #78) of 8 residents reviewed for Advanced Directives. The facility failed to ensure the residents' records reflected the residents' wishes to be a DNR. Findings:Review of the facility's Advance Directives policy (revised [DATE]) revealed in part: 10. The plan of care for each resident will be consistent with his or her documented treatment preferences and/or advance directive11. The resident has the right to refuse treatment, whether or not he or she has an advance directive. A resident will not be treated against his or her own wishes. 15. […]

• No harm, potential for more than minimal, patternF684Apr 2, 2025

  Based on record reviews, observations, and interviews, the facility failed to ensure 2 (#46, #223) of 20 sampled residents received treatment and care in accordance with professional standards of practice by failing to ensure: 1. Resident #46's high blood glucose levels were rechecked as ordered after being administered sliding scale insulin for glucose levels greater than 400, and a Hemoglobin A1C (Glycated hemoglobin- a blood test that measures the average blood sugar level over the past 2-3 months) was obtained every 3 months as ordered; 2. […]