Brickyard Healthcare - Knox Care Center

In the surveyor’s words

From the most serious findings on record at Brickyard Healthcare - Knox Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF657Apr 2, 2025

  Based on observation, record review, and interview, the facility failed to ensure care plans were implemented and/or updated for 1 of 15 resident care plans reviewed. (Resident 43) Finding includes: On 3/30/25 at 10:38 a.m., Resident 43 was observed lying in bed. There was a dime-sized scabbed area to his left upper cheek/temple area. The resident indicated he was unsure what happened or how long the scabbed area had been there. On 3/31/25 at 3:05 p.m., Resident 43 was observed lying in bed. The scabbed area remained to his left upper cheek/temple area. On 4/1/25 at 8:58 a.m., Resident 43 was observed lying in bed. The scabbed area remained to his left upper cheek/temple area. The record for Resident 43 was reviewed on 4/1/25 at 2:57 p.m. […]

• No harm, potential for more than minimal, isolatedF684Apr 2, 2025

  Based on record review and interview, the facility failed to ensure residents received necessary care and services, related to lack of monitoring of sleep patterns per the care plan for 1 of 1 resident reviewed for care planning. (Resident 22) Finding includes: On 3/30/25 at 10:48 a.m., Resident 22 indicated she had been having difficulty sleeping at night and it had been ongoing since she had her trazodone (antidepressant) discontinued. Resident 22's record was reviewed on 4/1/25 at 1:12 p.m. Diagnoses included, but were not limited to, major depressive disorder, insomnia, and seizures. The Quarterly Minimum Data Set (MDS) assessment, dated 1/6/25, indicated the resident was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF690Apr 2, 2025

  Based on observation, interview, and record review, the facility failed to ensure indwelling Foley (urinary) catheter tubing was kept off of the floor for a resident with a history of urinary tract infections (UTIs) for 1 of 1 resident reviewed for urinary catheters. (Resident 46) Finding includes: Resident 46 was observed on 3/31/25 at 3:35 p.m., 3:44 p.m., and 4:14 p.m. sitting in a manual wheelchair in the East Hall near the nurses' station. The catheter collection bag was hanging in a dignity bag under the chair. The tubing was touching the floor. During observations of the resident, a nursing staff member was sitting at the nurses' station across from the resident and a medication pass administration observation was ongoing from 3:35 p.m. to 3:55 p.m. with QMA 1 in the same hall. […]

• No harm, potential for more than minimal, isolatedF692Apr 2, 2025

  Based on record review and interview, the facility failed to ensure timely follow up on dietary recommendations was completed for a resident with a history of weight loss for 1 of 3 residents reviewed for nutrition. (Resident 38) Finding includes: Resident 38's record was reviewed on 3/31/25 at 1:37 p.m. Diagnoses included, but were not limited to, chronic kidney disease and heart failure. The resident admitted to the facility on [DATE], discharged on [DATE], and was readmitted on [DATE]. The Admission Minimum Data Set (MDS) assessment, dated 3/5/25, indicated the resident was severely cognitively impaired and had weight loss while not on a prescribed weight-loss regimen. […]

• No harm, potential for more than minimal, isolatedF842Apr 2, 2025

  Based on record review and interview, the facility failed to maintain clinical records that were complete and accurately documented related to the lack of documentation prior to a urinalysis being completed on a resident for 1 of 1 resident reviewed for UTIs (urinary tract infections). (Resident 9) Finding includes: Record review for Resident 9 was completed on 4/1/25 at 2:20 p.m. Diagnoses included, but were not limited to, hypertension, diabetes mellitus, and dementia. The Quarterly Minimum Data Set assessment, dated 1/9/25, indicated the resident was moderately cognitively impaired. The resident had an indwelling urinary catheter. A Care Plan, dated 11/20/24, indicated the resident had an indwelling urinary catheter related to obstructive and reflux uropathy. […]