Bruceville Terrace - D/P SNF of Methodist Hospital

In the surveyor’s words

From the most serious findings on record at Bruceville Terrace - D/P SNF of Methodist Hospital, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 1, 2022

  Based on observation, interview, and record review, the facility failed to provide supervision and additional assistance to one of 4 sampled Residents (Resident 1), when Resident 1 fell from the mechanical lift to the floor while being transferred by a Certified Nurse Assistant (CNA 4) from the bed to the wheelchair. This failure resulted in Resident 1 sustaining a scalp contusion (bruise) and pain. This failure also had the potential to cause serious injury or death. Findings: During record review of the Facesheet, Resident 1 was admitted in 2019 with diagnosis including deconditioning, impaired mobility, generalized weakness, chronic low back pain and [CONDITION(S)] (nerve damage). […]

• Actual harm, isolatedF689Dec 16, 2021

  Based on observation, interview, and record review, the facility failed to ensure the safety of one of three sampled residents (Resident 1) during a Hoyer lift (an electrical assistive equipment to transfer residents who no longer bear weight) transfer when Resident 1's leg thumped against the wall. This failure resulted in Resident 1's leg fracture, excruciating pain, an unintended emergency room visit and hospital stay and compromising the resident's ability to enjoy normal life activities due to the injury. Findings: Resident 1 was a long term resident and recently readmitted to the facility on [DATE], after a hospitalization due to a left leg fracture. The resident's diagnoses included diabetes and an above the right knee amputation. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, interview and record review, the facility failed to ensure food was prepared, stored, served, or distributed in accordance with professional standards of food serve safety when:Staff did not clean two ice machines located in the hospital's main kitchen and the skilled nursing facility.Staff did not maintain several pieces of cookware in usable condition.Staff left opened packaged and prepared food items in the walk in refrigerator and dry storage area without required labels and dates.The metal coating of the can opener blade was worn off.Dietary staff did not follow proper refrigerator thawing procedures that allowed identification of when food was pulled from the freezer and when it should be used.Two cooks used masks instead of proper beard restraints and did not… […]

• No harm, potential for more than minimal, widespreadF732Feb 9, 2023

  Based on interview and record review, the facility failed to ensure nurse staffing information was adequately posted for a census of 169 when postings did not include the total number of hours scheduled and actually worked by licensed and unlicensed nursing staff. This failure had the potential to deny residents and visitors readily available access to nurse staffing information. Findings: A review of nurse staffing postings for Stations A, B, C and D, dated 2/6- 2/9/23, indicated there were no total hours scheduled and total hours actually worked by licensed and unlicensed nursing staff on the postings. In an interview, on 2/9/23 at 10:37 a.m., the Director of Nursing (DON) confirmed the nurse staffing postings had not included total and actual hours worked by each category of staff. […]

• No harm, potential for more than minimal, widespreadF732Mar 17, 2022

  Based on interview and record review, the facility failed to ensure the total number and the actual hours worked by licensed and unlicensed nursing staff along with the resident census was posted daily for a census of 154 when, documentation for nurse staffing did not include the total number and actual hours worked. This failure had the potential to give incomplete staffing information to residents and visitors. Findings: During a concurrent interview and record review, on 2/1/22 at 2:48 p.m., the Director of Nursing stated nurse staffing information was posted with the number of staff working each shift. The DON stated the posting did not list the total number and actual hours worked, and she could not provide postings with direct care hours per patient daily.