Calhoun Nursing Home

In the surveyor’s words

From the most serious findings on record at Calhoun Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF657Jan 21, 2022

  Based on record review, staff interviews, and review of the facility policy titled, Care Plans-Comprehensive the facility failed to revise the comprehensive care plan for one of 21 residents (R# 31,) reviewed for care plans. Specifically, the facility failed to revise the care plan when R31 developed pressure ulcers after admission and did not include the current orders/approaches, such as the pillow and wedge, which were to be used in response to the resident's seven pressure ulcers. Actual harm was identified to have occurred when R31 developed seven avoidable pressure ulcers, which caused loss of multiple areas of healthy skin tissue/integrity as well as placed R31 at risk for pain, discomfort, and wound infection. […]

• Actual harm, isolatedF686Jan 21, 2022

  Based on observation, staff interviews, record review, review of the National Pressure Ulcer Advisory Panel (NPUAP) guidelines, and review of the facility policy titled, Pressure Ulcer Prevention the facility failed to provide pressure reduction interventions, which resulted in the development of avoidable pressure ulcers for one of three residents (R31) reviewed for pressure ulcers. Actual harm was identified to have occurred when R31 developed seven avoidable pressure ulcers, which caused loss of multiple areas of healthy skin tissue/integrity as well as placed R31 at risk for pain, discomfort, and wound infection. […]

• No harm, potential for more than minimal, patternF576Oct 26, 2023

  Based on resident interview, staff interview, and review of the facility policy titled, Residents Rights, the facility failed to ensure that the residents received mail delivery services to include Saturdays for 59 of 59 residents that resided in the facility. Findings: Review of the facility policy titled, Resident Rights, updated February 2020, under number 3. Privacy: You have the right to receive your mail unopened and within twenty-four (24) hours of delivery to the facility. Interview on 10/25/2023 at 2:21 pm with Resident Council members reveals that the mail is not delivered to the facility on Saturday. Residents revealed that they do not receive mail on Saturday's and the office staff that has the key to the post office box up town are here Monday through Friday. […]

• No harm, potential for more than minimal, isolatedF550May 1, 2025

  Based on observations, staff and resident interviews, record review, and review of the facility policy titled, Quality of Life - Dignity, the facility failed to promote care in a manner that maintained the resident's dignity and respect for one of 28 sampled residents (R) (R9). Specifically, staff provided personal hygiene and bathing assistance to R9 without providing full visual privacy by ensuring window blinds were closed and the privacy curtains encircled the bed. This failure had the potential to diminish the resident's quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life. […]

• No harm, potential for more than minimal, isolatedF689May 1, 2025

  Based on observations, resident and staff interviews, and record review, the facility failed to ensure supervision was provided during resident showers for two of 28 sampled residents (R) (R39 and R57). This deficient practice had the potential to place R39 and R57 at risk of avoidable injuries. Findings include: 1. Review of R39's electronic medical record (EMR) revealed diagnoses including, but not limited to, chronic kidney disease, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. Review of R39's Quarterly Minimum Data Set (MDS) assessment, dated 4/2/2025, revealed Section C (Cognitive Patterns) documented a Brief Interview Mental Status (BIMS) score of 15 (indicating little to no cognitive impairment). […]