Camellia Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Camellia Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF607Oct 28, 2022

  Based on interviews, record reviews, review of the facility's abuse investigation file related to an allegation of physical abuse and misappropriation of resident property made by Resident Identifier (RI) #1, and review of facility's policies titled, Abuse Prevention Program and Resident-to-Resident Altercations, the facility failed to ensure staff identified, reported, and implemented protective measures in accordance with the facility's abuse policy following allegations of physical abuse and misappropriation of resident property. […]

• Immediate jeopardy, isolatedF610Oct 28, 2022

  Based on interviews, record reviews, review of the facility's abuse investigation file related to an allegation of physical abuse and misappropriation of resident property made by Resident Identifier (RI) #1, and a review of facility policies titled, Abuse Investigation and Reporting and Abuse Prevention Program, the facility failed to ensure Employee Identifier (EI) #1, the Abuse Coordinator/Administrator, conducted a thorough abuse investigation in accordance with the facility policy and immediately implemented protective measures on 10/19/2022 during the investigation when Resident Identifier (RI) #1 reported to her that his/her roommate, RI #2, had put his/her hands on RI #1's neck and taken his/her television remote and telephone on 10/18/2022 around 9:00 PM. […]

• No harm, potential for more than minimal, widespreadF880Jan 7, 2022

  Based on observations, interviews, and review of facility policies titled Respiratory Program Policy and Procedure and N95 Respirator Mask, the facility failed to ensure staff properly wore source control throughout the facility. Specifically, facility staff were observed wearing N95 respirators (masks) with the mask straps cut and tied to be worn behind the ears instead of around the head; N95 mask straps were observed hanging loosely instead of around the head; and N95 masks were observed not covering the nose and mouth. […]

• No harm, potential for more than minimal, patternF842Jun 15, 2021

  Based on interviews, record review and review of facility policies titled Documentation, Accidents and Incidents and Pain Management, the facility failed to ensure: 1) an incident involving Resident Identifier (RI) #3 was documented in RI #3's medical records; and 2) a licensed nurse documented on the Medication Administration Record (MAR) the effectiveness of a PRN (as needed) Acetaminophen (Tylenol) administered to RI #2; further, licensed nurses failed to accurately document on RI #2's pain assessment scale if the resident was experiencing pain or not. These deficient practices affected RI #2 and RI #3; two of three residents sampled for documentation of an incident in the residents' medical records; and documentation on the residents' MARs. […]

• No harm, potential for more than minimal, patternF880Jun 15, 2021

  Based on observation, review of resident records and review of facility policies titled, Administering Oral Medications and Handwashing/Hand Hygiene, the facility failed to ensure Employee Identifier (EI) #10, a Registered Nurse (RN) cleansed his hands between residents and after removing gloves during medication administration for Resident Identifier (RI) #13, RI #14, RI #15, RI #16, RI #17 and RI #18; six of 11 residents observed for medication administration. Findings include: A review of the facility policy titled, Administering Oral Medications revealed, . The purpose of this procedure is to provide guidelines for the safe administration of oral medications. Steps in the Procedure 1. Wash your hands. 4. Unlock the medication cart. 5. […]