Chase City Health And Rehab Center

In the surveyor’s words

From the most serious findings on record at Chase City Health And Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 11, 2021

  Based on staff interview, clinical record review, facility document review and during a complaint investigation, the facility staff failed to provide supervision to prevent accidents for one of nine in the survey sample, Resident #9. Resident #9 sustained a second degree burn while eating tomato soup unsupervised. The findings include: Resident #9 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included gastro-[CONDITION(S)] reflux disease (GERD), [CONDITION(S)], dysphasia, depression, anxiety, [CONDITION(S)], [CONDITION(S)], [CONDITION(S)], [CONDITION(S)], stage 4 chronic kidney disease, and type 2 diabetes. […]

• No harm, potential for more than minimal, patternF842Mar 15, 2024

  Based on staff interview, clinical record review, and facility documentation review, the facility staff failed to maintain a complete and accurate clinical record for one resident (Resident #2- R2), in a survey sample of 5 residents. The findings included: For R2, the facility staff failed to maintain an accurate and complete clinical record with regards to medication administration, physician notification, skin condition, and change in bowel consistency. On 3/14/24 and 3/15/24, a closed record review was conducted of R2's chart. R2 was not a resident of the facility at the time of survey and therefore was not able to be interviewed. 1a. […]

• No harm, potential for more than minimal, patternF684Feb 16, 2023

  Based on staff interview and clinical record review, the facility staff failed to follow physicians orders for one of 26 residents in the survey sample: Resident # 99. Findings include: Facility staff failed to follow physician's orders for fluid restriction for Resident # 99. Resident # 99 was admitted to the facility 11/3/22, with a readmitted [DATE]. Diagnoses for Resident # 99 included, but were not limited to, atrial fibrillation, COPD, heart failure, congestive heart failure, and GERD. The most recent MDS (minimum data set) was an admission assessment dated [DATE]. […]

• No harm, potential for more than minimal, patternF600Aug 11, 2021

  Based on observation, staff interview, facility document review, clinical record review and complaint investigation, the facility staff failed to ensure one of nine residents was free from neglect, Resident #1. No care or dressing changes were provided to Resident #1's PEG (percutaneous endoscopic gastrostomy) tube site for ten days following an assessment of bleeding and prolapsed skin around the tube. A physician's order for topical treatment and dressing changes following the assessed bleeding was not implemented. Resident #1 had no treatment orders or evidence of routine, daily care provided to the gastrostomy site for at least three months. The findings include: Resident #1 was admitted to the facility on [DATE] with a re-admission on 12/21/20. […]

• No harm, potential for more than minimal, patternF684Aug 11, 2021

  Based on observation, staff interview, clinical record review and complaint investigation, the facility staff failed to provide assessment, monitoring and implement a plan of care regarding a penile split for one of nine residents in the survey sample. Resident #1, assessed with [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings include: Resident #1 was admitted to the facility on [DATE] with a re-admission on 12/21/20. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The minimum data set (MDS) dated [DATE] assessed Resident #1 with moderately impaired cognitive skills and as receiving over 51% of nutritional calories through a gastric tube. Resident #1's clinical record documented the resident had a Foley urinary catheter since his admission due to [CONDITION(S)] with urine retention. […]