Claiborne County Senior Care

In the surveyor’s words

From the most serious findings on record at Claiborne County Senior Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF636Oct 28, 2021

  Based on staff interviews, record reviews, and facility policy review the facility failed to complete a comprehensive Minimum Data Set (MDS) for two of 13 residents reviewed for comprehensive assessments, with the potential to affect 70 residents. Resident #11 and Resident #12 Record review of the facility's MDS Assessment policy dated 5/2006 revealed, It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set for by CMS (Centers for Medicare and Medicaid Services) protocol. Record review of CMS's RAI Version 3.0 Manual dated October 2019 indicated The Annual assessment is a comprehensive assessment for a resident that must be completed on an annual basis (at least every 366 days) . […]

• No harm, potential for more than minimal, widespreadF638Oct 28, 2021

  Based on staff interviews, record reviews, and facility policy review, the facility failed to complete quarterly Minimum Data Set (MDS) Assessments for ten (10) of 13 residents reviewed for quarterly assessments, with the potential to affect 70 residents. Resident #1, Resident #2, Resident #3, Resident #4, Resident #5 Resident #6, Resident #7, Resident #8, Resident #9, Resident #13 Record review of the facility's MDS Assessment policy dated 5/2006 revealed, It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set for by CMS (Centers for Medicare and Medicaid Services) protocol. […]

• No harm, potential for more than minimal, patternF692May 14, 2026

  Based on observation, interviews, record reviews and facility policy review the facility failed to provide sufficient weight management for one (1) of two (2) residents with weight loss. Resident #40.Findings Include: Record review of the facility policy, Management of Residents With Nutrition Problems dated 7/24 revealed A resident identified with nutrition problems or who are at risk of inadequate nutrition/hydration shall be evaluated and monitored by the Director of Food and Nutrition Services (DFNS)/ consultant dietician (CD) to ensure appropriate and timely interventions to maintain or improve nutrition status clinical conditions demonstrates that this is not possible.On 05/13/2026 at 11:35 AM, in an interview with Certified Nursing Assistant (CNA) #5 stated Resident #40 does not eat… […]

• No harm, potential for more than minimal, patternF605Jun 19, 2025

  Based on observation, interview, and record review, and facility policy review the facility failed to discontinue an as-needed (PRN) order for a psychotropic medication beyond the allowable fourteen (14) day period, for one (1) of five (5) medication reviews (Resident #58). Findings included: A review of the facility's policy, Medication Monitoring (Drug Regimen Review Monthly Review), undated, revealed, The facility supports pharmacy services that promote quality care including drug regimen review (DRR). DRR is defined as the systematic evaluation of drug therapy viewed within the context of resident-specific data. The consultant pharmacist reviews the medication regimen of each resident at least monthly. […]

• No harm, potential for more than minimal, patternF690Jun 19, 2025

  Based on observation, interview, record review and facility policy review, the facility failed to provide peri-care in accordance with professional standards of care for two (2) of four (4) peri-care observations (Resident #9 and Resident #15). Findings included: A review of the facility's policy, Perineal Care Policy, with a revision date of 1/2010, revealed, POLICY It is the policy of this facility to provide perineal cleanliness and comfort to the resident, to prevent infection and skin irritation and to observe the resident skin condition . Resident #9 On 06/17/2025 at 2:10 PM, during an observation of peri-care for Resident #9 provided by Certified Nursing Assistant (CNA) 1 and assisted by CNA #2 revealed CNA #1 placed items on the nightstand beside the bed without a barrier in place. […]