Claiborne Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, patternF689Dec 28, 2023

  Based on observations, record review and interviews the facility failed to ensure 1 (#1) of 2 (#1, #2) residents whom was assessed at high risk for elopement, was adequately supervised to prevent him from eloping from the facility. This deficient practice resulted in an Immediate Jeopardy situation on 12/18/2023 at approximately 5:30 p.m. when Resident #1 (a severely cognitively impaired resident identified as an elopement risk), was unsupervised and eloped from the facility. Resident #1 was found lying on the ground of a creek bank approximately 1/4 of a mile from the facility on 12/18/2023 at 8:06 p.m. by the Sherriff's Department. Resident #1 was taken to the local emergency department for evaluation. Review of the local emergency department notes dated 12/18/2023 at 9:35 p.m. […]

• Immediate jeopardy, patternF835Dec 28, 2023

  Based on observations, record review, and interviews, the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently by failing to have an adequate system in place to ensure 1 (#1) of 2 (#1, #2) residents (whom were at high risk for elopement and resided in the secured unit), was adequately supervised to prevent Resident #1 from eloping. This deficient practice resulted in an Immediate Jeopardy situation on 12/18/2023 at approximately 5:30 p.m. when Resident #1 (a severely cognitively impaired resident identified as an elopement risk), was unsupervised and eloped from the facility. Resident #1 was found lying on the ground of a creek bank approximately 1/4 of a mile from the facility on 12/18/2023 at 8:06 p.m. […]

• Actual harm, isolatedF600Jun 11, 2021

  Based on records review and interviews, the facility failed to ensure a resident was free from neglect by staff failing to report a fall which required prompt medical attention for 1 (#1) of 5 (#1, #2, #3, #4, #5) residents reviewed for falls. The facility staff failed to: 1. Assess Resident #1 after a fall; 2. Notify the physician of Resident #1's complaints of pain; and 3. Report an accident/incident to the administrative staff timely. This deficient practice resulted in an actual harm on 5/13/2021 at approximately 8:00 PM, when S12 LPN (Licensed Practical Nurse) discovered a large bruise to Resident #1's arm. Resident #1 hollered when S12 LPN touched her right hip, leg and arm. […]

• No harm, potential for more than minimal, patternF628Sep 17, 2025

  Based on record reviews and interviews, the facility failed to provide written notice to residents and/or their RP (Responsible Party) of the bed hold agreement at time of transfer and update the emergency transfer log (Notice of Discharge to the ombudsman) for 1 (#7) of 2 (#7 & #44) residents reviewed for hospitalizations. Findings:Review of Resident #7's medical record revealed an admission date of 11/05/2024 and diagnoses of unspecified protein-calorie malnutrition, repeated falls, muscle weakness (generalized), and dementia. Review of Resident #7's medical record revealed the following transfer dates: 01/31/2025, 05/22/2025, and 07/10/2025. […]

• No harm, potential for more than minimal, patternF658Sep 17, 2025

  Based on record review, observation, and an interview the facility failed to ensure services provided met professional standards of quality for 1 (#5) of 1 resident with a peg (percutaneous endoscopic gastrostomy) tube observed during medication administration. Review of facility's Administering Medications through an Enteral Tube policy (revision date 01/15/2025) revealed in part:Purpose: The purpose of this procedure is to provide guidelines for the safe administration of medications through an enteral tube. Steps in Procedure:6. Verify placement of feeding tube:a. If you suspect improper tube positioning, do not administer feeding or medication. Notify the Charge Nurse or Physician. […]