Clark County Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 29, 2025

  Based on observation, interview, and record review, the facility failed to label food items, discard food that was past the expiration/remove by date in dry storage, and discard prepared food after the labeled use by date in the walk-in cooler. The facility also failed to ensure food service equipment and surfaces were appropriately cleaned and maintained. The facility census was 59. Review of the facility's policy, Food Storage (Dry, Refrigerated, and Frozen), dated 2020, showed the following: -Food shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety; -Discard food that has passed the expiration date, and discard food that has been prepared in the facility after seven days of storing under proper refrigeration; -Date marking… […]

• No harm, potential for more than minimal, widespreadF880Jan 29, 2025

  42592 Based on observation, interview, and record review, the facility failed to follow current infection control standards for three residents (Residents #25, #17, and #21), in a review of 22 sampled residents, and for two additional residents (Resident #20 and #55). The facility failed to follow infection control practices while performing blood glucose monitoring (a procedure where a drop of blood is obtained to test the amount of sugar in the blood) for three residents (Resident #25, #20, and #17) when staff failed to appropriately sanitize the glucometer (a machine that tests a drop of blood for the amount of sugar it contains) after use and use a barrier to protect against contamination. […]

• No harm, potential for more than minimal, widespreadF812May 4, 2023

  Based on observation, interview, and record review, the facility failed ensure food items were labeled, dated, covered or discarded when expired; failed to ensure staff utilized sanitary practices when handling ready to eat food items; and failed to ensure staff wore hair restraints to cover exposed hair. The facility census was 59. 1. Review of the undated facility policy, Food Labeling and Dating and Closure, showed the following: -All foods placed in dry storage, refrigerated and freezer units must be dated with date opened/placed, use by date (UBD) and initials and sealed with an approved tie; -Dietary staff and/or any staff member placing items for dietary or resident must follow this procedure; -Dietary staff and/or any staff member receiving food from family for a resident must… […]

• No harm, potential for more than minimal, patternF637Jan 29, 2025

  Based on observation, interview and record review, the facility failed to complete a significant change status assessment (SCSA) Minimum Data Set (MDS), a federally mandated assessment, required to be completed by facility staff, for four residents (Residents #18, #8, #13 and #28), in a review of 22 sampled residents. This assessment should have been completed within 14 days after the facility determined, or should have determined, there had been a significant change (major decline or improvement in the resident's status) in the resident's physical or mental condition which had an impact on more than one area of the resident's health status and required interdisciplinary review and/or revision of the care plan. […]

• No harm, potential for more than minimal, patternF658Jan 29, 2025

  Based on observation, interview, and record review, the facility failed to follow proper technique for medication administration of insulin pens and eye drops for three residents (Resident #2, #58, and #21), in a review of 22 sampled residents. The facility census was 59. 1. Review of resident #58's Continuity of Care Document (CCD) showed a diagnosis of diabetes mellitus (too much sugar in the blood stream). Review of the resident's care plan, dated 12/26/24, showed the following: -The resident had diabetes; -Administer insulin as ordered. Review of the resident's quarterly Minimum Data Set (MDS), a federally mandated assessment instrument, completed by facility staff, dated 01/22/25, showed the resident received seven insulin injections in the last seven days. […]