Cleburne County Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Jan 24, 2021

  Based on observation, interviews, an unlabeled facility document, and the facility's IN-SERVICE TRAINING REPORT, the facility failed to ensure Employee Identifier (EI) #3, a Certified Nursing Assistant (CNA) changed her personal protective equipment (PPE) between caring for persons (residents) under investigation (PUIs) for COVID-19. This deficient practice affected Resident Identifier (RI) #3, RI #4, and RI #6, three of four sampled residents cohorted on the PUI unit. Findings include: An unlabeled typed document by the facility read, . Tuesday, 1/12/2021 . * COVID unit is relocated to Unit 1. Rationale: We have exhausted our current COVID unit capacity. Cases are located on Unit 1 near the rear exit of Unit 1. Anticipating additional cases to arise as there are exposed roommate . […]

• No harm, potential for more than minimal, isolatedF880Sep 28, 2023

  Based on observations, interviews, resident record review, and review of a facility policy titled Hand Hygiene the facility failed to ensure Employee Identifier (EI) #3, Certified Nursing Assistant (CNA), did not create the potential for cross-contamination during meal delivery on 9/25/2023 when she was observed not washing or sanitizing her hands between residents. after touching a dirty bedside table, dirty window blinds, and a resident chair before touching the clean tray cart, donning gloves and setting up a resident tray. This had the potential to affect 21 residents who received meal trays on unit two. Findings include: A facility policy titled Hand Hygiene with an implemented date of 6/1/2022 documented the following: . […]

• No harm, potential for more than minimal, isolatedF552Jan 24, 2021

  Based on record review, interviews and a facility document titled Resident Rights the facility failed to ensure Resident Identifier (RI) #1 was informed prior to a scheduled medical appointment that he/she would be quarantined for 14 days upon return due to the facility. This affected RI #1, one of six sampled residents. Findings include: A facility document titled Residents Rights, revised 8/2018, documented . (c) Planning and Implementing Care. The resident has the right to be informed of, and participate in, his or her treatment, including: . (2) The right to participate in the development and implementation of his or her person-centered plan of care, including but not limited to: . […]