Conover Nursing And Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Conover Nursing And Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jan 12, 2021

  Based on observations, record reviews, staff interviews and a Health Department nurse interview, the facility failed to implement their infection control measures for the use of Personal Protective Equipment (PPE) when 3 of 3 staff (Nurse #2, NA #3 and NA #4) on the Isolation/Quarantine hall failed to change their mask and isolation gowns between residents. This failure occurred during a COVID-19 pandemic. Findings included: The Centers for Disease Control and Prevention (CDC) guideline entitled Responding to Coronavirus (COVID-19) in Nursing Homes last reviewed and updated on 04/30/20 indicated the following statements: · Place signage at the entrance to the COVID-19 unit that instructs healthcare personnel (HCP) they must wear eye protection and an N95 or higher-level respirator (or… […]

• No harm, potential for more than minimal, isolatedF641Feb 21, 2025

  Based on observations, record review, and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment for oral/dental status (Resident #27) and the use of a hypoglycemic medication (a medication used to lower blood sugar in people diagnosed with diabetes) (Resident #71) for 2 of 20 residents whose MDS assessments were reviewed. Findings included: 1. Resident #27 was admitted to the facility 04/14/17. Review of a dentist's note dated 07/15/24 revealed Resident #27 had 6 teeth pulled and was now edentulous (lacking teeth). The annual MDS assessment dated [DATE] did not reflect Resident #27 was edentulous. Observations of Resident #27 on 02/18/25 at 11:25 AM, 02/19/25 at 8:17 AM, and 2/20/25 at 12:43 PM revealed she did not have any teeth. […]

• No harm, potential for more than minimal, isolatedF657Feb 21, 2025

  Based on observations, record reviews and staff interviews, the facility failed to update the care plan to include oxygen therapy for 2 of 2 residents (Resident #16 and Resident #23) reviewed for respiratory therapy. The findings included: 1. Resident #16 was admitted to the facility on [DATE] with diagnoses that included hypoxemia (low levels of oxygen in the blood). A review of Resident #16's physician orders dated 06/28/24 indicated oxygen at 1-3 liters per minute via nasal cannula every shift as needed for hypoxia. Review of Resident #16's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was cognitively intact and required supplemental oxygen. […]

• No harm, potential for more than minimal, isolatedF695Feb 21, 2025

  Based on observations, record reviews, and Resident and staff interviews, the facility failed to ensure an oxygen concentrator filter was free of dust and failed to ensure a concentrator had an external filter for 1 of 2 residents (Resident #16) reviewed for respiratory care. The findings included: Resident #16 was admitted to the facility on [DATE] with diagnoses that included hypoxemia (low levels of oxygen in the blood). A review of Resident #16's physician orders dated 06/28/24 indicated oxygen at 1-3 liters per minute via nasal cannula as needed for hypoxia every shift and change oxygen tubing and clean filter every Thursday night. […]

• No harm, potential for more than minimal, isolatedF761Feb 21, 2025

  Based on observations, record reviews, and resident and staff interviews, the facility failed to secure opened tubes of medicated ointment/skin protectant observed in residents' rooms for 2 of 2 residents reviewed for medication storage (Resident #49 and Resident #27). Findings included: 1. Resident #49 was admitted to the facility 09/13/21 with a diagnosis including non-Alzheimer's dementia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #49 was moderately cognitively impaired. An observation of Resident #49's dresser on 02/18/25 at 11:12 AM revealed a 0.33-ounce tube of triple antibiotic ointment sitting on top. […]