Coosa Valley Health and Rehab

In the surveyor’s words

From the most serious findings on record at Coosa Valley Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF607Jan 5, 2023

  Based on interviews, record reviews and a review of facility policies titled, Abuse, Neglect and Exploitation, Controlled Substances, Inventory Control of Controlled Substances and Online Incident Report, the facility failed to ensure licensed staff members were following the facility policy on conducting counts with the exchanging of the cart keys, which resulted in missing medications for Resident Identifier (RI) #4. This deficient practice affected RI #4, one of one resident's who were investigated for missing narcotic medication. […]

• No harm, potential for more than minimal, isolatedF677Apr 29, 2022

  Based on observations, record review, interviews, and review of a facility policy titled Perineal Care, the facility failed to provide incontinence care to RI (Resident Identifier) #43 in a timely manner. This deficient practice had the potential to affect RI #43, one of one resident sampled for incontinence care. Findings included: A review of the facility's policy titled Perineal Care, last revised in February of 2018, indicated Purpose The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition. RI #43 was admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF690Apr 29, 2022

  Based on observations, record review, and interviews, the facility failed to ensure Resident Identifier (RI) #31, had documented medical justification for the use of an indwelling urinary catheter. This deficient practice affected RI #31; one of seven residents reviewed for catheter use. Findings included: A review of RI #31's Face Sheet revealed no diagnoses related to the use of an indwelling urinary catheter. A review of a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The order lacked information regarding the catheter size to be used or any diagnoses related to the use of the catheter. Review of RI #31's record revealed no documented valid medical justification for the indwelling urinary catheter placement and no indications for its continued use. […]

• No harm, potential for more than minimal, isolatedF580Feb 16, 2021

  Based on interview, medical record review, and review of a facility policy titled, Change in a Resident's Condition or Status, the facility failed to ensure Resident Identifier (RI) #1's resident representative was notified of a change in condition requiring a new treatment order on 12/14/2020. This deficient practice affected RI #1, one of five sampled residents reviewed for notifications. Findings include: Review of the facility policy titled, Change in a Resident's Condition or Status, revised May 2017, revealed the following: .4. Unless otherwise instructed by the resident, a nurse will notify the resident's representative when: .b. There is a significant change in the resident's physical, mental, or psychosocial status . 6. […]