Countryside Health & Rehab of Newton County

In the surveyor’s words

From the most serious findings on record at Countryside Health & Rehab of Newton County, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Nov 15, 2024

  Based on observations, interviews, record review, and facility policy review, it was determined the facility failed to ensure staff performed hand hygiene during meal service; failed to ensure insulated meal cart door remained closed when not accessing meal trays; failed to ensure proper infection control practices were performed during medication pass for 1 (Resident #21) failed to ensure measures were taken to prevent resident's from using bathroom sink water in oral care for 1 (Resident #22) resident of 17 sampled residents, and water fountains were marked/labeled/taken out of service from use by residents, staff and visitors. […]

• No harm, potential for more than minimal, patternF641Nov 15, 2024

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed for 2 (Resident #33 and Resident #27) of 17 sampled residents reviewed for MDS accuracy. Specifically, the facility failed to ensure information regarding the resident's hospice care was accurately completed for Resident #33 and failed to ensure information regarding enteral feeding was accurately completed for Resident #27. Findings include: A review of the Admission Record, indicated the facility admitted Resident #33 with diagnoses that included paraplegia, wedge compression fracture of vertebra, cord compression, injury to lumbar spinal cord, chronic kidney disease, and disorder of the prostate. […]

• No harm, potential for more than minimal, patternF726Nov 15, 2024

  51477 Based on observations, interviews, record review, and facility document review, it was determined the facility failed to ensure staff performed accurate medication administration to a resident; and failed to ensure a resident's current diagnoses were documented in the medical record; and failed to ensure the Minimum Data Set (MDS) and care plan accurately reflected a residents current diagnoses and medications, and care required for 1 (Resident #20) resident; and the facility failed to ensure medication was prepared for administration in accordance with current acceptable standards of practice and facility policy for 2 (Resident #20 and Resident #21) residents; and the facility failed to ensure staff used a mechanical lift according to facility policy and manufacturing guidelines for… […]

• No harm, potential for more than minimal, patternF759Nov 15, 2024

  Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to ensure its medication error rate was not 5% or greater. There were three errors out of 36 opportunities for 2 (Resident #20 and Resident #21) of 6 residents, which resulted in a medication error rate of 8.33%. Findings include: A review of a facility policy titled, Administering Medications, dated 11/14/2024 indicated, The Director of Nursing (DON) would direct and supervise personnel administering medications and related functions. Medications must be administered in required time frames and per physician orders. Number 7. […]

• No harm, potential for more than minimal, patternF760Nov 15, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents were free from significant medication errors related to hypothyroid (replacement for deficient or low thyroid hormone level) medication, antiulcer (to prevent development of ulcerations in the stomach and upper small intestine) medication, and insulin administration, for 2 (Resident #20 and Resident #21) of 6 residents reviewed for medication administration. This failed practice resulted in Resident #20 receiving an inaccurate dose of hypothyroid and antiulcer medication from 07/21/2024 through 11/15/2024. […]