Craighead Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 1, 2023

  Based on observation, interview and record review, the facility failed to ensure the kitchen area was maintained in a clean and sanitary manner to prevent the potential for food borne illness, as evidence by uncovered trash cans, greasy work tables, shelfs and appliances, stick walls and appliance, and food splatter; dietary staff washed their hands between clean and dirty tasks, and when checking the temperature of food items, the handle of the thermometer did not touch the food to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 84 residents who received their meals from 1 of 1 kitchen according to a list provided by the Administrator on 09/01/23 at 9:22 AM. The findings are: 1. […]

• No harm, potential for more than minimal, patternF684Apr 8, 2025

  Based on record review, interview, manufacturer guidelines, and facility policy review, the facility failed to ensure residents were transferred via mechanical lift in accordance with manufacturer guidelines, staff training, and resident care plans to prevent accidents for two (Resident #1, Resident #2) of five residents reviewed for transfers. The findings are: 1. A review of an Order Summary indicated Resident #1 was admitted to the facility with diagnoses that included dementia, degenerative disease of the nervous system and malnutrition. […]

• No harm, potential for more than minimal, patternF657Jul 11, 2024

  Based on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure care plan interventions were added to the care plan for elopement monitoring device for 1 (Resident #21). Findings include: A review of a facility policy titled, Care Plan Revisions Upon Status Change dated 03/25/2024, indicated the comprehensive care plan will be reviewed and revised as necessary, when a resident experiences a status change. A review of the Medical Diagnosis indicated the facility admitted Resident #21 with diagnosis of unspecified dementia. […]

• No harm, potential for more than minimal, patternF689Jul 11, 2024

  Based on observations, interviews, record reviews, facility document review, and facility policy review, it was determined the facility failed to ensure interventions to prevent falls were implemented for 1 (Resident #21) resident and the sharps container (a container to dispose of used needles and other sharp objects) in the shower room was not overfilled to prevent access/injury. Findings include: 1. A review of a facility policy titled Accidents and Supervision signed and dated by the Administrator on 07/11/2024 indicated, The resident environment will remain as free of accident hazards as is possible. Each resident will receive adequate supervision and assistive devices to prevent accidents. […]

• No harm, potential for more than minimal, patternF695Jul 11, 2024

  Based on observations, interviews, record reviews, and facility policy review, it was determined the facility failed to administer oxygen at the physician ordered rate for 1 (Resident #47) of 1 sampled resident. Findings include: A review of a facility policy titled, Oxygen Administration dated 03/22/2024 indicated, Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences. 1. Oxygen is administered under orders of a physician, except in the case of an emergency. 4. The resident's care plan shall identify the interventions for oxygen therapy, based upon the resident's assessment and orders such as, but not limited to: a. The type of oxygen delivery system. b. […]