D Scott Hudgens Center for Skilled Nursing, The

In the surveyor’s words

From the most serious findings on record at D Scott Hudgens Center for Skilled Nursing, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Jun 16, 2024

  Based on staff interviews, record review, and review of the PBJ (Payroll Based Journal) [NAME] Report for First Quarter (Q1) of fiscal year 2024 (October 1-December 31), the facility failed to accurately report its staffing data to the Centers for Medicare and Medicaid (CMS) related to Registered Nurse (RN) coverage and Licensed Nursing Coverage 24 hours a day. The facility census was 31 residents. Findings include: Review of the PBJ [NAME] Report for Q1 2021, October 1 through December 31, revealed the facility reported data, which declared there was no coverage by a RN for at least eight hours for the following dates: 1. October 7, October 8, October 21, and October 22. 2. […]

• No harm, potential for more than minimal, widespreadF882Jun 16, 2024

  Based on staff interviews and review of the facility's policies titled, Infection Prevention and Control Program and [Name of the Facility] Position Description, the facility failed to have a qualified Infection Preventionist who had completed the required specialized training in infection prevention and control. This failure placed all residents at risk for the potential transmission of infections and communicable diseases. The facility census was 31 residents. Findings include: Review of the facility's policy titled, Infection Prevention and Control Program dated 10/23/2023 under the section titled, Policy Explanation and Compliance Guidelines: revealed, Number one, The designated Infection Preventionist (IP) is responsible for oversight of the program and serves as a consultant to our… […]

• No harm, potential for more than minimal, patternF656May 11, 2023

  Based on observation, staff interviews, record review, and a review of the facility's policies titled Resident Rights and Advance Directive and Do Not Resuscitate (DNR) Policy, the facility failed to develop a Comprehensive Care Plan to address one of 13 residents (#22) that had facility acquired wounds and failed to develop a Comprehensive Care Plan to address the code status for four of 13 residents (#5, #11, #20 and #27). Findings include: Review of the Policy titled Resident Rights: Federal and State Law, last revised on 4/2014, revealed that the resident has the right to be fully informed in advance about care and treatment and of any changes in that care or treatment that may affect the resident's well-being and unless adjudged incompetent or otherwise found to be incapacitated… […]

• No harm, potential for more than minimal, patternF727May 11, 2023

  Based on staff interviews, record review, and a review of the facility's policy titled, Nurse Staffing Sufficiency, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, for seven days a week for three days (4/1/2023, 4/8/2023 and 4/30/2023) of a 30-day review. Findings include: A review of the policy titled Nurse Staffing Sufficiency, revealed the requirements of a sufficiently nurse-staffed unit. 10. The facility has the services of an RN available eight consecutive hours a day, seven days a week. A review of the past 30 days of Daily Staffing posts revealed there was no RN on duty for a minimum of eight consecutive hours per day on 4/1/2023, 4/8/2023, and 4/30/2023. […]

• No harm, potential for more than minimal, patternF600Mar 8, 2023

  Based on staff interviews, record review, and review of the facility's policy titled, Abuse, Neglect, and Exploitation, the facility failed to protect the resident's right to be free from neglect by staff for 1 of 3 residents (R) (#1) reviewed for abuse. Specifically, the facility failed to prevent repeated discoveries of the presence of a disposable, incontinence wipe in R#1's rectum. Findings included: A review of the facility's policy titled, Abuse, Neglect and Exploitation, dated 2021, indicated It is the policy of this facility to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. […]