Dadeville Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF688Apr 22, 2021

  Based on observations, interviews, record review, and policy review, the facility failed to provide services to three of eight residents (Resident Identifier (RI) #67, #11, and #73) reviewed for limitations in range of motion (ROM) in a total sample of 23. The facility failed to assess residents with ROM impairments and provide services to maintain function or prevent declines. In addition, the facility failed to implement established restorative programs for residents with programs in place. Findings include: A policy for the Functional Maintenance Plan (FMP)/Restorative Nursing was requested. The Rehab Nurse, Employee Identifier (EI) #4, brought a policy to the surveyor dated 04/21/21. EI #4 stated she just wrote the policy; there was no policy previously. […]

• No harm, potential for more than minimal, patternF761Apr 22, 2021

  Based on observation and interviews, the facility failed to keep medications under safe and secure storage with limited access and under direct observation of authorized staff for one of six medication carts observed. In addition, the facility failed to ensure insulin vials and pens were dated when opened for four of six medication carts observed which affected six of 21 residents identified by the facility as having used insulin. Findings include: 1. Review of an undated facility policy titled, Administration of Medications, revealed .Medication carts shall be kept in sight or locked whenever back is turned or away from the cart .No one shall have access to drugs in the medication carts except the licensed nurses for that specific unit . […]

• No harm, potential for more than minimal, patternF880Apr 22, 2021

  Based on observation, interview, and record review, the facility failed to ensure three of three residents (Resident Identifier (RI) #28, RI #50 and RI #282) reviewed for oxygen (O2) therapy in a sample of 23 residents received O2 therapy with equipment that was cleaned and stored in a way to prevent possible contamination. The concentrators had dusty filters and the nasal cannulas were not dated to indicated when the tubing had been changed and the nasal cannulas were not placed in a bag when not in use. […]

• No harm, potential for more than minimal, isolatedF550Apr 22, 2021

  Based on observation, interview, and record review, the facility failed to provide dignity in toileting for one of 23 sampled residents (Resident Identifier (RI) #8). The facility staff failed to provide RI #8 with interventions, such as assisting to the bathroom, a bedside commode, or bed pan, to remain continent but instead provided adult briefs for bowel and bladder function. Findings include: Review of the Admission Record located in the paper medical chart revealed RI #8 was originally admitted to the facility on [DATE]. RI #8 was discharged back to the assisted living and was readmitted to the facility on [DATE] and on 10/16/20 after receiving care at the hospital for fractures. On 04/19/21 at 3:16 PM, RI #8 was observed lying in bed. […]

• No harm, potential for more than minimal, isolatedF623Apr 22, 2021

  Based on record review and interview, the facility failed to provide written notice of a transfer for one of one resident (Resident Identifier (RI) #31) reviewed for hospital transfers to the resident and the resident representative when the resident was transferred to the hospital; and failed to notify the State office of the Ombudsman of resident transfers. Findings include: Review of RI #31's Face Sheet, dated 02/05/21, located in RI #31's paper medical record, showed a facility admitted [DATE] and a re-admitted [DATE]. Review of RI #31's nursing Progress Notes, dated 01/31/21 at 11:45 AM, located in RI #31's paper record under the nurses notes tab, revealed Res [resident] still has had no results from [MEDICATION(S)] on 01/29/21 or MOM [Milk of Magnesia] + senna syrup on 01/30/21 . […]