Diboll Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Diboll Nursing and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Jun 14, 2023

  Based on observation, interviews and record review, the facility failed to immediately consult with the physician of a significant change in the resident's physical, mental, psychosocial status; or a need to alter treatment significantly for 1 (Resident #35) of 8 residents reviewed for parameters to notify Physician of critical lab levels The facility failed to notify Resident # 35's primary care physician of critical low blood sugar readings of (46 mg/dl on 05/17/23 and 44mg/dl, on 05/21/23). The facility failed to train the staff of when to report changes to the physician. An Immediate Jeopardy (IJ) situation was identified on 06/13/23 at 3:00 PM. The IJ template was provided to the facility on [DATE] at 3:03pm. […]

• Immediate jeopardy, isolatedF684Jun 14, 2023

  Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents ' choices for 1 of 8 residents (Resident #35), reviewed for quality of care. The facility failed to obtain orders for finger stick blood sugars for resident #35 and to follow their policy on Management of Hypoglycemia, (low blood sugar), when resident # 35's blood sugar reading was at critical levels of 46mg/dl on 05/17/23 and 44mg/dl on 05/23/23 and hold parameter for Insulin if blood sugar reading is at a critical level of below 70mg/dl. Resident #35 experienced sweating and shakiness when her blood sugar fell below 80mg/dl. […]

• No harm, potential for more than minimal, widespreadF812Jul 17, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for dietary services. 1. The Dietary Aide failed to properly wear hair net while in the kitchen on [DATE]. 2. Dietary Staff failed to check and log the dishwasher temperature and sanitation for month of [DATE]. 3. Dietary Staff failed to properly label and dispose of leftovers from the refrigerator. 4. Facility staff failed to clean Resident #7's water pitcher. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, widespreadF727Jun 14, 2023

  Based on observation, interview and record review, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, 7 days a week for 5 of 5 months reviewed. (January 2023-May 2023) The facility did not have RN coverage for 4 days in January 2023. The facility did not have RN coverage for 17 days in February 2023. The facility did not have RN coverage for 17 days in March 2023. The facility did not have RN coverage for 3 days in April 2023. The facility did not have RN coverage for 2 days in May 2023. This failure could place residents at risk by leaving staff without supervisory coverage for RN specific nursing activities and for coordination of events such as an emergency care and disasters. […]

• No harm, potential for more than minimal, widespreadF882Jun 14, 2023

  Based on interview and record review, the facility failed to ensure that the designated individual responsible for the infection control program was certified in infection prevention . This failure has the potential to affect all 36 residents of the facility due to potential outbreaks infections. (There was no full time Infection Preventionist at the facility.) Findings include: During an interview on 6/13/2023 at 8:10 AM, the ADON said she had been employed at the facility for 3 weeks and was not a Certified Infection Preventionist. She said the facility did not currently have a DON/IP and the DON/IP's last day was 5/26/2023. […]