Dr Ronald E McNair Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Dr Ronald E McNair Nursing & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Sep 24, 2021

  Amended [DATE] Based on interviews, record reviews, and review of the facility's policy titled, Residents Rights Regarding Treatment and Advance Directives, and Medical Emergency Response, and Communication of Code Status, the facility failed to ensure that care and services were provided for 1 of 1 sampled resident reviewed for death in the facility. Resident #53 was designated a full code status but did not receive Cardiopulmonary Resuscitation (CPR) as ordered. On [DATE] at approximately 11:45 AM, the Administrator was notified that Immediate Jeopardy (IJ) existed at F678 with a scope and severity level of J with an effective date of [DATE], related to the failure to provide Cardio-Pulmonary Resuscitation to a Resident with a Advance Directive status of Full Code. […]

• Actual harm, patternF760Sep 24, 2021

  Amended 12/6/21 Based on record reviews, interviews and review of the facility policy titled, Medication Administration, and Medication and Treatment Orders. the facility failed to ensure 17 residents received medications as ordered by the attending physician during the month of August 2021. The residents that did not received their ordered medications include: Resident #8, #10, #11, #12, #15, #22, #23, #24, #26, #31, #40, #42, #44, #48, #50 and Resident A and B. The findings included: Resident 8 Based on the review of R8's quarterly Minimum Data Set (MDS) assessment, with an assessment reference date (ARD) of 07/25/21, the resident was admitted on [DATE] with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Nov 26, 2024

  Based on observation, interviews, and review of the facility policy, the facility failed to ensure that food items were correctly labeled and dated in the freezer and dry storage areas. This deficiency has the potential to increase the risk of foodborne illnesses. Findings include: Review of the facility policy titled, Labeling and Dating Foods (Date Marking), dated 2020 reveals, All foods stored will be labeled according to the following guidelines. Guidelines outlined include but are not limited to the following. 1. Date marking for dry storage food items. […]

• No harm, potential for more than minimal, widespreadF908Nov 26, 2024

  Based on the facility policy, observations and interviews, the facility failed to ensure an excessive amount of lint was removed from the top of the lint basket and around the wiring in 1 of 3 clothes dryers. Findings include: Review of the facility policy titled, Lint Removal in Laundry, states, The facility removes lint from Dryers to prevent transmission of pathogens and hazards. 4. Laundry equipment will be used and maintained. 5. Lint trap is checked frequently and cleaned by Laundry Staff at least hourly while the machine is in use. The logs reviewed did not contain any documentation to ensure the lint had been removed since the start of the shift. An observation on 11/26/2024 at 07:51 AM revealed an excessive amount of lint in 1 of 3 clothes dryers. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2021

  Based on observation, interviews and review of facility's policy on Chemical Hand Dishwashing procedures, the facility failed to provide the proper amount of chemical hand sanitizing solution required in the 3-compartment hand dishwashing sink to ensure that foods are stored, prepared and served in sanitary conditions, 1 of 1 kitchen observed for proper sanitization levels. Findings include: On 7/27/21 at 2:15 pm, the Dietary Supervisor (DS) was observed performing the procedure of testing hand sanitizing solution in the 3-compartment chemical hand dishwashing sink. The DS dipped the chemical test strip into the third sink of the compartment for 30 seconds. The Dietary Manager compared the color of the test strip to the colors on the chart to verify a 200 ppm solution. […]