Dyer Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Jul 29, 2021

  Based on the Centers for Disease Control and Prevention (CDC) guidelines, Time Detail Reports, COVID-19 Daily Employee Screening Logs, and interview, the facility failed to follow CDC Infection Control guidelines to ensure all staff who enter facility completed the screening process for the prevention or spread COVID-19 when 30 of 108 staff members (Nurses Aide (NA) #1, #2, #3, #4, #5, #6, and #7, Certified Nurse Aide (CNA) #1, #2, #3, #4, #5, and #6, Licensed Practical Nurse (LPN) #1, #2, #3, #4, #5, #6, #7, #8, and #9, Registered Nurse (RN) #1, Dietary Staff #1, #2, and #3, Housekeeping Staff #2 and #3, and Physical Therapy (PT) Staff #1 and #3) failed to complete screenings for COVID-19 prior to working for 8 of 8 days (7/10/2021-7/17/2021) reviewed. […]

• No harm, potential for more than minimal, isolatedF761Dec 18, 2024

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 2 of 5 medication storage areas (North Back Medication Cart and South Middle Hall Medication Cart) that were left unlocked and unattended, and when 1 of 1 nurses (Licensed Practical Nurse (LPN) #A) failed to ensure medications were not left unattended. The findings include: 1. Review of the facility's policy titled, Storage of Medications, dated ,d+[DATE], revealed .The facility shall store all drugs and biologicals in a safe, secure, and orderly .The facility shall not use discontinued, outdated, or deteriorated drugs .All such drugs shall be returned .or destroyed .Compartments (including, but not limited drawers, cabinets .carts .) containing drugs and biologicals… […]

• No harm, potential for more than minimal, isolatedF880Dec 18, 2024

  Based on policy review, medical record review, and interview, the facility failed to ensure proper infection control practices for 1 of 3 (Resident #7) residents reviewed for Tuberculosis (TB) Two Step Mantoux Test Results. The facility had a census of 63. The findings include: 1. Review of the facility's policy titled, Infection Prevention and Control Program, dated 10/2018, revealed An infection prevention and control program .is established and maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission, of communicable diseases and infections .Surveillance tools are used for recognizing the occurrence of infections .detecting outbreaks . […]

• No harm, potential for more than minimal, isolatedF693Jun 13, 2024

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure enteral feedings were labeled and dated for 1of 1 (Resident #55) sampled residents reviewed for enteral feeding. The findings include: 1. Review of the facility's policy titled, Enteral Tube Feedings, revised 1/2014, revealed .On the formula label document initials, date and time the formula was hung/administered . 2. Review of the medical record revealed Resident #55 was admitted to the facility on [DATE], with diagnoses including Dysphagia and Gastroparesis. […]

• No harm, potential for more than minimal, isolatedF880Jun 13, 2024

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 1 of 1 Licensed Practical Nurse (LPN #A) failed to follow Enhanced Barrier Precautions in a resident's room while giving care. The findings include: 1. Review of the facility's policy titled, Enhanced Barrier Precautions, dated August 2022, revealed .Enhanced barrier precautions (EBPs) are used as an infection prevention and control intervention to reduce the spread of multi-drug resistant organisms (MDROs) to residents .EBPs employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise apply .Gloves and gown are applied prior to performing the high contact resident care… […]