Edmonson Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656May 4, 2022

  Based on observation, interview, record review, facility policy review, and review of the Centers for Medicare and Medicaid Services (CMS), Resident Assessment Instrument (RAI) Manual 3.0, it was determined the facility failed to develop and implement a comprehensive person-centered care plan that included measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs which had been identified in the comprehensive assessment. Review of Resident #4's Comprehensive Care Plan revealed the facility care planned the resident as at risk for elopement with interventions which included encouraging the resident's participation in activity preferences; allowing him/her to express his/her feelings, providing empathy and reassurance, and diverting the… […]

• Immediate jeopardy, isolatedF689May 4, 2022

  Based on interview, record review, review of facility policy and investigation documentation, it was determined the facility failed to ensure each resident received adequate supervision and monitoring to prevent elopement for one (1) of three (3) sampled residents (Resident #4). On 09/06/2021 at approximately 6:32 PM, Resident #4 activated the pull fire alarm on the 100 Hall on the East Unit, causing the magnetic locking mechanism on the facility doors to automatically disengage. This allowed Resident #4 to exit the facility without the staff's knowledge and supervision. Per the facility's protocol, facility staff proceeded to check all rooms and closed doors, discovering Resident #4 was not on his/her unit. […]