Effingham Healthcare & Senior Living

In the surveyor’s words

From the most serious findings on record at Effingham Healthcare & Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 24, 2025

  Based on interview and record review, the facility failed to provide a safe mechanical lift transfer for 1 (R1) of 3 residents reviewed for accidents in the sample of 5. This failure resulted in R1 acquiring a laceration to her head on the top left side resulting in 2 sutures being placed.This past noncompliance occurred between 11/26/25 and 12/1/25. Findings include:R1's admission Record documented an admission date of 11/10/2025 and diagnoses including chronic systolic heart failure, type 2 diabetes mellitus without complications, morbid (severe) obesity due to excess calories, and adult failure to thrive. R1's Minimum Data Set (MDS) dated [DATE], documented under section C- (cognitive patterns) a BIMS (Brief Interview for Mental Status) of 15, indicating R1 was cognitively intact. […]

• Actual harm, isolatedF550Sep 20, 2024

  Based on observation, interview and record review, the facility failed to ensure assistance with hygiene care for 1 (R31) of 1 resident reviewed for dignity in the sample of 24. This failure resulted in R31 being left in urine-soaked clothing with urine dripping under his chair during mealtime, which would cause a reasonable person to feel discomfort, humiliation and frustration. The Findings Include: R31's Face Sheet documents an admission of 10/9/2023 and includes the following diagnosis: schizophrenia. R31's quarterly Minimum Data Set (MDS) dated [DATE] documents a Brief Interview of Mental Status (BIMS) score of 3, indicating severe cognitive impairment. Section H of this same MDS documents R31 is frequently incontinent for urine. […]

• Actual harm, isolatedF622Jan 17, 2024

  Based on interview and record review, the facility failed to provide an acceptable reason for discharge and failed to allow a resident to return to the facility for 1 (R1) of 3 residents reviewed for transfer/discharge in the sample of 19. This failure resulted in R1 remaining in the emergency room without placement from 12/12/23 to 12/18/23 and being admitted to a hospice room at the hospital due to not having a facility to be discharged to. This failure resulted in R1 having feelings of embarrassment, devastation, abandonment and fear of not knowing what was going to happen to him. […]

• Actual harm, isolatedF689Dec 15, 2023

  Based on interview and record review the facility failed to ensure residents were safely transferred without injury for 1 (R3) of 3 residents reviewed for mechanical transfers in the sample of 12. The failure resulted in R3 suffering pain with left sided rib fractures, numbers 3 - 10 and a pneumothorax to the left lung. Findings Include: Review of R3's Admission Record documented R3's initial admitted to the facility as 08/23/21. R3's date of birth is listed as 3/24/53. The same document lists diagnoses for R3 including but not limited to: Aphasia following Cerebral Infarction; Major Depressive Disorder; Essential Hypertension; Unspecified Atrial Fibrillation, etc. […]

• Actual harm, isolatedF689Apr 24, 2023

  Based on observation, interview, and record review, the facility failed to provide the level of supervision necessary to prevent falls and consistently implement fall interventions for a resident assessed as a high risk for falls for 1 of 3 residents (R1) reviewed for accidents and supervision in a sample of 3. This failure resulted in R1 falling out of her wheelchair on 3/8/23, sustaining a right hip fracture. Findings include: R1's Minimum Data Set (MDS) dated [DATE] documented an admitted [DATE], and listed diagnoses of Sequelae of Cerebral Infarction, Congestive Heart Failure, Bipolar Disorder, Schizoaffective Disorder, Chronic Atrial Fibrillation, Diabetes Type 2, Generalized Muscle Weakness, and Unsteadiness on Feet. […]