Erwin Health Care Center

In the surveyor’s words

From the most serious findings on record at Erwin Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF604May 17, 2024

  Based on facility policy review, review of facility documentation, medical record review, observation, and interview, the facility failed to recognize and use the least restrictive interventions or restraint device for the least amount of time and failed to attempt a reduction to a least restrictive device or eliminate the restraint devices during the 30-day assessments. The facility's failure to recognize and use the least restrictive interventions or restraint device for the least amount of time and failure to attempt a reduction to a least restrictive device or eliminate the restraint devices during the 30-day assessments resulted in 4 residents of 29 residents (Residents #9, #13, #18, and #21) being placed in restraints that were not the least restrictive for an extended amount of… […]

• Immediate jeopardy, patternF835May 17, 2024

  Based on facility policy review, review of facility documentation, medical record review, observation, and interview, the facility failed to recognize and use the least restrictive interventions or restraint device for the least amount of time and failed to attempt a reduction to a least restrictive device or eliminate the restraint devices during the 30-day assessments. The facility's failure to recognize and use the least restrictive interventions or restraint device for the least amount of time and failure to attempt a reduction to a least restrictive device or eliminate the restraint devices during the 30-day assessments resulted in 4 of 29 sampled residents (Resident #9, #13, #18, and #21) being placed in restraints that were not the least restrictive for an extended amount of time. […]

• No harm, potential for more than minimal, widespreadF812Jan 20, 2022

  Based on review of facility policy, observation, and interview, the facility failed to maintain a clean environment in the dietary department with the potential to affect 81 of 81 residents in the facility. The findings include: Review of the facility policy titled, Cleaning and Sanitization in Dietary, dated 5/2021 showed The food service area shall be maintained in a clean and sanitary manner .All equipment, food contact surfaces .shall be washed to remove or completely loosen soils by using the manual or mechanical means necessary and sanitized .Manual washing and sanitizing will employ a three-step process .Scrape food particles and wash using hot water and detergent .Rinse with hot water to remove soap residue .Sanitize with hot water or chemical sanitizing solution . […]

• No harm, potential for more than minimal, widespreadF867Jan 20, 2022

  Based on review of facility policy, review of Quality Assurance Performance Improvement (QAPI) Plan of Correction, medical record review, review of facility documentation, and interview, the facility failed to ensure the Quality Improvement Committee identified issues and implemented corrective action plans with monitoring to ensure care plans were continuously updated and current to meet the resident's needs and to ensure equipment in the kitchen was sanitary for use to prepare resident meals. […]

• No harm, potential for more than minimal, isolatedF550Mar 19, 2025

  Based on medical record review, observations, and interviews the facility failed to ensure 1 resident (Resident #322) of 9 residents were treated with dignity during the lunch meal service when residents at the same table were not served the meal at the same time. The findings include: Review of the medical record revealed Resident #322 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, Dementia, and Psychotic Disorder. Review of the comprehensive care plan for Resident #322 dated 2/28/2025, revealed .Self-Care Deficit .Feeding .Provide assistance with ADLs [activities of daily living] . […]