Four Corners Regional Care Center

In the surveyor’s words

From the most serious findings on record at Four Corners Regional Care Center, in the surveyor’s own words.

• Actual harm, patternF689Jan 9, 2025

  Based on observation, interview, and record review, the facility did not ensure that the resident's environment remained as free of accident hazards as was possible; and that the resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 7 out of 39 samples residents, residents that had falls with injuries did not have interventions implemented to prevent future falls with injuries, a resident sustained an injury during cares provided by staff that resulted in the resident rolling out of bed, a resident that was provided a one on one with staff had falls with injuries, and residents that required a two person Hoyer lift had staff only use one person. Resident identifiers: 17, 19, 23, 29, 41, 52, and 296. Finding included: 1. […]

• Actual harm, isolatedF690Mar 15, 2023

  Based on interview and record review, it was determined, the facility did not ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections (UTI). Specifically, for 1 out of 23 sampled residents, facility staff did not: promptly respond with the resident presented with signs and symptoms of a UTI; ensure the resident received an antibiotic susceptible to organism causing the UTI; and, obtain antibiotic order clarification when a disparity existed. Resident identifier: 10. […]

• No harm, potential for more than minimal, widespreadF732Jan 9, 2025

  Based on observation and interview, the facility did not have the nurse staffing information posted. The facility must post the following information on a daily basis: Facility name, the current date, the total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistant, and resident census. The facility must post the nurse staffing data on a daily basis at the beginning of each shift and maintain the posted daily nurse staffing data for a minimum of 18 months. […]

• No harm, potential for more than minimal, patternF609Jan 9, 2025

  Based on interview and record review, the facility did not ensure that alleged violations involving abuse were reported immediately but not later than two hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the events that caused the allegation did not involve abuse and did not result in serious bodily injury to officials including the State Survey Agency (SSA) and Adult Protective Services (APS). Specifically, for 6 out of 39 sampled residents, allegations of resident to resident abuse and injuries of unknown origin were not reported timely to the SSA or APS. In addition, allegations of resident to resident sexual abuse and neglect were not reported to the SSA or APS. […]

• No harm, potential for more than minimal, patternF610Jan 9, 2025

  Based on interview and record review, the facility in response to allegations of abuse, neglect, or mistreatment did not have evidence that all alleged violations were thoroughly investigated. Specifically, for 13 out of 39 sampled residents, allegations of resident to resident sexual abuse, injuries of unknown origin, and neglect were not investigated or the allegations were not investigated thoroughly. Resident identifiers: 13, 17, 32, 36, 46, 47, 48, 49, 50, 52, 51, 54, and 55. Findings included: 1. […]