Gadsden Health and Rehab Center

In the surveyor’s words

From the most serious findings on record at Gadsden Health and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF600Apr 13, 2023

  Based on record reviews, interviews, review of the facility's investigation file, review of the facility's report to Alabama Department of Public Health (ADPH) Online Incident Reporting System, and a review of the facility's policy titled, Abuse, Neglect and Exploitation, the facility failed to ensure a Certified Nursing Assistant (CNA)/Employee Identifier (EI) #4, did not verbally abuse Resident Identifier (RI) #1 on 12/13/2022, after RI #1 called EI #4, stupid and a bitch. CNA, EI #3, who witnessed the interaction between RI #1 and EI #4 on 12/13/2022, did not intervene even though she knew it was abuse when she overheard EI #4 calling RI #1 a mother fuc . EI #3 stated she was afraid of EI #4, due to EI#4's temper. […]

• No harm, potential for more than minimal, isolatedF607Apr 13, 2023

  Based on record reviews, interviews, review of the facility's investigation file and a review of the facility's policy titled, Abuse, Neglect and Exploitation, the facility failed to ensure staff implemented one of the seven components of the abuse policy. A Certified Nursing Assistant (CNA) failed to report an allegation of verbal abuse to the abuse coordinator after she witnessed the abuse on 12/13/2023 in accordance with the facility policy. This affected RI #1 one of four residents sampled for abuse. Cross reference F600. Findings include: A facility policy titled Abuse, Neglect and Exploitation dated 11/27/2017 documented: . Each resident has the right to be free from abuse . Policy Explanation and compliance Guidelines: 1. […]

• No harm, potential for more than minimal, isolatedF637Jul 15, 2021

  Based on interview, record review and review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure a Significant Change Minimum Data Set (MDS) was completed when Resident Identifier (RI) #23 was discharged from hospice on 5/1/21. This affected one of two residents sampled for Hospice. Findings Include: A review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.17.1, dated October 2019, reveled . […]

• No harm, potential for more than minimal, isolatedF641Jul 15, 2021

  Based on interview, record review and review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #36's Quarterly Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 05/02/2021, did not code RI #36 as receiving an Anticoagulant medication during this assessment period. This deficient practice affected RI #36, one of 31 residents whose MDS assessments were reviewed. Findings include: A review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.17.1, dated October 2019, revealed the following: . Coding Instructions . NO410E, Anticoagulant (e.g. […]

• No harm, potential for more than minimal, isolatedF693Jul 15, 2021

  Based on observations, record review, interviews, and review of Potter & Perry Fundamentals of Nursing, the facility failed to ensure Resident Identifier (RI) #99's tube feeding bottle and water bag were labeled. This affected one of five residents sampled for tube feeding. Findings Include: A review of Potter & Perry Fundamentals of Nursing, Ninth Edition, copyright 2017, Chapter 45 Nutrition, page 1082, revealed: . SAFETY GUIDELINES FOR NURSING SKILLS . When performing the skills in this chapter, remember the following points to ensure safe, individualized patient care. * Label enteral equipment with patient name and room number; formula name, rate, and date and time of initiation; and nurse initials . […]