Galax Health and Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Nov 21, 2024

  Based on staff interview, clinical record review and facility document review the facility staff failed provide basic life support, including cardiopulmonary resuscitation (CPR) to 1 of 13 residents, Resident #2, which constututed a determination of Immediate Jeopardy (IJ). The scope and severity was originally cited at Immediate Jeopardy, Level IV isolated and was reduced to a Level II isolated after the facility was cleared of Immediate Jeopardy. The Administrator, DON (director of nursing) regional vice-president of operations and regional clinical director were notified on [DATE] that the extended survey process had begun at 1:30 pm, as the survey team had identified Immediate Jeopardy in the area of Quality of Life. […]

• No harm, potential for more than minimal, patternF655Nov 16, 2023

  Based on staff interview, clinical record, facility document review the facility staff failed to develop a baseline care plan within 48 hours of admission for 4 of 22 residents sampled. Resident #64, #77, 294, and #86. The findings include: 1. For resident # 64, the facility staff failed to develop a baseline care plan when the resident was admitted to the facility. Resident # 64's diagnoses included, but were not limited to, unspecified dementia, chronic atrial fibrillation, age related osteoporosis, essential hypertension, chronic pain syndrome, and presence of a cardiac pacemaker. […]

• No harm, potential for more than minimal, patternF730Nov 16, 2023

  Based on staff interview and facility document review, the facility staff failed to complete reviews of nurse aide's at least every 12 months and failed to provide in-service education based on the outcome of these reviews. The findings included: The facility administrative staff failed to complete performance reviews of nurse aides at least every 12 months and failed to provide regular in-service education based on the outcomes of reviews/evaluations. During the task sufficient and competent nurse staffing the surveyor requested information regarding nurse aide reviews/evaluations and in-service training. […]

• No harm, potential for more than minimal, patternF760Nov 16, 2023

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure 4 of 22 residents were free of significant medication errors, Residents #242, #294, #48, and #34. The findings included: 1. For Resident #242, the facility staff failed to administer Plavix as ordered by the provider. Plavix prevents platelets in your blood from sticking together to form an unwanted blood clot that could block an artery. Resident #242's diagnoses included, but were not limited to, chronic kidney disease, dementia, anxiety, and acute pulmonary disease. There was no completed minimum data set (MDS) assessment for this Resident. […]

• No harm, potential for more than minimal, patternF812Nov 16, 2023

  Based on observation, staff interview, and facility document review, the facility staff failed to store, prepare and distribute food in accordance with professional standards for food service safety. The findings include: On 11/13/23 at 4:20 PM during the initial tour of the kitchen with other staff member # 2, this surveyor observed a clear plastic container with a green lid in the reach in cooler. There was a pale yellow substance in the container. There was no label or date on the container. In the walk-in cooler, this surveyor observed a clear container with a red lid containing mushrooms. There was no label or date on the container. There was a chaffing pan containing macaroni and cheese that was not labeled or dated. The pan was half empty. […]