Gibson Health Opco LLC

In the surveyor’s words

From the most serious findings on record at Gibson Health Opco LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF686Feb 3, 2022

  Based on observation, record review, review of the facility Skilled Inpatient Services Assessment and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Review of the facility Skilled Inpatient Services Assessment and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . 1. R#10 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Quarterly Minimum Data Set (MDS) dated [DATE] revealed that that she had a Brief Interview for Mental Status (BIMS) score of 6 which indicated severely impaired cognition. […]

• No harm, potential for more than minimal, isolatedF880Apr 16, 2026

  Based on observations, staff interviews, and review of the facility's policy titled Hand Hygiene, the facility failed to ensure medications were handled using appropriate infection control practices to prevent contamination for one of four residents (R) observed during a medication pass (R47). In addition, the facility failed to ensure proper hand hygiene procedures were followed to prevent the spread of infection for one resident (R4) observed for wound care. These deficient practices increased the risk of contamination, placing residents at risk for infection and adverse outcomes.Findings include:Review of the facility's policy titled Hand Hygiene, last reviewed 10/01/2023, revealed the Policy Explanation and Compliance Guidelines section included . 6. Additional considerations: a. […]

• No harm, potential for more than minimal, isolatedF656Feb 27, 2025

  Based on staff interviews, record review, and review of the facility's policy titled Comprehensive Care Plans, the facility failed to develop and implement a comprehensive person-centered care plan that addressed the care and treatment for one of one Resident (R) (R318) reviewed with an indwelling catheter. The deficient practice had the potential to increase the risks of infections. Findings include: Review of the undated facility's policy titled Comprehensive Care Plan under the Policy statement revealed, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental, and psychological needs and ALL… […]

• No harm, potential for more than minimal, isolatedF658Feb 27, 2025

  Based on observations, staff interviews, and review of the facility's policy titled Insulin Pen, and review of the manufacturer's instructions titled Instructions for use [Name] Pen Pen-injector (Insulin Lispro) injection, to ensure care and services were provided in accordance with accepted professional standards for one of four residents (R) (R368) observed during medication administration. Specifically, the facility failed to prime the insulin pen prior to use for R368. This deficient practice had the potential to affect the resident's blood glucose level and have a negative impact on the resident's quality of life. Findings include: Review of the facility's policy titled Insulin Pen, revised 4/16/2024, under the Policy Explanation and Compliance Guidelines revealed, 6. […]

• No harm, potential for more than minimal, isolatedF684Feb 27, 2025

  Based on staff interviews, record review, and review of the facility's policy titled, Catheter Care Policy, the facility failed to ensure one of one Resident (R) (R318) with an indwelling catheter received treatment and care in accordance with professional standards of practice. The deficient practice had the potential to increase the risks of infections. Findings include: Review of the facility's policy titled, Catheter Care Policy, revised 11/1/2023 under the Policy statement revealed, It is the policy of this facility to ensure that residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheter care are in use. Under the section titled, Policy Explanation revealed, 1. […]