Grayson Nursing and Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observation, interview, and review of facility policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Observation of the kitchen on [DATE], revealed Cook1's hair net was not properly covering her hair while she was preparing food trays at the holding table. Additional observations of the kitchen, revealed refrigerator1 contained expired food and food that was not sealed after opening. Further, other kitchen refrigerators and freezers contained food that had been opened, but was not sealed or covered when stored. Furthermore, the kitchen dry storage area, revealed a box of spaghetti noodles in the original container, which was opened and not sealed when stored. […]

• No harm, potential for more than minimal, patternF656Jul 19, 2021

  Based on observation, interview, record review, and facility policy, it was determined the facility failed to implement interventions for six (6) residents of eleven (11) residents (Residents #1, #2, and #3). Resident #1, #2, and #3 related to the implementation of fall interventions in care plans; Resident #5 related to 1:1 care plan supervision interventions not being implemented. Additionally, Residents #8 and Resident #9's medications were administered outside the before and after hour window. The findings include: Review of facility policy, undated and titled, Care Planning & Implementation policy, revealed the purpose of the policy was to ensure all services required by the resident, while considering their rights, to maintain their highest and most practical well-being. […]

• No harm, potential for more than minimal, patternF689Jul 19, 2021

  Based on observation, interview, record review, and review of facility policy, it was determined the facility failed to ensure residents' environment remained free of accidents/hazards, ensured adequate supervision and assistive devices to prevent accidents for six (6) residents in a sampled size of ten (10) residents. Resident #1, #2, #3 had falls with interventions that were observed not implemented. Resident #5 had been involved in a resident-to-resident altercation and was placed on 1:1 supervision with supervision not in affect. Resident # 8 and Resident # 9, medications were given outside physician ordered time frames. […]

• No harm, potential for more than minimal, isolatedF658Jul 19, 2021

  Based on observation, interview, record review and facility policy, it was determined the facility failed to ensure professional standards of practice related to notification of medications given outside the prescribed time for Resident #8 and Resident #9. The findings include: Review of policy that facility utilized for Professional Standards, titled Gerontologist Nursing by Mosby 2nd ed., revealed The Seven Rights: Rules for Giving Medications revealed the seven (7) rights for giving medications were the same no matter who was giving them. The rules or seven rights for giving medication administration were the right drug, the right dose, the right patient, the right route, the right time, the right technique, the right documentation. […]

• No harm, potential for more than minimal, isolatedF760Jul 19, 2021

  Based on observation, interview,record review, and review of facility policy, it was determined the facility failed to ensure medications were administered within the prescribers order for two (2) residents (Resident #8 and Resident #9). During observation of medication administration pass on 07/13/2021, for Resident #8 and Resident #9, 8:00 AM prescribed medications were given at 9:47 AM and 9:58 AM consecutively. The findings include: Review of facility policy, undated and titled, Medication Pass Schedule, revealed the purpose of the policy was to establish medication pass times. General medication pass times were as follows: 7:00 AM, 11:00 AM, 4:00 PM, 8:00 PM, 12:00 PM, 5:00 PM, 9:00 AM, 1:00 PM and 6:00 PM. […]