Groveton Nursing Home

In the surveyor’s words

From the most serious findings on record at Groveton Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 3, 2025

  Based on observation, interview, and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 2 (Resident #1) residents at risk for elopement reviewed for supervision. The facility failed to ensure the front lobby door alarm was functioning properly. On 4/8/2025 Resident #1 eloped from the facility and was found lying outside of the facility on the sidewalk where she had fallen and sustained a right hip fracture. An IJ was identified on 6/2/25. The IJ began on 4/8/2025 and was removed on 4/16/2025. The facility took action to remove the IJ before the survey began. […]

• No harm, potential for more than minimal, isolatedF761Sep 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 1 medication storage rooms reviewed for labeling and storage.1.The facility failed to label and remove a vial of expired Tuberculin (TB) testing solution on 9/8/2025 from the refrigerator in the medication room.2. […]

• No harm, potential for more than minimal, isolatedF847Sep 9, 2025

  Based on record review and interviews the facility failed to ensure the arbitration agreement contained all the required elements for 1 of 1 facility reviewed for Arbitration Agreements.The facility did not ensure the arbitration agreement granted the resident or his/her representative the right to rescind the agreement within 30 calendar days of signing.This failure could place the residents or the residents' responsible parties in binding agreements not fully understood, have a loss of their legal rights, and cause negative psychological issues. […]

• No harm, potential for more than minimal, isolatedF880Sep 9, 2025

  Based on observations, interviews, and record reviews the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident's #14) and 2 of 4 staff (CNA A and NA B) reviewed for infection control. The facility failed to ensure CNA A and NA B performed hand hygiene and observed EBP by not following the instructions on the posted signage on Resident #14's door requiring the use of gown and gloves when providing care to Resident #14 on 9/08/25 and did not clarify with nursing staff when there was no PPE bin. […]

• No harm, potential for more than minimal, isolatedF880Aug 7, 2024

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 5 residents reviewed for infection control. (Resident #5) The facility failed to ensure CNA A did not leave a trash bag containing a used brief on the floor of Resident #5's room on 8/5/24. The facility failed to implement enhanced barrier precautions for Resident #5 on 8/6/24. These failures could put residents at risk of infections and decreased quality of life. […]