Harmon Hospital - SNF

In the surveyor’s words

From the most serious findings on record at Harmon Hospital - SNF, in the surveyor’s own words.

• Actual harm, isolatedF760Jan 10, 2024

  Based on observation, interview, record review, and document review, the facility failed to ensure resident identification was verified before administering the medication for 1 of 8 sampled residents. The deficient practice resulted in a medication error and resident's hospitalization compromising the resident's safety and well-being. Findings include: Resident 9 (R9) R9 was admitted on [DATE], with diagnoses including seizures and right-sided weakness. The Facility Report, dated [DATE], documented R9 participated in the activities program when a hospital nurse arrived and administered oral medications to R9 intended for another patient/resident. […]

• No harm, potential for more than minimal, widespreadF727Jan 13, 2023

  Based on interview and document review the facility failed to ensure the facility had a registered nurse who worked at least 8 consecutive hours a day seven days a week to oversee the Licensed Practical Nurses and a designated full-time Director of Nursing (DON) for the Skilled Nursing facility (SNF). The deficient practice prevented the residents from having the services of a registered nurse and program oversight by a DON. Findings include: Review of the staffing for the SNF from 12/30/2022 to 01/12/2023 revealed the SNF was staffed mainly with morning and night shift Licensed Practical Nurses (LPN). On 01/13/2023 at 11:29 AM, the Assistant Director of Nursing (ADON) acting as the Director of Nursing (DON) indicated working in the facility from 8:00 AM to 4:30 PM (8-hour shift). […]

• No harm, potential for more than minimal, widespreadF880Oct 21, 2021

  Based on observation, interview, and document review, the facility failed to: 1) ensure the glucometer (a portable blood glucose device used to measure blood glucose levels) was sanitized after each use and between residents/patients; 2) ensure the appropriate sanitizing wipe was used to disinfect the glucometer; 3) ensure personal employee items were not stored inside the clean area of the laundry room; and 4) ensure a personal food item was not located on top of the medication cart. […]

• No harm, potential for more than minimal, patternF578Jan 13, 2023

  Based on interview, record review and document review the facility failed to ensure, 1) the Advance Directive Acknowledgement Form was completed for 1 of 8 sampled residents (Resident #6); 2) information regarding the resident's advance directive was obtained in a timely manner for 3 of 8 sampled residents (Resident #1, #5, and #60); and 3) a resident's wish to execute an advance directive was followed through for 1 of 8 sampled residents (Resident #3). The failure to ensure advanced directives were completed had the potential to limit healthcare facilities from honoring resident's health care decisions and wishes when incapacitated. […]

• No harm, potential for more than minimal, patternF812Oct 21, 2021

  Based on observation and interview, the facility failed to 1) ensure an ice bucket was properly dried and did not contain a pool of water and 2) ensure employee food items were not stored together with residents' food inside the walk-in refrigerator in the kitchen. Findings include: 1) On 10/19/2021 at 9:12 AM, a brown rectangular-shaped cooler container approximately three feet by two feet in size was observed underneath a drink dispenser counter. The cooler container had a pool of water. The cooler container's lid was closed and the drainage reservoir on one side of the container had been shut closed, causing the water to collect inside the container. […]