Harrah Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF689Nov 4, 2022

  Based on record review, observation and interview, the facility failed to maintain safe water temperatures (less than 120 degrees) for: a. one (#25) of 57 sampled residents whose handwashing sink was checked for unsafe water temperatures, and b. one of three shower rooms checked for unsafe hot water temperatures. The DON identified 20 residents who used the shower on Hall A and 66 residents resided in the facility. Findings: A Water Temperatures policy, revised 2009, read in part, .Water heaters that service resident rooms, bathrooms, common areas, and tub/showers shall be set to temperatures of no more than 120 [degrees Fahrenheit] .If at any time water temperatures feel excessive to the touch (i.e., hot enough to be painful or cause reddening of the skin after removal of the hand from… […]

• No harm, potential for more than minimal, patternF692Nov 4, 2022

  Based on record review, observation, and interview, the facility failed to implement weight loss interventions for one (#55) of three sampled residents reviewed for weight loss. The Resident Census and Conditions of Residents report, dated 11/01/22, documented four residents with unplanned significant weight loss/gain. Findings: A Dietitian policy, revised October 2017, read in parts, .A qualified, competent, and skilled dietitian will help oversee the food and nutrition services in the facility . Res #55 had diagnoses which included, dysphagia and muscle weakness. A resident assessment, dated 07/07/22, documented Res #55 was cognitively intact. A Dietitian's Recommendations to Nursing and Dietary, dated 05/16/22, read in parts, .REC: house supplement TID d/t BMI 17 .notify PCP . […]

• No harm, potential for more than minimal, patternF727Nov 4, 2022

  Based on record review and interview, the facility failed to ensure the DON did not work as a charge nurse when the facility census was more than 60 residents. The Resident Census and Conditions of Residents report, dated 11/01/22, documented 66 residents resided in the facility. Findings: A shift Center Deployment Projection Sheet documented the DON worked as a charge nurse on the following days: 08/14/22 Census 64 08/16/22 Census 64 08/20/22 Census 64 08/22/22 Census 65 09/03/22 Census 66 09/12/22 Census 64 09/14/22 Census 66 09/15/22 Census 67 On 11/04/22 at 2:28 p.m., the DON was asked when was the last time they had worked as a charge nurse. The DON stated in August or September.

• No harm, potential for more than minimal, patternF812Nov 4, 2022

  Based on observation and interview, the facility failed to ensure staff used sanitary measures when assisting residents during meal service for three (#4, #45, and #11) of all residents observed during dining service. [NAME] and Kit-did we make anyone aware of staff touching foods? did you interview the staff that touched the food Findings: A DINING AND FOOD SERVICE policy, undated, read in parts, . Residents will be provided with nourishing, palatable, attractive meals that meet the residents daily nutritional and special dietary needs. Each resident will be provided with service to maintain or improve eating skills. […]

• No harm, potential for more than minimal, isolatedF573May 1, 2026

  Based on record review and interview, the facility failed to ensure medical records were provided to a resident's representative and legal representative within 48 hours of request for 1 (#1) of 3 sampled residents reviewed for release of medical records.The director of nursing identified 68 residents resided in the facility. Findings: A Release of Information policy, dated 11/01/09, read in part, All information contained in the resident's medical record is confidential and may only be released by the written consent of the resident or his/her legal representative, consistent with state laws and regulations.A resident may obtain photocopies of his or her records by providing the facility with at least forty-eight hours' advance notice of such request.A discharge summary for Resident #1,… […]