Haywood Post Acute

In the surveyor’s words

From the most serious findings on record at Haywood Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Apr 23, 2021

  Based on policy review, video camera footage review, medical record review, and interview, the facility failed to ensure Resident #1's Physician, Responsible Party, and facility Administration were promptly notified of an incident of elopement for 1 of 4 sampled residents (Resident #1) reviewed for notification, which resulted in Immediate Jeopardy for Resident #1. Resident #1, a cognitively impaired vulnerable resident eloped from the facility and was found by a non-staff member (motorist) walking in the road approximately 0.3 mile from the facility. […]

• Immediate jeopardy, isolatedF600Apr 23, 2021

  Based on policy review, video camera footage review, medical record review, observation, and interview, the facility failed to provide adequate supervision to prevent neglect and neglected to report an incident of elopement to Administration for 1 of 4 sampled residents (Resident #1) reviewed for wandering/elopement behaviors and neglect, which resulted in Immediate Jeopardy for Resident #1. Resident #1, a cognitively impaired vulnerable resident left his room and eloped through 2 unsecured exit doors to a heavily traveled street with a 40 miles per hour speed limit, crossed that street, crossed the rail road track and was found approximately 0.3 miles from the entrance door of the facility by a non-staff member motorist. […]

• Immediate jeopardy, isolatedF689Apr 23, 2021

  Based on policy review, video camera footage review, Weather Website review, medical record review, observation, and interview, the facility failed to ensure a safe environment that provided adequate supervision to prevent elopement for 1 of 4 sampled residents (Resident #1) reviewed for wandering/elopement, which resulted in Immediate Jeopardy for Resident #1. Resident #1, a cognitively impaired vulnerable resident eloped from the facility and was found by a non-staff member (motorist) walking in the road approximately 0.3 miles from the facility. The facility staff were unaware Resident #1 was missing for approximately 39 minutes. […]

• Actual harm, isolatedF689Apr 26, 2024

  Based on policy review, medical record review, facility investigation, and interview, the facility failed to ensure effective fall interventions were in place to prevent injury, and failed to complete neuro checks for 2 of 3 (Resident #23 and #73) sampled residents reviewed for accidents. The facility's failure to implement effective fall interventions when Resident #23 fell and sustained a closed fracture (broken bone) of right distal femur (large upper bone of the leg) resulted in actual harm. The findings include: 1. […]

• No harm, potential for more than minimal, patternF689May 1, 2025

  Based on policy review, Director of Maintenance job description, medical record review, observation, and interview, the facility failed to ensure the environment was free from accident hazards when elevated hot water temperatures were measured. On 4/28/2025 dangerous elevated hot water temperatures ranging from 128 degrees Fahrenheit (F) to 135 degrees Fahrenheit (F) were found in 6 of 76 (Resident #4, #15, #36, #58 #62, and #66) resident rooms, some with shared bathrooms. The findings include: 1. […]