Heartway at Henryetta Health and Rehab

In the surveyor’s words

From the most serious findings on record at Heartway at Henryetta Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Oct 31, 2022

  Based on record review, observation, and interview, the facility failed to develop and implement comprehensive care plans to address resident care needs for two (#12 and #13) of 22 residents whose care plans were reviewed. The facility failed to develop a care plan: a. to help prevent the recurrence of falls for Res #12. b. related to Res #13's psychiatric diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] The Resident Census and Conditions of Residents form documented 27 residents resided in the facility. Findings: 1. Res #13 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A quarterly assessment, dated 08/22/22, documented Res #13 was moderately impaired in cognition, was independent or required supervision with ADLs, had an active diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF695Oct 31, 2022

  Based on record review, observation, and interview, the facility failed to assess and monitor a resident while providing a respiratory treatment for one (#12) of one resident who was observed to have received a respiratory treatment during medication administration. The Resident and Census and Conditions of Residents documented eight residents received respiratory treatments. Findings: Res #12 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A policy titled Specific Medication Administration Procedure, effective date July 2015, in reference to administration of medications through a handheld nebulizer read in parts, .obtain baseline pulse, respiratory rate and lung sounds .remain with the resident for the treatment unless the resident has been assessed and authorized to self-administer… […]

• No harm, potential for more than minimal, patternF851Oct 31, 2022

  Based on record review and interview the facility failed to submit accurate data regarding direct care staffing information to CMS. The Resident Census and Conditions of Residents form documented 27 residents resided in the facility. Findings: A PBJ report for the third quarter of 2022 documented the facility failed to have adequate licensed nursing staff 24 hours a day for the following days: 04/03/22, 04/16/22, 04/17/22, 04/24/22, 04/28/22, 04/30/22, 05/08/22, 05/19/22, 05/22/22, 05/28/22, 05/29/22, 06/12/22, 06/24/22, 06/25/22, and 06/29/22. On 10/31/22 at 1:15 p.m., the assistant administrator provided documentation of coverage by licensed nurses on the dates in question. […]

• No harm, potential for more than minimal, patternF880Oct 31, 2022

  Based on record review, observation, and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment, and to help prevent the development and transmission of disease. The facility failed to: a. use universal source control (masking) when the county transmission level was high and failed to provide signage on the entry door instructing visitors on when and how infection control measures were to be utilized while in the facility. b. ensure infection control measures were maintained during medication pass and with respiratory treatments. The Resident Census and Conditions of Residents form documented 27 residents resided in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF886Oct 31, 2022

  Based on record review and interview, the facility failed to ensure nursing home staff members with a COVID-19 vaccine religious exemption and/or staff who were not up to date with the COVID-19 vaccinations were tested for COVID-19 based on the county transmission level and guidance from OSDH and CMS. The IP identified one unvaccinated staff member with a religious exemption and 21 staff members who were not up to date on their COVID-19 vaccination who worked in the facility during April, May, and June of 2022. Findings: A Covid-19 Vaccine Mandate Policy for Religious Exemption Consideration policy, revised 01/13/21, documented unvaccinated staff will be subject to COVID-19 testing as required by the OSDH and CMS. […]