Hendrick Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Hendrick Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF655Jul 26, 2023

  Based on interview and record review, the facility failed to develop a baseline care plan with necessary information within 48 hours of the resident ' s admission for 3 of 3 residents (Resident #101, Resident #51, Resident #103) reviewed for baseline care plans. The facility failed to include physician orders for medications and diets in Resident #101, Resident #51, and Resident #103 ' s baseline care plan. This failure placed residents at risk of not receiving continuity of care and communication among nursing staff and residents as well as increased risk of resident safety and safeguard against adverse events that are most likely to occur after admission. […]

• No harm, potential for more than minimal, isolatedF880Dec 5, 2025

  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 3 staff (CNA-A) reviewed for infection control procedures. 1. The facility failed to ensure CNA-A performed proper hand hygiene while performing resident transfer, foley care and incontinent care.2. The facility failed to ensure CNA-A followed EBP during foley catheter care.3. The facility failed to ensure staff were notified of EBP for Resident #10 and failed to have a disposable gown readily accessible to staff outside of Resident #10's room. […]

• No harm, potential for more than minimal, isolatedF550Sep 5, 2024

  Based on observation, interview, and record review, the facility failed to treat each resident with respect and dignity for one (Resident #107) of three residents reviewed for rights, in that: The facility failed to ensure Resident #107's ostomy drainage bag was placed in a privacy bag while performing physical therapy in the facility's hallway area. Ostomy (an opening (stoma) from an area inside the body to the outside). This failure could place residents with catheters at risk for embarrassment and reduced self-esteem. The findings included: Review of Resident #107's electronic record on 9/5/24 revealed she was a [AGE] year-old female admitted to the facility on [DATE] with diagnosis of incarcerated hernia. […]

• No harm, potential for more than minimal, isolatedF880Sep 5, 2024

  Based on observation, interview, and record review the facility failed to maintain an infection control program designed to prevent the development and transmission of infections for 1 (Resident #59) of 3 residents reviewed for infection control. The facility failed to ensure: PTA B cleaned the counter prior to setting up a barrier for setting up wound care supplies for Resident #59. PTA B used a non-permeable barrier when setting up wound care supplies for Resident #59. PT A cleaned scissors between dirty procedure and clean procedure during wound care for Resident #59. PT A used the same scissors after cutting off Resident #59's dirty [NAME]-boot dressing (plaster dressing used to squeeze fluid out of a closed wound) to cut his clean [NAME]-boot dressing. […]

• No harm, potential for minimal, widespreadF550Jul 26, 2023

  Based on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 3 of 3 residents (Resident #101, Resident #51, Resident #103) reviewed for dignity. The facility did not ensure nursing staff entered Resident #101, Resident #51, and Resident #103 ' s rooms with permission prior to administering medications and providing ADL care. This failure could place residents at risk for decreased quality of life and quality of care. […]