Hennis Care Centre of Bolivar

In the surveyor’s words

From the most serious findings on record at Hennis Care Centre of Bolivar, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 11, 2024

  Based on record review, hospital record review, policy review and interview the facility failed to adequate monitor and seek timely medical intervention/hospitalization following a significant change in condition for Resident #31. This affected one resident (#31) of three reviewed for change in condition. Actual Harm occurred on 03/29/24 when Resident #31, who was severely cognitively impaired was transferred to the emergency room where he was intubated and admitted to the intensive care unit for respiratory failure and sepsis. On 03/11/24, Resident #31 was observed unresponsive and having seizure-like activity. He was a full code with no history of seizures. […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2024

  Based on interview, observation, and review of facility policy, the facility failed to ensure that food was stored under sanitary conditions. This had the potential to affect all residents in the facility. The facility was 107. Findings include: During the kitchen tour on 01/22/24 at 8:30 A.M. the following items were noted to not be labeled or dated. In the walk-in refrigerator, one pan of spaghetti sauce, one pan of cooked pasta, one container of banana peppers, two containers of cherry tomatoes, one bag of cooked hard-boiled eggs, one container of olives, one container of carrots, one container of olives, one container of bacon bits, one container of cucumbers, one container of shredded lettuce, and several individual sized servings of potato salad in Styrofoam bowls with lids. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2022

  Based on observation, review of an invoice, and interview, the facility failed to ensure the kitchen was maintained in a sanitary manner to prevent contamination of food. This had the potential to affect all 85 residents. Findings include: 1. On 02/28/22 at 7:55 A.M., the filter on the back of the sandwich refrigeration cart was covered with dust. The observation was confirmed by Dietary Aide #124 at that time. 2. On 02/28/22 at 7:57 A.M., observations in the kitchen revealed the vents and pipes above the cooking area (stove and griddle) were dusty with a grease buildup. […]

• No harm, potential for more than minimal, widespreadF880Mar 3, 2022

  Based on record reviews, observation, interviews, and policy review, the facility failed to ensure goggles were sanitized upon exiting Resident #37's room, who was under droplet isolation precautions, and failed to ensure proper signage was displayed prior to entering Resident #21 and Resident #133 rooms who were reported to be on isolation precautions. This affected three residents (Resident #21, Resident #37, and Resident #133) with the potential to affect all 85 residents in the facility. Findings include: 1. Medical record review revealed Resident #21's was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #21's orders dated 02/03/22 revealed the resident was quarantined for possible COVID-19 exposure. […]

• No harm, potential for more than minimal, patternF842Jan 25, 2024

  Based on review of restorative nursing documentation, staff interview, resident interview, and review of facility policy, the facility failed to ensure restorative nursing services were documented accurately. This affected three residents (#30, #71, and #82) of three residents reviewed and had the potential to affect all 59 residents identified by the facility as receiving restorative nursing services for range of motion and ambulation. The facility census was 107. Findings include: 1. […]