Hico Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Hico Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Mar 7, 2024

  Based on observation, interview and record review, the facility failed to ensure that residents are free from abuse, neglect, misappropriation of resident property, and exploitation; the facility failed to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress for two (Resident #1, Resident #2) of five residents reviewed for neglect. The facility failed to: 1. ensure Resident #1's pain in her arm and hip was addressed after a fall on [DATE] by providing her prescribed tramadol which had run out and hospice nurse reported constant pain in left forearm 2. ensure Resident #1's neuro checks were completed and documented after a fall [DATE] in which she hit her head and displayed an increase in confusion 3. […]

• Immediate jeopardy, patternF607Mar 7, 2024

  Based on observation, interview and record review, the facility failed to ensure it developed and implemented written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for two (Resident #1, Resident #2) of five residents reviewed for neglect. The facility failed to implement its policies and procedures that were designed to prevent abuse, neglect and exploitation by failing to: 1. ensure Resident #1's pain in her arm and hip was addressed after a fall on [DATE] by providing her prescribed tramadol which had run out and hospice nurse reported constant pain in left forearm 2. […]

• Immediate jeopardy, patternF697Mar 7, 2024

  Based on observation, interview and record review, the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for two (Resident #1, Resident #2) of five residents reviewed for pain. The facility failed to: 1. ensure Resident #1's prescribed tramadol was in the facility and provided to Resident #1 for her pain after Resident #1 suffered a fall on [DATE] around 5:47 am and reported constant pain in her left arm and had a visible hematoma (swollen knot) on her right forehead. 2. […]

• No harm, potential for more than minimal, widespreadF727Sep 12, 2024

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 2 of 90 days (FY Quarter 3 2024 - April 1 - June 30) reviewed for RN coverage. The facility failed to ensure they had an RN on duty on for 2 days: 06/08/24 and 06/09/24. This failure placed residents at risk of missed nursing assessments, interventions, care, and treatment. Findings included: Review of the daily staffing for 06/08/24 reflected zero hours worked by an RN on 06/08/24. Review of the daily staffing for 06/09/24 reflected zero hours worked by an RN on 06/09/24. In an interview on 09/12/24 at 11:38 AM, the DON stated there was one weekend when she did not have RN coverage for 8 hours a day in the facility. […]

• No harm, potential for more than minimal, widespreadF812Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen: 1. The facility failed to label and date food and dry goods in a manner that identified the product and/or its use-by or discard date. 2. The facility failed to clean and sanitize the internal components of the ice machine. 3. The facility failed to properly discard food products which were expired or contaminated with mold. 4. The facility failed to store food in a manner that would prevent deterioration or contamination of the food, including growth from microorganisms. 5. […]