High Shoals Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at High Shoals Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF623Nov 16, 2023

  Based on resident and staff interviews, record review, and review of the facility's policy titled, Notice of Transfer or Discharge from Center, the facility failed to ensure five of five Residents (R) (R11, R16, R64, R74 and R79) reviewed for facility initiated emergent hospital transfers were provided with written transfer notice that contained all required information. This failure has the potential to affect the residents and/or the Resident Representatives (RR) by not having the knowledge of where and why a resident was transferred, and/or how to appeal the transfer, if desired. […]

• No harm, potential for more than minimal, widespreadF625Nov 16, 2023

  Based on staff and resident interviews, record review, and review of the facility's policy titled, Bed Hold During Hospital Stays and Therapeutic Leaves, the facility failed to ensure the resident and/or the Resident Representative (RR) was provided with the notice of the facility's notice of bed-hold policy for five of five Residents (R) (R11, R16, R64, R74, and R79) reviewed for hospital transfers. This failure had the potential to contribute to possible denial of re-admission and loss of the resident's home following a hospitalization for residents transferred to the hospital. […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2022

  Based on observations, interviews, and policy review, the facility failed to properly seal, label, and date food items in the refrigerator and in dry storage area; failed to maintain sanitary conditions in the kitchen related to condensation and dripping water, dirty floors, and dirty work surfaces; and failed to prepare and serve food in sanitary manner. The census was 62 and the sample size was 20. Food items were found not sealed, labeled, and dated in the refrigerator; condensation from vents in the ceiling of the kitchen dripped onto pots and pans as they were air-drying after having been washed; water was leaking from a filtration cartridge connected to the dish machine into a pan of standing water on the floor; floors under movable appliances and storage shelves were dirty; and… […]

• No harm, potential for more than minimal, patternF679Nov 16, 2023

  Based on observations, interviews, and record review, the facility failed to ensure meaningful activities were offered for three of five Residents (R) (R3, R65, and R68) reviewed for dependent activities. This failure created the potential for the residents to experience a decreased quality of life. Findings include: 1. Review of R3's undated Face Sheet, provided by the facility, indicated R3 was with diagnoses which included dementia. Review of R3's Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 9/27/2023, revealed a Brief Interview of Mental Status (BIMS), score of three out of 15, which indicated the resident was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF949Nov 16, 2023

  Based on staff interview and record review, the facility failed to ensure four of four Certified Nurse Aides (CNA) (CNA 1, CNA3, CNA4 and CNA5) and one of one Licensed Practical Nurses (LPN) (LPN 4) reviewed had received behavioral health training to care for residents diagnosed with mental health illnesses. This failure had the potential for direct care staff to lack current knowledge to work with the unique challenges mental health illnesses present. Findings include: Review of the Facility Assessment, reviewed 9/8/2023, revealed under the category I. […]