Hillsville Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Hillsville Health & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF684Jul 3, 2024

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure residents receive treatment and care in accordance with the comprehensive person-centered care plan and medical provider orders for 2 of 18 sampled residents (Resident #157 and #11). The findings included: 1. For Resident #157, the facility staff failed to administer Paxlovid, an antiviral medication used to treat COVID-19, according to the medical provider orders on 8/09/22. This was a closed record review. Resident #157's diagnosis list indicated diagnoses, which included, but not limited to Pneumonia, Chronic Obstructive Pulmonary Disease, Gastrointestinal Hemorrhage, and Diverticulitis. […]

• No harm, potential for more than minimal, isolatedF695Jul 3, 2024

  Based on resident interview, staff interview, and clinical record review, the facility staff failed to provide respiratory care consistent with the comprehensive person-centered care plan and the medical provider orders for 1 of 14 sampled residents (Resident #46). The findings included: For Resident #46, the facility staff failed to administer supplemental oxygen as ordered by the provider. Resident #46's diagnosis list indicated diagnoses, which included, but not limited to Chronic Obstructive Pulmonary Disease, Hypertensive Heart Disease with Heart Failure, Multiple Sclerosis, Acute and Chronic Respiratory Failure, and Congestive Heart Failure. […]

• No harm, potential for more than minimal, isolatedF684Jan 21, 2022

  Based on staff interview and clinical record review, the facility staff failed to provide treatment and care in accordance with the comprehensive person-centered care plan for one of 17 residents in the survey sample, Resident #2. For Resident #2, the facility staff failed to follow the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings included: Resident #2's diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 10/13/21 assigned the resident a BIMS (brief interview for mental status) summary score of 14 out of 15 in section C, Cognitive Patterns, indicating Resident #2 was cognitively intact. Resident #2's current physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]