Hiram Shaddox Health and Rehab

In the surveyor’s words

From the most serious findings on record at Hiram Shaddox Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Jul 22, 2021

  Based on observation and interview, the facility failed to ensure trash was properly contained within 2 of 2 dumpsters to minimize the presence of foul odors and decrease the potential for pest infestation. This failed practice had the potential to affect all 38 residents who resided in the facility as documented on the Daily Census provided by the Administrator on 07/19/2021. The findings are 1. On 07/19/21 at 11:31 A.M., during rounds outside with Dietary Supervisor there was trash on the ground next to 2 dumpsters approximately 120 feet from the side door entrance from the kitchen. […]

• No harm, potential for more than minimal, patternF759May 15, 2025

  Based on observation, interview, record review and facility policy review, the facility failed to ensure medications were administered without errors resulting in an error rate of more than 5% for 2 (Resident #126 and Resident #227) of 7 residents who were observed during the 8:00 AM medication administration. The findings are: 1. An undated Administering Medications policy was reviewed and read in part, Medications are administered as prescribed and are administered according to prescriber orders. 2. A Medication Crushing Guidelines policy dated 2001, was reviewed and read in part Medications that should not be Crushed or Chewed B. Enteric coated medications are designed to pass through the stomach without breaking down until they reach the intestinal tract. […]

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based on observation, interview, and facility policy review, it was determined that the facility failed to prepare and serve food in a safe and sanitary manner as evidenced by staff eating in the kitchen's preparation area and not performing hand hygiene after touching personal items and before serving residents. The failed practice had the potential of affecting 71 of 73 residents. On 5/12/2025 at 5:52 PM, upon entrance to the facility's kitchen, [NAME] #1 was observed eating food out of a small dish while standing on the serving line. [NAME] #1 picked up a cellphone from the top shelf of the steam table that was playing music, turned the music off, and sat the phone back down. […]

• No harm, potential for more than minimal, patternF582Feb 23, 2024

  Based on interview and record review, the facility failed to ensure an Advance Beneficiary Notice [ABN] was provided to inform the residents and/or their responsible parties of financial liability for continued care and services after their Medicare coverage was discontinued for 5 Residents (#6, #19, #32, #42, and #276) sampled residents who were discharged from Medicare Skilled services in the last 6 months and remained in the facility and/or discharged home. This failed practice had the potential to affect 41 residents who received a Beneficiary Notice and were discharged or remained in the facility the last 6 months after they were released from Medicare Services. The findings are: 1. Resident #6 was provided with a Notice of Medicare Provider Non-Coverage. […]

• No harm, potential for more than minimal, patternF865Feb 23, 2024

  Based on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program [QAPI] Committee developed and implemented appropriate plans of action to prevent repeated deficiencies for F554, which referenced Self Administer of Medications. These failed practices had the potential to affect 75 residents The findings are: A Recertification survey was conducted on 02/20/24 at the facility. During this survey, F554, Self-Administer of Medications, was cited for the facility failed to ensure that before a resident was allowed to self-administer a bronchodilator medication (a type of medication that make breathing easier) via nebulizer, the Interdisciplinary Team [IDT] conducted an assessment to determine if this practice was safe, to ensure a… […]