Honey Grove Nursing Center

In the surveyor’s words

From the most serious findings on record at Honey Grove Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF755Jul 28, 2023

  Based on interview, observation, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 8 of 15 residents (Resident #2, Resident #10, Resident #20, Resident #23, Resident #25, Resident #28, Resident #29, and Resident #31) and 2 of 4 medication carts (Hall 5 and Hall 6) reviewed for pharmacy services. The facility failed to ensure Resident #29 received Ribavirin (An antiviral medication that is used to treat chronic hepatitis C. […]

• Immediate jeopardy, isolatedF689Sep 30, 2025

  Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 7 residents (Resident #1) reviewed for accidents and supervision. The facility failed to ensure CNA A performed safe bed positioning on 4/15/2025 while performing incontinent care on Resident #1 when CNA A did not follow the Kardex (plan of care) which stated Resident #1 was a two person assist with bed positioning, resulting in Resident #1 falling from the elevated bed causing major injury of a left hip fracture (broken bone), lacerations above her left eye, and a hematoma (collection of blood) to her forehead.The… […]

• Immediate jeopardy, isolatedF689Sep 26, 2024

  Based on observations, interviews, and record review the facility failed to ensure the resident environment remained free of accident hazards as possible, and each resident received adequate supervision to prevent elopement for 1 of 5 residents (Resident #42) reviewed for accident hazards and supervision. 1. The facility did not ensure Resident #42 received adequate supervision to prevent exiting the facility without staff knowledge on 09/15/24. 2. The facility did not ensure exits accessible to residents who could exit unsupervised alarmed loud enough to allow staff to respond in a timely manner. An IJ was identified on 09/23/24. The IJ template was provided to the facility on [DATE] at 5:32 p.m. […]

• Immediate jeopardy, isolatedF689Jul 28, 2022

  Based on observation, interview, and record review the facility failed to ensure that the resident environment remained free of accident hazards and each resident was provided adequate supervision to prevent elopement for 1 of 14 residents (Resident #1) reviewed for accident hazards. The facility failed to ensure Resident #1 window would not open greater than 6 inches. The facility failed to ensure Resident #1 was provided appropriate supervision to prevent further elopement. This failure resulted in an identification of an Immediate Jeopardy (IJ) at 5:04 p.m. on 7/26/22. […]

• Immediate jeopardy, isolatedF757Jun 10, 2022

  Based on observation, interview and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs with inadequate monitoring for one (Resident #4) of 7 residents reviewed for medications. The facility failed to adequately monitor Resident #4's PT/INR levels at least monthly while taking [MEDICATION(S)] (anticoagulant medication) 4 mg daily since 03/23/22. Resident #4's last lab dated 03/22/22 reflected Pro Time (PT) was 26.5 and INR was 2.5. On 06/08/22, Surveyor notified the facility of Resident #4's PT/INR lab not being completed since 03/22/22. Facility ordered a Stat PT/INR lab to be drawn on 06/08/22. Resident #4's PT was 44.3 and INR was 4.5 (high out of therapeutic range) on 06/08/22. […]