Hopkins Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF657Feb 3, 2022

  Based on observation, interview, record review, policy review, and review of the Centers for Medicare and Medicaid Services, Resident Assessment Instrument (RAI) Manual 3.0, it was determined the facility failed to revise the Comprehensive Care Plan for one (1) of three (3) sampled residents (Resident #1). Resident #1's Elopement Risk Assessment, dated 10/08/2021, revealed the resident had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . The Comprehensive Care Plan, initiated 10/11/2021, revealed the resident was at risk for elopement related to Cognitive Loss/Dementia. Further, the Progress Note written by Registered Nurse (RN) #2, on 12/03/2021, revealed the resident mentioned: just going home because {he/she} doesn't need to be here. […]

• Immediate jeopardy, isolatedF689Feb 3, 2022

  Based on observation, interview, record review, policy review, and review of the facility's investigation, it was determined the facility failed to ensure each resident received adequate supervision and monitoring to prevent elopement for one (1) of three (3) sampled residents (Resident #1). The facility admitted Resident #1 on 10/08/2021 with diagnoses to include Unspecified Dementia without Behavior Disturbance, Major Depressive Disorder, and Anxiety Disorder. The initial Elopement Risk Assessment, dated 10/08/2021, revealed the resident had a history of actual or attempted elopement in the past, wandering tendencies, and was impulsive. […]

• No harm, potential for more than minimal, widespreadF880Dec 2, 2021

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure its infection prevention and control program adequately addressed the prevention of communicable diseases to the extent possible. The facility failed to properly screen visitors and staff for signs and symptoms of the COVID-19 virus prior to allowing the visitors and staff to enter the building. The facility also failed to educate visitors on the proper use of personal protective equipment (PPE) which was to be worn for Resident #94 who was on transmission-based precautions (TBP) due to possible exposure to the COVID-19 virus. […]

• No harm, potential for more than minimal, patternF918Dec 2, 2021

  Based on observation, interview, and record review (should this say, facility policy review and not record review?), it was determined the facility failed to ensure resident rooms were equipped and/or located near a toilet and bathing facilities for twenty-six (26) of twenty-seven (27) rooms reviewed for variances. The findings include: Observation, on 11/30/2021 during the initial tour of the facility, resident rooms #1 through #12 were observed to accommodate fourteen (14) residents. Per observation, the rooms referenced did not have a private toilet room for the fourteen (14) residents' use. Continued observation revealed four (4) bathrooms with lavatories which the facility utilized to accommodate the residents residing in rooms #1 through #12. […]

• No harm, potential for more than minimal, isolatedF600May 15, 2025

  Based on interview, record review, review of facility investigations and policies, the facility failed to ensure residents were protected from verbal and physical abuse for 2 of 14 sampled residents (Resident (R) 4 and R5). 1. On 07/17/2024, R4 reported to the Administrator that Kentucky Medication Aide (KMA) 3 had spoke to her like a dog, pointed her finger in the resident's face, and started cussing at her without cuss words. 2. On 10/19/2023, R7 hit R5 in the head with an open hand. The findings include: Review of the facility policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program, revised April 2021, revealed residents had the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]