Integrity HC of Anna

In the surveyor’s words

From the most serious findings on record at Integrity HC of Anna, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure care and services were provided to ensure a resident's highest level of practicable functioning for 1 (R4) of 3 residents reviewed for quality of care in a sample of 20. This failure resulted in R4 not receiving timely follow-up and treatment of known suspicious masses which have since metastasized. This failure resulted in Immediate Jeopardy, which was identified to have begun on 1/30/26 when the facility failed to follow through with referrals to an outside provider. V1 (Administrator), V3 (Senior Regional Administrator), and V7 (Regional Director of Clinical Services) were notified of the immediate jeopardy on 4/9/26 at 11:25 AM. […]

• Immediate jeopardy, isolatedF689Apr 22, 2026

  Based on observation, interview, and record review the facility failed to ensure cognitively impaired residents were adequately supervised and failed to implement interventions to prevent elopement for 2 (R1, R2) of 3 residents reviewed for accidents and supervision in the sample of 3. This failure resulted in R1 exiting the facility on 2 occasions, accompanied by R2 on one of those occasions, without staff knowledge. This failure resulted in Immediate Jeopardy, which was identified to have begun on 10/26/25 when the facility failed to prevent R1 from exiting the facility without staff knowledge and failed to put effective interventions in place to prevent a second occurrence on 3/6/26 when R1 and R2 exited the facility without staff knowledge. […]

• Actual harm, isolatedF689Mar 3, 2026

  Based on interview and record review the facility failed to ensure the safety of 1 of 3 (R5) residents reviewed for accidents in the sample of 20. This failure resulted in R5 falling out of his wheelchair when the van made a sudden stop, resulting in R5 sustaining fractured ribs and clavicle.This past non-compliance occurred between 2/13/26 and 2/16/26.Findings Include:R5's admission Record with a print date of 2/26/26 documents R5 was admitted to the facility on [DATE] with diagnoses that include history of myocardial infarction, heart failure, hypertension, and atrial fibrillation.R5's Minimum Data Set, dated [DATE] documents R5 has a Brief Interview Mental Status Report score of 13, indicating R5 is cognitively intact.R5's current Care Plan documents a Focus area of, ADLs: (R5) has… […]

• Actual harm, isolatedF686Feb 19, 2026

  Based on interviews, observations and record reviews, the facility failed to implement interventions for preventing deterioration of a pressure ulcer for 1 of 3 (R2) residents reviewed for wounds in a sample of 7. This failure resulted in worsening of R2's Stage IV pressure ulcer to the buttocks. The findings include:R2's admission Record documents an admission date of 8/10/2020 and includes diagnoses of Unspecified Sequelae of Cerebral Infarction, Pressure Ulcer of Right Buttocks (7/2/2025), Anemia, Hypertension, Schizoaffective Disorder, Psychosis, Vitamin D Deficiency, Hyperlipidemia, Vascular Dementia, Muscle Weakness, and Cognition Communication Deficit.R2's Minimum Data Set (MDS) dated [DATE] documents in section C, Cognitive Patterns, that R2 is rarely/never understood. […]

• Actual harm, isolatedF689Aug 25, 2025

  Based on observation, interview, and record review the facility failed to prevent a fall during transport and failed to implement interventions to prevent future falls for 3 (R11, R18, R49) of 6 residents reviewed for falls in a sample of 52. This failure caused R18 to fall backwards in her wheelchair while being transported in a facility van requiring R18 to be taken to the emergency room, given pain mediciation, suffering a skin tear, a knot to the head, bruising, and pain to the back and shoulders. […]