Iredell Memorial Hospital Inc

In the surveyor’s words

From the most serious findings on record at Iredell Memorial Hospital Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF627Mar 5, 2026

  Based on record review, staff, and family interviews, the facility failed to have an effective discharge planning process that ensured home health services were set up prior to discharge to the community for a resident who had a wound vac (a therapeutic device that uses controlled negative pressure [suction] to accelerate the healing of acute or chronic wounds). This failure was for 1 of 4 residents reviewed for discharge (Resident #64).The findings included:Resident #64 was admitted to the facility on [DATE] with diagnoses that included history of sleeve gastrectomy (a common, irreversible weight-loss surgery), Surgical wound dehiscence (the partial or total separation of previously stitched surgical incision edges), encounter for surgical aftercare following surgery of the digestive… […]

• No harm, potential for more than minimal, isolatedF758Jan 9, 2025

  Based on record review, and staff, Nurse Practitioner, and Pharmacy Clinical Director interviews, the facility failed to have a documented diagnosis for the use of an antipsychotic medication (Seroquel/quetiapine) for 1 of 5 residents reviewed for unnecessary medications (Resident #54). The findings included: Resident #54 was admitted to the facility on [DATE] with diagnoses that included anxiety and hypertension. Review of Resident #54's care plan initiated on 12/02/24 revealed she had a care plan for the use of psychotropic medications. A physician order dated 12/02/24 read; quetiapine (an antipsychotic medication) 25mg - give 1 tablet at bedtime. […]

• No harm, potential for more than minimal, isolatedF698Oct 27, 2023

  Based on record review, staff interviews, Assistant Director of Dialysis and Medical Director interview, the facility failed to monitor and assess the right subclavian catheter (temporary or permanent, simple, tunneled, or connected to a port under the skin to provide dialysis treatment) and the left arteriovenous dialysis fistula (AVF is a fistula created between an artery and a vein to provide dialysis treatments) for a resident receiving hemodialysis for 1 of 1 sampled resident (Resident #7). Findings included: Resident #7 was admitted to the facility on [DATE] with a diagnosis of renal insufficiency and treatment with renal dialysis. […]

• No harm, potential for more than minimal, isolatedF757Aug 6, 2021

  Based on record reviews, staff interviews and nurse practitioner interview, the facility failed to follow the medication order for [MEDICATION(S)] (a medication that lowers blood pressure) and administered the [MEDICATION(S)] outside of the parameters specified in the physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings included: Resident #43 was admitted to the facility on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] The admission Minimum Data Set (MDS) dated [DATE] showed Resident #43 was cognitively intact. August 2021 physician orders revealed an order for [MEDICAL RECORD OR PHYSICIAN ORDER] #43 showed a parameter for the order that stated to hold if systolic blood pressure was less than 100. The start date for this order was 6/23/2021. […]

• No harm, potential for more than minimal, isolatedF758Aug 6, 2021

  Based on observations, record review, staff interviews and pharmacy consultant interview, the facility failed to give a clinical indication for a scheduled antipsychotic medication and failed to ensure physician orders for as needed (PRN) antipsychotic medication was time limited in duration for 1 of 5 residents (Resident #281) reviewed for unnecessary medications. Findings included: Resident #281 was admitted to the facility on [DATE] with a diagnosis of [CONDITION(S)], generalized weakness and recent history of Covid-19. There was no psychiatric diagnosis listed in Resident #281's medical record. No Minimum Data Set assessment was available due to Resident #281 was a new admission. […]