J G Alexander Nursing Center

In the surveyor’s words

From the most serious findings on record at J G Alexander Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF580Jan 30, 2025

  Based on observation, interview, and record review, the facility failed to notify the physician of a significant change in condition, as evidenced by the facility did not notify the physician of a resident's 33-pound weight loss of 17 percent (%) of total body weight, persistent drowsiness affecting oral intake, and the failure to implement dietary recommendations which delayed necessary medical interventions and contributed to continued weight loss for one (1) of sixteen (16) sampled residents (Resident #45) Cross Reference F692 and F758 Findings included: On 01/27/2025 at 1:01 PM, during an observation and interview with Resident #45's family member, the resident was in his room for lunch. […]

• Actual harm, isolatedF692Jan 30, 2025

  Based on observation, interviews, and record review, the facility failed to ensure that a resident did not experience a significant weight loss of over 10% in six months, as evidenced by Resident #45 was observed to be lethargic and was unable to intake appropriate nutrition to sustain weight. Resident #45 did not have Registered Dietitian (RD) interventions implemented when ordered and did not have medications reviewed for one (1) of sixteen (16) sampled residents (Resident #45) Cross Reference F580 and F758 Findings included: During an observation and interview on 01/27/2025 at 1:01 PM, with Resident #45's family member, the resident was in his room for lunch. He was drowsy and did not wake up for the CNA who was attempting to feed him. […]

• Actual harm, isolatedF758Jan 30, 2025

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure that a resident received a Gradual Dose Reduction (GDR) as required for psychotropic medications. Specifically, the resident was prescribed Rexulti and Trileptal for behavioral health needs in April 2024 but had not undergone a GDR for over ten (10) months. Resident #45 exhibited excessive drowsiness, missing multiple meals, and significant weight loss exceeding 10 percent (%) over six (6) months for one (1) of sixteen (16) sampled residents (Resident #45) Cross Reference F580 and F692 Findings included: A review of the facility's policy titled Free From Unnecessary Psychotropic Concerns, revised September 2022, revealed, The facility will ensure based on the comprehensive assessment… […]

• No harm, potential for more than minimal, widespreadF577Apr 30, 2026

  Based on interview, record review, and resident rights and responsibilities guide review, the facility failed to ensure residents' rights to be informed of and have ready access to the most recent State survey results for all 57 residents residing in the facility during three (3) of three (3) days of survey.Findings include:A record review of the document A Matter of Rights: A Guide to Your Rights and Responsibilities as a Resident, undated, revealed .In addition, you have the right.to review the results of the most recent survey of our facility, and any plans to correct deficiencies.Our policies and procedures.1. We will post the results of the most recent inspection of our facility, together with any plan of correction currently in effect. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Based on observations, interviews, and facility policy review, the facility failed to label and date food stored in the refrigerator and freezer and failed to dispose of expired food for one (1) of four (4) days of kitchen observations. Findings include: A review of the facility ' s Food Storage Labeling policy, revised on ,d+[DATE], revealed: .8.a.i. Identify the food item's use-by date or expiration date . iv. Food in storage units will be surveyed routinely to identify and discard foods that have passed their manufacturer use-by or expiration date . 2. […]