Jamestown Nursing And Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Jamestown Nursing And Rehab, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 11, 2024

  Based on interviews and record review, the facility failed to ensure physical and psychosocial care interventions were implemented and modified to meet a resident ' s activities of daily living needs and failed to exhaust all available remedies as evidenced by the deterioration of a resident ' s physical status resulting in death for 1 (Resident #1) of 8 sampled residents. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, isolatedF686Dec 11, 2024

  F686 J Based on interviews, record review, facility document review, facility policy review, it was determined that the facility failed to ensure care and services were provided to prevent new pressure ulcer development and promote healing of existing pressure ulcers including admission and ongoing wound care assessments, appropriate and alternative interventions, and resident understanding of consequences of refusal; specifically no surgical interventions under anesthesia were offered, no intravenous pain medication was offered, no anti-anxiety medication was offered, the Medical Director was not made aware of or involved in care, interventions, or resident education; the Administrator did not participate in resident communications or bedside care plan meetings, no one-on-one in person… […]

• Immediate jeopardy, isolatedF742Dec 11, 2024

  Based on interview and record review, the facility failed to ensure a newly admitted resident, who continued to refuse activity of daily living (ADL) care and assistance, and assessment and treatment for pressure wounds, and all available remedies were provided to ensure the resident's mental and psychosocial health did not continue to deteriorate for 1 (Resident #1) of 8 residents reviewed for mental and psychosocial health, as evidenced by the failure to ensure a newly admitted resident's wounds were assessed, monitored, and treated to prevent death. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Actual harm, isolatedF641Dec 11, 2024

  Based on observations, interviews, and facility document review, it was determined that the facility failed to accurately identify resident verbal, physical, or other self-directed behavior symptoms as potential indicators of mental instability for 1 (Resident #1) of 1 resident reviewed for significant change assessment. The findings include: A review of Resident #1 ' s Admission Record, indicated the facility admitted Resident #1 on 05/20/2024 with diagnoses that included unspecified mood disorder, chronic pain, morbid obesity, malaise, and treatment refusal. […]

• No harm, potential for more than minimal, widespreadF725Dec 11, 2024

  Based on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure sufficient staffing to meet residents' needs as evidenced by not following the facility assessment staffing guidelines for 74 of 87 shifts reviewed from 11/10/2024 day shift through 12/07/2024 night shift. The findings include: Facilities are required to conduct and document facility-wide assessment annually and as needed with substantial changes to determine what resources are necessary to care for its residents on a day-to-day basis. […]