John Scott House Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at John Scott House Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF684Dec 30, 2022

  Based on observation, record review, policy review, and interviews, the facility failed to promote and manage the delivery of safe nursing care in accordance with accepted Standards of Nursing Practice by failing to implement wound care recommendations to promote wound healing for one Resident (#64), in a total sample of 22 residents, which resulted in deterioration of an arterial wound to the Resident's left ankle. Findings include: Review of the facility's policy titled Wound and Skin Care Protocols/Definitions, last revised September 2022, included but was not limited to: -The interdisciplinary plan of care will address problems, goals, and interventions directed toward the prevention and/or treatment of impaired skin integrity/pressure injury/ulcer; -Monitor and document interventions… […]

• Actual harm, isolatedF697Dec 30, 2022

  Based on observations, interviews, and record review, the facility failed to ensure pain management consistent with professional standards and the resident's goals and preferences was provided to one Resident (#66), out of a total sample of 22 residents. Specifically, for Resident #66, the facility failed to administer medications timely and manage pain effectively during a dressing change. Findings include: Review of the facility's policy titled Pain Management Guidelines, last updated September 2022, included but was not limited to: -Attempts to control pain will be employed and adjusted until the resident reaches an acceptable comfort level. […]

• No harm, potential for more than minimal, patternF584Apr 2, 2025

  Based on observations and interviews, the facility failed to ensure the residents' environment was clean, comfortable, and homelike. Specifically, the facility failed: 1. To ensure two ([NAME] 1 and East 2) out of four units were homelike, comfortable, and in overall good repair; 2. To ensure the Whirlpool tub room and room [ROOM NUMBER] East were free of water damage; and 3. To maintain and clean the window air conditioner in room [ROOM NUMBER] East. Findings include: Review of the facility's policy titled Environment of Care, dated 9/24, indicated but was not limited to the following: -Responsibilities of the maintenance department will include but not to be limited to painting, mechanical repairs (electrical, plumbing), and grounds keeping. […]

• No harm, potential for more than minimal, patternF883Apr 30, 2024

  Based on record review, policy review, and interview, the facility failed to provide education, assess eligibility, and offer Pneumococcal Vaccinations per the Centers for Disease Control and Prevention (CDC) recommendations and facility policy for three Residents (#9, #67, and #52), out of a total sample of five residents. Specifically, the facility failed to ensure that staff offered, assessed, and provided education on the recommended 20-Valent Pneumococcal Conjugate Vaccine (PCV20) (an active immunizing agent used to prevent infection caused by certain types of pneumococcal bacteria). […]

• No harm, potential for more than minimal, patternF686Dec 30, 2022

  Based on observations, interviews, and record reviews, the facility failed to ensure pressure relieving devices were utilized following professional standards for 3 Residents (#59, #20, and #66), in a sample of 7 residents with pressure ulcers. Specifically, the facility failed to ensure 1. For Resident #59, an ROHO cushion (an inflatable seat cushion) was checked for proper inflation to promote pressure ulcer healing; 2. For Resident #20, the proper use of a gel seating cushion by placing a folded sheet between the Resident and the cushion; and 3. For Resident #66, the pressure relieving air mattress was consistently set to optimize wound healing. Findings include: 1. […]