Jolley Acres Healthcare Center

In the surveyor’s words

From the most serious findings on record at Jolley Acres Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Sep 19, 2024

  Based on review of the facility policies, observations and interviews, the facility failed to follow proper infection control guidelines related to handling soiled clothes, and linens for transport in 3 of 3 soiled linen rooms. The facility further failed to ensure the proper handling of clean wet and dry linens, and the folding of clean linen in 1 of 1 main laundry room. Findings include: Review of the facility policy titled, Indications for Glove Use, states, The facility recognizes and implements Standard Precautions. The use of enhanced and transmission-based precautions is implemented as clinically indicated and recommended by health authorities. Procedures: Gloves are worn when: 3. […]

• No harm, potential for more than minimal, widespreadF803Jun 10, 2021

  Based on observation, record review, and interviews the facility failed to ensure that changes made to the menu were done by a qualified professional. In addition, the facility failed to inform the residents in advance and provide them with the opportunity to participate in this activity. The Certified Dietary Manager (CDM) removed and added food items from and to the menu without consulting the Physician, Dietitian, and Residents. During the initial walk through of the kitchen on 6/08/21 at 10:29 AM the CDM stated that [s/he] had made changes to the menu because [s/he] knows that the Residents won't eat certain foods, such as Brussels Sprout, Oatmeal, and Mushrooms. […]

• No harm, potential for more than minimal, patternF550Aug 25, 2022

  Based on observations, record review, interviews, and policy review, the facility failed to protect and value residents' private space by failing to knock on doors and/or request permission and/or pause prior to entering resident (R) rooms for 3 (R46, R205, and R51) of 4 residents sampled for dignity. Findings include: A review of the facility policy Resident Rights, revised 11/01/17, revealed The facility staff will provide the patient/resident with his/her right to privacy and security. The procedures of the policy included 2. Staff: A. Knocks on doors for permission to enter. (a) During an observation of medication administration on the 200 Hall on 08/24/22 at 8:55 AM, Licensed Practical Nurse (LPN)1 walked into R46's room to administer medication without knocking and waiting to enter. […]

• No harm, potential for more than minimal, patternF600Oct 28, 2021

  Based on record review, interviews, and facility policy, the facility failed to adequately supervise Resident (R)1 to prevent resident-resident altercations, 1 of 3 reviewed for abuse. Failure to provide adequate supervision has the potential for harm/accidents for all residents. Finding include: Review of the facility policy and procedure titled Abuse, Neglect, Exploitation, or Mistreatment last revised 2019, revealed ongoing assessment, care planning, and monitoring of those patients/ residents with special needs that may lead to neglect, for example: History of aggressive behavior; history of entering other patient/resident rooms; patients/residents requiring excessive nursing care or staff attention; residents with history of resident to resident altercations. […]

• No harm, potential for more than minimal, patternF689Oct 28, 2021

  Based on record review, interviews, and facility policy, the facility failed to adequately supervise Resident (R)1 to prevent resident-resident altercations. Failure to provide adequate supervision has the potential for harm/accidents for all residents. Finding include: Review of the facility policy and procedure titled Abuse, Neglect, Exploitation, or Mistreatment last revised 2019, revealed ongoing assessment, care planning, and monitoring of those patients/ residents with special needs that may lead to neglect, for example: History of aggressive behavior; history of entering other patient/resident rooms; patients/residents requiring excessive nursing care or staff attention; residents with history of resident to resident altercations. […]