Kanawha Community Home, INC.

In the surveyor’s words

From the most serious findings on record at Kanawha Community Home, INC., in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 27, 2023

  Based on observations, policy review, and staff interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility reported a census of 18 residents. Findings include: During the initial kitchen visit on 7/24/23 at 9:43 AM, the following observations were made: Bowls and plates were stored on a cart face up and not covered. Three rubber spatulas were noted to be chipped. A bag of what appeared to be sausage patties unlabeled and undated in the refrigerator. Opened and undated gallon of milk, and jugs of orange, prune, grape, cranberry, and tomato juice in the refrigerator. […]

• No harm, potential for more than minimal, isolatedF623Jul 27, 2023

  Based on clinical record review and staff interview, the facility failed to notify the State Ombudsman when a resident transferred and admitted to the hospital for 1 of 1 residents reviewed for hospitalization (Resident #7). The facility reported a census of 18 residents. Findings include: The discharge Minimum Data Set (MDS) for Resident #7 dated 2/11/23 documented the resident discharged to the hospital 2/11/23. The clinical record census documented Resident #7 went on hospital leave 2/11/23 and returned to the facility 2/14/23. Review of facility form titled, Notice of Transfer Form to Long Term Care Ombudsman emailed 3/24/23 revealed Resident #7's name was not on the list of residents that transferred from the facility in February 2023. […]

• No harm, potential for more than minimal, isolatedF645Jul 27, 2023

  Based on observation, clinical record review and staff interview, the facility failed to refer a resident to the appropriate state-designated authority for a Level II Pre-Admission Screening and Resident Review (PASRR) after the resident was identified to have a mental health diagnosis for 1 of 1 residents reviewed for PASRR evaluation (Resident #10). The facility reported a census of 18 residents. Findings include: The Minimum Data Set, dated dated dated [DATE] documented Resident #10 had a Brief Interview for Mental Status (BIMS) of 3 indicating severely impaired cognition and diagnoses including anxiety, depression and Post Traumatic Stress Disorder (PTSD). The MDS further documented the resident received an antidepressant medication for 7 out of the past 7 days. […]

• No harm, potential for more than minimal, isolatedF758Sep 23, 2022

  Based on facility policy, interviews, and record review, the facility failed to ensure appropriate monitoring for one of five residents reviewed for unnecessary use of [CONDITION(S)] medication, ( Resident #17). Behaviors were not monitored related to medications administered for sleep. The findings include: Review of the facility's policy titled, [CONDITION(S)] Medication Policy dated 05/2013 read, in pertinent part, When a [CONDITION(S)] medication is ordered interventions and behaviors will be documented. Record review revealed Resident #17 was admitted to the facility on [DATE], according to the Admission Record located in the Electronic Medical Record (EMR) under the Profile Tab, with diagnoses including [CONDITION(S)] disease, anxiety, chronic pain, and [CONDITION(S)]. […]