Katherine Healthcare

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF700Apr 30, 2024

  Based on observation, interview, and record review, the facility failed to ensure the proper use of bed or side rails (adjustable rigid bars attached to the side of a bed) for five (Residents 26, 145, 194, 17, and 4) of five sampled residents (residents who used bed or side rails) when: 1. There was no documentation that indicated the facility followed the manufacturers' recommendations and specifications for installation and maintenance of the facility's beds and side rails for five of five sampled residents (Residents 26, 145, 194, 17, and 4); 2. There was no documentation that indicated alternatives were offered and/or attempted prior to the use of bed or side rails for three of five sampled residents (Residents 194, 17, and 4); 3. […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2024

  Based on observation and interview, the facility failed to maintain hygiene in the kitchen and to ensure food was stored in accordance with professional standards for food safety when: 1. Past use-by date food, rotten bananas, and dented cans were found in the freezer and on the shelves in the kitchen; 2. Cook K's (CK K) and dietary aid L's (DA L) hair were out of their hair nets; the maintenance director (MD) did not wash his hands when he entered the kitchen and opened the ice machine; the dietary director (DD) did not sanitize the thermometers before checking the food temperatures; and, 3. […]

• No harm, potential for more than minimal, widespreadF880Apr 30, 2024

  Based on observation, interview, and record review, the facility failed to implement infection control practices when: 1. Licensed vocational nurse A (LVN A) picked up clean gauges and Silver Alginate (a sterile dressing for wounds with moderate to heavy exudate that helps prevent infection of wounds while providing optimum environment to facilitate healing) with her contaminated gloved hands for the treatment of Resident 9's wound; 2. Certified nursing assistant H (CNA H) did not sanitize her hands before serving a lunch tray to Resident 35; 3. LVN A went to Resident 17's room wearing the same gloves that she wore to give insulin to Resident 195, and then walked out of Resident 17's room with the same gloves on; 4. […]

• No harm, potential for more than minimal, patternF692May 21, 2026

  Based on interview and record review, the facility failed to complete the nutritional initial screener (NIS) for seven of eight residents (Resident 1, 2, 4, 5, 6, 7, and 8) upon admission. This failure had the potential for residents nutritional needs being unmet.Findings:Resident 1 was admitted to the facility on [DATE] with diagnoses which included severe protein-calorie malnutrition, muscle weakness, chronic metabolic acidosis (a long-term buildup of acid in the body fluids, usually caused by reduced kidney function or excessive acid production. […]

• No harm, potential for more than minimal, patternF695Sep 8, 2025

  Based on observation, interview and record review, the facility failed to follow its Policy and Procedures regarding oxygen administration for two out of six sampled residents (Resident 43 and Resident 3) when:1. No oxygen (O2: a colorless, odorless and tasteless gas, essential for life) administration order for Resident 43;2. O2 humidifier(a device, often a bottle contains water that adds moisture to dry supplemental O2 use) not adequately replaced for Resident 43;3. No O2 administration order, unlabeled oxygen tubing, and no oxygen in use sign posted for Resident 3;4. No care plan for O2 administration for Resident 3.These failures had the potential to affect sampled residents medical condition, well-being, and safety.Findings: 1. […]