Kemp Care Center

In the surveyor’s words

From the most serious findings on record at Kemp Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF686May 2, 2024

  Based on observation, interview, and record review the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 5 of 6 residents (Resident #14, Resident #36, Resident #47, Resident #115, and Resident #218) reviewed for pressure ulcers. 1. The facility failed to ensure weekly ulcer assessments were performed and measurements were obtained for Resident #47's left outer ankle stage 4 pressure injury, Resident #218's pressure injuries to her buttocks, fluid filled blister to great toe, ulcer to right foot, Resident #14's pressure injury to his left buttock, Resident #115's stage 3 pressure injury to his left buttock. […]

• Immediate jeopardy, patternF770Mar 6, 2024

  Based on interview and record review the facility failed to ensure laboratory services were obtained to meet the needs for 1 of 5 (Resident #1) residents reviewed for laboratory services. The facility did not ensure Resident #1 had weekly CBC (complete blood count-used to look at overall health and find a wide range of conditions including anemia (condition in which the blood does not have enough healthy red blood cells) and infection and BMP (basic metabolic panel-test that checks the body's fluid balance and levels of electrolytes) lab tests as ordered. […]

• Immediate jeopardy, isolatedF689May 2, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible for 4 of 14 residents (Residents #42, #165, #58, and 115) reviewed for accident hazards. 1. The facility failed to ensure safety measures were in place after Resident #42 received a first-degree burn (an injury that affects the first layer of your skin) from hot coffee. An Immediate Jeopardy (IJ) situation was identified on 05/01/24. […]

• No harm, potential for more than minimal, widespreadF725May 2, 2024

  Based on observation, interview, and record review the facility failed to ensure sufficient staff to provide nursing related services to ensure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident, for 2 of 22 residents (Resident #54 and Resident #219) and 1 of 1 facility reviewed for care and services. The facility failed to provide sufficient staff to provide prompt and proper incontinent care for Resident #54 and Resident #219. This failure could place residents at risk of an unsafe environment, new pressure injuries, worsening of pressure injuries, falls, and exacerbations of disease processes. Findings Included: 1. […]

• No harm, potential for more than minimal, widespreadF880May 2, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 7 of 7 residents (Resident #36, Resident #115, Resident #14, Resident #219, Resident #215, Resident #54, Resident #26) and 2 linen carts (Hall 200 linen cart, facility clean linen cart) reviewed for infection control practices. 1.CNA UU failed to wash or sanitize hands when changing gloves between dirty and clean while providing peri care for Resident #36 and prevent hall 200 linen cart to be contaminated by placing the used wipes and barrier cream from Resident #36 on the clean cart. […]