Layhill Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Layhill Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF678Sep 23, 2024

  Based on medical record review and interview, it was determined that the facility failed to have an effective system in place to correctly identify the appropriate decision maker regarding health care decisions and that the resident/health care decision maker's wishes regarding CPR were clearly documented in the medical record to ensure CPR was performed if needed. This was evident for 4 out 51 Residents, (Resident #328, #30, # 97 #55), reviewed for advanced directives during a survey. The facility's failure to ensure that each resident had only one active MOLST, led to the determination that immediate jeopardy existed. The facility was notified of this determination on [DATE] at 6:25 PM. Surveyors accepted the facility's plan to remove the immediacy on [DATE] at 11:00PM. […]

• Actual harm, isolatedF583Jun 18, 2024

  Based on medical record review and staff interview, facility staff failed to provide privacy to a vulnerable resident (resident #26). This was evident for 1 of 8 residents reviewed during a complaint survey and resulted in psychosocial harm to resident #26. The findings include: On 6/12/24 at 7:50 am, the surveyor received a facility reported incident (FRI) (MD00189048) that is associated with complaint MD00189537 which alleged a male facility housekeeper entered a facility shower room while a resident was bathing on 2/12/23. The resident was being assisted by another facility staff member at the time of the incident. […]

• Actual harm, isolatedF600Jun 18, 2024

  Based on record review and staff interview it was determined that the facility failed to ensure that residents were free from abuse. This was evident for 2 (#3 and #29) of 27 residents reviewed for abuse. These identified concerns rose to the level of harm for both identified residents. The findings include: Brief Interview of Mental Status (BIMS) is a standardized test used to get a quick snapshot of the cognitive function and is a required screening tool used in nursing homes to assess cognition. […]

• Actual harm, isolatedF600Jan 18, 2022

  Based on the review of the facility ' s investigative documents, medical records, and interviews with, residents and facility staff, it was determined that the facility failed to keep a vulnerable resident (Resident #1) free from abuse by the resident ' s roommate (Resident #3). Resident #3 had a known history of physical aggression towards his/ her previous roommate (Resident #4). The failure of the facility to keep a resident safe and free from abuse resulted in physical harm to Resident #1, who was transferred to the hospital for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF684Mar 12, 2021

  Based on surveyor review of clinical records and staff interviews, it was determined that the facility's staff failed to clarify medication orders related to a diuretic and failed to notify the physician of elevated lab results for 1 of 3 residents reviewed during the complaint survey (Resident #2). The facility's failure to provide needed care and services in accordance with professional standards of practice resulted in acute kidney failure, septic shock and eventual death of Resident #2. This finding was identified during the investigation of complaints# MD 281 and MD 795. The findings include: 1. On 03-11-21 at 10:41 AM, a review of Resident #2's clinical record revealed the resident had a gastrostomy tube (G-Tube) for feeding and nutrition. […]