Lebanon South Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Lebanon South Nursing & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 25, 2025

  Based on interview and record review, the facility failed to provide care in accordance with professional standards when facility staff failed to complete an ordered x-ray and follow-up with the ordering provider for one resident (Resident #1) who had complaints of leg pain and swelling until, three days after the initial order resulting in delayed treatment of a fractured ankle. The facility census was 74. Review showed the facility did not provide a policy related to resident change in condition. 1. […]

• No harm, potential for more than minimal, widespreadF801May 23, 2025

  Based on interview and record review, the facility staff failed to employ a qualified dietary manager for food and nutrition services with accredited education in food service management when the Dietary Manager's certified was expired. The facility census was 65. Review of the facility policy titled, Dining Services Department, dated May 2015, showed the following: -Dining services department supervision was to be under the guidance of a full-time person qualified by training and experience; -The Dining Services Manager (DSM) was to make sure that procurement and production and food products was carried out to ensure the resident a sufficient quantity of wholesome and nourishing food acceptable variety and quality. 1. […]

• No harm, potential for more than minimal, widespreadF812May 23, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards of practice and in a manner to prevent possible contamination when the facility staff failed to keep dented cans separate from other canned goods, failed to maintain contact surfaces in a manner that would prevent possible contamination of food, failed to sanitize the food thermometer between items, failed to ensure all food items were properly labeled and sealed, and when staff failed to use only food items stored in a safe manner when preparing food. The facility census was 65. 1. […]

• No harm, potential for more than minimal, widespreadF880May 23, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective infection prevention and control program when the facility staff failed to follow standard precautions (the infection prevention measures that apply to all resident care, regardless of suspected or confirmed infection status of the resident, in any setting where healthcare is being delivered) during medication passes, when the facility staff failed to perform hand hygiene between residents during medication passes, and failed to disinfect the multi-use glucometers (a medical device that measures the amount of glucose (sugar) in the blood stream. […]

• No harm, potential for more than minimal, widespreadF921May 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure a sanitary environment for all staff and residents, when staff failed to maintain the floors, deep fryer, and plastic containers clean and free of dirt. The facility census was 65. Review of the facility policy titled, Nutrition and Dining Services Manual, dated May of 2015, showed the following: -It is the responsibility of the Dining Services Manager (DSM) to enforce the cleaning schedules and to monitor the completion of assigned cleaning tasks; -Daily, weekly, and monthly cleaning schedules prepared by the DSM with all cleaning tasks listed will be posted in the dietary department; -Specify the days the cleaning schedule will be done, who is responsible to do the cleaning by shift and position, post the… […]