Lewis County Nursing Home District

In the surveyor’s words

From the most serious findings on record at Lewis County Nursing Home District, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 13, 2023

  Based on interview and record review the facility failed to safely transfer one resident (Resident #1) who required a mechanical lift (a assistive device used to transfer residents with limited mobility) and was totally dependent on two staff members for transfers and mobility. On the night of 5/3/23 Certified Nurse Assistant (CNA) E and the Activity Director grabbed the back of the resident's pants and transferred the resident from his/her wheelchair to the toilet. CNA E grabbed the back of the resident's pants and attempted to transfer the resident back to his/her wheelchair. The resident fell to the floor and sustained a left proximal tibia fracture (a break in the upper part of the shin bone that connects to the knee joint). A sample of six residents was selected for review. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2025

  Based on observation, interview, and record review, the facility failed to maintain the can opener blade to be free of debris, failed to maintain the range hood to be free of grease and debris, failed to properly label, date, seal/cover/close food items, failed to discard expired food items, failed to maintain the ice machine and ensure the unit was equipped with an appropriate air gap, failed to ensure staff properly wore hair restraints, failed to ensure staff properly handled ready to eat food items, failed to utilize proper handwashing techniques, failed to cover trash cans when not in use, and failed to ensure the SCU refrigerator/freezer unit was equipped with thermometers to ensure temperatures were appropriate for storing cold/frozen food items. The facility census was 45.1. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2025

  Based on observation, interview and record review, the facility did not have documentation of a detailed water flow map for the facility that identified areas in the water system that could encourage the growth and spread of Legionella (a type of bacteria found in [NAME] that causes legionnaires' disease, a severe form of pneumonia, when inhaled in water droplets or mist) or other waterborne bacteria and did not have an assigned water management team or documentation of the program to show meeting minutes or that required members attended meetings. […]

• No harm, potential for more than minimal, widespreadF865Nov 17, 2023

  Based on interview and record review, the facility failed to implement their Quality Assurance and Performance Improvement (QAPI) program. This had the potential to affect 52 of 52 residents who resided at the facility. Findings include: During an interview on 11/17/23 at 11:06 AM, the Administrator and Infection Preventionist (IP), who was the facility's QAPI Lead, stated the facility did not have a QAPI Council. The Administrator stated that the facility's QA (Quality Assurance) committee were the same people involved in the QAPI program. The IP was asked if minutes were kept of the QAPI meetings. The IP stated, I haven't sat down and had a formal meeting in quite some time. The IP stated it was difficult to get staff together for a QAPI meeting. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2023

  Based on interview and record review, the facility failed to establish and maintain an infection prevention and control program (IPCP) for recording incidents of infections identified under the facility's IPCP, surveillance, tracking and trending, and the corrective actions taken by the facility. The facility failed to update their infection control policies on an annual basis. The facility also failed to provide assistance with eating in a manner to potentially prevent cross-contamination for two of 24 sampled residents (Resident (R) 19 and R24) observed during dining. The census was 52. Findings include: 1. […]