Little River Nursing & Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 1, 2024

  Based on observation, interview, and record review, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; failed to ensure food items were dated; ensure leftover food items were used properly to maintain food quality; dietary staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination; and failed to ensure meat items stored in the refrigerator were covered or sealed to minimize the potential for food borne illness for residents who… […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2021

  Based on observation and interview, the facility failed to ensure food items were dated when received, stored in closed containers after opening, and used within manufacturer's recommended time frames after thawing; and failed to ensure the kitchen ice machine and kitchen equipment were maintained in clean and sanitary condition to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 62 residents who received meals and ice from the kitchen (total census: 62), as documented on a list provided by the Dietary Manager on 8/12/2021. The findings are: 1. On 08/09/2021 at 1:15 PM, the following observations were made in the kitchen: a. […]

• No harm, potential for more than minimal, patternF623Mar 1, 2024

  Based on record review and interview, the facility failed to ensure a resident or residents' representative was provided in writing the notice of discharge including the contact number for the Office of Long Term Care (OLTC) as required for 2 (Resident # 30, #183). This failed practice had the potential to affect 2 sampled residents that received a 30-day notice of intent to discharge in the last 120 days. The findings are. 1. Resident # 30 had diagnoses of Alzheimer's disease, Depression, and Insomnia. The Admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 9/12/23 documented that the resident scored 4 (0-7 indicates severe impairment) on the Brief Interview or Mental Status (BIMS). a. […]

• No harm, potential for more than minimal, patternF689Mar 1, 2024

  Based on observation, record review, and interview, the facility failed to ensure that dryer lint in the laundry room was regularly removed to prevent an excessive build-up that could contribute to the potential for fire hazards for 1 of 1 onsite laundry. This failed practice had the potential to affect all 77 residents that have linens or clothing cleaned in the facility laundry. The findings are: a. On 02/27/24 at 02:50 PM, the Surveyor asked how often lint is cleaned from the 2 on-site dryers and Environmental #2 told the Surveyor every 2-3 hours. b. On 02/27/24 at 03:00 PM, the Surveyor asked Environmental #2 to remove the lint filter. […]

• No harm, potential for more than minimal, patternF695Mar 1, 2024

  Based on observation, record review, and interview, the facility failed to ensure there was a physician's order for oxygen for 2 (Resident #16 and #58) sampled residents, failed to ensure an oxygen in use sign was on the residents door for 1(Resident #68) sampled residents, and failed to ensure that humidifier bottles, tubing, and masks were dated and stored correctly for 2 (Resident #16 and #34) sampled residents to reduce the potential for respiratory complications. This failed practice had the potential to affect 16 residents that were receiving oxygen therapy. The findings are: 1. Resident #58 had diagnoses of Cancer, Respiratory failure, and Pulmonary embolism. […]