Lonoke Health and Rehab Center, LLC

In the surveyor’s words

From the most serious findings on record at Lonoke Health and Rehab Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 29, 2023

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator and freezer were covered and sealed; leftover food items were prepared and used to maintain food quality; dietary staff washed their hands when contaminated to decrease the potential for food borne illness for residents receiving food from 1 of 1 kitchen; 1 of 2 ice scoop holders and 1 of 2 ice machines were maintained in a clean and sanitary condition and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2022

  Based on observation, record review and interview, the facility failed to ensure food items stored in the refrigerator were covered and sealed and dated, expired food items were promptly removed and discarded, and expired bread products were promptly removed and discarded to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to effect 48 residents who received their meals from the dining room according to a list provided by the Administrator on [DATE] at 9:54 AM. The findings are: 1. On [DATE] at 10:43 AM, a tray covered in aluminum foil was on the top shelf of the freezer located in the kitchen. There was no date on the tray. Dietary Aide #1 stated, .a new employee put that in here by mistake. […]

• No harm, potential for more than minimal, patternF641Jul 25, 2024

  Based on record review and interview, it was determined the facility failed to ensure the minimum data set (MDS) accurately reflected on section A1500 the preadmission screening and assessment resident record (PASRR) a serious mental illness and/or intellectual disability affecting 2 (Residents #4 and #44) sampled residents with a level II PASRR. The findings are: 1. Review of the Medical Diagnosis revealed Resident #4 has a diagnoses of respiratory failure, schizophrenia, and psychotic disorder. a. The Admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/19/2024 suggested a Brief Interview for Mental Status (BIMS) score of 15 (13-15 indicates cognitively intact). b. […]

• No harm, potential for more than minimal, patternF656Jul 25, 2024

  Based on record review and interview, the facility failed to develop a comprehensive care plan for 2 (Resident #26 and #44) of 3 sampled residents to ensure residents received appropriate care. The findings are: 1. A review of medical diagnosis revealed Resident #44 had diagnoses of major depressive disorder, bipolar, and schizophrenia. a. The Quarterly minimum data set (MDS) with an assessment reference date (ARD) of 05/11/2024 suggested a brief interview for mental status (BIMs) score of 4 (0-7 indicates severe cognitive impairment). b. A review of a Physicians Order dated, 02/06/2024 Novolin R Injection Solution 100 UNIT/ML (Insulin Regular (Human) Inject subcutaneously before meals and at bedtime related to type II diabetes mellitus with hyperglycemia c. […]

• No harm, potential for more than minimal, patternF689Jul 25, 2024

  Based on observation, record review and interview, it was determined the facility failed to properly lift and lower residents with the legs open on a mechanical lift for 1 (Resident #28). The findings are: 1. Record review of Medical Diagnosis for Resident #28 revealed diagnoses of polyneuropathy, heart failure, and major depression disorder. a. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/18/2024 suggested a Brief Interview for Mental Status score of 14 (13-14 indicates cognitively intact). Section GG0110 does not indicate resident requires a mechanical lift, and the Quarterly MDS with an ARD of 07/19/2024 is not complete. b. […]