Louisa Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Louisa Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF655Jan 26, 2023

  Based on observations, clinical record review, and staff interview, the facility staff failed to develop a baseline care plan for the immediate care needs identified upon admission for three of 24 residents. Findings include: 1. The facility failed to develop a baseline (initial) care plan within 48 hours of admission for Resident #225 to address the immediate care of diabetes, wound care, anticoagulant therapy, or pain management. Resident #225 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF686Jan 26, 2023

  Based on staff interview, clinical record review and during a complaint investigation, the facility staff failed to ensure wound care orders were in place for one of 24 residents in the survey sample, Resident #75. Resident #75 did not have wound care orders for the treatment of two unstageable pressure ulcers that were present upon admission to the facility (06/20/22); physician orders for wound care were not obtained until 06/28/22, eight days after admission. Findings include: Resident #75 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF725Jan 26, 2023

  Based on family interview, resident council interview, staff interview and facility document review, the facility staff failed to promptly respond to call bells on one of two units (Residential unit). Residents and a family member reported extended wait times for staff response to call bells on the Residential unit. The findings include: On 1/24/23 at 4:13 p.m., Resident #56's family member was interviewed about quality of care/life in the facility. The family member stated she had witnessed extended response time by staff members to the call bell. The family member stated two weekends ago it took over one hour before a staff person responded to take Resident #79 to the bathroom. […]

• No harm, potential for more than minimal, patternF758Jan 26, 2023

  Based on staff interview and clinical record review, the facility staff failed to ensure an as needed (prn) psychotropic medication was limited to 14-day use for one of twenty-four residents in the survey sample. Resident #44 had an order for the anti-anxiety medication lorazepam in use beyond 14 days without a documented rationale for the extended use or a designated duration for the order. The findings include: Resident #44 was admitted to the facility with diagnoses that included multiple sclerosis, asthma, atrial fibrillation, anxiety disorder, protein-calorie malnutrition, depression, hypothyroidism, insomnia, hypertension, failure to thrive and gastroesophageal reflux disease. […]

• No harm, potential for more than minimal, patternF656Apr 22, 2021

  Based on observation, interview, record review, and review of facility policies, the facility failed to develop comprehensive and individualized care plans that included person-centered interventions to meet the residents' medical needs for 3 of 17 sampled residents, (Resident (R) 6, R60 and R171). The facility failed to include individualized interventions on the care plan for R60 to prevent falls and potential for injury when the resident had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]