Lynchburg Nursing Center

In the surveyor’s words

From the most serious findings on record at Lynchburg Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF550Dec 4, 2025

  Based on facility policy review, medical record review, observations and interviews, the facility failed to ensure medical information was not visible for 1 resident (Resident #47) of 60 residents observed.The findings include:Review of the facility's policy titled, Dignity, reviewed on 9/26/2025, revealed .The resident has a right to be treated with respect and dignity .including .Staff should not .document .where others can see a resident's information . Review of the medical record revealed Resident #47 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Acute and Chronic Respiratory Failure, Depression, Anxiety, and Dementia.Review of the comprehensive care plan dated 6/18/2025, revealed .Congestive Heart Failure .O2 [oxygen] via nasal cannula @… […]

• No harm, potential for more than minimal, isolatedF641Dec 4, 2025

  Based on review of the medical record, observations and interviews, the facility failed to accurately code Minimum Data Set (MDS) assessments related to medications for 2 residents (Residents #47 and #44) and related to hearing impairment for 1 resident (Resident #5) of 15 residents reviewed.The findings include: Review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, dated 10/2025, revealed .High-Risk Drug Classes: Use and Indication .Review the resident's medical record for documentation that any of these medications were received by the resident and for the indication of their use during the 7-day look-back period .Anticoagulant .Check if an anticoagulant medication was taken by the resident at any… […]

• No harm, potential for more than minimal, isolatedF685Dec 4, 2025

  Based on medical record review, observations and interviews, the facility failed to provide assistance or utilize available resources related to hearing loss for 1 resident (Resident #5) of 15 residents reviewed.The findings include:Review of the facility policy titled, Hearing Impaired Resident Care, dated 9/18/2025, revealed .the facility will provide Hearing Impaired Resident Care in accordance with professional standards of practice .the right .to receive services in the facility with reasonable accommodation of resident needs . Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including Heart Failure, Diabetes, and Peripheral Vascular Disease. […]

• No harm, potential for more than minimal, isolatedF842Dec 4, 2025

  Based on review of medical records, observations and interviews, the facility failed to ensure medical records were complete and accurately documented 1 resident (Resident #2) of 26 records reviewed. The findings include: Review of the medical record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including Heart Failure, Muscle Wasting, Atrophy, and Encephalopathy. Further review revealed the resident was hospitalized from [DATE] to 6/12/2025. Review of the medical record for Resident #2 from 6/12/2025 to 12/4/2025 revealed no documentation pressure-ulcer prevention interventions had been implemented according to the resident's care plan, which currently included an air mattress and multi-podus boots (heel protective devices with removal of the heel area) to… […]

• No harm, potential for more than minimal, isolatedF623Sep 11, 2024

  Based on facility policy review, medical record review, and interview, the facility failed to notify the resident and resident's representative of a transfer or discharge in writing for one of one resident (R18) reviewed for hospitalization of 17 sampled residents. This created a potential for the resident or their resident representative to have incomplete information, misunderstand the reason, and process for transfer or discharge, and the discharge appeal process. Findings include: Review of a facility policy titled Transfers and Discharges, dated 05/12/23 indicated, .The facility will also provide transfer/discharge notice to the resident/responsible party in accordance with federal regulations .When residents are sent emergently to an acute care setting, these scenarios are considered… […]