Macon Health Care Center

In the surveyor’s words

From the most serious findings on record at Macon Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 27, 2023

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety. Staff failed to discard food that was expired or showed visible signs of deterioration and failed to label and date food items. Staff failed to shield lights located in food storage areas. The facility failed to ensure sanitary practices when staff failed to ensure tableware was protected from moisture, debris, and other contaminants and failed to ensure surfaces, such as ceiling vents and ice machines, were clean to prevent potential contamination. […]

• No harm, potential for more than minimal, widespreadF880Jul 27, 2023

  Based on observation, interview, and record review ,the facility failed to develop a policy to address Legionella Control that included specific control parameters based on Center for Disease Control (CDC) and American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) standards and failed to complete a facility assessment to identify potential sources of Legionella growth (started but not completed). The facility's water management team had not had a meeting, and the facility's water flow map was not completed and did not implement the facility's Legionnaire Disease (severe pneumonia like infection caused by contaminated water) policy that instructed staff how to monitor residents for Legionnaire's disease. […]

• No harm, potential for more than minimal, patternF641Jul 27, 2023

  Based on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS), a federally mandated assessment completed by staff, according to the Resident Assessment Instrument (RAI) manual for two sampled residents (Resident #22 and #185) in a review of 13 sampled residents and one additional resident (Resident #32). The facility census was 34. Review of the Resident Assessment Instrument Manual, dated October 2019, showed the following: -Code question N0410B, Antianxiety: Record the number of days an anxiolytic medication was received by the resident at any time during the 7-day look-back period (or since admission/entry or reentry if less than 7 days). […]

• No harm, potential for more than minimal, patternF655Jul 27, 2023

  Based on interview and record review, the facility failed to develop and implement a baseline care plan consistent with the resident's specific conditions, needs and risks to provide effective person centered care that met professional standards of quality care within 48 hours of admission to the facility for one resident (Resident #185), in a review of 13 sampled residents and two closed record residents (Resident #32 and #35). The facility census was 34. Review of the facility's undated policy for Baseline Care Plans showed the following: -Baseline care plans will be completed on all residents upon admission within 48 hours of admission; -All problems, goals, and interventions will be reviewed and replaced by a comprehensive care plan within 21 days of admission. […]

• No harm, potential for more than minimal, patternF657Jul 27, 2023

  Based on interview and record review, the facility failed to update interventions in the resident's care plan to reflect current care needs for two residents (Resident #2 and #14) in a sample of 22 residents. The facility census was 34. Review of the facility's undated policy for Care Plans showed the following: -Our facility's Care Planning/Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident; -Care Plan interventions are designed after careful consideration of the relationship between the resident's problem areas and their causes. […]