Macon Valley Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Macon Valley Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF697Jun 5, 2025

  Based on record review, staff, Nurse Practitioner (NP), and Medical Director interviews the facility failed to ensure a resident ' s scheduled pain medication was administered as ordered for 1 of 1 resident reviewed for pain. Resident #523 stated the missed pain medication caused her pain level to be greater than a 10 on 5/31/2025 and caused her to cry and almost scream. The findings included: Resident #523 was admitted to the facility on [DATE] with diagnoses that included enterocolitis (inflammation in the small intestine and colon's inner lining) due to clostridium difficile (inflammation of the colon caused by bacteria), essential hypertension, osteoporosis, history of deep vein thrombosis (a blood clot in a deep vein), and pulmonary embolism (a serious medical condition involving a… […]

• No harm, potential for more than minimal, patternF602Apr 2, 2024

  Based on record review and interviews with resident, staff, and the Medical Director (MD), the facility failed to protect residents' rights to be free from misappropriation of controlled substances for 1 of 1 resident (Resident #1) reviewed for misappropriation of residents' property. The findings included: The facility's Abuse, Neglect, or Misappropriation of Resident property policy, last revised on September 11, 2017, revealed in part the facility would ensure all residents to remain free from abuse or misappropriation of their property. Resident #1 was admitted to the facility on [DATE] with diagnoses including osteoporosis and hip fractures. […]

• No harm, potential for more than minimal, patternF755Apr 2, 2024

  Based on record review and interviews with resident, staff, and the Medical Director (MD), the facility failed to keep an accurate accounting of controlled medications on the controlled substance count sheets and failed to conduct controlled substance counts in the medication cart with at least 2 nurses for verification of accuracy during shift transitions. As a result, a blister card of 30 tablets of a controlled substance was missing from a medication cart during shift transition for 1 of 1 resident reviewed for misappropriation of residents' property (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses including osteoporosis and hip fractures. […]

• No harm, potential for more than minimal, patternF867Apr 2, 2024

  Based on observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint survey conducted on 02/16/24 and the complaint investigation survey conducted on 04/02/24. This was for a repeat deficiency in the area of misappropriation/exploitation of resident's property that was originally cited on 02/16/24 during the recertification and complaint survey, and subsequently recited during the complaint investigation survey completed on 04/02/24. […]

• No harm, potential for more than minimal, patternF602Feb 16, 2024

  Based on record review and interviews with residents, staff, and physician, the facility failed to protect residents' rights to be free from misappropriation of controlled medications for 4 of 4 residents (Resident #16, #17, #35, and #116) reviewed for misappropriation of residents' property. The findings included: The facility's Abuse, Neglect, or Misappropriation of Resident property policy, last revised on [DATE], revealed in part the facility would ensure all residents to remain free from abuse or misappropriation of their property. […]