Majestic Care of Beckley

In the surveyor’s words

From the most serious findings on record at Majestic Care of Beckley, in the surveyor’s own words.

• Actual harm, isolatedF604Aug 16, 2024

  Based on observation, record review, and staff interview, the facility failed to ensure each resident was free from physical restraints. Resident #48 was physically restrained by the facility, causing psychosocial harm. This was true for one (1) of one (1) residents reviewed for physical restraints during the long term care survey process. Resident identifier: #48. Facility census: 51. Findings included: a) Resident #48 At approximately 12:00 PM on 08/12/24, during review of the resident matrix (resident census and conditions of residents) provided by the facility, it was determined the facility had Resident #48 marked as being in physical restraints. […]

• No harm, potential for more than minimal, patternF656Mar 5, 2026

  Based upon record review and staff interview, the facility failed to implement and carry out the comprehensive care plan. This was found to be true for three (3) of twenty residents reviewed during the long term care survey process. Resident identifiers: #2, #16, #34, Facility census: 48a) Resident #2 Record review of physician orders revealed an order for Basaglar 100 unit/mL KwikPen insulin, to inject 10 units subcutaneously once daily for diabetes mellitus baseline coverage, with instructions to hold the medication if the resident's blood glucose reading was below 80 mg/dL (milligrams per deciliter) Review of the resident's comprehensive care plan failed to reveal interventions or parameters addressing the physician's order to hold insulin when blood glucose levels were below 80 mg/dL. […]

• No harm, potential for more than minimal, patternF684Aug 16, 2024

  Based on record review and staff interview the facility failed to ensure residents did not receive a second purified protein derivative test (PPD) when it was not warranted. This is true for five (5) of eight (8) residents reviewed for immunizations during the survey. Resident Identifiers: #1, #4, #10, #26 and #31 Facility Census: #51 This will be cited as past non compliance because the facility identified what had happened and took immediate steps to correct the failure to ensure it does not reoccur. All components of the plan of correction were completed prior to this survey beginning. Findings Include: a) Resident #1 On 08/13/24 record review shows Resident #1 received a purified protein derivative test (PPD) 04/09/24. […]

• No harm, potential for more than minimal, patternF812Aug 16, 2024

  Based on observation and staff interview, the facility failed to ensure the food was stored in accordance with professional standards for food service safety. This was identified during the long term care survey and had the potential to affect more than a limited number of residents. Identifiers: Walk-in refrigerator, Refrigerator #1, Walk-in freezer. Facility census: 51. Findings Included: a) Walk-in refrigerator During a tour of the kitchen on [DATE] at 10:37 AM the walk-in refrigerator the following food storage issues were identified: * [NAME] peppers that had began to rot and the outside was watery and softened with white mold. * Watermelon that had began to rot and the outside was watery and softened. […]

• No harm, potential for more than minimal, patternF880Aug 16, 2024

  Based on observation and staff interview the facility failed to maintain an effective infection control program to prevent spread of disease and infections by not properly identifying Enhanced Barrier Precaution (EBP) isolation rooms. This was a random opportunity of discovery. Resident Identifiers: #26, #45 and #307. Facility Census: #51 Findings Included: a) Resident #26 On 08/13/24 at 11:15 AM observation found Enhanced Barrier Precaution (EBP) isolation personal protective equipment (PPE) (provided in caddies on the door) on resident room doors that had no identifying isolation sign. The Infection Prevention Nurse #34 provided a list of residents that are in EBP. The list provided identified eighteen (18) residents that should be in EBP. […]