Marion Regional Nursing Home

In the surveyor’s words

From the most serious findings on record at Marion Regional Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Feb 20, 2025

  Based on observations, interviews, record review, and review of a facility policy titled, Nebulizer Masks, Tubing and Bag Protocol, the facility failed to ensure Resident Identifier (RI) #13's oxygen tubing was labeled/dated; and further failed to ensure RI #34, RI #37, and RI #263's nebulizer masks were covered when not in use. This deficient practice affected four of five residents sampled for respiratory care. Findings Include: A review of a facility policy titled, Nebulizer Masks, Tubing and Bag Protocol, with a last modified date of 02/12/2025, documented: . Rationale: To provide infection control and protection for residents using nebulizer treatments. Policy: It is the policy . that nebulizer masks and tubing should be dried and stored when not in use. Procedure: . 2. […]

• No harm, potential for more than minimal, isolatedF550Feb 20, 2025

  Based on observations, interviews, resident record review, and review of a facility policy titled Resident's Rights: Privacy and Confidentiality the facility failed to honor resident privacy rights when Certified Nursing Assistant (CNA) #10 failed to knock on doors and gain permission to enter, before entering resident rooms on 02/18/2025 during the evening dining observation. This affected Resident Identifier (RI) #28 and RI #32, two of 19 sampled residents. Findings include: Review of a facility policy titled Resident's Rights: Privacy and Confidentiality with a review date of 03/2020, revealed the following: . Policy: It is the policy of [NAME] Regional Nursing Home that residents' confidentiality and privacy should be protected. Procedure: 1. Residents . […]

• No harm, potential for more than minimal, isolatedF600Feb 20, 2025

  Based on resident record review, interviews, review of a facility policy titled Protecting Residents from Abuse, Neglect and Exploitation, review of the facility investigative file, and review of a Facility Reported Incident (FRI) to the State Agency, the facility failed to protect Resident Identifier (RI) #25's right to be free from abuse on 09/14/2024 when RI #313, a resident with unmanaged behaviors, hit RI #25 in the face. RI #25 described the incident as abusive. This deficient practice was cited as a result of the investigation of the complaint/report number AL00048923 and affected RI #25, one of two residents sampled for abuse. Cross Reference F740 Findings include: A facility policy titled, Protecting Residents from Abuse, Neglect, and Exploitation documented: . […]

• No harm, potential for more than minimal, isolatedF641Feb 20, 2025

  Based on interviews, record review, and the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Resident Assessment Instrument 3.0 Manual, the facility failed to ensure: 1) Resident Identified (RI) #23's annual Minimum Data Set (MDS) assessment dated [DATE] section A1500 was coded accurately to reflect RI #23's Preadmission Screening and Resident Review (PASRR) Level II. 2) RI #25's annual MDS assessment dated [DATE] section A1500 was coded accurately to reflect RI #25's PASRR Level II. This deficient practice affected two of 19 sampled residents whose MDS was reviewed. Findings include: Review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2024, revealed the following: . […]

• No harm, potential for more than minimal, isolatedF740Feb 20, 2025

  Based on interviews, resident record review, and review of the facility's investigative file, the facility failed to develop and implement immediate interventions to prevent other residents from being affected by Resident Identifier (RI) #313's behaviors. The facility failed to develop targeted care plans to assist in resolving RI #313's behaviors, failed to monitor RI #313 for behaviors that led to abuse, and failed to assess RI #313's required level of supervision to protect other residents. On 09/13/2024, RI #313's Nurses' Notes documented that RI #313 was exhibiting hostile behavior, resisting care, taking others' belongings, and becoming very agitated when requests were made. […]