Martinsville Health and Rehab

In the surveyor’s words

From the most serious findings on record at Martinsville Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 15, 2026

  Based on observations and staff interview, the facility staff failed to store and prepare food in a sanitary manner. The findings included:During an initial tour of the kitchen on 01/12/26 at 11:50 am, surveyor observed a box of ground meat with a handwritten note that read, Out to thaw 01/05/26, use by 01/11/26. Surveyor pointed this out to dietary manager. Dietary manager stated they would discard the meat. Surveyor observed the dishwasher to have a dried, crusty substance on the top corners. Dietary manager stated they clean this substance off every day, and it's back the next morning. Surveyor observed the oven in the kitchen to have dried food substance on the front outside of the oven doors. […]

• No harm, potential for more than minimal, patternF842Jan 15, 2026

  Based on staff interview, clinical record review, and facility document review, facility staff failed to ensure the consultant pharmacist documented their findings in the clinical records after completing drug regimen reviews for (5) five of (5) five sampled residents reviewed for unnecessary medications, Resident #2, Resident #5, Resident #6, Resident #9, and Resident #55. The findings included: The consultant pharmacist failed to document their findings regarding drug regimen reviews in the resident's clinical records. During clinical record reviews the survey team were unable to determine if the consultant pharmacist had made recommendations during their monthly drug regimen reviews. The pharmacist had only documented, chart review completed by consultant pharmacist. […]

• No harm, potential for more than minimal, patternF755Jan 31, 2024

  Based on staff interview and clinical record review the facility staff failed to ensue medications were available for administration for 1 of 13 residents, Resident #1. The findings included: For Resident #1 the facility staff failed to ensure the medication SPS Oral solution (Sodium Polystyrene Sulfonate [Kayexalate]) was available for administration. Resident #1's most recent minimum data set with an assessment reference date of 01/04/24 assigned the resident a brief interview for mental status score of 7 out of 15 in section C, cognitive patterns. This indicates that the resident is severely cognitively impaired. Resident #1's clinical record was reviewed and contained a physician's order summary which read in part, SPS Oral suspension 15 GM/60 ML (Sodium Polystyrene Sulfonate). […]

• No harm, potential for more than minimal, patternF760Jan 31, 2024

  Based on staff interview, clinical record review, and facility document review the facility staff failed to ensure 2 of 13 resident were free of significant medication errors, Resident #1 and Resident #1 and Resident #10. The findings included: 1. For Resident #1 the facility staff failed to administer the medications insulin glargine, metoprolol, and SPS Oral solution (sodium polystyrene sulfonate) per the physician's orders. Resident #1's most recent minimum data set with an assessment reference date of 01/04/24 assigned the resident a brief interview for mental status score of 7 out of 15 in section C, cognitive patterns. This indicates that the resident is severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF759Jun 15, 2022

  Based on observation and clinical record review, the facility staff failed to ensure the medication error rate was 5% or less during medication pass and pour observation on 6/13/2022. During medication pass and pour observation on 6/13/2022, the surveyor observed 25 opportunities for error. The surveyor observed 3 medication errors affecting 2 residents. The calculated error rate was 12% (3/25=.12 X 100%= 12%). Error observation detail: 1- For Resident #47, the antidepressant medication [MEDICATION(S)] was unavailable and the ordered dose of [MEDICATION(S)] was not available. Resident #47 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]