Mcdowell Healthcare Center

In the surveyor’s words

From the most serious findings on record at Mcdowell Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF626Apr 18, 2023

  Based on record review, family interview, resident interview, and staff interview, the facility failed to allow a resident to return to the facility following a hospital admission. This deficient practice had the potential to affect one (1) of two (2) residents reviewed for the care area of discharge. The deficient practice caused actual psychosocial harm to the resident because the resident required a longer hospitalization while awaiting alternate placement and experienced emotional distress. The resident was also ultimately placed at a facility farther from home and family. Resident identifier: #89. Facility census: 82. […]

• No harm, potential for more than minimal, patternF880Feb 26, 2026

  Based on record review, policy review, observation, and interview, the facility failed to provide a sanitary environment to help prevent the development and prevention of communicable disease and infection by not providing hand hygiene to multiple residents in the first floor dining room before lunch. This was a random opportunity for discovery in the long-term care survey process and had the potential to affect more than an isolated number of residents. Resident identifiers: #81, #24, #41, #82, and #12. Facility Census: 91. In a policy titled Standard Precautions given to State Agency by DON, hand hygiene is defined as cleaning hands by using handwashing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis. […]

• No harm, potential for more than minimal, patternF644Aug 7, 2024

  Based on medical record review and staff interview the facility failed to update the [NAME] Virginia Department of Health and Human Resources Pre-admission Screening and Resident Review (PASRR) with new qualifying diagnoses for five (5) out of 30 residents reviewed during the long term survey process. Residents identifiers: #26, #49, #14, #17, #45. Facility Census: 93. Findings include: a) Resident #17 During a medical record review on 08/06/24 at 9:30 AM, Resident #17's PASRR was reviewed. The PASRR was dated 08/19/16 with no level two required. […]

• No harm, potential for more than minimal, patternF645Aug 7, 2024

  Based on record review and staff interview, the facility failed to ensure the correct diagnoses on the Pre-Admission Screening and Resident Review (PASRR) and, if necessary, submit a new one, at the time of admission. This was true for five (5) of thirty (30) residents reviewed for PASRRs during the survey process. Resident identifiers: #53, #33, #7, #17, #29. Facility census: 93. Findings include: A) Resident #53 At approximately 2:00 PM on 08/05/2024, a record review was conducted for Resident #53. During the review, it was determined Resident #53 was admitted to the facility on [DATE] and was diagnosed with major depressive disorder upon admission, on 08/16/22. […]

• No harm, potential for more than minimal, patternF684Aug 7, 2024

  This will be cited as past noncompliance because the facility identified what had happened and took immediate steps to correct the failure to ensure it does not recur. All components of the plan of correction were completed prior to this survey beginning. On 08/07/24 at 9:05 AM record review shows the facility reported incident concerning wound dressings that were not changed according to the Physicians order. Resident #45 has an order to change the dressing to the coccyx daily. On 07/21/24 when Registered Nurse (RN) #73 went to change Resident #45's wound dressing she found the old dressing to be dated 07/18/24 and the initials of Licensed Practical Nurse (LPN) #180. […]