Moweaqua Rehab & HCC

In the surveyor’s words

From the most serious findings on record at Moweaqua Rehab & HCC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Oct 26, 2022

  Based on interview and record review, the facility failed to operationalize guiding policies on the provision of resident care by neglecting to: provide cardiac medications (for 18 days) and notify the physician when cardiac medications were continuously held; obtain residents weights, monitor oral intake, determine the reason for inability to chew foods, and notify the physician of R1's refusal of meals; and assess or provide interventions as a significant decline in residents function from baseline occurred. These failures affect one (R1) of three residents reviewed for death on the sample list of 6. These failures resulted in serious harm and danger to R1's health contributing to R1's death. […]

• Actual harm, isolatedF600Jan 6, 2025

  Based on observation, interview, and record review, the facility failed to protect residents' rights to be free from physical and verbal abuse by R1. These failures affected four residents (R1, R2, R3, R4,) of thirteen reviewed for abuse in the sample of thirteen and resulted in R1 punching R2 in the face with R2 receiving defensive hand wounds requiring medical evaluation at the hospital and prescriptions for oral and topical antibiotic treatments, R1 using verbal expletives towards R3, and R1 kicking R4 in the legs. Findings include: The facility Abuse, Prevention, & Prohibition Policy (12/2024) documents: Each resident has the right to be free from abuse, corporal punishment, and involuntary seclusion. […]

• Actual harm, isolatedF692Dec 9, 2024

  Based on observation, interview, and record review, the facility failed to provide a residents' dietary recommendations to the physician, notify the Registered Dietician and physician of continued weight loss, obtain weights as ordered, follow dietary orders, and failed to report a residents' peg tube (gastric tube) placement to the Registered Dietician upon readmission to the facility. These failures affect one (R3) of three residents reviewed for nutrition on a total sample list of eight residents. These failures resulted in R3 losing 13.5% of his body weight in three and a half months, resulting in malnutrition, dehydration, and peg tube placement due to nutritional insufficiency. […]

• Actual harm, isolatedF693Dec 9, 2024

  Based on interview and record review, the facility failed to monitor and document a residents' tube feeding administration amounts, gastric tube placement, residuals, feeding complications, and consultation to ensure adequate nutritional intake was being administered via the tube feeding. These failures affect one (R3) of one resident reviewed for tube feedings from a total sample list of eight residents reviewed. These failures resulted in R3 having nausea and vomiting with tube feeding administration, the tube feeding being shut off without a physician order/consultation, and R3 experiencing continued significant weight loss. […]

• Actual harm, isolatedF561Nov 20, 2024

  Based on observation, interview, and record review, the facility failed to honor repeated requests of a resident's (R263) choice of living arrangements. This failure affects one (R263) of six residents reviewed for self-determination in a sample list of 34. This failure resulted in R263 becoming anxious, angry, refusing to eat, drink, and receive care from staff. Findings Include: R263's admission progress note, dated 11/15/24, documents, (R263) arrived from (hospital) at approximately 5pm. Nurse to nurse report indicates advanced Amyotrophic Lateral Sclerosis, with Benign Prostatic Hypertrophy, and Osteoporosis cited as the only comorbidities. Resident is non-verbal. Resident is a Do Not Resuscitate. Regular diet with a Gluten Intolerance; requires maximum assistance. […]