Myrtle Point Rehabilitation & Care

In the surveyor’s words

From the most serious findings on record at Myrtle Point Rehabilitation & Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 2, 2023

  Based on interview and record review it was determined the facility failed to timely respond to changes in condition and follow physician orders for 4 of 10 sampled residents (#s 2, 18, 26 and 129) reviewed for change of condition, position and mobility, UTIs and medications. This deficient practice was determined to be an immediate jeopardy situation as a result of a delay in treatment for Resident 129's sepsis (infection of the blood stream), UTI, lactic acidosis (buildup of lactic acid in blood stream), acute kidney failure, acute low blood pressure and GI bleed (bleeding in the intestinal tract). Resident 129 required hopsitalization, and died on [DATE]. Findings include: 1. […]

• Immediate jeopardy, isolatedF698Aug 2, 2023

  Based on observation, interview and record review it was determined the facility failed to provide essential services related to dialysis for 1 of 1 sampled resident (#26) reviewed for dialysis. An immediate jeopardy situation was identified. The facility failed to provide essential dialysis-related assessment, care planning and monitoring to Resident 26 resulting in pain, extensive bruising, and the likelihood of severe medical complications such as infection, bleeding, fluid overload, and adverse side effects including death. Findings include: Resident 26 was admitted to the facility in 2023 with diagnoses including acute kidney failure. A 5/19/23 Quarterly MDS revealed Resident 26's BIMS score was 15 which indicated she/he was cognitively intact. […]

• Actual harm, isolatedF689Aug 2, 2023

  Based on observation, interview and record review it was determined the facility failed to provide adequate supervision to prevent accidents and failed to implement fall risk interventions and thoroughly investigate falls for 2 of 4 sampled residents (#s 20 and 25) reviewed for accidents. Resident 20 experienced a fall resulting in a leg fracture. Findings include: 1. Resident 20 was admitted to the facility in 2023 with diagnoses including weakness and a history of falls. A 2/21/23 Hospital PT note indicated Resident 20 was a two-person maximum assist to sit on the edge of the bed and a two-person moderate assist to stand. A 3/1/23 through 3/31/23 Point of Care document indicated Resident 20 was provided extensive assistance with physical help for transfers and toilet use. […]

• Actual harm, isolatedF600Feb 11, 2021

  Based on observation, interview and record review it was determined the facility failed to protect residents from verbal and mental abuse for 2 of 2 sampled residents (#s 16 and 21) reviewed for abuse and dignity. This failure resulted in psychosocial harm as evidenced by Resident #16's depressed mood and expression of fear and anxiety. Findings include: The facility's 4/2010 Reporting Abuse to Facility Management policy defined abuse as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. The policy further defined mental abuse as, but not limited to, humiliation, harassment, threats of punishment or withholding of treatment and services. 1. […]

• Actual harm, isolatedF607Feb 11, 2021

  Based on interview and record review it was determined the facility failed to develop and implement written policies related to required abuse training and reporting of abuse for 2 of 2 sampled residents (#s 16 and 21) reviewed for abuse. This failure resulted in psychosocial harm as evidenced by Resident #16's depressed mood and expression of fear and anxiety. Findings include: The facility's 4/2010 Reporting Abuse to Facility Management policy revealed the following: - It was the responsibility of employees to promptly report incidents or suspected incidents of resident abuse to facility management. […]