Myrtles Nursing Center, LLC

In the surveyor’s words

From the most serious findings on record at Myrtles Nursing Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Oct 3, 2024

  Based on observations, interviews, record reviews, and facility policy review, the facility failed to ensure infection control measures were followed to prevent the possible spread of infection as evidenced by, not following enhanced barrier precautions, improper hand hygiene and glove changes and allowing a urinary catheter bag to touch the floor for three (3) of (19) sampled residents. (Resident #9, Resident #36, and Resident #68) Findings Include: A review of the facility's policy titled Infection Control, revised on 04/21, revealed The facility will maintain an Infection Control Program, designed to provide a safe, sanitary, and comfortable environment where residents reside with minimal exposure to the development and transmission of disease and infection . […]

• No harm, potential for more than minimal, isolatedF607Dec 18, 2025

  Based on interviews, record review, and facility policy review, the facility failed to implement its abuse prevention and investigation policy when Licensed Practical Nurse (LPN) #1 and Certified Nurse Aide (CNA) #1 witnessed Registered Nurse (RN) #1 attempting to prevent Resident #2 from bringing cigarettes into the facility and did not report the incident to the Administrator for one (1) of four (4) sampled residents (Resident #2).Findings included:A review of the facility's policy Incident Investigation & Reporting, revised 05/24, revealed, .Purpose: To provide guidance to the facility for investigation and reporting incidents.3.In the event of any incident involving an allegation or suspicion of mistreatment, exploitation, neglect, abuse.each occurrence will be reported immediately to… […]

• No harm, potential for more than minimal, isolatedF625Oct 3, 2024

  Based on interview, record review, and facility policy review, the facility failed to provide the Resident, or the Resident Representative (RR), written notification of the bed hold policy at the time of transfer for one (1) of 19 sampled residents. (Resident #60) Findings Include: A review of the facility's policy tiled, Bed Hold Notice Upon Transfer/Leave, dated 12/23, revealed, Bed Hold Agreement . If bed-hold due to hospital transfer or therapeutic leave becomes necessary, the facility will notify the resident or resident's representative of the bed-hold option . A review of the Progress Notes, dated 7/21/24 for Resident #60, revealed that the resident was transferred to the local hospital at 6:13 PM per local ambulance, due to bleeding from the dialysis shunt. […]

• No harm, potential for more than minimal, isolatedF636Oct 3, 2024

  Based on staff interviews, record reviews, and facility policy review, the facility failed to complete an annual comprehensive Minimum Data Set (MDS) assessment for one (1) of 19 residents reviewed. (Resident #77). Findings Include: A review of the facility's policy titled, Resident Assessment, with the revision date of 09/19, revealed, An assessment will be completed on each resident utilizing the MDS. The reason for assessment, schedule and timeframes will be according to the guidance of the Resident Assessment Instrument (RAI) Manual. The Registered Nurse (RN) is responsible for verifying the completion of the assessment. […]

• No harm, potential for more than minimal, isolatedF640Oct 3, 2024

  Based on interviews, record reviews, and policy review, the facility failed to submit discharge and annual Minimum Data Set (MDS) assessments in a timely manner for three (3) of (19) resident MDSs reviewed. (Resident #55, #60, and #77). Findings Include: A review of the facility's policy titled, Resident Assessment, with the revision date of 09/19, revealed, An assessment will be completed on each resident utilizing the MDS. The reason for assessment, schedule and timeframes will be according to the guidance of the Resident Assessment Instrument (RAI) Manual. The Registered Nurse (RN) is responsible for verifying the completion of the assessment. […]