Nathan Richard Health Care Center

In the surveyor’s words

From the most serious findings on record at Nathan Richard Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jun 16, 2023

  Based on observation, interview, document and policy review, and review of Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to protect 21 residents (R46, R8, R2, R5, R16, R31, R30, R22, R17, R14, R19, R35, R36, R52, R26, R43, R211, R57, R7, R38, and R10) who required blood glucose monitoring from potential blood-borne pathogens (serious infections caused by exposure to infectious organisms) by failing to disinfect the glucometers between the blood glucose testing of the 20 residents. […]

• Actual harm, isolatedF684Feb 28, 2025

  Based on observation, interview, and record review, the facility failed to ensure all residents received care per standards of practice when staff failed to address one resident's (Resident #45) change in condition timely. The resident's baseline was alert and oriented and cognitively intact. He/she experienced a change which resulted in the resident being unable to respond to questions, unable to feed him/herself, unable to lift his his/her own feet, and unable to express his/her own desires/wishes. The staff failed to send the resident out emergently, failed to follow-up with the physician when the physician did not return an office message, and failed to reach out to the medical director regarding the change of condition on the day the changes were observed. […]

• Actual harm, isolatedF686Feb 28, 2025

  Based on observation, interview, and record review, the facility failed to provide care of pressure ulcers per standards of practice, when staff failed to have processes in place to ensure consistent, accurate, and thorough wound assessments were completed upon discovery and weekly; to complete weekly wound tracking; to complete accurate and timely entries of wound treatments; and to complete wound treatments as ordered for one resident (Resident #22) who had a facility acquired wound that required wound care specialist treatment and was considered for foot amputation. The facility census was 59. Review of the facility's policy titled Wound Treatment Management Policy, reviewed 05/18/24, showed the following: -Policy purpose was to promote wound healing of various types of wounds. […]

• No harm, potential for more than minimal, widespreadF726Feb 28, 2025

  Based on interview and record review, the facility failed to ensure consistent and sufficient Registered Nurse (RN) and Director of Nursing (DON) hours to allow the DON to complete the duties of DON when the DON frequently had to work as the charge nurse. The facility census was 59. Review of the facility's job description titled Director of Nursing, undated, showed the following: -The DON provides leadership and direction for overall medical care to provide quality patient care in accordance with all laws, regulations, and the management company; -DON duties were to oversee the nursing staff and overall nursing operations of the healthcare facility; -Duties included evaluating and directing all nursing employees, establishing goals for the nursing department, and creating and enforcing… […]

• No harm, potential for more than minimal, widespreadF812Feb 28, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in a manner to protect food from possible contamination, when staff failed to use effective hair restraints; failed to consistently label and date food; failed to wash hands and equipment appropriately during food prep; failed to ensure food kept in mini refrigerators in resident rooms was not expired or spoiled; and when staff failed to ensure non-food contact surfaces in the kitchen were clean and maintained in good repair. The facility census was 59. 1. […]