NHC HealthCare - Anderson

In the surveyor’s words

From the most serious findings on record at NHC HealthCare - Anderson, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jul 13, 2022

  Based on observations, record review, and staff interviews, the facility failed to ensure staff followed adequate transmission-based precautions to prevent the spread of COVID-19. Staff entered the rooms of 4 residents (Resident (R) 629, R143, R630, and R627) out of 8 residents on COVID-19 precautions, who were not up to date on COVID-19 vaccinations and were newly admitted to the facility. Staff did not apply the required personal protective equipment (PPE). These failures placed the residents and staff on Unit 4 at risk for transmission of COVID-19. […]

• No harm, potential for more than minimal, isolatedF604Sep 12, 2024

  Based on review of the facility policy, record review, and interviews, the facility failed to identify the usage of bean bags chairs as a potential restraint for 1 out of 3 Residents, (R)407. Findings include: Review of the facility's Summary of Federal Residents' Rights, #18. States Restraints, the resident has the right to be free from any physical restraints or chemical restraints administered for the purpose of discipline for convenience. Review of an undated Face Sheet provided by the facility revealed R407 was admitted to the facility on [DATE] with diagnoses to include but not limited to dementia without behavioral disturbance, psychotic disturbance, anxiety, and fracture of unspecified part of neck of femur. […]

• No harm, potential for more than minimal, isolatedF761Sep 12, 2024

  Based on review of the facility policy, observations and interviews, the facility failed to ensure biologicals were kept sterile in 1 of 6 medication rooms. Findings include: Review of the facility policy, revised 01/01/19, titled, Medication Storage in the Facility revealed, Expiration Dating (Beyond-use dating) J. Disposal of any medications prior to the expiration dating will be required if contamination or decomposition is apparent. An observation on 09/10/24 at 8:08 AM of the Medication Room on Hall 600 revealed the following: -Aquacel Ag Foam, Manufacturer-Convatec- 20 centimeters (cm)x20cm, 8inch x 8inch Sterile dressing was open and cut in half. […]

• No harm, potential for more than minimal, isolatedF641Jul 13, 2022

  Based on record review and staff interviews, the facility failed to ensure the accurate staging of a pressure ulcer on the assessment for 1 resident (Resident (R) 103) of 3 residents reviewed for pressure ulcers out of a total of 37 sampled residents. R103's admission Minimum Data Set (MDS) assessment documented a stage two (break in the top two layers of skin), rather than unstageable (ulcer covered with dead tissue), pressure ulcer. This failure had the potential to lead to a lack of adequate care planning to heal R103's pressure ulcer. […]

• No harm, potential for more than minimal, isolatedF689Jul 13, 2022

  Based on staff interviews and record review, the facility failed to ensure that 2 residents (Resident (R) 98 and R368) of 3 residents reviewed for falls had a thorough investigation following a fall to determine root cause of the fall and appropriate interventions needed to prevent recurrence. This failure placed both residents at risk for repeated falls. Findings include: 1. Review of R368's undated Face Sheet located in R368's electronic medical record (EMR) under the Profile tab, indicated the resident was admitted on [DATE], with diagnoses including multiple fractures of ribs, left side; subsequent encounter of fracture with routine healing; spondylolisthesis (a spinal disorder in which a bone (vertebra) slips forward onto the bone below it); spinal stenosis cervical region; and… […]