NHC Healthcare, Columbia

In the surveyor’s words

From the most serious findings on record at NHC Healthcare, Columbia, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Nov 3, 2021

  Based on the Centers for Disease Control and Prevention (CDC) guidelines, policy review, Time and Attendance Reports, staff screening logs, and interview, the facility failed to properly prevent and/or contain COVID-19 when 47 of 117 staff members (Housekeeping Staff #1, #2, #3, and #4, Dietary Staff #1, #2, #3, #4, #5, and #6, Maintenance Staff #1, Staff Secretary #1 and #2, Registered Nurse (RN) #1, #2, and #3, Licensed Practical Nurse (LPN) #1, #2, #3, #4, #5, and #6, Certified Nursing Assistant (CNA) #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, and Nurse Aide (NA) #1) failed to complete screenings prior to working on 7 of 7 days (10/21/2021, 10/22/2021, 10/23/2021, 10/24/2021, 10/25/2021, 10/26/2021, and 10/27/2021)… […]

• No harm, potential for more than minimal, patternF690Nov 3, 2021

  Based on policy review, medical record review, observation, and interview, the facility failed to provide care and services to maintain an indwelling urinary catheter for 2 of 3 sampled residents (Resident #73 and #77) reviewed for an indwelling urinary catheter. The findings include: Review of the facility's undated policy titled, CATHETER CARE, INDWELLING (MALE AND FEMALE), revealed .Catheter care will be provided using approved technique in order to decrease the risk of the catheter-associated urinary tract infection .clean perineal area from front to back, using a clean wipe for each of the areas to be cleaned (1 wipe per swipe) . […]

• No harm, potential for more than minimal, patternF761Nov 3, 2021

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 5 of 9 medication storage areas (A/B Hall Medication Room, B Hall Cart, C Hall Cart, A/B Hall Cart, and the Treatment Cart) when the facility had open and undated, and expired medications in the medication and treatment carts. The findings include: Review of the facility's policy titled, MEDICATION STORAGE IN THE FACILITY, dated 1/1/2019, revealed .Outdated .are removed from inventory, disposed of according to procedures for medication disposal . Observation of the A/B Medication Room on 11/1/2021 at 12:05 PM, revealed 1 opened and undated vial of [MEDICATION(S)] vaccine in the refrigerator. […]

• No harm, potential for more than minimal, isolatedF655Nov 3, 2021

  Based on medical record review, observation, and interview, the facility failed to develop a Baseline Care Plan within 48 hours of admission that included the initial goals and needs for 3 of 18 sampled residents (Resident #36, #37, and #100) reviewed. The findings include: Review of the medical record, revealed Resident #36 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Review of the medical record, revealed Resident #36 did not have a Baseline Care Plan completed within 48 hours of admission that addressed the initial goals and needs of the resident. Review of the medical record, revealed Resident #37 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]