NHC Healthcare, Desloge

In the surveyor’s words

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

• Actual harm, isolatedF697Mar 29, 2024

  Based on observation, interview and record review, the facility failed to ensure one resident (Resident #26) out of two sampled residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the resident's choices, related to pain management. The facility's census was 62. Review of the facility's policy titled, Pain Management, undated, showed: - Every patient is assessed for pain on admission, daily, as needed, and with all quarterly Minimum Data Set (MDS) (a federally mandated assessment completed by the facility) assessments; - Interventions for pain consist of pharmacological and non-pharmacological; - Medications will be given per physician orders, as needed orders will be assessed for effectiveness. […]

• No harm, potential for more than minimal, widespreadF812Sep 23, 2022

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents. The facility census was 61. Record Review of facility's Food Service Department Preventative Maintenance policy, dated January 2011, showed: - For the hood, clean the inside and the outside, clean or change the filters; - For the air conditioner, clean or change the filter; - For the ice machine, clean the condenser and the filter, check for the correct air gap in the drain, and consider professional cleaning twice each year; - For the refrigerators and the freezers, clean the dust from the motor and the condensers. […]

• No harm, potential for more than minimal, patternF584Sep 23, 2022

  Based on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable and homelike environment. This deficient practice had the potential to affect all residents at the facility. The facility census was 61. The facility did not provide a policy regarding a homelike environment for the residents. 1. Observation on 9/21/22 at 8:57 A.M., of Room C3 showed: - The bathroom sink loose and pulled away from the wall with an approximate 1 inch (in.) to 1.5 in. […]

• No harm, potential for more than minimal, patternF880Sep 23, 2022

  Based on observation, interview and record review, the facility failed to maintain infection control practices during medication administration for four residents (Resident #27, #34, #40, and #54) out of 12 sampled residents and the prevention of communicable disease in regards to [CONDITION(S)] (TB) (a communicable disease that affects the lungs characterized by fever, cough and difficulty breathing) screening of five residents (Resident #3, #12, #19, #48 and #259) out of five sampled residents. The facility's census was 61. Record review of the facility's Administering Medication policy, revised December 2012, showed: - Staff shall follow established facility infection control procedures (e.g. […]

• No harm, potential for more than minimal, isolatedF580Apr 24, 2025

  Based on interview and record review, the facility failed to notify a resident's Responsible Party (RP) after a change in condition when one resident (Resident #43) out of 16 sampled residents had behavioral issues and was transferred to the hospital for evaluation. The facility census was 64. Review of the facility's Change in Patient Status Policy, dated March 2024, showed: - The patient or patient's representative is encouraged to be involved in all decision-making regarding changes in plan of care; - The charge nurse on duty is notified of any changes in condition, the patient will be assessed, the physician, physician extender and patient's representative will be notified; - The patient may not be transferred to hospital without first notifying the patient's representative unless to… […]