NHC Healthcare - Lexington

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 12, 2025

  Based on record review, interview, observation and review of facility policy, (1) the facility failed to ensure an ordered medication was secured and not left at Resident (R)40's bedside. Additionally, (2) the facility failed to ensure the correct resident (R23) was transported to an appointment. Specifically, transportation picked up R130 (who did not have an appointment), a cognitively impaired and elopement risk resident, and transported her approximately 15 miles to a medical facility and left the resident unattended. For 3 of 5 residents reviewed. On 03/12/25 at 9:00 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 02/05/25. […]

• No harm, potential for more than minimal, patternF695Mar 12, 2025

  Based on facility policy review, record review, observation, and interview, the facility failed to ensure respiratory equipment (Bipap, CPAP, and Nebulizer Masks) were functioning, maintained, and stored appropriately for 4 of 4 residents (Resident (R)19, R14, R46 and R59) reviewed for respiratory care out of total sample of 12 residents. The facility's deficient practice increased the resident's risk of respiratory complications. Findings include: Review of the facility policy titled, 306 Respiratory- Respiratory Therapy Equipment with a revision date of February 2025 revealed, 3. Respiratory equipment (i.e., nasal cannula, aerosols, etc.) at bedside will be covered with a plastic bag when not in use. […]

• No harm, potential for more than minimal, patternF880Mar 12, 2025

  Based on observation, interview, and review of facility policy, the facility failed to ensure used Personal Protective Equipment (PPE) was disposed of properly in accordance with professional standards. Specifically, used PPE was observed hanging outside of the resident's rooms who were currently on droplet precautions for 6 of 9 rooms observed. Findings include: Review of the facility's policy titled, 704 Droplet Precautions, documented, Change protective attire and perform hand hygiene between contact with patients in the same room, regardless of whether one patient or both patients are on Droplet Precautions. Review of the CDC Infection Control Summary of Recommendations with a revision year of 2007, states, Slide 10. […]

• No harm, potential for more than minimal, isolatedF658Apr 2, 2026

  Based on review of facility policy, observation, and interview, the facility failed to ensure medications were not pre-poured prior to administration for 3 of 3 residents observed during medication administration. Findings include:Review of the facility policy titled, Medication Administration Policy dated 01/01/26 revealed, Policy Statement: Medication shall be prepared and administered safely, accurately, and in accordance with physician orders, professional standards of nursing practice, and all applicable federal and state regulation. Medication Preparation. […]

• No harm, potential for more than minimal, isolatedF558Mar 12, 2025

  Based on observation, interview, and review of facility policy, the facility failed to ensure call lights were within residents' reach and easily accessible for 2 of 4 residents reviewed for accommodation of needs, Resident (R)126 and R61. Findings include: Review of the facility policy with a revision date of October 2023, titled, Call Light documented, Purpose: To provide a means of communication of needs from the residents to the staff . 8. When providing care to residents be sure to position the call light conveniently for the resident to use. Tell the resident where the call light is and show him/her how to use the call light . 11. […]