Nixa Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Nixa Nursing & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF678Jul 23, 2024

  Based on interview and record review, the facility failed to ensure each resident's choice of to receive Cardiopulmonary Resuscitation (CPR - an emergency treatment that's done when someone's breathing or heartbeat has stopped) or not was consistently and clearly documented when staff documented conflicting CPR choice information for 10 residents (Resident #11, #12, #17,#23, #26, #30, #40, #41, #46 and #58) out of a sample of 16 residents. The facility census was 65. Review of the facility's policy and procedure titled, Advanced Directives from the Nursing Guidelines Manual, undated, showed the following: -The facility will respect advance directives in accordance with state law; -Upon admission of a resident to the facility, the Social Services Designee (SSD) will provide written… […]

• No harm, potential for more than minimal, patternF759Sep 16, 2022

  Based on observation, record review, and interview, the facility failed to ensure a medication error rate of less than 5% when the facility staff made three errors out of 26 opportunities resulting in an error rate of 11.53% when staff failed to prime the insulin pens for three residents (Resident #1, #2, and # 3), failed to follow manufacturer recommendations to ensure the full dose of insulin was administered for three resident(Resident #1, #2, and #3), and staff failed to ensure one resident (Resident #3) had meal intake within 30 minutes of insulin administration during two medication pass observations. […]

• No harm, potential for more than minimal, patternF760Sep 16, 2022

  Based on observation, record review, and interview, the facility failed to ensure residents were free of significant medication errors when staff failed to prime the insulin pens for three residents (Resident #1, #2, and # 3) during one medication pass observation and failed to follow manufacturer recommendations to ensure the full dose of insulin was administered for three residents during two mediation pass observations (Resident #1, #2, and #3).The facility census was 62. Record review of a facility document titled Medication, Administration Guidelines, dated March 2015, showed the following: -It is the purpose of this facility that residents receive their medication on a timely basis and in accordance with establish policies; -The complete act of administration entails removing an… […]

• No harm, potential for more than minimal, isolatedF609Jul 23, 2024

  Based on interview and record review, the facility failed to ensure all allegations of possible misappropriation were reported to the State Survey Agency (Department of Health and Senior Services, DHSS) within the required 24-hour time frame when staff failed to report an allegation of misappropriation of property made by one resident (Resident #122). The facility census was 65. Review of the facility's policy titled Reporting - Abuse Policy, undated, showed the following: -It is the policy of the facility that each resident will be free from abuse. Abuse can include verbal, mental, sexual, or physical abuse, misappropriation of resident property and exploitation, corporal punishment, or involuntary seclusion. […]

• No harm, potential for more than minimal, isolatedF610Jul 23, 2024

  Based on interview and record review, the facility failed to complete investigations of all allegations of misappropriation when staff failed to investigate one resident's (Resident #122) allegation of misappropriation. The facility census was 65. Review of the facility's policy titled Investigation, undated, showed the following: -It is the policy of this facility that reports of abuse (mistreatment, neglect, or abuse, including injuries of unknown source, exploitation, and misappropriation of property) are promptly and thoroughly investigated; -The investigation is the process used to try to determine what happened. The designated facility personnel will begin the investigation immediately. […]