Oaks - Athens Skilled Nursing, The

In the surveyor’s words

From the most serious findings on record at Oaks - Athens Skilled Nursing, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF609Oct 9, 2024

  Based on record review, interviews, and review of the policy titled, Reporting Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, the facility failed to report a significant medication error for one of three sampled residents (R1), with actual harm occurred on 9/14/2024 when R1 was administered the wrong medications and was admitted to the Intensive Care Unit for higher level of care and monitoring. In addition, the facility failed to report allegations of sexual abuse to the State Survey Agency within the required time frame for two of three residents (R) (R7 and R8) when R8 was found in R7's room receiving oral gratification. […]

• Immediate jeopardy, isolatedF656Oct 9, 2024

  Based on record review, interviews, and review of the policy titled Care Plans, the facility failed to follow the comprehensive person-centered care plan related to potential for decreased cardiac and aortic stenosis for one of 12 sampled residents (R) (R1). Actual harm occurred on 9/14/2024 when R1 was allegedly administered the wrong medications and was admitted to the Intensive Care Unit for higher level of care and monitoring. On 10/2/2024, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment or death to residents. […]

• Immediate jeopardy, isolatedF760Oct 9, 2024

  Based on record review, interviews, and review of the facility policy titled Medication Administration: General Guidelines, the facility failed to ensure that one resident (R) (R1) was free from a significant medication error which resulted in actual harm, requiring a transfer to the hospital and admitted to Intensive Care Unit on 9/14/2024. On 10/2/2024, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment or death to residents. The facility's Administrator, Interim Director of Health Services, and Licensed Practical Nurse Unit Manager were informed of the Immediate Jeopardy (IJ) on 10/2/2024 at 12:03 pm. […]

• Immediate jeopardy, isolatedF835Oct 9, 2024

  Based on record review, interviews, review of the Administrator Job Description and Director of Health Services Job Description, and review of the policy titled Reporting Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property the facility Administration failed to use its resources effectively and efficiently resulting in the failure to attain the highest practicable physical and psychosocial wellbeing of the residents. Specifically, Administration failed to ensure resident (R) R1 was free from significant medication error resulting in actual harm on 9/14/2024, requiring transfer to hospital and admission to Intensive Care Unit (ICU). […]

• No harm, potential for more than minimal, widespreadF812Feb 22, 2026

  Based on observations, staff interview, and review of the facility policy titled, Labeling, Dating, and Storage, the facility dietary staff failed to ensure prepared food items were properly labeled and dated. Dietary staff also failed to ensure nutrition supplements were properly dated to indicate when to use by. The deficient practice affected all 136 facility residents who were all receiving an oral diet Findings include:Review of the facility policy titled Labeling, Dating, and Storage revised 11/11/2022 revealed under Procedure: 1. […]