Owsley County Health Care Center, Inc.

In the surveyor’s words

From the most serious findings on record at Owsley County Health Care Center, Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF625Jan 7, 2022

  Based on interview, record review, and facility policy review, it was determined the facility failed to provide written notice to the resident and resident's representative at the time of transfer for hospitalization s that specified the duration of the bed-hold policy for two (2) of five (5) sampled residents (Resident #46 and #37). The findings include: Review of the facility policy titled, Resident Bed Hold, dated 06/08/2021, revealed the facility would follow regulatory guidance for bed hold procedure. 1. Record review revealed the facility admitted Resident #37 on 09/30/2019, with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF644Jan 7, 2022

  Based on interview, record review, and facility policy review, it was determined the facility failed to complete a Level II Preadmission Screening and Resident Review (PASARR) for two (2) of three (3) sampled residents. (Resident #43 and Resident #15). Resident #43 was diagnosed with Major Depressive Disorder on 09/06/2021 and Resident #43 was diagnosed with Moderate Major Depressive Disorder on 08/06/2020; however, the facility failed to ensure a Level II PASARR assessment was completed. […]

• No harm, potential for more than minimal, isolatedF689Sep 22, 2021

  Based on observation, interview, record review, and a review of the facility policy, it was determined the facility failed to ensue one (1) of three (3) sampled residents (Resident #1) received adequate supervision to prevent accidents. On 09/05/2021, Resident #1, who was cognitively impaired and at risk for falls, was left unsupervised by staff when the resident was sitting on the facility front porch. The findings include: A review of the facility policy for supervision of residents titled Accidents and Supervision dated 12/09/2020 revealed it was facility policy to provide adequate supervision based on the individual need of each resident. […]

• No harm, potential for minimal, widespreadF582Jan 7, 2022

  Based on record review, staff interview and review of the Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) the facility failed to issue a NOMNC form to a resident, or his/her responsible party, two (2) days before the last day of coverage as indicated on the completed NOMNC forms; for one (1) of three (3) residents sampled for Beneficiary Protection Notification (Resident #65). The findings include: Review of the Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) CMS- revealed A Medicare health provider must give an advance, completed copy of the Notice of Medicare Non-Coverage (NOMNC) to enrollees receiving skilled nursing, no later than two days before the termination of services. […]