Palemon Gaskins Mem NSG Home

In the surveyor’s words

From the most serious findings on record at Palemon Gaskins Mem NSG Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF867Dec 22, 2024

  Based on observations, staff interviews, and review of the facility's policy titled, [Name of facility] 2024 QAPI Plan, the facility failed to identify, develop, and implement corrective action plans that addressed the notification of wound progression and treatment for four of four residents (R) (RA, R11, R13, and R78) to the responsible parties (RP) and or family representatives, failed to ensure resident living environment was clean and home-like, failed to ensure infection control practices were adhered to as it relates to Enhanced Barrier Precautions (EBP), and failed to ensure Level II Preadmission Screening and Resident Review (PASRR) were submitted for residents with qualifying diagnoses. […]

• No harm, potential for more than minimal, widespreadF880Dec 22, 2024

  Based on observation, staff interviews, and review of the facility's policies titled Handwashing/Hand Hygiene, and Enhanced Barrier Precautions, the facility failed to wash/sanitize hands and change gloves during wound treatment for one of four residents (R) (R78) with pressure ulcers, failed to apply Personal Protective Equipment (PPE) during intravenous antibiotic therapy administration for R78, and failed to establish enhanced barrier precautions to reduce the spread of multidrug-resistant organisms. Findings include: Review of the facility's policy titled, Handwashing, effective 1/1/2020, included under Purpose: 1. Hands should be washed in accordance with the following guidelines: a. Before resident contact. d. Before performing wound care. g. […]

• No harm, potential for more than minimal, patternF644Jan 18, 2026

  Based on staff interviews, record review, and review of the facility's policy titled, PASRR, the facility failed to submit a Preadmission Screening and Resident Review (PASARR) Level II after a new mental illness diagnosis was added for two of three residents (R) (R7 and R9) reviewed for PASARR. This deficient practice had the potential to affect the appropriate level of care and services provided for R7 and R9. Findings include: Review of the facility's policy titled, PASRR dated 1/1/2024 under the section titled, Policy documented, It shall be the policy of [Name of Facility] to comply with Preadmission and Resident Review. […]

• No harm, potential for more than minimal, patternF580Dec 22, 2024

  Based on family interview, staff interviews, and record review, the facility failed to ensure the family representative for two of four residents (R) (R13 and R A) were notified of a new pressure ulcer and the progression of the wounds. Specifically, the facility failed to ensure resident A family member was notified of the development of a pressure wound. The facility also failed to ensure R13's family/representative was notified of changes in the progression of R13's pressure wounds. The findings include: Record review for R13 revealed resident was admitted with diagnoses of but not limited to nausea, insomnia, pressure ulcer of heel, poly osteoarthritis, and generalized anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF583Jan 18, 2026

  Based on observations and staff interviews, the facility failed to ensure the confidentiality of resident electronic medical records during medication administration for one resident (R) (R) (R5) on one of two nursing units. The deficient practice had the potential to allow unauthorized individuals to view protected health information. Findings include:Observation on 1/16/2026 at 8:16 AM, revealed Registered Nurse (RN) DD unlocked the medication cart, opened the screen on her computer and pulled up R5's list of medications. RN DD stated that she had to throw something away. RN DD walked away from the medication cart leaving it unlocked and leaving the computer screen up exposing R5's information. […]