Pana Health and Rehab Center

In the surveyor’s words

From the most serious findings on record at Pana Health and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Feb 9, 2022

  Based on observation interview and record review the facility failed to provide food at a palatable temperatures during meal service. This had the potential to affect all 72 residents in the facility. Findings include: Resident Council minutes dated 11/2/21, 12/6/21 and 1/3/22, documented, the food continues to be served cold. The concerns addressed to the dietary manager, with dietary manager documentation of, hot food is always temped where it should be before going onto the steamtable. […]

• No harm, potential for more than minimal, patternF761Apr 8, 2024

  Based on observation, interview, and record review, the facility failed to ensure that out dated Tuberculin Purified Protein Derivative (TB) solution was removed from the 300 hallway medication refrigerator. This failure has the potential to affect all the residents residing on the 300 hall. Findings include: On 04/01/24 at 02:53 PM, the refrigerator in the 300 hall medication room was inspected and observed to have an open vial of TB solution that was half full with an open date of 11-21 written on the vial. On 04/01/24 at 02:55 PM V5, Registered Nurse (RN), stated that yes everyone in the facility uses the TB solution. She continued to state that each hallway may have their own vial but she wasn't sure, and that she isn't sure for how long the solution is good for after it's opened. […]

• No harm, potential for more than minimal, patternF803Sep 14, 2023

  Based on observation, interview, and record review, the Facility failed to ensure resident menus and appropriate serving sizes were followed for 4 of 8 (R3, R5, R6, R7) reviewed for therapeutic diets in the sample of 8. Findings include: 1.R5's Order Summary Report dated 9/13/23 documents R5 is on a regular diet with pureed texture and thin liquid consistency starting on 5/4/22. R5's Diet Card for Lunch on 9/12/23 documents pureed texture with pureed beef tips and mushroom entree. The Facility's Diet Spreadsheet for Day 17 Pureed documents use of #6 Dip (Scoop=6 ounces) for the Pureed Beef Tips and Mushrooms. On 9/12/23 at 12:12 PM, V6, Interim Dietary Manager, stated, We don't have an extra number six scoop for these, so we are using the two-ounce scoop and giving them three scoops each. […]

• No harm, potential for more than minimal, patternF695Mar 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure oxygen tubing is dated when placed for weekly replacement and stored in plastic bag when not in use for 5 of 9 residents (R8, R12, R48, R52, R128) reviewed for respiratory care in a sample of 34. Findings include: 1. On 03/21/23 at 9:35 AM, R8 was sitting in her wheelchair in her room. R8 had her oxygen on and there was no date noted to be on the oxygen tubing. On 03/22/23 at 8:45 AM, R8 is sitting in her room in her wheelchair with her oxygen in place. […]

• No harm, potential for more than minimal, patternF758Feb 9, 2022

  Based on interview and record review, the facility failed to attempt Gradual Dose Reductions (GDR's) and put resident centered behavior tracking in place for 4 of 5 residents (R18, R27, R33, R53) reviewed for [CONDITION(S)] medications in the sample of 41. Findings include: 1. R18's Face Sheet, print date of 2/1/22, documents R18 was admitted on [DATE] with diagnoses of [CONDITION(S)] Disorder and Anxiety. R18's Pharmacy Recommendation, dated 6/29/21, documents, Resident receives the following medication used for depression: [MEDICATION(S)] 60 mg (milligram) Q (every) AM for Depression since 3/22/2020 resident also continues on [MEDICATION(S)] 5 mg bid (twice a day) and [MEDICATION(S)] 25 mg q 6 hours prn (as needed) itching. […]