Pecan Creek Healthcare Center

In the surveyor’s words

From the most serious findings on record at Pecan Creek Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 19, 2022

  Based on interview and record review the facility failed to ensure Resident # 1 received adequate supervision and assistance to prevent a fall for 1 of 5 residents reviewed for accidents and supervision. (Resident #1) The facility failed to ensure Resident #1 remained free of falls to prevent an accident. The facility failed to ensure Resident #1's assistance with toileting routinely was followed. These failures could place residents at risk for falls for possible injuries due to lack of supervision. […]

• Actual harm, isolatedF689Dec 18, 2022

  Based on interview and record review the facility failed to ensure Resident # 1 received adequate supervision and assistance to prevent a fall for 1 of 5 residents reviewed for accidents and supervision. (Resident #1) The facility failed to ensure Resident #1 remained free of falls to prevent an accident. The facility failed to ensure Resident #1's assistance with toileting routinely was followed. These failures could place residents at risk for falls for possible injuries due to lack of supervision. […]

• Actual harm, isolatedF679Nov 10, 2021

  Based on observation, interview, and record review, the facility failed to provide an ongoing program of activities designed to meet the interests and support the physical, mental and psychosocial well-being for twelve (CR #1 - CR #9, Resident #16, Resident #19, and Resident #22) of twenty-one residents reviewed for activities, in that: The facility failed to provide an activity program designed to meet the interests or needs for CR #1 - CR #9, Resident #16, Resident #19, and Resident #22. This deficient practice placed residents at risk for a diminished quality of life, isolation, lack of stimulation, and a decline in mental status. […]

• No harm, potential for more than minimal, widespreadF577Nov 10, 2021

  Based on observation and interview, the facility failed to have the results of the most recent survey of the facility posted in a place readily available to residents, family members and legal representatives, in that: The facility failed to post the results of the past surveys by the State Agency. This failure could affect residents, potential residents, and family members by denying them information about the practices and level of regulatory compliance demonstrated by the facility. The findings included: Observation on 11/8/21 at 7:22 AM revealed no State Survey results binder or sign stating that the results were available visible in the lobby. During an interview on 11/9/21 at 8:50 AM with the SW, she stated she only worked at the facility one day a week. […]

• No harm, potential for more than minimal, widespreadF881Nov 10, 2021

  Based on interview and record review, the facility failed to implement an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use. The facility's infection prevention and control program did not implement a facility-wide system to monitor the use of antibiotics and did not develop and implement protocols to optimize the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures could place residents receiving antibiotics at risk for unnecessary antibiotic use, inappropriate antibiotic use, and increased antibiotic-resistant infections. Findings included: During an interview on 11/8/21 at 11:13 AM the DON stated HSK F was the facility IP as she had completed the CDC training and had the certificate. […]