Perry County Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Perry County Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 5, 2024

  Based on observations, record review, interview, and review of the facility policy, the facility failed to ensure employees washed their hands between handling dirty equipment and clean equipment, food items stored on the freezer were covered or sealed to prevent the potential for foodborne illnesses, and hot food items were maintained of 135 degrees Fahrenheit or above on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. On 9/3/24 at 9:20 AM, Dietary [NAME] (DC) #1 removed a bottle of coke and a glass containing coke from the counter and placed them on the window bar, contaminating her hands. […]

• No harm, potential for more than minimal, widespreadF812Jul 20, 2023

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the storage area, freezer, and refrigerator were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; and expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of I kitchen; dietary staff washed their hands and changed gloves before handling food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF803Sep 5, 2024

  Based on observation, record review and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to ensure that nutritionally balanced meals were provided for the residents for 1 of 1 meal observed. The findings are. 1. On 9/3/24 the noon meal menu indicated all residents on mechanical soft diets were to receive 2 ounces of gravy and for pureed diets, 2 ounces of gravy and one #10 (equivalent to 3 ounces) scoop of pureed bread. 2. On 9/3/24 at 12:23 PM, the residents on pureed diets were not served cornbread or regular bread. There were no substitutes served to the residents in place of bread. 3. On 9/3/24 at 12:50 PM, the residents on mechanical soft diets were not served gravy. 4. […]

• No harm, potential for more than minimal, patternF805Sep 5, 2024

  Based on observations, record review, interview, and review of the facility policy, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 1 of 1 meal observed. The findings are: 1. On 9/03/24 at 11:50 AM, Dietary [NAME] (DC) #3 placed 6 servings of breaded fried pork chops into a blender, added a carton of whole milk and pureed. At 11:52 AM, DC #3 scraped pureed pork chops into a pan, covered the pan with foil and placed it in the oven. The consistency of the pureed fried chops was more of a ground texture and thick. 2. On 9/3/24 at 11:09 AM, DC #3 used a #8 scoop (1/2 cup) to portion 6 servings of turnip greens into a blender and pureed. […]

• No harm, potential for more than minimal, patternF761Jul 20, 2023

  Based on observation and interview, the facility failed to ensure medication was stored in a safe manner and failed to ensure expired medications were removed from one of one medication rooms, to prevent potential administration of an expired medication to a resident. The failed practices had the potential to affect all 54 residents who reside in the facility. The findings are: 1. On 07/11/2023 at 10:39 AM observed Resident #25 in a recliner in their room. On the over bed table, within reach of the resident, were two medications with the resident's name on the label. One was a Breo Ellipta Inhaler the other was an Ipratropium Bromide Solution nasal spray. Resident #25 stated, I am supposed to take it back to her (meaning the nurse) after I give it to myself. I always do it that way. a. […]