Petersburg Medical Center LTC

In the surveyor’s words

From the most serious findings on record at Petersburg Medical Center LTC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Mar 11, 2024

  Based on record review and interview, the facility failed to ensure the mandatory submission of staffing information based on payroll-based journal (PBJ) data was submitted for the Fiscal Year (FY) Quarter 4 2023 (July 1 - September 30, 2023). This failed practice potentially denied residents and/or representatives (based on a census of 12), and the public, accurate staffing data when accessing the Nursing Home Compare website. Findings: Review on 3/4-8/24 and 3/11/24 of the facility's PBJ Staffing Data Reported, FY Quarter 4 2023 (July 1 - September 30), revealed the facility failed to submit data for the Quarter and had a one-star staffing rating due to the failure to submit the data. […]

• No harm, potential for more than minimal, patternF758Mar 11, 2024

  Based on record review and interview, the facility failed to attempt gradual dose reductions (GDRs) on psychotropic medications for 3 residents (#'s 5, 7, and 10), out of 8 selected residents. This failed practice had the potential to place the residents at risk for unnecessary medications. Findings: Resident #5 Record review on 3/4-8/24 and 3/11/24 revealed Resident #5 was admitted to the facility on [DATE] with an identified problem of depression. Further review revealed Resident #5 was taking Citalopram (Celexa - an antidepressant medication) 20mg (milligrams) PO (by mouth) daily. This medication was started on 5/3/22. Review of Resident #5's medical record revealed a psychotropic medication consent form for Celexa was signed on 5/2/22. […]

• No harm, potential for more than minimal, patternF585Jul 23, 2021

  Based on policy review, observation and interview, the facility failed to support the resident's right to voice a grievance anonymously. Specifically, the drop box for the residents to submit a grievance was located behind a barrier outside the long-term care (LTC) unit. This failed practice had the potential to deny 3 residents (#s 2, 4, and 109) out of 8 sampled residents, the ability to submit a grievance anonymously through the drop box method. Findings: Review on 7/20/21 at 2:36 pm of the facility's policy Grievances, LTC, revised 12/2019, revealed Grievances/complaints may be presented .Anonymously, may use red drop boxes located throughout Petersburg Medical Center . […]

• No harm, potential for more than minimal, patternF755Jul 23, 2021

  Based on observation and interview, the facility failed to ensure safe and appropriate disposal of medications. Specifically, disposing of medications refused by 1 of 1 resident (#3) observed during a medication pass. This failed practice placed the residents at risk for having access to improperly discarded medications. Findings: Observation on 7/21/21 at 9:30 am Licensed Nurse (LN) #2 attempted to give Resident #3 medications which included a potassium tablet, Vitamin B12 tablet, and Vitamin D3 tablet. Resident #3 refused these medications. LN #2 placed the medications into a glove and then into the medication cart's open trash container located on the side of the medication cart. […]

• No harm, potential for more than minimal, isolatedF880Aug 4, 2025

  .Based on record review, observation, and interview, the facility failed to ensure an infection control procedure was followed during resident cares for 1 resident (#6), out of 9 sampled residents. Specifically, staff failed to perform a glove change and hand hygiene when going from a dirty task to a clean task. This failed practice had the potential to increase the development and transmission of communicable disease and infections. Findings:.Record review on 7/28/25-8/4/25, revealed Resident #6 was admitted to the facility with diagnoses that included peripheral vascular disease (a disease affecting the blood vessels outside of the brain and the heart involving narrowing, blockage, or spasms in the blood vessels, which restricts blood flow to the arms, legs and other body parts), stroke,… […]