Piedmont Crossing

In the surveyor’s words

From the most serious findings on record at Piedmont Crossing, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Oct 13, 2023

  Based on observation, record review and staff interviews, the facility failed to label, date, and/or remove expired food items stored for use in 1 of 1 reach-in prep coolers, 1 of 1 reach-in storage coolers and 1 of 1 walk-in freezer units. The facility failed to prevent the potential for cross-contamination when soiled dishware was stored on a shelf designated for clean dishware and failed to ensure plastic storage containers were dry before stacking. These practices had the potential to affect food served to residents. Findings included: During the initial tour of the kitchen on [DATE] at 11:27 am through 12:05 pm, the Director of Dining Service was present during the inspection, the following was observed: a. […]

• No harm, potential for more than minimal, patternF679Sep 9, 2022

  Based on resident and staff interviews and record review, the facility failed to provide any scheduled activities on the weekends. This was for 3 (Resident #1, Resident #22 and Resident #4) of 3 residents reviewed for activities. The findings included: 1. Resident #1 was admitted on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #1 activities care plan initiated 6/21/21 read she participated in group activities and individual pursuits. Her quarterly Minimum Data Set, dated dated dated [DATE] indicated she was cognitively intact. Review of Resident #1's Social assessment dated [DATE] indicated she participated in the assessment and she was cognitively intact. She enjoyed individual pursuits such as needlework, social media and watching television. […]

• No harm, potential for more than minimal, patternF578Oct 7, 2021

  Based on record review and staff interviews, the facility failed to obtain physician's order [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings included: 1. Resident #214 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Record review revealed no physician's order [MEDICAL RECORD OR PHYSICIAN ORDER] . Further review of the EMR revealed a MOST (Medical Orders for Scope of Treatment) form dated 9/21/21 signed by the nurse practitioner and Resident #214 ' s family member that indicated DNR. A history and physical dated 9/24//21 revealed Resident #214 had a MOST form in place dated 9/24/21 that indicated DNR. On 10/5/21 at 11:56 AM, an interview was conducted with Nurse Supervisor #1. She stated code status is displayed in the EMR on the main page. […]

• No harm, potential for more than minimal, isolatedF626Feb 14, 2025

  Based on record review, Resident Representative (RR), Hospital Case Manager, Hospice Hospital Liaison, Ombudsman and staff interviews, the facility failed to permit a resident to return to the facility after being transferred to the hospital for evaluation due to a resident-to-resident altercation for 1 of 2 resident reviewed for discharge (Resident #224). The findings included: Resident #224 was admitted to the facility on [DATE] under hospice care with diagnoses that included neurocognitive disorder with Lewy bodies, dementia with mood disturbance, and dementia with agitation. […]

• No harm, potential for more than minimal, isolatedF686Sep 9, 2022

  Based on record review, observations, resident and staff interviews, the facility failed to ensure alternating pressure reducing mattresses were set according to the residents' weight for 2 of 3 residents reviewed for pressure injuries (Resident #62, and Resident #14). The findings included: 1. Resident #62 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #62's quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident was moderately cognitively impaired, required extensive assistance for activities of daily living and was incontinent of bowel and bladder. The resident was coded with one stage 2 pressure injury during the assessment period. […]