Pierremont Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF600Feb 6, 2024

  Based on observations, record reviews and interviews, the facility failed to protect the residents' right to be free from physical abuse by staff for Resident #1, free from physical and verbal abuse and psychosocial harm by staff for Resident #5, and free from verbal abuse by staff for Residents #10, #11, and #12 (5 residents) out of 11 (#1, #2, #3, #4, #5, #6, #10, #11, #12, #14 and #15) sampled residents reviewed for abuse. The deficient practice resulted in an Immediate Jeopardy when: 1. On 12/23/2023 at approximately 7:30 p.m., S3CNA (Certified Nursing Assistant) physically abused Resident #1 by hitting Resident #1 on right shoulder and right cheek and slapping Resident #1's lower arm. Resident #1 is cognitively impaired and nonverbal, with the exception of the word Si. […]

• Immediate jeopardy, widespreadF835Feb 6, 2024

  I. Based on interview and record review, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 5 (#1, #5, #10, #11, and #12) of 11 residents (#1, #2, #3, #4, #5, #6, #10, #11, #12, #14 and #15) reviewed for abuse: 1. by failing to ensure a system was in place to protect Resident #1 from physical abuse by staff, Resident #5 from verbal abuse and psychosocial harm by staff, and Residents #10, #11, and #12 from verbal abuse by staff, prevent abuse from happening again and ensure all residents were free from abuse; 2. […]

• Immediate jeopardy, patternF686Nov 15, 2024

  Based on record review and interviews, the facility failed to ensure residents at risk for pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, and/or to prevent the development of new ulcers unless the individual's clinical condition demonstrated they were unavoidable for 1 (Resident #25) resident reviewed for transmission based precautions. The deficient practice resulted in an Immediate Jeopardy for Resident #25 on 11/01/2024 when Resident #25 was admitted to the hospital when bilateral heel boot protectors were removed and a border dressing to the left heel dated 5/17 was found to be in place. […]

• Immediate jeopardy, patternF835Nov 15, 2024

  Based on record review and interviews, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 1 (Resident #25) resident reviewed for transmission based precautions. The facility failed to ensure Resident #25 received complete and timely skin assessments and proper ADL (Activities of Daily Living) care. The deficient practice resulted in an Immediate Jeopardy for Resident #25 on 11/01/2024 when Resident #25 was admitted to the hospital when bilateral heel boot protectors were removed and a border dressing to the left heel dated 5/17 was found to be in place. […]

• Immediate jeopardy, patternF686Feb 6, 2024

  Based on observation, record reviews and interviews, the facility failed to ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, and/or to prevent the development of new ulcers unless the individual's clinical condition demonstrated that they were unavoidable for 2 (#16, #17) of 6 (#7, #8, #9, #13, #16, #17) residents reviewed for pressure ulcers. The deficient practice resulted in an immediate jeopardy for Resident #16 on 12/15/2023 when S7 Wound Care FNP assessed Resident #16's sacral wound as deteriorating and with s/s (signs and symptoms) of infection. […]