Piketon Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF684Dec 6, 2021

  Based on medical record review, contract review, and staff interview the facility failed to provide necessary treatment and services to treat constipation, and hospice services. This affected three of three residents (Residents #15, #20, and #22) reviewed for constipation, one of one residents (Resident #15) reviewed for hospice services. Actual harm occurred to Resident #20 when the resident did not receive timely treatment for constipation that resulted in hospitalization of a bowel obstruction. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF727Dec 6, 2021

  Based on staff interview, review of time punch cards, and review of direct care staff schedule revealed the facility failed to ensure the facility had Registered Nurse (RN) coverage for a consecutive eight hours. This had the potential to affect all 34 residents. Findings include: Review of the nursing staff schedule from 11/01/21 through 11/30/21 revealed the Director of Nursing (DON) and the Assistant Director of Nursing (ADON) were scheduled on 11/25/21 day shift. Review of the time punch cards for the DON revealed zero accumulated hours for 11/25/21. Review of the time punch for the ADON revealed zero accumulated hours for 11/25/21. Interview on 12/01/21 at 3:00 P.M. […]

• No harm, potential for more than minimal, widespreadF804Dec 6, 2021

  Based on resident interviews, group resident interview, review of Resident Council Meeting Minutes, and a test tray the facility failed to serve food that was palatable and at an acceptable temperature. This had the potential to affect 33 of 34 resident (Resident #15 receives nothing from the kitchen) and specifically affected Residents #26, #10, #22, #15, #18, #23, #26, #28, #29, and #31. Findings include: 1. Review of Resident Council meeting minutes revealed on 8/27/21 complaints of cold food, it was not the best food and the food was either over or under cooked. The 09/15/21 resident council minutes revealed the food was cold, the food tasted bad, the broccoli and cauliflower were overcooked, and served in big pieces. Interview of Resident #26 on 11/21/21 at 9:40 A.M. […]

• No harm, potential for more than minimal, widespreadF806Dec 6, 2021

  Based on observation, resident interview, resident group interview, resident council meeting minutes, and staff interview the facility failed to ensure accommodation of resident food preferences and failed to offer a food substitute when a resident did not like the food served. This affected 33 of 34 residents (except Resident #15 who received nothing from the kitchen) and specifically affected Residents #7, #18, #23, #28, #29, #30, and #31 . Findings include: Review of Resident Council meeting minutes revealed on 09/15/21 resident council minutes revealed staff never asked the resident's food preferences. The residents stated they never served what is on the menu, and the residents did not have a copy of the menu to ask for a substitution. Observation on 11/21/21 at 12:12 P. M. […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2021

  Based on observation, interview and record review, the facility failed to maintain a sanitary kitchen and ensure safe storage of foods served to residents. This had the potential to affect 33 of the 34 residents (Resident #15 does not receive nutrition from the facility kitchen) and specifically affected Residents #29 and #30. Facility census was 34. Findings include: The kitchen was observed on [DATE] at 8:20 A.M. with food debris noted on the bottom shelf of the reach in freezer. The hand washing station had missing cove base, missing and loose caulking seal around the sink and a wall gouge measuring eight inches by 10 inches long. At the time of the observation, Diet Manager, (DM )#11 verified the findings and verified the surfaces were unable to be cleaned and sanitized. […]