Piney Forest Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Piney Forest Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jan 30, 2025

  Based on observation, staff interview and facility document review, the facility staff failed to store food in accordance with professional standards for food service safety. The findings included: The facility staff failed to label and date food items in the facility coolers. On 1/28/25 at 1:28 PM this surveyor and the dining services manager entered the walk-in cooler. This surveyor noted a white storage container on the shelf of the cooler and asked the dining services manager what was in it. The dining services manager pulled the container off the shelf. The bottom of the container had a clear fluid in it. […]

• No harm, potential for more than minimal, patternF880Jan 30, 2025

  Based on observations, interviews, clinical record review, and facility document review, the facility staff failed to: (a) follow infection control guidelines to decrease the potential of and/or risk for infection transmission for 19 residents experiencing gastroenteritis with nausea, vomiting, and/or diarrhea; (b) utilize the appropriate personal protective equipment (PPE) for one (1) of 23 sampled residents (Resident #107); and (c) implement infection prevention and control procedures/processes for ESBL (extended-spectrum beta-lactamase) urine infection for one (1) of 23 sampled residents (Resident #93). The findings include: 1. The facility staff failed to promptly implement contact isolation for 19 residents identified as having gastroenteritis. […]

• No harm, potential for more than minimal, patternF655Apr 15, 2022

  Based on staff interview, family interview, and facility document review, the facility staff failed to provide the resident and/or their representatives a summary of the baseline care plans (CP). The facility staff were not providing the resident and/or family's summaries of the resident's baseline care plans. The findings included: 04/12/22 2:29 p.m., during an interview with a family member of Resident #70 the family member expressed a concern to the surveyor that they had not been to a care plan meeting for this resident and that they were told the facility did a weekly report but they had never received one. 04/14/22 1:22 p.m., minimum data set (MDS) nurse stated they did not give baseline CP's to the family and that maybe the nurses on the floor do this. […]

• No harm, potential for more than minimal, patternF800Apr 15, 2022

  Based on observations, interviews, and facility document reviews, the staff failed to ensure residents were provided a nutritious diet that took into consideration resident preferences. The findings include: On 4/13/22 at approximately 9:18 a.m., Resident #28 and Resident #69 were observed to be provided their breakfast trays; the facility's Director of Nursing (DON) and Corporate Nurse were present for these observations. According to the menu and the residents' meal slips, both residents were to receive 4 fluid ounces of sausage gravy. Both Resident #28's and Resident #69's breakfast trays contained less than 4 fluid ounces of sausage gravy. Resident #69's sausage gravy appeared not to contain sausage. […]

• No harm, potential for more than minimal, isolatedF580Jan 30, 2025

  Based on interviews, clinical record review, and facility document review, the facility staff failed to ensure a resident representative was promptly notified of a change in condition resulting in a transfer to the emergency department for one (1) of 23 sampled residents (Resident #35). The findings include: The facility staff failed to promptly notify Resident #35's resident representative of the need to transfer the resident to the emergency department. Resident #35's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 1/8/25, was signed as completed on 1/13/25. Resident #35 was assessed as able to make self understood and as able to understand others. […]