Poplar Springs Nursing CTR, LLC

In the surveyor’s words

From the most serious findings on record at Poplar Springs Nursing CTR, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Aug 29, 2024

  Based on observation, staff interview, record review, and facility policy review, the facility failed to provide respiratory care in a manner to prevent the possibility of complications as evidenced by oxygen tubing that was not dated to indicate weekly oxygen tubing/nasal cannula changes for one (1) of one (1) resident reviewed for respiratory care. Resident #18. Findings Include: A review of the facility's Nebulizer and Oxygen Tubing Storage Policy, dated 4/2007, revealed, .It is the policy of the facility to reduce the risk of potential and/or direct exposure to infectious diseases, air contaminants, and bacterial exposure. We will provide our residents with the proper storage and cleaning of respirator equipment. Procedure .The facility will replace all respiratory tubings weekly. […]

• No harm, potential for more than minimal, patternF880Aug 29, 2024

  Based on observation, staff interview, record review, and policy review, the facility failed to ensure hands were cleaned with soap or hand sanitizer before, during, and after providing perineal care for one (1) of two (2) residents observed for catheter/perineal care. (Resident #69) Findings Include: A review of the facility's Hand Sanitizing Procedure, revised 4/2015, revealed: .It is the policy of this facility to use hand sanitizer .between handwashing when hands are not visibly soiled or dirty. Procedure .use an alcohol-based hand rub .for all the following situations: 1. Before and after direct contact with residents .10. After removing gloves. A review of the facility's Procedure for Handwashing, revised 4/2015, revealed, .2. […]

• No harm, potential for more than minimal, patternF550Mar 16, 2023

  Based on observations, staff interviews, record review, and facility policy review, the facility failed to provide a privacy cover for a urinary catheter drainage bag for (1) of 20 sampled residents. Resident #80. Findings include: Review of the facility's policy titled, Maintaining Privacy and Dignity for Residents with Foley Catheter Drainage Bags with a revision date of 02/16 revealed, .Procedure .The Drainage bag will be maintained in a storage pouch to hide the contents and prevent embarrassment to the resident . An observation on 3/14/23 at 3:05 PM, revealed Resident #80 lying in bed, with a catheter drainage bag on the side of the bed facing the resident's room door. There was no privacy cover for the urinary catheter drainage bag. […]

• No harm, potential for more than minimal, isolatedF583Jul 24, 2025

  Based on observation, interview, and record review, the facility failed to respect the resident's right to dignity and privacy by posting personal care instructions on the exterior of a resident's door for one (1) of 21 sampled residents, Resident #54.Findings include:A review of the facility's policy, Resident Rights, dated 4/2012, revealed, Employees shall treat all residents with kindness, respect, and dignity. Policy Interpretation and Implementation 1. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the residents' right to .d. Privacy and confidentiality . […]

• No harm, potential for more than minimal, isolatedF641Jul 24, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected a resident's vision status for one (1) of 21 sampled residents. Resident #8.Findings include:A review of the facility's policy, MDS Assessments, dated 5/2006, revealed, . It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare and Medicaid Services) protocol . The facility will follow directions per federal and state guidelines for resident assessment protocol and will refer to the MDS RAI manual.During an observation and interview on 7/21/25 at 12:37 PM, Resident #8's roommate stated that Resident #8 was blind. […]