Pruitthealth - Athens Heritage

In the surveyor’s words

From the most serious findings on record at Pruitthealth - Athens Heritage, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 9, 2024

  Based on record review, staff and resident interviews, and review of the policies titled, Admission Orders and Peripherally Inserted Central Catheters (PICC), the facility failed to review, verify, document, and transcribe physician orders for one of three sampled residents (R) (R24). Specifically, R24 was admitted to facility with a PICC line, but there were no physician orders for use or care of the device. Findings include: Review of the policy titled Admission Orders dated September 2022, indicated the policy in order to assure quality patient/resident care and to comply with Federal law, it is necessary that completed and accurate physician orders for the patient/resident's immediate care be obtained. […]

• Actual harm, isolatedF689Jan 9, 2024

  Based on record review, interviews, and review of the policy titled Occurrence Reduction Program, the facility failed to provide adequate supervision to prevent accidents for one of three sampled residents (R) (R1). Actual harm occurred on 12/29/2022, when R1 fell out of bed and suffered a compression fracture of T2/T3 vertebrae, a laceration on her forehead which required sutures, skin tears and multiple bruises to bilateral upper extremities. Findings include: Review of the policy titled Occurrence Reduction Program reviewed 12/9/2021, revealed the policy documents in an effort to prevent occurrences, each patient/resident will be assessed for risk and appropriate and realistic interventions will be implement upon identification of risk and after a fall. […]

• Actual harm, isolatedF657Jul 21, 2021

  Based on record review and staff interview, the facility failed to revise the care plan to address the need for two person assistance during the provision of a shower for one resident (R) (R#4) of three residents reviewed for falls. This failure to revise the care plan for two person assistance during the provision of a shower resulted in harm with R#4 rolling off the shower bed onto the floor and sustaining a laceration to her head that required five staples and a right foot fracture. […]

• Actual harm, isolatedF689Jul 21, 2021

  Based on observation, review of the facility Occurrences policy (effective date 7/1/2012 and reviewed 5/4/2016), record review, and staff interview, the facility failed to ensure that two staff persons were present during the provision of a shower for one resident (R) (R#4) of three residents reviewed for falls. This failure to ensure two persons were present during the provision of a shower resulted in R#4 rolling off the shower bed onto the floor and sustaining a laceration to her head that required five staples and a right foot fracture. […]

• No harm, potential for more than minimal, widespreadF812May 16, 2024

  Based on observations, staff interviews, and review of the facility's policy titled, Labeling, Dating, and Storage, the facility failed to ensure food stored in the main kitchen and in the unit kitchenette's, were labeled, dated, and not expired. The failure had the potential to increase the prevalence and spread of foodborne illness and infection for all residents. The facility census was 83 residents. Findings include: Review of the facility's policy titled, Labeling, Dating, and Storage, revised [DATE], indicated, Food and beverage items will have an identifying label as well as a received date and opened date . for items prepared onsite, a 'use by' date will be indicated. 1. […]