PruittHealth-Elkin

In the surveyor’s words

From the most serious findings on record at PruittHealth-Elkin, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jul 5, 2024

  Based on observations, record review, facility policy, and interviews with Resident #1, staff, Local Health Department Representative, State Health Department Representative, State Health Department Medical Provider, Nurse Consultant to the North Carolina Hepatitis Program, facility Attending Physician, facility Medical Director, and Corporate Medical Director, the facility failed to immediately implement effective precautions to prevent further transmission of bloodborne pathogens to other residents who required blood glucose monitoring and failed to immediately begin training on acute hepatitis B following Resident #1's diagnosis of acute hepatitis B. Acute hepatitis B is a serious liver infection caused by the hepatitis B virus. […]

• No harm, potential for more than minimal, widespreadF812Jan 11, 2023

  Based on observations and staff interviews, the facility failed to maintain the tile of the kitchen floor in good condition and failed to dispose of expired nutritional supplements in 1 of 3 residents' nourishment room refrigerators. Findings included: 1. During the initial tour of the kitchen on [DATE] at 10:00 a.m. and during the follow-up visit on [DATE] at 12:00 p.m., there were missing floor tiles observed beneath the meal tray serving steamtable, the dishwashing machine, and beneath the 3-compartment wash sink. […]

• No harm, potential for more than minimal, widespreadF814Jan 11, 2023

  Based on observations and staff interviews, the facility failed to ensure the side doors and top lids of 2 of 2 trash dumpsters remained closed when not in use. Findings included: During the initial tour of the facility accompanied by the Dietary Manager on 1/08/23 at 10:50 a.m., two trash dumpsters were observed enclosed within a fenced in area with the side doors of the dumpsters open. Half of the top lid of 1 of 2 of the dumpsters was open with two filled trash bags lying on top of the closed half of the lid. Throughout the observation, it was raining and both dumpsters were filled with trash bags. A second observation with the Dietary Manager on 1/10/23 at 12:25 p.m. revealed the side door of 1 of the 2 trash dumpsters was open. There were plastic bags of trash in the dumpster.

• No harm, potential for more than minimal, widespreadF867Jan 11, 2023

  Based on observations, record review, resident and staff interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint surveys conducted [DATE] and [DATE], and a complaint survey conducted [DATE]. This was for three deficiencies that were cited in the areas of Activities meet the interest and need of each resident (F679), Increase or prevent a decrease in range of motion and mobility (F688), and food procurement, store/prepare/serve-sanitary (F812). The three areas were recited on the current recertification survey of [DATE]. […]

• No harm, potential for more than minimal, patternF679Jan 11, 2023

  Based on observations, interview with the Resident Council, resident and staff interviews and record reviews, the facility failed to provide activities as scheduled when the Activities Director (AD) was placed in the Nurse Aide (NA) role. Additionally, the facility failed to provide any scheduled activities on the weekends. This was for 4 of 4 residents (Residents #52, #38, #20 and #26) reviewed for facility activities. Findings included: 1. Resident #52 was admitted to the facility 12/19/2022 with a diagnosis that included, in part, diabetes. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #52 was cognitively intact. […]