PruittHealth- Estill

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 20, 2023

  Based on review of the facility policy, observations and interviews, the facility failed to ensure that food was properly stored and labeled in 2 of 2 unit nourishment rooms. Findings include: Review of the facility policy titled Labeling, Dating, and Storage revised 11/11/22 revealed, It is the policy of PruittHealth for all partners who assist in handling, preparing, serving, and storing food and beverage items follow the proper procedures for labeling, dating and storage to ensure proper food safety. […]

• No harm, potential for more than minimal, widespreadF908Sep 20, 2023

  Based on manufacturer's recommendations, observations and interviews, the facility failed to ensure an excessive amount of lint was removed from 2 of 2 clothes dryers, which has the potential to cause a fire. Findings include: Review of the manufacturer's recommendations for the clothes dryers, titled, Important Safety Instructions, states under number 12. Always clean the lint filter daily. Number 13, states, Keep area around the exhaust opening and adjacent surrounding area free from the accumulation of lint, dust, and dirt. During an observation on 09/19/23 at 3:10 PM, of the laundry room revealed 2 of 2 clothes dryers with an excessive amount of lint in the lint basket, on all 3 upper sides of the clothes dryer, and on the wiring. […]

• No harm, potential for more than minimal, patternF656Sep 20, 2023

  Based on record reviews and interviews the facility failed to implement and/or develop a comprehensive plan of care for Resident (R)33, R44 and R41 for 3 of 6 residents reviewed for care plans. Findings include: The facility admitted R33 with diagnoses including, but not limited to anoxic brain damage, cognitive communication deficit, and pseudobulbar affect. Review of R33's comprehensive plan of care dated 07/21/22 revealed a problem that states, Resident is limited in ability to take showers due to past history of abuse. Resident should only take bed baths. The long term goal is, Resident will be bathed only by bed baths. The approach dated 07/21/22 states, Monitor for presence of pain/intolerance during grooming/personal hygiene and signs of discomfort. […]

• No harm, potential for more than minimal, patternF677Sep 20, 2023

  Based on observations, interviews, record reviews and reviews of facility policy and procedure the facility failed to ensure prompt and thorough incontinent care was provided for two Residents (R)6 and R62. Furthermore, the facility failed to ensure R33 received baths for 3 of 5 residents reviewed for Activities of Daily Living (ADLs). Findings Include: Review of facility procedure guide titled Elimination and Toileting: Incontinence Prevention revealed, manage incontinence according to the client's care plan not for staff convenience. […]

• No harm, potential for more than minimal, patternF919Oct 16, 2022

  Based on observations, record review, and interviews, the facility failed to ensure a functional call system that allowed residents to call for staff assistance directly or through a centralized work area was available for residents residing in 2 of 2 units of the facility. Findings include: On 10/16/22 at 6:45 PM, an interview with the Administrator (ADM) and Registered Nurse (RN)7 revealed they were unable to locate a facility policy regarding call system requirements. A tour of the facility was conducted on 10/16/22 at 8:15 AM. Observations revealed no call lights/bells were sounding between 8:15 AM and 8:55 AM. Call button cords in resident rooms were rolled up and affixed to the wall next to the wall connections. […]