Queen Anne Nursing Home, Inc

In the surveyor’s words

From the most serious findings on record at Queen Anne Nursing Home, Inc, in the surveyor’s own words.

• Actual harm, isolatedF689May 17, 2022

  Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who was assessed by nursing as being at high risk for falls, and whose care plan for safety included the use of bed and chair alarms, the Facility failed to ensure his/her assistive devices were functioning properly to prevent incidents and/or accidents resulting in an injury. On 04/29/22, Resident #1's bed alarm had not sounded to alert staff that he/she was in motion, had gotten up out of bed, and ambulated him/herself to the bathroom, where he/she fell . Resident #1 was found sitting on the floor in the bathroom and noted to have a blue discoloration to his/her left thumb. […]

• Actual harm, isolatedF656Jan 19, 2021

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed as being at high risk for falls and whose plan of care indicated he/she required the assistance of two staff members for transfers between surfaces, the Facility failed to ensure staff implemented and followed interventions from his/her plan of care when, on 1/02/2021 at 9:45 A.M., Certified Nurse Aide (CNA) #1 attempted to transfer Resident #1 from bed to his/her wheelchair without another staff member present to assist her with the transfer, Resident #1 fell , sustained a 4 centimeter (cm) skin tear to his/her left forearm, which required treatment with steri-strips and a dressing, until healed. […]

• Actual harm, isolatedF689Jan 19, 2021

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed as being at high risk for falls and required the assistance of two staff members for transfers, the Facility failed to ensure he/she was provided the appropriate level of staff assistance during a transfer to prevent an incident/accident with injury, when on 1/02/21, Certified Nurse Aide (CNA) #1 attempted to transfer Resident #1 from bed to his/her wheelchair without another staff member present to assist her with the transfer, Resident #1 fell , sustained a 4 centimeter (cm) skin tear on his/her left forearm, which required steri-strips and dressing changes, until healed. […]

• No harm, potential for more than minimal, widespreadF838Feb 14, 2023

  Based on document review and interview, the facility failed to ensure the Facility Assessment was updated annually to accurately reflect the current status of the facility and to determine what resources are necessary to competently care for its residents during both day-to-day operations and emergencies. Findings include: Review of the Facility Assessment document indicated that it was completed/updated on 11/22/21 by previous leadership staff who were no longer employed at the facility. The current Administrator and Director of Nursing had started at the facility in 10/2022. […]

• No harm, potential for more than minimal, widespreadF886Feb 14, 2023

  Based on observations, interviews, policy review, and record review, the facility failed to ensure COVID-19 testing was conducted per facility policy and Centers for Disease Control and Prevention (CDC) guidance for two Residents (#43 and #55) with respiratory symptoms, in a total sample of 22 residents. Findings include: Review of the facility's policy titled COVID-19- Testing Residents, dated as revised in September 2022, indicated the following: -Negative antigen tests (such as Binax) are considered presumptive. […]