Radford Health And Rehab Center

In the surveyor’s words

From the most serious findings on record at Radford Health And Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF842Feb 6, 2025

  Based on staff interviews, clinical record review, and facility document review, the facility staff failed to ensure complete and/or accurate clinical records for five (5) of 29 sampled residents (Resident #13, Resident #46, Resident #67, Resident #79, and Resident #81). The findings include: 1. The facility staff failed to ensure Resident #13's clinical documentation accurately captured the medications administered to the resident by facility staff members. Resident #13's clinical documentation incorrectly indicated that two Ozempic injections had been administered to Resident #13 in June of 2024. […]

• No harm, potential for more than minimal, isolatedF582Feb 6, 2025

  Based on staff interview, record review and facility document review, the facility staff failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) to one of 3 residents sampled for ABN review, resident #49 (R49). The findings included: R49's diagnoses included but were not limited to; chronic kidney disease stage IV, vascular dementia, iron deficiency anemia, peripheral vascular disease and unsteadiness on feet. The minimum data set (MDS) assessment assigned the resident a brief interview for mental status (BIMS) score of 13 out of 15 which indicates intact cognition. […]

• No harm, potential for more than minimal, isolatedF607Feb 6, 2025

  Based on staff interview, employee record review, and facility document review, the facility staff failed to implement their policy regarding new hires for 2 of 25 new hires. New hire #3 and New hire #13. The findings included: The facility staff failed to follow their abuse prevention policy regarding screening of new hires. On 2/5/25, surveyor completed the employee record reviews. New hire #3 was a licensed practical nurse (LPN), and the facility staff provided surveyor with an initial hire date of 9/1/20, a termination of employment date of 1/23/23, and a rehire date of 2/13/23. […]

• No harm, potential for more than minimal, isolatedF623Feb 6, 2025

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide a copy of the notification of reasons for transfer or discharge to the representative of the Office of the State Long-Term Care Ombudsman for one (1) of twenty-nine (29) sampled residents. Resident #67. The findings include: For Resident #67, the facility staff failed to send a copy of the notification of reason for transfer or discharge to the Office of the State Long-Term Care Ombudsman for an emergency transfer that occurred on 12/27/24 to the hospital. […]

• No harm, potential for more than minimal, isolatedF641Feb 6, 2025

  Based on interviews and clinical record review, the facility staff failed to ensure accurate Minimum Data Set (MDS) assessments for three (3) of 29 sampled residents (Resident #52, Resident #61, and Resident #67). The findings include: 1. Resident #52's Minimum Data Set (MDS) assessment, with an Assessment Reference Date of 1/23/25, had the resident incorrectly documented for experiencing dehydration. Resident #52's MDS assessment, with an ARD of 1/23/25, was signed as completed on 1/27/25. Resident #52 was assessed as able to make self understood and as able to understand others. Resident #52's Brief Interview for Mental Status (BIMS) summary score was documented as a 15 out of 15; this indicated intact or borderline cognition. […]