Ralls Nursing Home

In the surveyor’s words

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

• Immediate jeopardy, patternF600Jun 10, 2024

  Based on interviews and record review, the facility failed to ensure residents had the right to be free from sexual abuse for 3 (Resident #3, Resident #4 and Resident #6) of 9 residents reviewed for abuse. 1. The facility failed to put protective measures in place on 05/11/24 to protect Resident #4 from sexual abuse after knowing Resident #2 had displayed inappropriate sexual behavior with Resident #3. 2. The facility failed to put protective measures in place on 06/02/24 to protect Resident #3 in place from sexual abuse after knowing Resident #5 had a history of inappropriate sexual behavior. 3. […]

• Immediate jeopardy, patternF607Jun 10, 2024

  Based on observation, interviews and record review, the facility failed to implement their written policies and procedures to prohibit and prevent abuse and neglect for 4 (Resident #1, Resident #3, Resident #4, and Resident #6) of 9 residents reviewed for abuse and neglect. The facility failed to implement their abuse and neglect policy when: 1. The facility failed to investigate the fall incident that occurred with Resident #1 while in the care of CNA E on 05/30/24. CNA E failed to notify the nurse of the fall. Resident #1 sustained a hip fracture. 2. The facility failed to report to the state agency and investigate a sexual incident that occurred on 05/10/24 between Resident #2 and Resident #3. 3. […]

• Immediate jeopardy, patternF600Apr 17, 2023

  Based on observation, interview, and record review the facility failed to ensure the resident had the right to be free from abuse for 8 of 10 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #10), reviewed for abuse. The facility failed to ensure a safe environment free from abuse for Resident #1 when can D was suspected to have used unnecessary force causing a spiral fracture to Resident #1 on night shift on 04/12/2023. […]

• Immediate jeopardy, patternF600Oct 3, 2022

  Based on interview and record review, the facility failed to provide a safe environment free from abuse for 10 of 10 residents (Resident #1, #2, #3, 4, #5, #6, #7, #8, #9, #10) reviewed for abuse. The facility failed to implement and provide immediate interventions to assure the safety of residents to protect from resident-to-resident abuse from Resident #1, a resident who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to implement and provide immediate interventions to assure the safety of residents to protect from resident-to-resident abuse from Resident #2, a resident who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures placed residents at risk of abuse, mental anguish, injury, fear, and hopelessness. […]

• Immediate jeopardy, patternF689Oct 3, 2022

  Based on observation, interview and record review, the facility failed to provide adequate supervision to prevent resident to resident altercations for 2 of 2 residents reviewed for supervision. (Resident #1 and #2) The facility did not develop and implement consistent or effective supervision to prevent Resident #1, a resident who had a history of being physically aggressive from continuing to physically attack and target other residents in the facility. The facility did not develop and implement consistent or effective supervision to prevent Resident #2, a resident who had a history of being physically aggressive from continuing to physically attack and target other residents in the facility. This failure could placed all residents at risk of being harmed, injured or possible death. […]