RedBay Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at RedBay Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Mar 25, 2023

  Bsed on interviews, review of Resident Identifier (RI) #1's medical record, a revview of the Hospital Discharge Summary Report, and review of a facility's policy titled, Resident Care Planning, the facility failed to ensure RI #1's ADL Flow Record, which was part of the resident's care plan that provided instructions to direct care staff on how to care for a resident, accurately reflected RI #1's care planned intervention of two-person assistance with bathing, which resulted in RI #1 being hospilized with sustaining serious injuries. On 01/16/2023, RI #1 fell from the bed to the floor during a bed bath, that was provided by Employee Identifier (EI) #4, Certified Nursing Assistant (CNA). EI #4 reported while providing a bed bath by herself to RI #1, she repositioned RI #1 on to his/herside. […]

• Immediate jeopardy, isolatedF689Mar 25, 2023

  Based on interviews, review of medical records, facility policies titled, Incident and Accident Reporting and Fall Assessment Worksheet and Progress Notes, hospital records, and the Alabama State Agency Online Report, it was determined the facility failed to ensure Resident Identifier (RI) #1 was provided two-person assistance with bathing, which resulted in RI #1 being admitted to the hospital with serious injuries. On 01/16/2023, Employee Identifier (EI) #4, CNA provided a bed bath RI #1 without assistance. EI #4 rolled RI #1 onto his/her side and RI #1's legs began sliding off the alternating air pressure mattress. EI #4 stated she could not prevent RI #1 from sliding off the bed onto the floor. […]

• No harm, potential for more than minimal, widespreadF761Mar 25, 2022

  Based on observations, interviews, and review of a facility policy titled Storage and Destruction of Medications, the facility failed to ensure the crash cart did not contain expired intravenous fluids and an expired prefilled syringe of normal saline. This was observed on one of five days of the survey, and had the potential to affect any resident who may have required treatment from the facility's crash cart. Findings include: A review of an undated facility policy titled Storage and Destruction of Medications revealed in part, Medication rooms, carts, and supplies should be locked or attended by those with authorized access only .Contaminated, deteriorated, or expired medications should be removed immediately and disposed of and reordered from the pharmacy (if applicable) according… […]

• No harm, potential for more than minimal, patternF582Mar 25, 2022

  Based on record review, document review, and interviews, the facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) after Resident Identifier (RI) #301, RI #39, and #21 were discharged from Medicare Part A services. Further, the facility failed to provide documentation of receipt of the Notice of Medicare Non-Coverage (NOMNC) by RI #301, RI #39, and RI #21 and/or their responsible parties. This affected three of three residents sampled for beneficiary protection notification review. Findings include: A review of a Face Sheet indicated the facility admitted Resident Identifier (RI) #301 on 08/11/2021. A review of a Notice of Medicare Non-Coverage document indicated RI #301's coverage would end on 11/08/2021. […]

• No harm, potential for more than minimal, isolatedF641Mar 25, 2023

  Based on interview, record review, and review of Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) 1's Minimum Quarterly Data Set (MDS), of 10/20/2022 was coded accurately to reflect the level of assistance (assist) that RI #1 required for bathing. This deficient practice affected RI #1, one of three sampled resident's whose MDS's were reviewed. Findings Include: A review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2019, revealed: . […]