Rehabilitation Center of South Georgia

In the surveyor’s words

From the most serious findings on record at Rehabilitation Center of South Georgia, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 4, 2022

  Based on interview and record review, the facility failed to implement interventions in a timely manner to prevent further injury from the use of side rails for one resident ((R) R B) from a total sample of eight residents. Actual harm was identified when R B was found with a bruise with swelling to the top of the head on 7/6/22 after previously receiving an abrasion/bruise to head on 7/4/2022 as the result of hitting head on upper assist rail on bed. Findings include: Resident (R) B was admitted to the facility on [DATE] and had diagnoses that included Alzheimer's, dementia with behavior disturbance, osteoarthritis, diabetes, major depressive disorder and anxiety disorder. […]

• No harm, potential for more than minimal, widespreadF804Jul 4, 2024

  Based on observations, staff and family interviews, and review of the facility's policy titled, Food Serving Temperatures, the facility failed to provide food at a safe and appetizing temperature for one observed meal. This failure had the potential to affect the satisfaction of food and palatability for 115 of 119 residents consuming food from one of one kitchen at the facility. Findings include: Review of the facility's undated policy titled, Food Serving Temperatures, under the section titled, Policy revealed, Foods will reach proper temperature to insure food safety. Foods will be maintained at proper holding temperature to insure (sic) food safety. Foods at point of service will be served to insure (sic) food safety. […]

• No harm, potential for more than minimal, widespreadF814Jul 4, 2024

  Based on observation, staff interview, and review of the facility's policy titled, Garbage and Rubbish Disposal, the facility failed to ensure garbage was properly disposed of and contained for two of three dumpsters with the side doors pushed back and left open. This had the potential to attract pests and affect the residents and staff at the facility. The facility census was 119 residents. Findings include: Review of the facility's policy titled, Garbage and Rubbish Disposal, dated 1/8/2009 under the Policy Statement revealed, Garbage and rubbish shall be disposed of in accordance with current state laws regulating such matters. Under the section titled, Policy Interpretation and Implementation revealed, . 5. […]

• No harm, potential for more than minimal, widespreadF880Feb 2, 2021

  Based on staff interviews, observations, record review, and review of the facility policy titled, COVID Testing for Residents and Employees and review of the facility policy titled, Infection Control: Standard Precautions the facility failed to ensure all staff wore the proper personal protective equipment (PPE), and performed hand hygiene. The facility failed to ensure eight of 16 sampled residents (Resident (R) R#9, R#11, R#18, R#20, R#22, R#24, R#26,and R#29) who refused COVID-19 testing during a COVID-19 outbreak in the facility were placed on droplet precautions, Transmission based precaution and in a private room or on a COVID Observation Unit. This deficient practice had the potential to place all residents at increased risk of contracting infection during a COVID-19 outbreak. […]

• No harm, potential for more than minimal, patternF656Jul 4, 2024

  28306 Based on observation, record review, interview, and review of the facility's policy titled, Care Plans-Comprehensive, the facility failed to implement a person-centered comprehensive plan of care with measurable goals and plans related to fall and activity interventions for five of six residents (R) R43, R84, R60, R55, and R101) reviewed for care plans. This failure had the potential for residents with a diagnosis of dementia to be disruptive to other residents and staff due to the lack of engagement in daily activities and had the potential for injury without proper fall interventions in place as directed by the plan of care. […]