Richard M Campbell Veterans Nursing Home

In the surveyor’s words

From the most serious findings on record at Richard M Campbell Veterans Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 6, 2023

  Based on review of facility policy, interview, observation, and record review, the facility failed to protect Resident (R)2 from accidents/accident hazards related to elopement. Specifically, on 07/02/23 at approximately 2:15 PM, R2 was found outside the facility in the back parking lot. R2 was last seen by staff at approximately 1:55 PM in the courtyard of the facility. Due to R2 being outside the facility, without staff knowledge or supervision, R2 was placed at increased risk of serious harm or death. On 07/06/23 at approximately 12:00 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• Actual harm, isolatedF600Aug 19, 2022

  Based on observations, record review, facility policy review, and staff interviews, the facility failed to ensure 1 out of 7 Residents, (R)59, reviewed for abuse out of a total sample of 39 residents, was free from abuse. A resident-to-resident altercation resulted in harm to R59 when he sustained a fractured finger. Findings include: Review of the facility's revised November 2019 policy titled, Abuse, indicated, Each resident has the right to be free from abuse .Residents must not be subjected by anyone, including, but not limited to facility staff, other residents .Abuse is defined as the willful infliction of injury .with resulting in physical harm, pain, or mental anguish. […]

• No harm, potential for more than minimal, isolatedF690Sep 20, 2024

  Based on facility policy, observation, record review and interview, the facility failed to ensure standards of practice for Resident (R)62's suprapubic catheter care, were followed for 1 of 2 residents reviewed for catheter care. Findings include: Review of the facility policy dated June 2024, titled, Suprapubic Catheter Care stated under the policy, Remove old dressing around suprapubic catheter if applicable, remove gloves and wash or sanitize your hands. Review of R62's Face Sheet revealed he was admitted to the facility on [DATE], with diagnoses including but not limited to: Parkinson's, chronic kidney disease, dysphagia, Diabetes Type 2, unspecified dementia, and chronic obstructive pulmonary disease. […]

• No harm, potential for more than minimal, isolatedF693Sep 20, 2024

  Based on observation, interview, and facility policy review, the facility failed to prevent complications with Resident (R)95's feeding tube, by not flushing the tube prior to the administration of medications. Findings include: Review of the facility's policy titled, Gastrostomy Tube Flush (G-Tube) revised date June 2024, revealed, Gastrostomy tube flush to be administered per physician's order. To provide hydration to resident and maintain G-Tube patency . 16. Fill 60cc syringe with ordered amount of flush. […]

• No harm, potential for more than minimal, isolatedF761Sep 20, 2024

  Based on review of the facility policy, observation and interviews, the facility failed to ensure medications and biological's, that were expired, were removed from 1 of 3 medication storage rooms. The findings include: Review of the facility policy, effective date [DATE], titled, Storage of Medications states, medications and biologicals are stored safely, securely, and properly, following manufacturer's provider pharmacy recommendations, or those of the supplier to maintain their integrity. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications . Q. […]