Richland Post Acute

In the surveyor’s words

From the most serious findings on record at Richland Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Sep 29, 2021

  Based on observation, interview, and record review the facility failed to ensure infection control interventions intended to mitigate the risk for spread of COVID-19 (an infectious disease causing respiratory illness with symptoms including cough, fever, new or worsening malaise [a general feeling of discomfort/uneasiness], headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death) and other contagious bacteria, were consistently implemented in the areas of: A) Screening - failed to complete the COVID-19 screening process for 10 of 14 sampled staff (U, C, W, F, D, E, G, H, I, L) to determine if personnel could enter the facility to work; B) Personal Protective Equipment (PPE) - failed to… […]

• Immediate jeopardy, isolatedF697May 3, 2022

  Based on observation, interview and record review, the facility failed to implement an effective pain management regime for three of five sampled residents (45, 36, and 156) reviewed for pain. This failure resulted in ongoing, unrelieved pain, causing distress, physical and psychosocial harm. The failure of the facility's lack of understanding of effective pain management, resulted in an Immediate Jeopardy (IJ) on [DATE] for residents 45, and 36. On [DATE] at 5:30 PM, the facility was notified of an IJ at CFR 483.25 (k) F697 related to the facility's failure to identify ongoing, untreated pain. […]

• Actual harm, isolatedF686Aug 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure the prevention, development, and worsening of a facility-acquired pressure injury (PI) for 1 of 4 residents (Resident 23) reviewed for PIs. The facility did not consistently provide ordered wound treatments, perform/document skin assessments, or obtain/implement Durable Medical Equipment (DME, medically necessary equipment used by people with a medical condition, disability, or injury) as ordered. Resident 23 experienced harm when they developed an avoidable PI that was not present upon admission. […]

• Actual harm, isolatedF684May 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure treatment and care was provided in accordance with professional standards of practice for two of four residents (35, 45) reviewed for quality of care. This failure placed both residents at risk for adverse consequences, medical complications, and resulted in physical and psychosocial harm to Resident 35 who experienced an avoidable hospitalization due to dehydration and acute kidney failure (an abrupt reduction in the kidneys' ability to filter waste products, which occurs within a few hours or a few days). Findings included . Resident 35. Review of the medical record showed the resident was admitted to the facility on [DATE] with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF686May 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure treatment and care was provided in accordance with professional standards of practice for two of five residents (156, 35) reviewed for pressure injuries. The facility failed to perform skin assessments as ordered and failed to identify new or worsened skin impairments for Resident's 156 and 35, resulting in harm. Findings included . Record review of the facility policy and procedure titled, Skin at Risk/Skin Breakdown, revised on September 2020, showed a full body skin evaluation was to be completed weekly by the Licensed Nurse (LN). Completion of the skin audit was documented as no shows no new skin impairment, and yes shows new skin impairment. […]