Rim Country Health & Retirement Community

In the surveyor’s words

From the most serious findings on record at Rim Country Health & Retirement Community, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 12, 2025

  Based on clinical record review, staff and caregiver interviews, and policy and procedures, the facility failed to ensure medications were securely stored in accordance with professional standards for one resident (#10). The deficient practice resulted in resident hospitalization . Findings include: Resident #10 was admitted on [DATE], with diagnoses of essential hypertension, adult failure to thrive, atherosclerotic heart disease, anxiety disorder, and major depressive disorder. The nursing note dated February 6, 2025 at 8:00 a.m. revealed that the resident was found unresponsive and unknown medications were found with resident. Per the documentation, the resident was sent to the local emergency department (ED) for further evaluation. […]

• Actual harm, isolatedF678Feb 3, 2023

  Based on record reviews, staff interviews and reviews of facility policies and procedures, the facility failed to ensure that one resident (#1) was provided basic life support including CPR (cardio-pulmonary resuscitation) in accordance the resident's advance directives. The deficient practice resulted in actual harm to the resident and has the potential to result in advance directives not being followed for additional residents. Findings include: Resident #1 was admitted on [DATE] with diagnoses that included falls, chronic obstructive pulmonary disease with exacerbation, cognitive communication deficit, emphysema, and senile degeneration of brain. […]

• Actual harm, isolatedF684Feb 3, 2023

  Based on record reviews, staff interviews and reviews of facility policies and procedures, the facility failed to ensure that one resident (#1) received treatment and care in accordance with professional standards of practice regarding implementation of basic life support including CPR (cardio-pulmonary resuscitation) in accordance the resident's advance directives. The deficient practice resulted in actual harm to the resident by their physical needs not being met in resident advance directives not being followed. […]

• No harm, potential for more than minimal, patternF607Dec 14, 2023

  Based on clinical record review, staff interviews, facility documentation, policy and procedures, and the State Survey Agency database, the facility failed to develop and implement their policy on abuse reporting and investigation for one resident #67. The deficient practice could result in abuse continuing and not being prevented. Findings include: - Resident #67 was admitted to the facility on [DATE] with diagnoses that included visual disturbance, schizoaffective disorder, bipolar disorder depressed severe with psychotic features, generalized anxiety disorder, major depressive disorder, insomnia, difficulty walking, and aphasia. […]

• No harm, potential for more than minimal, patternF610Dec 14, 2023

  Based on review of the clinical record, facility documentation, review of the State Agency database, staff interviews, and review of policy and procedure, the facility failed to ensure two allegations of abuse were thoroughly investigated and prevent further potential abuse and take appropriate corrective action for two residents. The deficient practice could lead allegations of abuse not being investigated and abuse occurring in the facility. Findings Include: Regarding resident #67 and resident #66 -Resident #67 was admitted to the facility on [DATE] with diagnoses that included visual disturbance, schizoaffective disorder, bipolar disorder depressed severe with psychotic features, generalized anxiety disorder, major depressive disorder, insomnia, difficulty walking, and aphasia. […]