River View on the Appomattox Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at River View on the Appomattox Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF686Mar 9, 2023

  Based on observations, staff interviews, record review, and facility policy review, the facility failed to conduct timely assessment and identification of pressure wounds for four of four residents (Resident (R) 75, R39, R16, R15) reviewed for pressure sores until the wounds had progressed to advanced stages (stage III - full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia; stage IV - a deep wound reaching the muscles, ligaments, or bones which often causes extreme pain, infection, invasive surgeries, or even death). Immediate Jeopardy was called on 03/01/23 at 5:08 PM. […]

• Immediate jeopardy, patternF880Jan 14, 2021

  Based on staff interview, facility documentation review, and clinical record review, the facility staff failed to provide infection control surveillance, monitoring, and tracking of staff for COVID-19 in accordance with the Center for Medicare and Medicaid Services (CMS) and The Centers for Disease Control and Prevention (CDC) recommendations, to prevent the spread of COVID-19, for 5 Residents (Resident #1, #10, #11, #12 and #13) in a survey sample of 13 Residents and for 8 facility staff (Employees K & L, LPN D, LPN H, LPN I, CNA B, CNA F, CNA I) . 1. The facility staff permitted employees who had tested positive for COVID-19 to continue to work, which exposed Residents #1, #10, #11, #12, and #13. […]

• Immediate jeopardy, isolatedF880Mar 9, 2023

  Based on observations, staff interviews, record review, and facility policy review, the facility failed 1) to ensure a multi-use glucometer was disinfected per manufacturer's instructions between use on each resident to prevent potential spread of bloodborne pathogens during finger-stick blood glucose checks for three of three residents (R104, R100, and R105) observed for blood sugar monitoring. R105 was diagnosed with bloodborne pathogens potentially transmissible to other residents using the glucometer. This failure had the potential to transmit infection to all 15 residents who received finger-stick blood glucose monitoring. On 03/03/23 at 2:55 PM, Immediate Jeopardy was called. The Immediate Jeopardy began on 03/03/23 at 10:29 AM, and was removed on 03/06/23 4:30 PM. […]

• No harm, potential for more than minimal, widespreadF583Mar 9, 2023

  Based on observations, resident and staff interviews, and record review, the facility failed to ensure 1) staff knocked and waited for permission to enter the rooms of one of two residents (Resident (R)56) reviewed for privacy and 2) six of six residents (R76, R104, R59, R67, R98, and R72) interviewed in the resident group meeting; and 3) that electronic medical records (EMRs) were only accessible by staff members based on their need to know for all 103 facility residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF565Mar 9, 2023

  Based on resident and staff interviews, record review, and facility policy review, the facility failed to ensure grievances voiced in Resident Council and by six of six residents (R76, R104, R59, R67, R98, and R72) interviewed in the resident group meeting were acted upon in a timely manner and the Grievance Official responded to the resident group's concerns. Findings include: 1. Review of the facility's September 2022 to February 2023 Resident Council Meeting minutes, provided on paper by the Administrator, revealed several concerns were voiced several times over the last six months without evidence of follow-up and/or resolution presented to the Resident Council. […]