Rockdale Healthcare Center

In the surveyor’s words

From the most serious findings on record at Rockdale Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF657Jun 25, 2023

  Based on record review, interviews, and review of the policy titled Care Plan Policy, the facility failed to update and revise the comprehensive person-centered care plan related to unwitnessed falls for one resident (R) (R#306). The sample size was 35 residents. Findings include: Review of the Care Plan Policy reviewed October 25, 2022, revealed each resident will have a plan of care to identify problems, needs, and strengths that will identify how the facility staff will provide services to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Standard of Practice: Number 1: Each resident will be assessed by the interdisciplinary team on admission, quarterly, annually, and with a significant change in status. Number 12. […]

• Actual harm, isolatedF689Jun 25, 2023

  Based on record review, interviews, and review of facility policies, the facility failed to ensure proper assessment and followup for one resident (R) (R#306) post fall on 1/20/2023. Specifically, facility failed to complete a fall assessment after an unwitnessed fall, failed to complete neuro-checks on 1/20/2023, and failed to provide Radiology services in a timely manner. Actual harm was identified on 1/23/2023 when resident was transferred to the hospital with continued pain. Computerized tomography (CT) of the head indicated chronic right posterior parietal lobe subdural hematoma. The sample size was 35 residents. Findings include: 1. Review of the policy titled Fall Prevention Protocol Policy revised 10/18/2021 revealed Action number 4. After an incident of a fall: a. […]

• Actual harm, isolatedF697Jun 25, 2023

  Based on record review, staff and family interview, and review of the policy titled Pain Management - Acute and Chronic, the facility failed to manage pain for one resident (R) (R#306) after a fall. Actual harm occurred on 1/20/2023 when R#306 had an unwitnessed fall, hitting his head, with complaints of pain in bilateral hips and back. Resident was transferred to hospital on 1/23/2023 with continued pain. Computerized tomography (CT) of the head without contrast indicated chronic right posterior parietal lobe subdural hematoma. […]

• No harm, potential for more than minimal, widespreadF582Oct 31, 2024

  Based on staff interviews and record review, the facility failed to ensure notifications of discontinuation of Medicare Part A benefits were issued in a timely manner for three of three residents (R) (R36, R81, and R605) reviewed for beneficiary notification. This failure had the potential to result in a lack of understanding of appeal rights and/or the termination of the current level of care against the resident's/representative's wishes. Findings include: 1. Review of R36's Part A Discharge Minimum Data Set (MDS) assessment dated [DATE] revealed section A (Identification Information) documented the Medicare stay had a start date of 7/1/2024 and an end date of 8/17/2024. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  Based on observation, staff interviews, and review of the facility's policy titled, Food Service Director, the facility failed to maintain sanitary practices in the kitchen in regard to food handling and hair coverings. The deficient practice had the potential to affect 101 of 103 residents receiving an oral diet from the kitchen. Findings include: Review of the facility's policy titled Food Service Director revealed under Procedure: 6. Food is prepared in a manner that prevents food borne illness. Staff follow proper sanitation and food handling practices. […]