Rockingham County Nursing Home

In the surveyor’s words

From the most serious findings on record at Rockingham County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF552Aug 28, 2025

  Based on interview and record review, it was determined that the facility failed to inform residents or residents' representative of the risk and benefits of psychotropic medication use for 1 out of 5 residents reviewed for unnecessary medications in final sample of 27 residents. (Resident identifier is #4) Findings include:Resident #4Review on 8/28/25 of Resident #4's medical record revealed a physician's order for Escitalopram Oxalate 5 milligrams (MG), give 15MG by mouth one time a day for mood, dated 9/30/2024. Further record review revealed there was no documentation that the risks and benefits of psychotropic medication use were communicated to Resident #4 or their representative.Interview on 8/28/25 at approximately 8:28 a.m. […]

• No harm, potential for more than minimal, isolatedF761Aug 28, 2025

  Based on observation, interview, and record review, it was determined that the facility failed follow currently accepted professional principles for labeling and/or storing drugs and biologicals in 2 of 2 medication rooms, 1 of 3 medication carts observed. (Resident identifiers are #98, #14, #43, #134, #96, and #10.)Findings include: Observation on 8/26/25 at approximately 8:25 a.m. in [NAME] 1 Medication Room of a cabinet of medications revealed:Resident #98's medication card of Furosemide 20 mg (milligrams), expiration date 7/12/25; and Resident #14's medication card of Ariprazole 15 mg, expiration date 7/15/25.Interview on 8/26/25 at approximately 8:25 a.m. with Staff A (Registered Nurse) confirmed the above findings.Observation on 8/26/25 at approximately 8:35 a.m. […]

• No harm, potential for more than minimal, isolatedF812Aug 28, 2025

  Based on observation, interview, and policy review, it was determined that the facility failed to store and serve food in accordance with professional standards for food safety to prevent foodborne illness in 2 of 4 kitchenettes observed. Findings include: Review on 8/29/25 of the U.S. Food and Drug Administration Food Code, dated 2017, retrieved from https://www.fda.gov/food/FDA-food-code/food-code-2017 revealed the following: .Annex 3, Public Health Reasons/Administrative Guidelines . Chapter 3 Food .3-305.11 Food Storage .FOOD shall be protected from contamination by storing the FOOD: . […]

• No harm, potential for more than minimal, isolatedF880Aug 28, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that staff wore PPE (Personal Protective Equipment) appropriately for 1 of 1 residents reviewed for Transmission Based Precautions in a final sample of 27 residents. (Resident identifier is #144.)Findings include: Observation on 8/28/25 from approximately 8:05 to 8:10 a.m. outside of Resident #144's room revealed signage to see nurse prior to entering the room. Further observation revealed Staff E (Registered Nurse) at Resident #144's bedside with a gown covering their arms but not covering their shoulders. The top half of their torso was showing and the gown was not tied. […]

• No harm, potential for more than minimal, isolatedF658Jun 17, 2021

  Based on observation and interview, it was determined that the facility failed to meet professional standards of quality for the proper positioning of a resident's catheter drainage bag for 1 resident of 1 resident reviewed with a catheter in a final survey sample of 19 residents. (Resident identifier #49) Findings include: Potter, Patricia A., Perry, Anne Griffin, and et al Essentials For Nursing Practice Ninth Ed St. Louis Missouri: Elsevier 2019 copyright. Page 1054. Step 21 .Position drainage bag lower than bladder by attaching to bed frame. Do not attach to side rails of bed or place on the floor. Observation on 6/16/21 at 8:53 a.m. revealed Resident #49's bed was in the lowest position to the floor. The catheter drainage bag was attached to the bed frame. […]