Rocky Mount Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Rocky Mount Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jul 20, 2022

  Based on observation, staff interview, record review, resident interview, Vice President of Clinical Services interview, and Regional Clinical Director interview the facility failed to maintain a systematic approach to identify residents as smokers, failed to assess smoking safety ability on a routine basis, failed to follow the smoking policies and procedures, and failed to provide supervision of residents smoking in the smoking area for two (Residents #1 and Resident #3) of three residents who were identified as smokers on [DATE]. Resident #1 caught herself on fire in her room on [DATE] sustaining second and third degree [CONDITION(S)] on her body. Resident #1 expired as a result of this incident. […]

• Immediate jeopardy, patternF835Jul 20, 2022

  Based on observation, staff interview, record review, resident interview, Vice President of Operations interview, Vice President of Clinical Services interview, and Regional Clinical Director interview the facility administration failed to implement and monitor systems for keeping smokers safe for two (Residents #1 and Resident #3) of three residents who were identified as smokers on [DATE]. Resident #1 caught herself on fire in her room on [DATE] sustaining second and third degree [CONDITION(S)] on her body. Resident #1 expired as a result of this incident. […]

• Immediate jeopardy, isolatedF684Jan 9, 2025

  Based on record review, and staff, Physician Assistant and Medical Director interviews, the facility failed to implement physician orders for diabetes care for Resident #22 who was diagnosed with diabetes prior to contacting emergency medical services (EMS) for a change in condition and ensuring immediate action was taken for a resident who required emergent medical care. Physician orders were available regarding checking blood sugar for hypoglycemia (a condition in which your blood sugar (glucose) level is lower than the standard range), acting on low blood sugar, administering medications to quickly treat hypoglycemia and notifying the physician. […]

• Immediate jeopardy, isolatedF689Nov 2, 2021

  Based on record review, staff interviews and observation, the facility failed to supervise nurse aides (NA) to ensure the nurse aides read and followed the Kardex, a resident care guide, which was based on the most recent care plan prior to providing resident care and indicated the amount of assistance required for the delivery of activities of daily living (ADL) for two of three residents reviewed for falls. (Resident #1, Resident #2). Resident #1 and Resident #2 fell from their raised beds when only one NA provided ADL care, and Resident #1 and Resident #2 were care planned requiring assistance from two nurse aides for bed mobility. […]

• Actual harm, isolatedF684Nov 19, 2024

  Based on record review, resident, family, staff interview, Nurse Practitioner, and Medical Doctor interview the facility failed to 1)ensure effective communication amongst the nursing staff and with the provider in order that a resident, who was receiving anticoagulation medication, be sent to the hospital when she first experienced post-operative bleeding to the degree that the bleeding soaked her sheets 2) failed to recognize they should communicate with the physician about anticoagulant medication before continuing to give the anticoagulant medication after the resident was observed bleeding post-operatively 3) failed to identify a need for a higher level of care 4) failed to assess vital signs and 5) failed to perform treatments as ordered. […]