Salyersville Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Salyersville Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF686May 29, 2025

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents received care to prevent pressure ulcers from developing and promote healing consistent with professional standards of practice for two of 37 sampled residents Resident (R) 26 and R110. Immediate Jeopardy (IJ) was identified on 05/16/2025 and was determined to exist on 10/04/2024 in the areas of 42 CFR §483.25(b)(1) Pressure ulcers (F686) at the scope and severity (S/S) of a K. Substandard Quality of Care (SQC) was identified at 42 CFR §483.25(b)(1) Pressure ulcers (F686). The IJ is ongoing. The facility was notified of the Immediate Jeopardy on 05/16/2025. […]

• Immediate jeopardy, patternF686May 17, 2025

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents received care to prevent pressure ulcers from developing and promote healing consistent with professional standards of practice for one of 37 sampled residents (Resident (R) 26). Immediate Jeopardy (IJ) was identified on 05/16/2025 and was determined to exist on 10/04/2024 in the areas of 42 CFR 483.25(b)(1) Pressure ulcers (F686) at the scope and severity (S/S) of a J. Substandard Quality of Care (SQC) was identified at 42 CFR 483.25(b)(1) Pressure ulcers (F686). The IJ is ongoing. […]

• Immediate jeopardy, patternF692May 17, 2025

  Based on interview, record review, and review of the facility's policies, the facility failed to utilize its resources effectively to ensure that its policies related to nutrition/hydration were implemented and failed to ensure that an effective system was in place to obtain accurate weights for each resident. In addition, the facility did not identify significant/severe weight changes and failed to implement interventions to ensure adequate nutrition/hydration and prevent serious adverse outcomes for 79 of 87 sampled residents (R1-R79).Immediate Jeopardy (IJ) was identified on 07/14/2025. It was determined to exist on 06/11/2025 in the areas of 42 CFR 483.25, Nutrition/Hydration Status Maintenance (F692) at the highest scope and severity (S/S) of a K. […]

• Immediate jeopardy, patternF835May 17, 2025

  Based on interview, record review, review of the facility's Administrator and Director of Nursing's Position Descriptions, review of the facility's policies and procedures, and review of the facility's abuse investigations, the facility failed to be administered in a manner that enabled effective use of its resources to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility's failure to have an effective system in place to ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident has caused or is likely to cause serious injury, harm, impairment or death to a resident. […]

• Immediate jeopardy, patternF865May 17, 2025

  Based upon interview, review of medical records, review of the facility's policy/procedures, the facility failed to ensure that its Quality Assurance and Performance Improvement Plan (QAPI) provided overall guidance to the facility; to provide excellence in quality of care and support quality of life through patient-centered care. The facility failed to implement an effective QAPI program to guide its operations and ensure the appropriate allocation of resources. As a result, the facility did not operate effectively or efficiently to achieve the highest practicable level of physical, mental, and psychosocial well-being for residents. This systemic failure caused or was likely to cause serious injury, impairment, or death to the resident. […]