Scioto Rehabilitation & Care Center

In the surveyor’s words

From the most serious findings on record at Scioto Rehabilitation & Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 14, 2023

  Based on medical record review, review of wound culture results, review of Magnetic Resonance Imaging (MRI) results, review of hospital records, review of wound assessments, interviews with residents and staff, and facility policy review, the facility failed to timely treat a wound infection and osteomyelitis (a bone infection), as well as ensure outside medical appointments with the wound clinic and infectious disease physician were not missed, and failed to notify the physician of the missed appointments. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm on [DATE] when Resident #22 was diagnosed with a left foot wound infection, was subsequently diagnosed on [DATE] with osteomyelitis, and did not receive treatment for either. […]

• Actual harm, isolatedF686Dec 31, 2024

  Based on observation, record review, facility policy review and interview, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to prevent the development of avoidable pressure ulcers, timely identify areas of new skin impairment, promote optimal healing, ensure pressure ulcer dressings were provided as ordered and/or prevent the risk of pressure ulcer infection. Actual Harm occurred beginning on 11/19/24 when Resident #54, who had moderate cognitive impairment and was at high risk for pressure ulcer development, was assessed to have a Stage II (partial-thickness skin loss with exposed dermis) pressure ulcer to the right buttocks that originated from Moisture Associated Skin Damage (MASD). […]

• Actual harm, isolatedF689Jun 24, 2024

  Based on observation, record review, review of facility policy, and resident and staff interviews, the facility failed to maintain a safe accident free environment and prevent a fall with injury for Resident #20. Actual Harm occurred on 05/03/24 when Resident #20 sustained a fracture of metatarsal bone and talus as a result of a fall sustained when the resident stepped from the transportation bus onto an unstable milk crate placed by facility staff, when exiting the transportation bus. Following the incident, Resident #20 complained of left knee and right foot pain and bruising was noted on her right ankle. […]

• Actual harm, isolatedF686Jan 3, 2023

  Based on closed medical record review, staff interviews, and policy review, the facility failed to assess Resident #196's newly identified pressure ulcers and implement interventions/treatments to aid in the healing of existing pressure ulcers. Actual Harm occurred on 11/14/22 when the facility failed to provide assessment and treatment to the resident's pressure ulcer resulting in the pressure ulcer declining to a Stage III pressure ulcer (full-thickness loss of skin, in which subcutaneous fat may be visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present) to the coccyx. […]

• Actual harm, isolatedF689Jun 7, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and interview the facility failed to ensure Resident #63's side rails were maintained in a safe manner and in good repair to prevent an injury during a staff assisted transfer. Actual harm occurred on 05/13/22 when Resident #63, who was dependent on staff assistance for transfers sustained an extensive laceration to her right leg during a staff assisted transfer from the wheelchair to bed when her leg scraped against metal on the side rail which was missing a protective black covering. As a result of the injury, the resident was immediately transferred to the hospital via 911 for treatment which included multiple surgeries and a skin graft. […]