Sellersburg Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF686Aug 16, 2022

  Based on observation, record review, and interview, the facility failed to implement interventions to prevent the development and worsening of multiple facility acquired pressure ulcers resulting in three unstageable wounds, two Stage 3 pressure ulcers (PU) and a reopened Stage 2 PU. Two of the pressure ulcers worsened to a Stage 4; two of the pressure ulcers developed infections; and one Stage 4 PU worsened with [CONDITION(S)] requiring IV antibiotics for 5 of 10 residents reviewed for Presure Ulcers. (Residents E, D, B, C, and F) The Immediate Jeopardy began on 1/13/22 when the facility failed to identify, prevent, and implement interventions to prevent and worsening of pressure ulcers. […]

• Immediate jeopardy, isolatedF600Jul 29, 2023

  Based on observation, interview and record review, the facility failed to ensure a resident (Resident B) was free from staff to resident abuse for 1 of 3 residents reviewed for abuse. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 7/8/23 when Resident B alleged the Social Services Director (SSD) kissed him. The SSD was banned from the resident's room on 7/8/23. Resident B had new negative behaviors of acting out, thrashing, and hitting his head on his bed mattress on 7/11/23. The SSD had sent the resident explicit photos of herself to an IPAD the resident had in his possession on 7/14/23 and 7/17/23. On 7/18/23, the resident had an increase in behaviors of cursing and yelling at staff with unsuccessful redirection. […]

• Immediate jeopardy, isolatedF740Mar 18, 2022

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and to sufficiently monitor residents with a history of drug abuse, and to prevent behaviors of drug abuse, for 3 of 3 residents reviewed. Resulting in one resident becoming unresponsive, one resident admitting to purchasing and doing drugs, and one resident with slurred speech. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on [DATE], the facility failed to ensure staff did not give access of illicit drugs to residents inside the facility. On [DATE] a staff member solicited to sell Residents C and B, heroin and [MEDICATION(S)] (meth) and provided the drugs on [DATE]. Resident C was found unresponsive and had [MEDICATION(S)] administered. […]

• Actual harm, patternF686Jun 30, 2021

  Based on observation, interview, and record review, the facility failed to ensure interventions were implemented to identify and prevent the development and worsening of pressure ulcers for 7 of 9 residents reviewed for pressure ulcers, which resulted in the development of four in house pressure ulcers, and the worsening of four pressure ulcers. (Resident 60, 36, 9, 33, 81, 67, and 19) Findings include: 1. During an observation, on 6/22/21 at 11:08 a.m., the wound care nurse indicated Resident 60's left buttock wound was a Stage 4 with exposed muscle. The nurse removed the old dressing and a moderate amount brownish drainage was noted on the dressing. The wound was cleaned with NS (Normal Saline) and the peri wound was intact. […]

• Actual harm, isolatedF689May 24, 2022

  Based on observation, interview and record review, the facility failed to ensure residents (Residents B and C) were provided adequate supervision and assistance of two staff members in accordance with their assessments and comprehensive care plans when a resident (Resident B) was transferred with a mechanical lift, by one staff member, which resulted in a T3 (thoracic vertebrae)and T4 fracture after a fall from the lift and when a staff member provided care to a resident (Resident C) which resulted in a fall from the bed and medical intervention of 13 sutures for 2 of 3 residents reviewed for accident hazards. Findings include: 1. The clinical record for Resident B was reviewed on 5/24/22 at 11:10 a.m. The diagnosis included, but was not limited to, [CONDITION(S)]. […]