Sequoyah East Nursing Center, LLC

In the surveyor’s words

From the most serious findings on record at Sequoyah East Nursing Center, LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 7, 2024

  Based on record review and interview, the facility failed to provide supervision to prevent falls for two (#1 and #5) of seven sampled residents reviewed for abuse. A facility resident roster, dated [DATE], documented 45 residents resided in the facility. Findings: A Falls and Fall Risk, Managing policy, revised date [DATE], read in part, .Based on previous information and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling .If falling recurs despite initial interventions, staff will implement additional or different interventions, or indicate why the current approach remains relevant .If underlying causes cannot be readily identified or… […]

• Actual harm, isolatedF697Oct 8, 2021

  Based on interview and record review, the facility failed to provide effective pain management for one (#46) of one sampled resident reviewed for pain. The facility failed to obtain and administer pain medications in a timely manner and per current standards of practice. Rsident #46 suffered pain at level of nine out of 10, with 10 being severe,disabling pain. The Resident Census and Conditions of Residents report identified there were no residents on a pain management program. […]

• No harm, potential for more than minimal, widespreadF851Apr 16, 2025

  Based on record review and interview, the facility failed to ensure the required PBJ staffing data was submitted to CMS within the mandated timeframe. The administrator stated there were 51 residents residing at the facility. Findings: A PBJ Staffing Data Report, dated 10/01/24 through 12/31/24 (Fiscal year Quarter 1 2025), showed the facility had not provided staffing data to CMS for the PBJ staffing data report for that quarter. On 04/14/25 at 3:18 p.m., the administrator stated the staffing data was not submitted for that quarter because the task was just overlooked. They stated it was now their job to submit the data at this time and in the future. On 04/15/25 at 2:01 p.m., corporate nurse consultant #1 stated they did not have a policy or procedure for submitting the PBJ data. […]

• No harm, potential for more than minimal, widespreadF838Dec 7, 2023

  Based on record review and interview, it was determined the facility failed to ensure a facility assessment was updated annually. The administrator identified 45 residents resided in the facility. Findings: On 12/04/23 at 10:39 a.m., an entrance conference was conducted with the administrator. They were made aware a facility assessment was required to be provided within four hours of entrance. There was no documentation a facility assessment had been updated annually. On 12/05/23 at 1:53 p.m., the administrator stated they did not have a facility assessment.

• No harm, potential for more than minimal, widespreadF678Oct 9, 2023

  Based on record review and interview, the facility failed to ensure that properly trained personnel (certified in CPR for Healthcare Providers) were available immediately 24 hours per day and/or maintained their certification to be able to provide CPR until emergency medical services arrived. The Resident Census and Conditions report, documented 50 residents resided in the facility. Findings: A facility policy titled Emergency Procedure - Cardiopulmonary Resuscitation, dated [DATE], read in part Personnel have completed on the initiation of cardiopulmonary resuscitation (CPR) and basic life support (BLS), including defibrillation, for victims of sudden cardiac arrest .Preparation for Cardiopulmonary Resuscitation. 1. […]