Sequoyah Pointe Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at Sequoyah Pointe Skilled Nursing and Therapy, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observation and interview, the facility failed to ensure the kitchen was maintained to promote food safety and sanitation. The administrator reported 58 residents resided in the facility. Findings: On 10/26/23 at 10:20 a.m., a tour of the kitchen was conducted. The following observations were made: a. The handwashing sink was observed to have a brown dirt like substance on the back of it. b. A sink and countertop in the dry storage area was observed to have a red sticky substance on it. c. The cabinet under the sink in the dry storage was observed to be open exposing the pipes. d. A freezer temperature was observed to be at 38 degree Fahrenheit. The freezer contained a box of corn dogs, a bag of garlic bread, and a box of tater tots. All the foods were observed not frozen. […]

• No harm, potential for more than minimal, patternF584Nov 2, 2023

  Based on observation and interview the facility failed to ensure the facility maintained a clean, odor-free, and homelike environment. The CMS 671 form, dated 10/26/23, documented 58 residents resided in the facility. Findings: A Housekeeping Policies and Procedures packet, revised 06/29/12, read in parts, .Every resident room should undergo complete wet cleaning, disinfection and deodorizing daily .Pick up all litter on resident room floor and bathroom floor .Dust mop, making sure closet and areas under furniture are included . On 10/26/23 at 1:00 p.m., the following observations were made: a. The east hallway had a strong smell of urine, b. room [ROOM NUMBER] had a strong smell of urine. […]

• No harm, potential for more than minimal, patternF677Nov 2, 2023

  Based on observation, record review, and interview, the facility failed to ensure residents were bathed as scheduled for two (#8 and #43) of five sampled residents reviewed for bathing. The CMS 671 form, dated 10/26/23, documented 58 residents resided in the facility. Findings: 1. Res #43 was admitted with diagnoses which included respiratory failure, depressive disorders, and anxiety. An admission assessment, dated 06/07/23, documented the resident was cognitively intact and required extensive one person physical assistance with bathing. A care plan, dated 06/16/23, documented the resident was to be bathed with the physical help of one person every Monday, Wednesday, and Friday during the 7 a.m. to 3 p.m. […]

• No harm, potential for more than minimal, patternF732Nov 2, 2023

  Based on observation and interview, the facility failed to document and retain daily staffing information for the past 18 months. The CMS 671 form, dated 10/26/23, documented a census of 58 residents. Findings: On 10/26/23 at 11:00 a.m. and throughout the survey, the white boards behind each nursing station was observed to include documentation of the census number, name and titles of the staff on duty. Staffing hours were not documented. On 11/02/23 at 11:55 a.m., the administrator reported they were not aware of the requirements to post staffing hours and retain the documentation for 18 months.

• No harm, potential for more than minimal, patternF690Feb 9, 2023

  Based on record review, observation, and interview, the facility failed to ensure residents received the necessary care to help prevent urinary tract infections for two (#2 and #3) of four residents sampled for UTIs. The Resident Census and Conditions of Residents form documented 30 residents were dependent on staff assistance for their toileting needs. Findings: 1. Res #3 had diagnoses which included chronic kidney disease. An annual assessment, dated 12/22/22, documented the resident was cognitively intact and required the extensive assistance of two people for toileting. On 02/07/23 at 12:31 p.m., Res #3 stated she was wet and was not wearing a brief. The resident was asked why her call light was not on. […]