Shearer-Richardson Memorial Nursing Home

In the surveyor’s words

From the most serious findings on record at Shearer-Richardson Memorial Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF603Nov 21, 2024

  Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to ensure a resident's right to be free from abuse including involuntary seclusion, verbal abuse and unreasonable confinement by staff members physically restraining a resident for one (1) of three (3) residents sampled. Resident #1. Findings include: Record review of facility policy titled, Abuse, Neglect and Exploitation, dated 3/17/23, revealed, It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect , 'Abuse' means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting… […]

• Actual harm, isolatedF656Aug 10, 2023

  Based on staff interview, record review and facility policy review the facility failed to develop and implement a person-centered care plan for residents requiring assistance with Activities of Daily Living (ADL) (Residents #4, #6, #27, and #35), a resident requiring assistance with transfers using a lift (Resident #53), a resident with a diagnosis of Post-Traumatic Stress Disorder (Resident #47), and a resident requiring dental services and ADLs, (Resident #34) for seven (7) of 19 resident care plans reviewed. […]

• Actual harm, isolatedF689Aug 10, 2023

  Based on resident and staff interview, record review, and facility policy review, the facility failed to ensure a resident was free from accidents during a lift transfer by using the inappropriate lift for one (1) of 19 residents reviewed for investigations. Resident #53 Findings include: Record review of facility policy titled Modified Lifting Policy undated, revealed, (Proper name of nursing home) will provide a safe work environment for patient care areas by providing and requiring the use of safety materials, equipment and training designed to prevent personnel and patient injury. The policy also revealed, 1. Staff will follow the documented lifting protocol deemed appropriate for each resident. 2. […]

• No harm, potential for more than minimal, patternF563Jan 20, 2022

  Based on observation, staff, and responsible party interview, record review, facility policy review, and Centers for Medicare and Medicaid Services (CMS) Quality Safety and Oversight (QSO) Memo review, the facility failed to allow visitation for 44 of 71 residents in the west side of the building during an outbreak of COVID-19. Findings Include: Review of the facility policy titled, Interim COVID-19 Visitation Policy with no implementation or revision date revealed (Facility Proper Name) will restrict visitation of all visitors and non-essential health care personnel for the duration of the declared national and public health emergency related to COVID-19. […]

• No harm, potential for more than minimal, patternF880Jan 20, 2022

  Based on observation, staff interview, facility policy review and record review, the facility failed to prevent the likelihood of the spread of infection as evidenced by failure to perform hand hygiene during the lunch tray pass in the west dining room and on east hall and while performing incontinent care for Resident #67 for two (2) of three (3) survey days. Findings Include: Review of the facility policy titled, Infection Prevention and Control Program dated April 2018 with no revision date revealed under Policy: It is a policy of this facility to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections and revealed… […]