Shelby Ridge Nursing Home

In the surveyor’s words

From the most serious findings on record at Shelby Ridge Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 16, 2022

  Based on observations, interviews and review of facility policies, titled Sanitation: Food Handling, the facility failed to ensure food in the kitchen's walk-in cooler/freezer was labeled with an open and use by date and that out of date food was discarded. This had the potential to affect 124 of 124 residents who received meals from the kitchen. Findings include: A review of the facility's undated policy titled Sanitation: Food Handling revealed Policy Statement Foods are prepared and served in a sanitary manner, in order to prevent bacterial, biological and physical contamination and the possible spread of infection. Policy Interpretation and Implementation .11. Leftover foods are labeled and dated. These are used within 72 hours. 23. […]

• No harm, potential for more than minimal, isolatedF658Mar 9, 2023

  Based on observation, resident record review, interviews, review of a facility policy titled Administration of Medication, and review of the facility job description for LPN/RN (Licensed Practical Nurse/Registered Nurse) CHARGE NURSE the facility failed to ensure Resident Identifier (RI) #7's Triamcinolone 0.1 percent (%) cream and Triamcinolone 0.025 % ointment was administered according to physician orders on 03/04/2023 and 03/05/2023 by Employee Identifier (EI) #8 LPN and EI #9 LPN. […]

• No harm, potential for more than minimal, isolatedF740Mar 9, 2023

  Based on interviews, medical record review, and review of facility policies titled Resident Behaviors and Comprehensive Person-Centered Care Plans, the facility failed to ensure a behavioral care plan was developed with person-centered interventions for Resident Identifier (RI) #10, a resident with documented behavior health concerns who also received medications for Depression. This affected RI #10, one of three residents sampled for behavioral health concerns. Findings include: An undated facility policy titled Resident Behaviors documented the following: . […]

• No harm, potential for more than minimal, isolatedF880Mar 9, 2023

  Based on observations, interviews, resident record review, and review of a facility policy titled POLICY AND PROCEDURE HAND HYGIENE, the facility failed to ensure Employee Identifier (EI) #4 Certified Nursing Assistant (CNA) washed or sanitized their hands between residents and EI #7 Licensed Practical Nurse (LPN) washed or sanitized their hands and utilized Personal Protective Equipment (PPE) such as gloves in a manner to prevent the spread of infection. On 03/07/2023, during observations, EI #4 failed to wash or sanitize their hands after picking up a breakfast tray from one resident and before obtaining and delivering milk to RI #12. […]

• No harm, potential for more than minimal, isolatedF561Jun 16, 2022

  Based on observations, interviews, record review and review of facility policies titled SMALL VOLUME NEBULIZER and SELF ADMINISTRATION OF MEDICATION, the facility failed to ensure the licensed nurse remained with Resident Identifier (RI) #111, a resident not assessed to self- administer his/her nebulizer breathing treatment, when RI #111 received a nebulizer treatment on 06/15/22. This deficient practice affected RI #111, one of one sampled resident observed receiving a nebulizer breathing treatment. Findings Include: Review of an undated facility policy titled SMALL VOLUME NEBULIZER, revealed the following: Procedure: . * Administer therapy until the medication is depleted (usually 10-15 minutes). […]