Signature Healthcare of Kinston

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Kinston, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 24, 2022

  Based on record review, staff and Physician interviews the facility failed to provide supervision to prevent accidents when residents (Resident #369 and Resident #61) who were ordered to have nothing by mouth (NPO) and enteral feeding (nutrition delivered by a tube into the digestive system as a liquid) were served regular textured meals by Nursing Assistant (NA) #1. NA #1 fed Resident #369 a regular textured meal. Resident #369 aspirated (breathed food/liquid into the lungs) and was hospitalized for 5 days. NA #1 provided a regular textured meal tray to Resident #61. There was a high likelihood of serious harm for Resident #61. The facility also failed to maintain safe water temperatures for residents who performed activities of daily living (ADLs) independently. […]

• Immediate jeopardy, isolatedF726May 24, 2022

  Based on record review, staff interviews, and Physician interview, the facility failed to train and orient new agency nursing staff and verify competency to deliver care in accordance with the resident's assessed care needs. Nursing Assistant (NA) #1 was not oriented to the protocol for determining residents' dietary orders resulting in the NA feeding a regular textured meal on 5-11-22 to a resident (Resident #369) who had enteral feedings (nutrition delivered by a tube into the digestive system as a liquid) and a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #369 aspirated and was hospitalized for 5 days. […]

• Immediate jeopardy, isolatedF802May 24, 2022

  Based on record review and staff interviews the facility failed ensure that dietary staff were competent to carry out the functions of the food and nutrition service in accordance with residents' dietary orders. The Dietary Assistant Manager provided Nursing Assistant (NA) #1 with a regular textured meal for 2 residents (Resident #369 and #61) who were ordered nothing by mouth (NPO) and on enteral feedings (nutrition delivered by a tube into the digestive system as a liquid) continuously resulting in Resident #369 aspirating and being hospitalized . Immediate Jeopardy began on 5-11-22 when the Dietary Assistant Manager provided regular meal trays for 2 residents (Resident #369 and Resident #61) who were NPO and on continuous enteral feedings. […]

• Immediate jeopardy, isolatedF835May 24, 2022

  Based on record review and staff interviews the facility failed to provide leadership and oversight to ensure effective systems were in place for training, orienting, and verifying competencies for new agency staff which resulted in Nursing Assistant (NA) #1 providing a regular meal tray to two residents (Resident #369 and Resident #61) who were to receive nothing by mouth (NPO) and received continuous enteral feedings (nutrition delivered by a tube into the digestive system as a liquid). Immediate Jeopardy began on 5-11-22 when the facility failed to ensure NA #1 was trained, oriented and competent to care for residents who were NPO and on enteral feedings. […]

• Actual harm, isolatedF557Jul 13, 2023

  Based on record review, resident interview, and staff interviews, the facility failed to treat a resident (Resident #40) in a dignified manner as evidenced by searching her room without permission on 6/24/23. Staff removed money found in her room and this caused Resident #40 to cry and to feel helpless and powerless. The money was later returned to the resident. This was for 1 of 2 residents reviewed for dignity. The findings included: Resident #40 was admitted to the facility on [DATE] with diagnoses that included depression and anxiety. Resident #40's admission Minimum Data Set (MDS) assessment dated [DATE] indicated severe cognitive impairment. She had no mood symptoms and no indication of psychosis. The assessment indicated she had rejection of care daily. […]