Singing River Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Singing River Skilled Nursing Facility, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 13, 2025

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure Resident #1's right to be free from physical abuse from a staff member for one (1) of four (4) sampled residents. Resident #1 Resident #1 was physically abused on 12/17/24 when the Campus Police Officer (CPO) #1 hit the resident with his own shoe, pushed the resident to the floor, and attempted to use a taser improperly. (4) nurses observed the abuse and failed to intervene, allowing the abuse to escalate. This resulted in Resident #1 receiving a hematoma. The facility's failure to protect Resident #1 from abuse caused physical harm, including a hematoma requiring an emergency room evaluation. […]

• Immediate jeopardy, isolatedF656Jan 13, 2025

  Based on interviews, record review, and facility policy review, the facility failed to implement comprehensive care plan interventions for a resident with behaviors for one (1) of four (4) sampled residents. Resident #1 On 12/17/24, when Resident #1 exhibited behaviors, staff failed to implement care plan interventions. Instead, a nurse called the Campus Police Officer (CPO) who physically abused the resident by hitting the resident with their own shoe, pushing the resident to the ground, and attempting to use a taser. The facility's failure to implement the care plan interventions directly resulted in Resident #1, sustaining a hematoma on the head and the need for emergency medical evaluation. […]

• Actual harm, isolatedF656Sep 19, 2024

  Based on interviews, record review, and facility policy review, the facility failed to implement care plan interventions related to a latex allergy which resulted in a resident having a topical allergic reaction treatment for one (1) of 12 care plans reviewed. (Resident #12) Resident #12. Findings Include: Review of the facility's policy, Nursing Assessment and Plan of Care, dated 3/2021, revealed, .Skilled Nursing Facility A. All patients are observed upon admission by a licensed nurse. The initial observation includes: 1. Essential patient history including allergies .Plan of Care A. The nurse analyzes the assessment date in order to identify and prioritize problems to be addressed when developing the plan of care. B. […]

• Actual harm, isolatedF690Sep 19, 2024

  Based on interviews, record review, and facility policy review, the facility failed to provide catheter care in a manner to prevent complications when facility staff inserted a latex catheter for a resident with a known latex allergy that resulted in the resident having a topical allergic reaction for one (1) of two (2) residents reviewed for bowel/bladder and catheters. Resident #12 Findings Include: A review of the facility's policy titled Urinary Catheter Clinical Practice Guideline, dated 7/2020, revealed, .Insertion of Indwelling Urinary Catheter .Procedure .2. […]

• No harm, potential for more than minimal, patternF578Sep 19, 2024

  Based on interviews and record review, the facility failed to offer assistance in formulating an advance directive and did not document discussions related to the resident's right to formulate and establish an advance directive for six (6) of twelve (12) residents reviewed for advance directives, with the potential to affect all 27 residents residing the in the facility. (Residents #1, #7, #9, #11, #222, and #223). Findings Include: Resident #1 A record review of Resident #1's Patient Information revealed the resident was admitted on [DATE] with diagnoses including Paroxysmal Atrial Fibrillation and Type 2 Diabetes Mellitus. […]