Smith County Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Smith County Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 17, 2025

  Based on policy review, emergency menu review, observation, and interview, the facility failed to ensure the emergency food supply was completely stocked to accurately reflect the emergency menu. The facility had a census of 84 with 83 residents receiving a meal tray. The findings include: Review of the undated facility policy titled, Emergency Preparedness 2025, revealed .Review your current emergency stock levels to ensure adequate product is on hand. Review of the Emergency Menu Guide for No Electricity, dated 3/2025, revealed .Day 1 Breakfast.Juice.crackers.peanut butter. Day 2 Breakfast.Juice.corn beef hash.Day 3 Breakfast.Juice.crackers.peanut butter .Day 1 Lunch.Beef Stew.cookies.Day 2 Lunch.crackers.cookies. […]

• No harm, potential for more than minimal, isolatedF757Sep 17, 2025

  Based on policy review, medical record review, and interview, the facility failed to document indications for medication use for 2 of 5 (Residents #2 and #23) sampled residents reviewed for unnecessary medications. Based on policy review, medical record review, and interview, the facility failed to document indications for medication use for 2 of 5 (Residents #2 and #23) sampled residents reviewed for unnecessary medications. The findings include: 1. Review of the facility policy titled, Medication Orders, dated 2/4/2025, revealed .This facility shall use uniform guidelines for the ordering of medication.Elements of the Medication Order.Diagnosis or indication for use.PRN (as needed orders should also specify the condition, for which they are being administered. […]

• No harm, potential for more than minimal, isolatedF580May 4, 2022

  Based on facility policy review, medical record review, and interview, the facility failed to ensure the Responsible Party (RP/Family member/Power of Attorney) for 1 of 9 sampled residents (Resident #1) was notified of changes in Resident #1's condition on 12/27/2021. The finding include: Review of the facility policy titled, Notification of Changes, dated 1/2/2020 revealed, .to ensure the facility promptly informs the resident, consults the resident's physician and notifies consistent with his or her authority the resident's representative when there is a change requiring notification .circumstances requiring notification include .significant change in .resident's physical, mental, or psychosocial condition such as deterioration in health .circumstances that require a need to alter… […]

• No harm, potential for more than minimal, isolatedF609May 4, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure a report of resident to resident abuse was immediately reported for 2 of 9 sampled resident (Resident #3 and Resident #4) for 2/15/2022 and 3/9/2022. The findings include: Review of the facility's policy titled Abuse, Neglect, and Exploitation, dated 12/2020 revealed, .an immediate investigation is warranted when suspicion of abuse .occur .providing complete and thorough documentation of the investigation .facilty will reporting of all alleged violation to the Administrator, State Agency, Adult Protective Services and to all other required agencies .immediately but not later than 2 hours after the allegation is made . […]