Snu Armstrong Co Memorial Hosp

In the surveyor’s words

From the most serious findings on record at Snu Armstrong Co Memorial Hosp, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 9, 2025

  Based on review of facility policy, resident records, a facility tour, and staff interview it was determined that the facility failed to ensure enhanced barrier precautions (EBP) were ordered and implemented creating the potential for cross contamination for four out of four sampled residents (Residents R111, R112, R113, and R114). Findings include: The facility Infection Control Plan for SNU policy dated 8/18 and last reviewed 12/24, indicated that enhanced barrier precautions are an infection control intervention designed to reduce transmission of multi-drug resistance organisms that employs targeted gown and glove use during high contact resident care activities used on conjunction with standard precautions. […]

• No harm, potential for more than minimal, widespreadF585Sep 19, 2024

  Based on observation and staff interview, the facility failed to make certain that a complaint/grievance could be filed anonymously for 13 of 13 residents. Findings include: Review of the facility policy Grievances/Complaints Skilled Nursing Unit dated 12/1/24, indicated that any resident, family member, friend, or staff person has the right to file a complaint or grievance alleging a violation of applicable laws/regulations by the unit orally or in writing. The person filing has the right to file anonymously. During a tour of nursing unit on 9/17/24, at 9:53 a.m. a wall hanger with Resident/Family Concern Forms, was noted to be in the Activity/Dining Room, as well as at the Nurses Station. During an observation on 9/17/24, at 10:01 a.m. […]

• No harm, potential for more than minimal, widespreadF585Oct 19, 2023

  Based on observation and review of facility policy the facility failed to make certain that a grievance official is posted with contact information and that the facility had a policy and procedure that met federal guidelines for 15 of 15 residents. Findings include: Review of the facility policy Complaints, dated October 2022, stated that any resident, family, friend, or staff person may register a complaint alleging a violation of applicable laws/regulations by the unit. The individual receiving the complaint shall make every effort to resolve the problem. However, whether resolved or not, complaints of a serious nature, whether verbal or in writing, shall be directed to the administrator/director of nursing. […]

• No harm, potential for more than minimal, isolatedF690Jul 9, 2025

  Based on review facility polices, observations, clinical records, and staff interviews it was determined that the facility failed to make certain that appropriate treatments and services were provided for the use of a foley catheter required for two of three residents (Resident R112 and R114). Findings include: Review of the facility Catheters Indwelling (Foley) last reviewed 6/3/25, stated an indwelling catheter is only to be used when there is a valid medical justification. The resident should be assessed for and provided cared and treatment needed to reach his or her highest level of continence possible. […]

• No harm, potential for more than minimal, isolatedF583Sep 19, 2024

  Based on review of facility policy, observation, and staff interviews it was determined that the facility failed to maintain the confidentiality of residents' medical information on one of two medication carts (Cart on wheels One). Findings include: Review of the facility policy Security Codes/Passwords/Confidentiality Compliance last reviewed on 9/1/24, indicated that all persons who access computerized data are reminded that any breach of this policy may be a serious violation of patient privacy. During an observation on 9/18/24, at 7:48 a.m. […]