Social Circle Nsg & Rehab Ctr

In the surveyor’s words

From the most serious findings on record at Social Circle Nsg & Rehab Ctr, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 29, 2023

  Based on observations, staff interviews, and review of the facility policy titled, Dating & Labeling Policy, the facility failed to ensure that opened food items were labeled, dated, and appropriately stored. This failure had the potential to affect 59 of 61 residents who receive an oral diet from the kitchen. Findings included: A review of the facility policy, Dating & Labeling Policy, revealed staff would label and date food products after opening. An observation on 10/27/2023 at 8:10 pm of the stand-alone refrigerator revealed an opened bag of broccoli that was not labeled or dated. An observation on 10/27/2023 at 8:19 am of the Cook's Refrigerator revealed the following: Cheese slices, which had been opened, wrapped in clear plastic wrap, unlabeled and undated. […]

• No harm, potential for more than minimal, widespreadF880Oct 29, 2023

  Based on observations, record review, staff interviews, and review of the facility's policies titled, Infection Prevention and Control Program, Laundry Operations Manual, Handwashing/Hand Hygiene, and Dressing Change for Vascular Access Devices, the facility failed to practice acceptable infection control practices to prevent possible cross-contamination during laundry services, performing hand hygiene during medication administration for one of two nurses, and failed to ensure one peripherally inserted central catheter (PICC) dressing was changed for resident (R) R53, every seven days. The sample size was 27. Findings include: 1. Review of facility's policy titled Infection Prevention and Control Program dated October 2017 revealed Policy Explanation and Implementation: 4. […]

• No harm, potential for more than minimal, isolatedF688Jun 15, 2026

  Based on observations, staff interviews, record review, and review of the facility policy titled Resident Mobility and Range of Motion Policy and Procedure,.The facility failed to ensure R7 received needed range of motion (ROM) and contracture prevention services. This failure placed R7 at increased risk for worsening contractures. Findings include:A review of the electronic medical record (EMR) revealed that R7 was admitted with diagnoses included dementia, and osteoarthritis.The Minimum Data Set (MDS) comprehensive annual assessment dated [DATE], showed R7 was dependent on staff to maintain personal hygiene, dressing and grooming. […]

• No harm, potential for more than minimal, isolatedF695Jun 15, 2026

  Based on observations, record review, staff interviews and review of the facility's policy titled Oxygen Administration, the facility failed to ensure one resident (R) R37, out of six residents was administered oxygen therapy as per the physician's orders. The deficient practice had the potential to increase the probability of respiratory complications for the residents receiving respiratory care and treatment. Findings include:Review of the facility policy titled Oxygen Administration not dated, revealed in section Preparation 1. Verify that there is a physician's order for this procedure. Review the physician's order or facility protocol for oxygen administration. […]

• No harm, potential for more than minimal, isolatedF693May 29, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Enteral Tube Feeding via Continuous Pump, the facility failed to administer nutritional enteral feedings and hydration according to the current physician orders for one of two residents (R) (R33) receiving tube feeding in the facility. The deficient practice had the potential for the resident to not receive the correct amount of nutrition ordered by the physician which could result in negative outcome for resident. Findings include: Review of the facility's policy titled Enteral Tube Feeding via Continuous Pump, dated March 2015 under Purpose revealed, The purpose of this procedure is to provide nourishment to the resident who is unable to obtain nourishment orally. […]