South Cove Manor Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at South Cove Manor Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF756Jul 31, 2024

  Based on interview and document review the facility failed to develop and maintain a policy and procedure for monthly drug regimen review. Findings include: On 7/30/24 at 12:21 P.M., the survey team requested a copy of the monthly medication regimen review (MRR) policy from the Director of Nurses (DON) for review. During an interview on 7/30/24 at 1:37 P.M., the DON said the facility does not have a MRR policy. Since MRR's are completed by consultants, they use the facility's policy titled: Follow Up on Recommendations of Consulting Physicians or Other Practitioners. […]

• No harm, potential for more than minimal, patternF658May 26, 2023

  Based on observation, record review, and interview, the facility failed to ensure that staff applied a left palm guard as ordered by the physician, accurately documented in the medical record, and replaced timely when the palm guard went missing for one Resident (#32), out of a total sample of 26 residents. Findings include: Resident #32 was admitted to the facility in September 2021 with diagnoses which included hemiparesis (partial paralysis on one side of the body) following a cerebral infarction (stroke) affecting the non-dominant left side. […]

• No harm, potential for more than minimal, patternF689May 26, 2023

  Based on observation, interview, record review, and policy review, the facility failed for three Residents (#110, #69, and #14) to ensure each Resident received the assessed supervision required to prevent any potential accidents or injuries, out of a total sample of 26 residents. Specifically, the facility failed: 1. For Resident #110, to ensure the Resident had a functioning wander guard device in place that was not past the manufacturer's expiration date, and was assessed for wander risk routinely according to the facility policy; 2. For Resident #69, to assess the Resident for wander risk according to the facility policy; and 3. For Resident #14, to ensure fall prevention interventions were implemented to prevent two falls. […]

• No harm, potential for more than minimal, isolatedF656Jul 31, 2024

  Based on interview and record review, the facility failed to implement a person-centered care plan intervention of monitoring the behavior of visual hallucinations for Resident #71, out of a total sample of 27 residents. Findings include: Review of the facility's policy titled Care Plans Comprehensive Person Centered, dated 12/1/17, indicated but was not limited to the following: - a comprehensive person-centered care plan that includes measurable objectives and timetables to meet resident's physical, psychosocial and functional needs is developed and implemented - the care plan will: reflect recognized standards of practice, develop interventions that are targeted and meaningful - care plan interventions are chosen with consideration of relationship between problem areas and their… […]

• No harm, potential for more than minimal, isolatedF658Jul 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were provided care in accordance with professional standards of practice for one Resident (#64), out of a total sample of 27 residents. Specifically, the facility failed to ensure the Resident's Geri-sleeves (sleeves that provide protection to sensitive skin) were consistently applied per physician's orders. Findings include: Resident #64 was admitted to the facility in April 2023 and had diagnoses including type 2 diabetes mellitus. […]