South Haven Health and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at South Haven Health and Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF679Jul 14, 2022

  Based on interviews, record review, review of facility policies titled, Activity Program Management and Activity Program Assessment, and review of Resident Identifier (RI) #81's Group Activity Participation Records, the facility failed to provide RI #81 an ongoing program of activities consistent with his/her preferences and in accordance with the individualized plan of care. This affected RI #81, one of three sampled residents reviewed for activities, but had the potential to affect any resident who wished to participate in the facility's weekend planned group activities. […]

• No harm, potential for more than minimal, isolatedF552Apr 16, 2024

  Based on interviews, observations, resident record review, and review of a facility policy titled, Federal Rights of Resident/Guest(s) the facility failed to ensure Resident Identifier (RI) #7 was informed in his/her language, of care being provided. Findings include: A review of the facility policy titled Federal Rights of Resident/Guest(s) with an effective date of 11/28/2016 revealed: . STANDARD: (a) Resident/Guest rights. The resident/guest has the right to a dignified existence, self determination, and communication with and access to persons and services inside and outside the facility. (c) Planning and implementing care. […]

• No harm, potential for more than minimal, isolatedF609Apr 16, 2024

  Based on interviews, resident record review, review of facility policies titled Incidents and Accidents and Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation and review of a facility investigative file for Resident Identifier (RI) #2, the facility failed to ensure an injury of unknown origin was reported to the Alabama Department of Public Health (ADPH) online reporting system in a timely manner when Certified Nursing Assistant (CNA) #16, discovered discoloration and bruising on RI #2's right ankle on 11/07/2023. The Licensed Practical Nurse (LPN) #19 failed to report the bruising to anyone including the abuse coordinator. On 11/10/2023 an x-ray was performed on RI #2's right ankle and revealed a fracture. […]

• No harm, potential for more than minimal, isolatedF610Apr 16, 2024

  Based on interviews, resident record review, review of facility policies titled Incidents and Accidents and Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, and review of the facility investigative file for Resident Identifier (RI) #2, the facility failed to thoroughly investigate an injury of unknown origin for Resident Identifier (RI) #2 when a bruise was identified on 11/07/2023. This affected RI #2 one of two residents for whom reportable incidents were reviewed. Findings include: Cross-reference F609 Review of facility policy titled Incidents and Accidents with an effective date of 11/10/2014 indicated . […]

• No harm, potential for more than minimal, isolatedF677Apr 16, 2024

  Based on interviews, resident record review, and review of a facility policy titled Federal Rights of Resident/Guest(s) the facility failed to ensure staff assisted Resident Identifier (RI) #1 with hair washing and oral care on 04/09/2024 . This had the potential to affect RI #1, one of three residents sampled for Activity of Daily Living care. Findings include: Review of a facility policy titled Federal Rights of Resident/Guest(s) with an effective date of 11/28/2016, revealed: . STANDARD: The resident/guest has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. […]