South Health and Rehabilitation, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF578Dec 15, 2022

  Based on interviews, review of Resident Identifier (RI) #1's medical record, the facility's PROTOCOL FOR EMERGENT CARE, FUNDAMENTALS OF NURSING NINTH EDITION, a facility policy titled Cardio Pulmonary Resuscitation (CPR), and a facility reported incident received by the Alabama State Survey Agency, the facility failed to honor the end-of-life wishes of RI #1, a resident with an Advanced Directive and a DNR (Do Not Resuscitate) Code Status. Code status describes what type of intervention a health care facility will provide should a resident stop breathing and/or their heart stops beating. DNR means when a resident stops breathing and/or their heart stops beating, staff are not to initiate emergency medical services, Cardiopulmonary Resuscitation, in an attempt to revive the resident. […]

• Actual harm, isolatedF656Aug 24, 2023

  Based on interviews, record reviews, facility document review, Resident #14's emergency department medical records, and the facility's policy titled Person Centered Care Plans the facility failed to ensure staff implemented the care plan for transfers with a mechanical lift for Resident #14. Specifically, on 04/11/2023 Certified Nursing Assistant (CNA) #1 and CNA #2 failed to implement Resident #14's care planned intervention for transfers with mechanical lift, which resulted in the resident having arm pain while being transferred without the use of the mechanical lift and being lowered to the floor. The incident resulted in a left humerus fracture and numerous rib fractures. This deficient practice affected Resident #14, one of three residents reviewed for falls. […]

• Actual harm, isolatedF689Aug 24, 2023

  Based on interviews, record reviews, facility document review, Resident #14's emergency department medical records, the facility's policies titled Lifting Devices and Incidents and Accidents, and a report submitted by the facility to the Alabama Department of Public Health Online Incident Reporting System the facility failed to ensure Resident #14 was transferred from his/her bed to their wheelchair with a mechanical lift in accordance with the resident's plan of care and facility policies which resulted in an accident. Specifically, on 04/11/2023 Certified Nursing Assistant (CNA) #1 and CNA #2 failed to transfer Resident #14 in accordance with the plan of care and the resident's voiced need to be transferred by the mechanical lift, also known as a Hoyer lift. […]

• No harm, potential for more than minimal, isolatedF554Aug 24, 2023

  Based on observations, interviews, record review, and facility policy review, the facility failed to ensure that one (Resident #63) of three sampled residents who self-administered medications was assessed as safe and appropriate to self-administer medications. Findings included: A review of the facility's policy titled, Self Administration of Drugs, effective 11/01/2001, revealed, .Residents will not be permitted to self-administer medications, unless so ordered by the attending physician, and approved by the care planning team . A review of Resident #63's Face Sheet revealed the facility admitted Resident #63 on 03/30/2023 with diagnoses that included Neuropathy, Conjunctivitis, and Gastro-esophageal Reflux Disease. […]

• No harm, potential for more than minimal, isolatedF812Jul 29, 2021

  Based on observation and interview, the facility failed to ensure three expired mighty shake supplements in the milk cooler were discarded. This deficient practice had the potential to affect up to three residents receiving mighty shake supplements. Findings Include: On [DATE] at 11:15 AM, the surveyor observed three 4-ounce mighty shake supplements in the milk cooler with a use by date of [DATE]. At this time, Employee Identifier (EI) #1, the Acting Dietary Manager, was asked what was the date on the mighty shakes. EI #1 said [DATE]. EI #1 was asked was that the use by date. EI #1 said yes. EI #1 was asked what should have been done with the expired might shake supplements. EI #1 said they should have been discarded. […]