St Luke's Regional Medical Center SNF

In the surveyor’s words

From the most serious findings on record at St Luke's Regional Medical Center SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF847Jan 18, 2024

  Based on record review, staff and resident interview, the facility failed to ensure a binding arbitration agreement consisted of key factors necessary for compliance for 8 of 8 residents in the facility (Resident #1, #2. #3, #4, #107, #108, #109, and #111). Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #2 scored 15 on the Brief Interview for Mental Status (BIMS) indicating no cognitive impairment. The resident's record contained a signed Admission Agreement which included an Arbitration Agreement on page 11 and the resident's signature on page 17. On 1/17/24 at 3:31 p.m. Resident # 2 stated she signed so much she doesn't remember what she signed. […]

• No harm, potential for more than minimal, widespreadF848Jan 18, 2024

  Based on record review, staff and resident interview, the facility failed to ensure a binding arbitration agreement consisted of key factors necessary for compliance for 8 of 8 residents in the facility (Resident #1, #2. #3, #4, #107, #108, #109, and #111). Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #2 scored 15 on the Brief Interview for Mental Status (BIMS) indicating no cognitive impairment. The resident's record contained a signed Admission Agreement which included an Arbitration Agreement on page 11 and the resident's signature on page 17. On 1/17/24 at 3:31 p.m. Resident # 2 stated she signed so much she doesn't remember what she signed. […]

• No harm, potential for more than minimal, isolatedF880Jan 18, 2024

  Based on observation, policy review, and staff interview the facility failed to provide follow infection prevention practices when providing personal care, catheter care, and wound care 2 of 2 residents reviewed (Resident #3 and #111). While completing wound management and incontinence care, the facility failed to complete hand hygiene between gloves and failed to keep clean items clean. While providing care, the staff failed to use clean hands to get clean wash cloths for incontinence. Findings include: 1. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. […]