Stanleytown Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Apr 18, 2024

  Based on observations, interviews, and facility document review, the facility staff failed to appropriately store and/or serve resident food items. The findings include: The facility staff failed to ensure residents' beverages (orange juice, apple juice, cranberry juice, and iced tea) were appropriately stored and/or served. The following information was found in a facility dietary policy titled Meal Distribution (with a date of October 2019): It is the center policy that meals are transported to the dining locations in a manner that insures proper temperature maintenance, protects against contamination, and are delivered in a timely and accurate manner. […]

• No harm, potential for more than minimal, patternF756Nov 19, 2021

  Based on staff interview and clinical record review, the facility staff failed to complete drug regimen reviews for 4 of 25 residents and failed to follow up on a pharmacy recommendation for 1 of 25 residents. Residents #10, #34, #49 and #79. The findings included: 1. Resident #10's clinical record included the diagnoses hypertension, [CONDITION(S)], dementia, and anxiety. Section C (cognitive patterns) of Resident #10's significant change MDS (minimum data set) assessment with an ARD (assessment reference date) of 09/01/21 included a BIMS (brief interview for mental status) summary score of 4 out of a possible 15 points. On 11/18/21 at 4:16 p.m., during a review of the Resident #10's clinical record, the pharmacy drug regimen review for July 2021 was not located. […]

• No harm, potential for more than minimal, patternF757Nov 19, 2021

  Based on staff interview and clinical record review, the facility staff failed to ensure 1 of 25 residents was free from unnecessary medications, Resident #49. The facility staff failed to hold the blood pressure medication, hydralizine, when it should have been held based on a blood pressure reading/pulse on 6 occassions in the month of November 2021. The findings included: Resident #49's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 10/08/21 assigned the resident a BMS (brief interview for mental status) score of 0 out of 15. This indicated that the resident was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF880Nov 19, 2021

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow infection control policies and procedures for preventing the spread of COVID-19 on 1 of 2 units, unit 2 the observation wing, and failed to ensure screening of employees prior to work. The facility staff failed to donn PPE (personal protective equipment) before entering resident rooms that were on droplet/contact precautions, failed to perform any hand hygiene prior to/after exiting these rooms; failed to doff PPE when exiting a resident's room who was on transmission-based precautions; failed to ensure proper infection control signage on Resident #33's and Resident #42's room; and failed to ensure staff were screened for symptoms of COVID-19 prior to working at… […]

• No harm, potential for more than minimal, patternF887Nov 19, 2021

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to properly prevent COVID-19 by failing to provide evidence of education regarding the benefits and potential risks associated with the COVID-19 vaccine and declination of the vaccine for 5 of 5 sampled residents (#1, #4, #17, #29, and #67) and 2 agency nurses. The findings included: 1. For Resident #1, the facility staff failed to provide evidence of education regarding the benefits and potential risks associated with the COVID-19 vaccine and declination of the vaccine. […]