Steubenville Country Club Manor

In the surveyor’s words

From the most serious findings on record at Steubenville Country Club Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 7, 2023

  Based on observation, medical record review, review of Fire Department emergency response documentation, emergency room documentation, review of the facility policy titled Medical Emergencies, and interviews with residents, staff, and family, the facility failed to provide timely care and services for the monitoring and treatment of sign and symptoms of hypoglycemia (low blood sugar) for Resident #38, who had a diagnosis of diabetes mellitus. This resulted in Immediate Jeopardy with serious life-threatening harm on 06/08/23 at approximately 11:30 P.M. […]

• Actual harm, isolatedF757Sep 21, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of information from diabetes.org and interview the facility failed to adequately monitor Resident #40 related to the administration of diabetic medication. Actual harm occurred on 07/22/23 when Resident #40 was found by staff with a change in mental status/condition after oral hypoglycemic medications had been adjusted and no routine blood glucose monitoring was ordered/completed. Resident #40 was emergently transferred to the hospital and subsequently admitted with a diagnosis of hypoglycemia (low blood glucose/sugar level). This affected one resident (#40) of three residents reviewed for blood glucose monitoring. […]

• No harm, potential for more than minimal, widespreadF728May 30, 2024

  Based on review of personnel files and interview, the facility failed to ensure nursing assistants received required training prior to providing direct care to residents. This had the potential to affect all 46 residents. Findings include: 1. On [DATE] at 11::15 A.M., Employee #145 (who introduced herself as a nurse aide in training) stated she had not yet started nurse aide training classes. Employee #145 stated she had worked in a group home in the past. Employee #145 stated she had four 12 hours days of orientation with another aide. Employee #145 indicated her duties included helping with meals, providing showers, and providing incontinence care. Employee #145 stated she was performing all the same duties as state tested nursing assistants. […]

• No harm, potential for more than minimal, widespreadF835May 30, 2024

  Based on record review and investigation, the facility failed to ensure administrative staff maintained records in a secure and accessible area and failed to ensure incidents of elopement were investigated and evaluated to ensure safety of wandering residents. This affected all 46 residents. Findings include: 1. During an entrance conference with the Administrator on 05/16/24 at 12:51 P.M., a request was made for infection control surveillance logs for the past three months. On 05/16/24 at 4:50 P.M., the Administrator stated he could not locate evidence of infection control logs since February 2024. […]

• No harm, potential for more than minimal, widespreadF880May 30, 2024

  Based on observation, interview, and policy review, the facility failed to provide evidence of infection control surveillance and failed to implement proper hand hygiene and use of personal protective equipment (PPE) during care of a feeding tube. This affected Residents #3 and #22 and had the potential to affect all residents. The facility census was 46. Findings include: 1. During an entrance conference with the Administrator on 05/16/24 at 12:51 P.M., a request was made for infection control surveillance logs for the past three months. On 05/16/24 at 4:50 P.M., the Administrator stated he could not locate evidence of infection control logs since February 2024. […]