Sunporch of Smith County

In the surveyor’s words

From the most serious findings on record at Sunporch of Smith County, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF726Oct 24, 2024

  The facility had a census of 22 residents. The sample included 12 residents. Based on record review and interview, the facility failed to ensure one nurse aide had the appropriate skills, competencies, and active certification and failed to ensure Licensed Nurse staff had the knowledge and skills to safely pass medications to the residents. This placed the residents at risk for impaired quality of care. Findings included: - On 10/23/24 at 02:00 PM, a review of Certified Nurse Aide (CNA) N certification on the Registry Certification and Credentialing site revealed CNA N had an Aide ID issued on 12/18/19 and her certification was marked inactive on 12/18/21. CNA N had been employed at the facility since 07/12/22. […]

• No harm, potential for more than minimal, widespreadF727Nov 4, 2021

  The facility had a census of 21 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, seven days a week for the 21 residents who resided in the facility. Findings included: - Review of the Registered Nursing Staffing Schedule for September and October 2021, recorded registered nursing coverage was lacking a registered nurse for at least eight consecutive hours a day for 11 of 61 days. On 11/03/21 at 01:45 PM, Administrative Staff A verified the facility was not in compliance for the daily eight consecutive hour registered nurse coverage for the months of September and October. […]

• No harm, potential for more than minimal, widespreadF812Nov 4, 2021

  The facility had a census of 21 residents. Based on observation, record review, and interview, the facility failed to prepare, store, and serve meals under sanitary conditions for the 21 residents who received meals from the facility kitchens. Findings included: - On 11/01/21 at 10:00 AM, observation during the initial tour of the facility kitchens revealed the following: The microwaves in [NAME] House and [NAME] House with dried brown food particles all over the inside of the microwaves. An uncovered, unlabeled dish of ice cream in the freezer with ice crystals covering the ice cream. On 11/01/21 at 11:45 AM, observation revealed Certified Nurse Aide (CNA) M used gloved hands to dip a cup into a bag of ice and fill the cups up with ice for lunch. […]

• No harm, potential for more than minimal, isolatedF582Oct 24, 2024

  The facility had a census of 22 residents. The sample included 12 residents. Based on record review and interview, the facility failed to provide Resident (R)16, R22, and R74, or their representatives, the completed Centers for Medicare and Medicaid (CMS) Skilled Nursing Facility Advanced Beneficiary Notices (ABN) Form 10055. This placed the resident at risk of uninformed decisions about their skilled services. Findings included: - The Medicare ABN form 10055 informed the beneficiary that Medicare may not pay for future skilled therapy services. The form included an option for the beneficiary to receive specific services listed, and bill Medicare for an official decision on payment. […]

• No harm, potential for more than minimal, isolatedF657Oct 24, 2024

  The facility had a census of 22 residents. The sample included 12 residents with four residents reviewed for urinary catheter (a tube inserted into the bladder to drain the urine into a collection bag.) Based on observation, interview, and record review the facility failed to revise the care plan for Resident (R) 16 who was on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care). […]