The Greens at Spruce Pines

In the surveyor’s words

From the most serious findings on record at The Greens at Spruce Pines, in the surveyor’s own words.

• Immediate jeopardy, patternF580Jan 25, 2023

  Based on record reviews, staff, Physician Assistant (PA), and Medical Director (MD) interviews, the facility failed to notify the physician when two medications, an intravenous (IV) antibiotic and an antiarrhythmic medication (a medicine used to treat irregular heartbeat) were unable to be delivered to the facility and failed to notify the physician when the medications were unable to be administered. Resident #1 missed three doses of the IV antibiotic and four doses of the antiarrhythmic medications after admission to the facility. Additionally, the facility failed to notify the physician when Resident #1 missed three additional doses of the IV antibiotic due to the antibiotic being unavailable. This was for 1 of 3 sampled residents reviewed for notification (Resident #1). […]

• Immediate jeopardy, patternF755Jan 25, 2023

  Based on record reviews, staff, Pharmacist, Physician Assistant (PA), and Medical Director (MD) interviews, the facility failed to have an effective system in place to ensure a physician ordered Intravenous (IV) antibiotic and an antiarrhythmic medication (medication used to prevent irregular heartbeat) was available to administer for 1 of 3 residents (Resident #1) reviewed for pharmacy services. Resident #1 was ordered an IV antibiotic for bacteremia and did not receive the first three doses of the antibiotic due to the medication being on order from pharmacy and not available at the facility. […]

• Immediate jeopardy, patternF760Jan 25, 2023

  Based on record reviews, staff, Pharmacist, Physician Assistant (PA), Medical Director (MD) and Hospital Physician interviews, the facility failed to administer antibiotics for 1 of 3 residents (Resident #1) reviewed for pharmacy services. Resident #1 was not administered the first three doses of an Intravenous (IV) antibiotic for bacteremia as ordered due to the medication being on order from pharmacy and not available at facility. Resident #1 did not receive another three doses of the IV antibiotic beginning on 12/19/22. The facility also failed to administer the first four doses of an antiarrhythmic medication (medication used to treat or prevent irregular heartbeats) due to being on order from the pharmacy and staff not checking the facility back-up safe for the medication. […]

• Immediate jeopardy, isolatedF825Feb 11, 2025

  Based on record review, observations, and interviews with staff, Speech Therapist (ST), Physician Assistant (PA), and Medical Director, the facility failed to provide speech therapy evaluation and services to Resident #70 during his stay. Resident #70 was admitted to the facility from the hospital on 12/17/24 with a recent history of aspiration pneumonitis (a type of lung infection that is due to a relatively large amount of material from the stomach or mouth entering the lungs) and acute hypoxic respiratory failure (a medical condition where the body rapidly fails to adequately oxygenate the blood, leading to a severe lack of oxygen in the tissues). Resident #70 required a mechanical soft diet with nectar thickened liquids when he was admitted on [DATE]. […]

• Immediate jeopardy, isolatedF678Nov 21, 2022

  Based on record review, staff interviews and physician interview, the facility failed to operationalize effective systems so staff could respond to an emergency situation as needed for 1 of 3 residents (Resident #1) reviewed for cardiopulmonary resuscitation. When Resident # 1 required cardiopulmonary resuscitation (CPR) and suctioning, only chest compressions were provided until emergency medical services arrived. EMS transported Resident # 1 to the hospital and given the extended [CONDITION(S)] time of 32 minutes and the lack of neurologic responsiveness Resident #1 was intubated and admitted to the intensive care unit (ICU). Resident #1 was transitioned to comfort care and palliatively extubated. Resident #1 passed away on [DATE]. […]