The Lodge at Rocky Mount Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at The Lodge at Rocky Mount Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 26, 2025

  Based on record review, observation, and interviews with staff, resident, and the physician, the facility failed to have Resident #1 assessed for injury by a qualified professional prior to moving the resident following a fall in the transportation van. On 6/05/25 when Transportation Driver #1 made an abrupt stop to avoid a collision, Resident #1 slid out of her wheelchair and her left foot wedged under the driver's seat. Transportation Driver #1 stopped the van to check on the resident, she pulled the resident's left foot out from under the driver's seat, repositioned Resident #1 in her wheelchair, and then continued to the hospital for the resident's appointment. […]

• Immediate jeopardy, isolatedF689Jun 26, 2025

  Based on record review, observation, and interviews with staff, resident, and the Physician, the facility failed to ensure a resident was safely secured in accordance with the manufacturer's instructions in the facility transportation van during a trip to a medical appointment at the hospital. On 6/05/25 when Transportation Driver #1 made an abrupt stop to avoid a collision Resident #1 slid out of her wheelchair and her left foot wedged under the driver's seat. Transportation Driver #1 stopped the van to check on the resident, she pulled the resident's left foot out from under the driver's seat, repositioned Resident #1 in her wheelchair, and then continued to the hospital for the resident's appointment. […]

• Immediate jeopardy, isolatedF689Jun 1, 2023

  Based on observation, record review, staff and Medical Director interviews the facility failed to provide ADL (activities of daily living) care safely for a dependent resident for 1 of 3 residents reviewed for supervision to prevent accidents (Resident #1). On [DATE] Resident #1 fell off the bed face first onto the floor, when Nurse Aid #1 stepped away from the bed to get more supplies. Resident #1's bed was left up, in the waist height level position, and the resident fell off the oscillating air mattress/bed face first onto the floor. An oscillating air mattress redistributes air throughout the mattress creating movement within the mattress. […]

• No harm, potential for more than minimal, patternF761Apr 10, 2026

  Based on observations, record review and staff interviews, the facility failed to date opened medications and discard expired medications for 3 of 5 medication carts (North Hall 3 medication cart, North Hall 1 medication cart and South Hall medication cart) and in 1 of 2 medication rooms (South Hall Medication Storage Room), reviewed for medication storage.The findings included:a. An observation conducted of the North Hall 3 medication cart with Nurse #6 on 4/10/26 at 2:09 PM revealed:- one undated, opened and used bottle of Erythromycin Ophthalmic Ointment 0.5%. The manufacturer's instruction stated discard 28 days after opening.- one undated, opened and used Trilogy Elipta inhaler. […]

• No harm, potential for more than minimal, patternF760Feb 12, 2025

  Based on record review, and staff, Nurse Practitioner and Medical Director interviews, the facility failed to clarify a physician order for phenytoin (a medication used to treat epilepsy and manage seizures) for a resident with a diagnosis of generalized epilepsy (a brain disorder that causes seizures) which resulted in the phenytoin not being administered for 19 days. This deficient practice was identified for 1 of 1 residents reviewed for significant medication error (Resident #287). The findings included: Resident #287 was admitted to the facility on [DATE] with diagnoses which included generalized epilepsy and stroke. Resident #287 had a physician order dated 4/11/24 for phenytoin sodium extended 100 milligram (mg) capsule. […]