Transcendent Healthcare of Owensville

In the surveyor’s words

From the most serious findings on record at Transcendent Healthcare of Owensville, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 2, 2024

  Based on observation, interview, and record review, the facility failed to ensure effective services were provided to prevent the development of a facility-acquired stage two pressure injuries for Resident 46 and Resident 9, who were admitted to the facility without pressure injuries, and were identified by the facility upon admission to be at risk to develop pressure injuries. This deficient practice resulted in Resident 46 developing a facility-acquired stage two pressure injury on the coccyx that deteriorated to an unstageable pressure injury with infection and required hospitalization for intravenous antibiotic therapy of wound-based sepsis, and surgical debridement of the facility-acquired unstageable pressure injury to a stage four pressure injury. […]

• Actual harm, isolatedF692Apr 2, 2024

  Based on observation, interview, and record review, the facility failed to provide nutritional care and services including failure to identify significant weight loss, failure to notify the physician of poor intakes, and failure to be reviewed by the Registered Dietician, for 1 of 4 residents reviewed for nutrition (Resident 46). This deficient practice resulted in the resident experiencing a 20% weight loss in 35 days, developing a facility-acquired stage two pressure injury on the 12/28/23 that deteriorated to an infected unstageable pressure injury, and requiring a hospitalization for sepsis, dehydration, and malnutrition. Finding includes: On 3/27/24 at 1:46 P.M., Resident 46's family member indicated they had not been notified by the facility about Resident 46's weight loss. […]

• No harm, potential for more than minimal, widespreadF801May 8, 2025

  Based on record review and interview, the facility failed to ensure the kitchen manager met required qualifications for 1 of 1 dietary manager qualifications reviewed. (Food Services Director) Finding includes: During an interview on 5/5/25 at 9:30 A.M., the Food Services Director (FSD) provided a document that indicated she had been enrolled in a food service manager class from [Program Title] since September 2024 and had not completed it. On 5/7/26 at 10:27 A.M., the employee record for the FSD was reviewed. […]

• No harm, potential for more than minimal, widespreadF851Apr 2, 2024

  Based on record review and interview, the facility failed to electronically submit to CMS (Center for Medicare and Medicaid Services) required information regarding direct care staffing for the first Fiscal Quarter from 10/1/23 thru 12/31/23. Finding Includes: During a review of the facility's PBJ (Payroll Based Journal) Staffing Data Report [NAME] Report 1705D on 3/25/24 at 11:15 A.M., the staffing data report included, Failed to Submit Data for the Quarter 10/1/23 thru 12/31/23. During an interview on 3/28/24 at 12:20 P.M., the BOM (business office manager) indicated the payroll based journal information is automatically generated and is the responsibility of outside staff to ensure the information is submitted to CMS timely. […]

• No harm, potential for more than minimal, patternF689May 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents received consistent implementation of interventions to prevent falls for 4 of 4 residents reviewed for accidents related to falls. Fall interventions were observed out of place. (Resident 6, Resident 28, Resident 46, and Resident 45) Findings include: 1. On 5/5/25 at 1:26 P.M., Resident 6's clinical record was reviewed. Diagnoses included, but were not limited to, fracture of the lower end of left radius. […]