Villa Georgetown Rehabilitation and Healthcare Cen

In the surveyor’s words

From the most serious findings on record at Villa Georgetown Rehabilitation and Healthcare Cen, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 25, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, family interview, staff interview, review of the facility therapy to nursing communication form and review of facility policy, the facility failed to provide adequate staff assistance during transfers to prevent falls. This resulted in actual harm on 01/15/25 at approximately 12:25 P.M. to Resident #100 when Certified Nursing Assistant (CNA) #20 completed a hands-on transfer of the resident from the wheelchair to the bed without the assistance of additional staff. Resident #100 sustained a fall to the floor during the transfer, resulting in a left femur fracture. This affected one resident (#100) of three residents reviewed for falls. […]

• Actual harm, isolatedF686Mar 7, 2023

  Based on record review, observation, staff interview, review of the facility policy, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to thoroughly assess the resident's skin, failed to timely identify a resident's pressure ulcer until it reached an advanced stage, and failed to ensure pressure ulcer prevention interventions were in place. This resulted in Actual Harm to Resident #67 who was at risk for pressure ulcers and the facility found Resident #67's pressure ulcer as an unstageable pressure ulcer (slough and/or eschar: known but not stageable due to coverage of wound bed by slough and/or eschar) to her coccyx and did not accurately assess the wound upon identification of the wound. […]

• No harm, potential for more than minimal, widespreadF729Jun 22, 2022

  Based on personnel file review, review of the Ohio Department of Health (ODH) Nurse Aide Registry, staff interview and policy review, the facility failed to ensure all State tested Nursing Assistants (STNA's) providing direct care to residents had a current and up to date Nurse Aide Registry. This affected two (#95 and #125) out of three STNA personnel files reviewed and had the potential to affect all 77 residents residing at the facility. Facility census was 77. Findings include: Review of the personnel files and review of the ODH Nurse Aide Registry (https://nurseaideregistry.odh.ohio.gov/Public/PublicNurseAideSearch) for STNA #95, and #125 revealed their nurse aide registration information had not been updated and both of their registries were expired. […]

• No harm, potential for more than minimal, widespreadF908Jul 22, 2021

  Based on observations, staff interviews, and record review, the facility failed to maintain laundry dryers in a safe manner and prevent a build up of dryer lint in the facility dryers. This had the potential to affect all 81 residents who resided in the facility. Findings include: Observation on 07/22/21 at 11:28 A.M. of Dryer #2 lint screen revealed lint hanging from the lint screen and balled up in the base of the dryer. Interview on 07/22/21 at 11:28 A.M. with Laundry #58 confirmed the lint had built up in the dryer. Laundry #58 stated the dryers were cleaned tree times a day of dryer lint. Observation on 07/22/21 at 11:40 A.M. with Maintenance Director #500 revealed a build up of lint in Dryer #1 with lint collected in soccer size balls under Dryer #1. […]

• No harm, potential for more than minimal, patternF656Jul 22, 2021

  Based on record review, review of the facility's policy, and resident and staff interviews, the facility failed to develop and implement care plans to address dental care, hospice care, and fluid restrictions. This affected five (#4, #8, #36, #42, and #46) of 19 residents reviewed for care planning. The facility census was 81. Findings include: 1. Medical record review for Resident #36 revealed the resident was admitted to the facility on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #36's progress note, dated 04/06/21, revealed Resident #36 had seen the dentist briefly, but resident stated he was planning to discharge back to the community, and he wanted to see his own dentist. […]