Waterside Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Waterside Health & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 29, 2023

  Based on observation, family interview, staff interviews, clinical record review, and review of facility documents, the facility staff failed to provide a necessary assistive device to prevent and protect a resident from fall related injuries (transfer the resident from a dialysis chair to a Geri-chair with a locking device to obtain optimal safety) which resulted in cervical-5 fracture which required a period of intubation and ventilation which constituted harm for one (1) of seven (7) residents (Resident #1), in the survey sample. The findings included: Resident #1 was originally admitted to the facility 1/20/23. […]

• Actual harm, isolatedF686Feb 4, 2021

  Based on staff interview, clinical record review and facility document review, it was determined that facility staff failed to conduct an initial wound assessment to a sacral pressure ulcer upon admission; identify wounds to the right and left ischium prior to an advanced stage; AND failed to conduct complete and accurate weekly wound assessments from 12/4/20 through 12/30/20 that led to the deterioration of both the left and right ischium which constitutes harm for one of eight sampled residents, Resident #8. The findings included: Resident #8 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. Resident #8's most recent MDS (Minimum data set) was a discharge assessment with an ARD (Assessment Reference Date) of 1/7/21. […]

• No harm, potential for more than minimal, patternF584Jun 23, 2023

  Based on observations, resident interview, and staff interview, the facility staff failed to maintain a clean comfortable homelike environment for 1 of 50 residents (Resident #273), in the survey sample. The findings included: Resident #273 was originally admitted to the facility 6/1/2023 after an acute care hospital stay. The resident discharged from the facility on 6/21/23. The diagnoses included; a urinary tract infection (UTI), status post a kidney transplant and kidney stones. The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 6/7/2023 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 12 out of a possible 15. […]

• No harm, potential for more than minimal, patternF602Jun 23, 2023

  Based on interview, record review, document review and facility policy review, the facility failed to protect seven out of seven residents (Resident (R) 71, R2, R64, R324, R225, R63, R56) reviewed for abuse, specifically the misappropriation of resident's property out of a total sample of 50 residents. This failure has the potential for misappropriation of property for other residents. Findings included: Review of the facility policy, Virginia Resident Abuse Policy dated 10/03/2022 (sic), revealed, Policy: This Facility will not tolerate . misappropriation of resident property by anyone. […]

• No harm, potential for more than minimal, patternF658Sep 10, 2021

  Based on staff interviews, clinical record review, documentation review and the facility policy, the facility staff failed to meet professional standards of quality and provide an ongoing assessment and monitoring after an unwitnessed fall for 5 of 23 residents (Resident #1, Resident #2, Resident #3, Resident #4 and Resident #23) in the survey sample. The findings included: 1. Resident #1 was admitted to the nursing facility on 11/03/15. diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #1's Minimum Data Set (MDS - an assessment protocol) an annual with an Assessment Reference Date (ARD) of 08/12/21 coded Resident #1 Brief Interview for Mental Status (BIMS) with a 13 out of a possible score of 15 indicating no cognitive impairment. […]