Wathena Healthcare & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Wathena Healthcare & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Sep 25, 2024

  The facility identified a census of 39 residents. The facility had one main kitchen and one dining area. Based on record review and interview, the facility failed to ensure the director of food and nutrition services had the required qualifications of a certified dietary manager (CDM). This placed the residents at risk for unmet dietary and nutritional needs. Findings included: - On 09/23/24 at 04:27 PM, Dietary BB stated the registered dietitian visited every two weeks. Dietary BB stated she still needed to pass the test to become a CDM because she took it once and did not pass but had to wait 90 days to try again. […]

• No harm, potential for more than minimal, widespreadF812Sep 25, 2024

  The facility identified a census of 39 residents. The facility had one main kitchen. Based on observations, record review, and interviews, the facility failed to ensure the big cooler maintained an appropriate temperature range, failed to ensure staff consistently monitored cooler and freezer temperatures, and failed to ensure staff consistently monitored the dishwasher temperatures and chemical sanitation levels. The facility further failed to ensure adequate hand hygiene during meal service. This deficient practice placed residents at risk for food-borne illnesses. Findings included: - On the initial tour of the kitchen on 09/23/24 at 08:11 AM, the big cooler had a temperature of 46 degrees Fahrenheit. […]

• No harm, potential for more than minimal, widespreadF838Sep 25, 2024

  The facility identified a census of 39 residents. The sample included 12 residents. Based on interviews and record review, the facility failed to conduct a thorough facility-wide assessment to determine the resources necessary to care for residents competently during both day-to-day operations and emergencies. This failure affected all 39 residents residing in the facility. Findings Included: - An inspection of the Facility assessment dated [DATE] provided by the facility revealed the following: The assessment failed to identify the specific staffing levels needed for each unit and identify the number of Registered Nurses (RN), Licensed Nurses (LPN), Certified Medication Aides (CMA), and Certified Nurse Aides (CNA) needed for each unit, patient acuity, and census. […]

• No harm, potential for more than minimal, widespreadF880Sep 25, 2024

  The facility identified a census of 39 residents. Based on observations, record review, and interviews, the facility failed to ensure staff followed Enhanced barrier precautions (EBP), and failed to ensure staff performed appropriate hand hygiene during medication pass. The facility further failed to assess, identify risks, and create a plan to address the risk for Legionella disease (Legionella is a bacterium that can cause pneumonia in vulnerable populations) or other opportunistic waterborne pathogens. This deficient practice placed the residents at risk for infectious diseases. Findings included: - On 09/24/24 at 08:58 AM, Resident (R)8 had an isolation basket with isolation supplies on the back of her room door without a sign denoting the type of isolation or PPE required. […]

• No harm, potential for more than minimal, widespreadF945Sep 25, 2024

  The facility identified a census of 39 residents. Based on record review and interviews, the facility failed to ensure agency direct care staff had received the required infection control training. This placed the residents at risk for impaired care and decreased quality of life. Finding included: - On 07/10/24 at 10:40 AM a review of the training for agency Certified Nurses Aid (CNA) M, and CNA N and CNA O revealed the following: CNA M's facility-provided credentialling file lacked evidence training was completed for infection control training. CNA N's facility-provided credentialling file lacked evidence training was completed for infection control training. CNA O's facility-provided credentialling file lacked evidence training was completed for infection control training. […]