White County Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at White County Rehab and Nursing, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Aug 12, 2021

  Based on observation, interviews, and record reviews the facility failed to prevent and/or contain Covid-19 when the facility failed to 1. Ensure all staff who have a known exposure to Covid-19 are quarantined and tested per the facility policies and current CDC (Center for Disease Control) guidelines, 2. Ensure residents who exhibit respiratory symptoms are tested for Covid-19 per facility policies and current CDC guidelines, 3. Ensure disinfectant used to treat non-porous surfaces for Covid-19 are utilized per manufacturer guidelines for effective disinfection, 4. Ensure routine testing of staff is performed timely based on county positivity rates. 5. Ensure staff wear required PPE (Personal Protective Equipment) and discard contaminated PPE as required after use. 6. […]

• Immediate jeopardy, isolatedF760Oct 23, 2024

  Based on observation, interview, and record review the facility failed to obtain scheduled medications from the pharmacy and secure emergency medications for 1 (R1) of 5 residents reviewed for medication administration in the sample of 8. This failure resulted in R1 abruptly stopping and missing his scheduled seizure medication resulting in R1 experiencing two seizures lasting approximately four minutes each. Additionally, this failure has the potential to result in prolonged, life-threatening seizures when abruptly stopping anti-seizure medication. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 9/23/24 at approximately 8:00 PM when the facility was unable to provide R1's scheduled seizure medications. […]

• Immediate jeopardy, isolatedF689Feb 2, 2022

  Based on observation, interview and record review, the facility failed to monitor for and prevent an elopement for 1 of 3 residents (R3) reviewed for elopement risk in the sample of 8. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 01/22/22 when the facility failed to monitor and prevent an elopement that resulted in R3 exiting and walking approximately 495 feet from the facility, falling, sustaining several abrasions, becoming septic, and experiencing a cardiac event. R3 was found to be hypothermic and initially unresponsive when located by staff next to a wooded area in a soccer field across from the facility. […]

• Actual harm, isolatedF600Jun 10, 2024

  Based on interview and record review, the facility failed to ensure residents were free from abuse for 2 of 3 residents (R10, R12) reviewed for abuse in a sample of 13. This resulted in R10 experiencing feelings of fear and uncertainty for his safety in his home. Findings included: 1. R10's face sheet documented R10 was admitted to this facility on 8/23/2023 with diagnoses of Traumatic Brain Injury, Cancer and Diabetes Mellitus among others. R10's MDS assessment dated [DATE] documented R10 has a BIMS score of 15 out of 15 total, which indicates R10 is cognitively intact. This same MDS documented R10 has no impairment to upper or lower extremities, does not ambulate and independently uses a wheelchair and/or walker for locomotion. […]

• Actual harm, isolatedF689Dec 14, 2022

  Based on interview and observation, the facility failed to maintain a door threshold in a manner to prevent accidents in 1 of 3 residents (R2) reviewed for accidents in a sample of 7. This failure resulted in R2 sustaining a nondisplaced fracture of shaft of fifth metacarpal bone of the left hand, nondisplaced fracture of proximal phalanx of left middle finger, closed nondisplaced fracture of proximal phalanx of left ring finger and age indeterminate left distal radius and ulna fracture. The findings include: R2's admission record documents an admitted to the facility on [DATE]. […]