Willis-Knighton Extended Care Center

In the surveyor’s words

From the most serious findings on record at Willis-Knighton Extended Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Mar 12, 2025

  Based on record reviews and interviews the facility failed to maintain, store, prepare, distribute, and serve food under sanitary conditions. The facility failed to accurately monitor the refrigerator and freezer temperatures and failed to accurately maintain the dishwasher machine temperature. This had the potential to affect 18 residents who were served trays out of the kitchen according to the Dietary Manager. Findings: Review of the facility's refrigerator and freezer temperature logs revealed temperatures were documented with no variations from 11/01/2024 to 03/11/2025. […]

• No harm, potential for more than minimal, patternF578Apr 26, 2022

  Based on record reviews and interviews, the facility failed to ensure the medical record reflected an advance directive for 5 residents (#92, #93, #141, #144, #145) out of 16 reviewed for advance directives. The facility's census was 16 as documented on the facility's Resident Census and Conditions of Residents form dated 4/25/2022. Findings: Review of Advance Directives policy (Revised December 2006) revealed: Policy Statement Advance directives will be respected in accordance with state law and facility policy. Policy Interpretation and Implementation . 3. Prior to or upon admission of a resident, the Social Services Director or designee will inquire of the resident, and/or his/her family members, about the existence of any written advance directives. 4. […]

• No harm, potential for more than minimal, patternF812Apr 26, 2022

  Based on observations and interviews the facility failed to ensure food was served in accordance with professional standards for food service safety for the 15 residents served a meal tray from the kitchen as reported by the Dietary Manager. The facility failed to ensure steam table and portable hot box temperature monitoring was conducted with each meal service. The facility's census was 16 as documented on the facility's Resident Census and Condition of Residents form dated 4/25/22. Findings: Review of the facility's steam table temperature monitoring logs for April 2022 revealed the following: -Breakfast temperatures were only documented on 4/1/22, 4/2/22, 4/5/22, 4/6/22, 4/18/22, and 4/19/22. -Lunch temperatures were only documented on 4/2/22 and 4/3/22. […]

• No harm, potential for more than minimal, isolatedF656Feb 6, 2025

  Based on record review and interviews, the facility failed to implement the care plan for 1 (#1) out of 3 (#1, #2, #3) residents reviewed for falls. The facility failed to use a gait belt for Resident #1 during ambulation. Findings: Review of Facility's Clinical Protocol for Falls (undated) revealed: Purpose: It is the policy of ___Care that the facility shall identify patients at risk for falling and take steps to prevent future fall occurrences. Review of Resident #1's medical records revealed an admitted [DATE] with the following diagnoses, in part but not limited to: femoral neck fracture, neuropathy, recurrent falls, and left knee DJD (degenerative joint disease). Review of Resident #1's Baseline Care Plan revealed summary concerns of a fall risk and gait belt use. […]