Worthington Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF835Feb 23, 2024

  Based on record review, staff interview and resident interview the facility failed to be administered in a manner which enabled it to use its resources effectively and efficiently to enable each resident to attain or maintain the highest practicable physical mental and psycho social well being. The facility's administration failed to identify and substantiate physical abuse and involuntary seclusion and take appropriate actions to ensure the alleged perpetrators did not abuse residents in the future. Neither resident was able to verbalize how these actions made them feel therefore the reasonable person standard was applied. […]

• Immediate jeopardy, patternF600Feb 23, 2024

  Based on record review, staff interview and resident interview the facility failed to ensure residents were free from physical abuse due to being physically restrained. Resident #43 was physically restrained by a nurse aide who held her head preventing movement when a nurse swabbed her nose to test for COVID. Resident #11 became agitated and a nurse took the resident to their room where they locked the resident's wheelchair and physically held the resident's wheelchair preventing the residnet from moving and leaving the room. Neither resident was able to verbalize how these actions made them feel therefore the reasonable person standard was applied. […]

• Immediate jeopardy, patternF604Feb 23, 2024

  Based on record review, staff interview and resident interview the facility failed to ensure residents were free from physical abuse. Staff physically restrained two (2) residents. Resident #43 was and #11 were both physically restrained. A nurse aide (NA) nurse aide held her head preventing movement so the nurse could perform a swab of the nose to test Resident #43 for COVID. Resident #11 became agitated and a nurse took the resident to their room where they locked the resident's wheelchair and physically held the resident's wheelchair preventing them from moving and leaving their room. Neither resident was able to verbalize how these actions made them feel therefore the reasonable person standard was applied. […]

• Immediate jeopardy, isolatedF689Apr 9, 2024

  Based on observation, record review and staff interview, the facility failed to maintain a safe and accident-free environment as possible. This deficient practice had the potential for Resident #46 to harm himself in the absence of 1:1 supervision. Resident identifier: #46. Facility census: 93. The state agency determined this failure placed Resident #46's 1:1 observation status in an immediate jeopardy situation due to the potential of serious injury and/or death because of recent documented suicidal ideations and recent suicide attempt. The state agency notified the Nursing Home Administrator of the immediate jeopardy at 3:52 PM on 04/03/24. The facility submitted a plan of correction (POC) at 5:41 PM. At 5:48 PM, the POC was accepted by the state agency. […]

• No harm, potential for more than minimal, widespreadF607Apr 8, 2024

  Based on record review, review of legislative rule S 69-10-1 TITLE 69 Rule Department of Health and Human Resources, Series 10 [NAME] Virgnia Clearance for Access: Registry and Employment Screening and staff interview, the facility failed to implement the facility policies to prohibit and prevent abuse, neglect, exploitation of residents and misappropriation of resident property ensure provisional employment screening. The facility also failed to ensure completion of background checks before allowing staff to work and have direct access to the residents. […]