Wythe Cnty Community Hosp Ecu

In the surveyor’s words

From the most serious findings on record at Wythe Cnty Community Hosp Ecu, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF655Nov 25, 2025

  Based on staff interview and clinical record review, the facility staff failed to provide residents and/or resident representatives with a copy of the baseline care plan.The findings included: A review of residents' clinical records failed to reveal evidence of the facility providing a copy of the baseline care plan to the resident and/or resident representative. On 11/25/25 at 12:24 PM, the Director of Clinical Effectiveness Quality and Risk Management stated they were unaware of the need to provide residents with a copy of the baseline care plan, and this was not a facility practice. […]

• No harm, potential for more than minimal, isolatedF578Nov 25, 2025

  Based on staff interview and clinical record review, the facility staff failed to ensure the correct code status was in place for 1 of 6 residents, Resident #1.The findings included:Resident #1's diagnoses included but were not limited to congestive heart failure, hypertension, myocardial infarction, and hyponatremia. Resident #1's ECU [extended care unit] admission History dated 11/20/25 indicated the resident had no advanced directive but code status was DNR (do not resuscitate). A review of Resident #1's clinical record on 11/24/25 revealed a current order dated 11/20/25 for full code resuscitation status. On 11/24/25 at 2:45 PM, during an interview with Registered Nurse (RN) #1, the documentation discrepancy regarding Resident #1's code status was discussed. […]

• No harm, potential for more than minimal, isolatedF883Nov 25, 2025

  Based on staff interview and clinical record review, the facility staff failed to offer a pneumococcal vaccine in accordance with nationally recognized standards for 1 of 5 sampled residents, Resident #1. The findings included:Resident #1's diagnoses included but were not limited to congestive heart failure, hypertension, myocardial infarction, and hyponatremia.Resident #1's ECU [extended care unit] admission History dated 11/20/25 indicated the resident had received a pneumococcal vaccine after the age of 65. However, the date and type of pneumococcal vaccine was not documented in Resident #1's clinical record.Registered Nurse (RN) #1 was interviewed on 11/25/25 at approximately 11:45 AM. […]