Yadkin Nursing and Care Center

In the surveyor’s words

From the most serious findings on record at Yadkin Nursing and Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 19, 2024

  Based on observation, record review, and staff interviews, the facility failed to safely transfer a resident from a wheelchair to bed when one staff member performed a sit to stand lift transfer (Resident #164) for 1 of 3 residents reviewed. Resident #164 was assisted with a sit to stand lift transfer by a nurse aide and Resident #164 sustained a laceration to the back of her head when she fell during the transfer causing pain and requiring sutures. The findings included: Resident #164 was admitted to the facility on [DATE]. Her current diagnoses included dementia. A review of Resident #164's Physician Orders revealed no order for an anticoagulant. Review of an activities of daily living care plan dated 8/13/21 included the following intervention: Transfers- sit-to-stand lift. […]

• No harm, potential for more than minimal, patternF583Mar 17, 2022

  Based on observations and staff interviews, the facility failed to protect residents' private health information by leaving confidential medical information unattended and exposed on a medication cart computer in an area accessible to others for 1 of 4 medication carts observed. Findings included: On 3/14/22 at 11:25 AM an observation of the 400 hall revealed the medication cart was left unattended by staff. The medication cart computer was opened and exposed ten resident names and room numbers. Nurse #1 was observed going in a supply room and was out of sight of the medication cart computer for four minutes. […]

• No harm, potential for more than minimal, patternF656Mar 17, 2022

  Based on observations, record review, and staff interviews, the facility failed to develop a care plan for activities of daily living (ADLs) for 1 of 3 (Resident #13) residents reviewed for ADLs, failed to follow care plan interventions for 2 of 8 residents reviewed for falls (Residents # 68 and 60), and failed to develop a care plan for 1 of 1 (Resident #70) reviewed for activities. The findings included: 1. Resident #13 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Mar 17, 2022

  Based on observations and staff interviews, the facility failed to ensure the food items stored in the snack/nourishment refrigerator in 1 of 2 residents' snack/nourishment rooms was maintained with food/beverage items that were dated and labeled with the residents' names and room numbers. Findings included: During an observation of Nourishment Room #1 on 3/15/22 at 1:45 p.m., the refrigerator contained the following items that were not dated or labeled with residents' names and room numbers: 1-16 oz (ounce) bottle of soda stored on the shelf of the door; and 2-opened cardboard cases of single-serve nutritional supplement beverages (8oz sealed bottles). There were no residents' names on the cases or the bottles. […]

• No harm, potential for more than minimal, isolatedF550Mar 17, 2022

  Based on observations, staff interviews and record review, the facility failed to provide a dignified dining experience by standing while providing assistance with feeding for 1 of 4 residents (Resident #72) reviewed for assistance with dining, and failed to provide a cover for a catheter drainage bag for 1 of 3 residents (Resident #92) reviewed for catheters. Findings included: 1. Resident #72 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #72 had impaired memory and severely impaired daily decision making skills. She required extensive assistance with eating. The care plan, updated 2/28/22, revealed focused areas of activities of daily living and weight loss. […]