Taylor County Health And Rehabilitation

Based on observation, staff interviews, record review, and review of the facility's policy titled Food Preparation and Distribution, the facility failed to ensure proper thawing process was followed. In addition, the facility failed to sanitize food preparation surfaces in accordance with professional standards for food service safety as required in the facility's kitchen. These deficient practices had the potential to cause food-borne illness among all 67 residents who received meals from the facility kitchen. Findings include:Review of the facility's policy titled Food Preparation and Distribution, dated 12/27/2024, revealed that It is the intent of this center to prepare and distribute food in a manner that minimizes the risk of food-borne illness and promotes safe food handling practices by no bare hand contact with food items and work surfaces and equipment should be cleaned and sanitized as needed by appropriate sanitizer concentration of 150-400 parts per million (ppm). Thawing methods should be under refrigeration and food items should be in a drip-proof container and by…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on resident and staff interviews, record review, and review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to accurately code the Minimum Data Set (MDS) assessment for one of 18 residents (Resident (R) 48) reviewed for MDS in a total sample of 28 residents. This deficient practice increased the potential for missed opportunities for care or services. Findings include:Review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2025, revealed the instructions for coding the tracheostomy care were to be coded . when performed while a resident of this facility and within the past 14 days . including if the resident performs the care.Review of R48's Face Sheet, undated and located in the electronic medical record (EMR) under the Face Sheet tab, indicated an admission date of 9/19/2022 and diagnoses included a permanent tracheostomy site. Review of R48's discharge, return anticipated MDS with an Assessment Reference Date (ARD) of 2/26/2025, located in the EMR under the MDS tab, revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, resident and staff interviews, and review of the facility policy titled Dental Services/Oral Assessments, the facility failed to ensure routine or emergency dental services were provided for one of four residents (Resident (R) 22) reviewed for dental services. This deficient practice had the potential to place R22 at risk of pain and discomfort and to increase the risk of unmet nutritional needs.Findings include:Review of the facility policy titled Dental Services/Oral Assessments, last reviewed on 12/27/2024, stated, It is the intent of this center to promote person-centered care through appropriate oral care and facilitation of dental services. Under the facility's guideline, The center provides or obtains oral health care and dental services to meet the needs of each patient to the extent covered under State law. Under the facility's procedure, Dental Services, if necessary or if requested by the patient, the center will assist the patient in making appointments. Under the facility's procedure, Oral Assessments, oral assessment should be completed on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and review of the facility's policy titled Skilled Nursing Services, Hand Hygiene, the facility failed to ensure an effective infection control and prevention program was implemented during medication pass for four of 11 residents (R) (43, 38, 17, and 57) reviewed for medication administration. Specifically, the nurse failed to ensure proper hand hygiene practices were implemented dur the administration of medication. This failure could promote the spread of multi drug resistant organisms (MDROs) throughout the facility. Findings include: Review of the facility's policy titled, Skilled Nursing Services, Hand Hygiene, revised on 12/29/2023, indicated, under the section Intent: It is the intent of this facility to promote and facilitate appropriate hand washing .GUIDELINE .Associates should use alcohol based hand rub or wash hands with soap and water for the following indications: Immediately before touching a patient. Before performing an aseptic task (e.g., placing an indwelling device or handling indwelling devices). Before moving…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and review of the facility policy titled Hydration, the facility failed to offer additional fluids to residents on one of three units, the secure unit, during two of three lunch meals observed. The deficient practice had the potential to prevent the maintenance of adequate hydration status of the 11 residents residing in the secure unit. Findings include: A review of the policy titled Hydration, with a review date of 12/29/2023, stated the policy Intent was: It is the intent of this center to provide patients with adequate hydration to assist in maintaining proper hydration and health, while honoring preferences. The Guideline section included: Hydration will be served on all meal trays and available throughout the day. Hydration will be consistent with the patient's needs and desires. A variety of items will be available to meet hydration needs and patient preferences. Nursing will provide ice water each shift, unless contraindicated. During an observation of the lunch meal served on the secure unit on 2/21/2024 from 12:43 pm to 1:30 pm,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and a review of the facility policy titled Allocation of Human Resources Nursing Staff, the facility failed to have sufficient nursing staff in the secure unit during meals to ensure a resident (R) (R5) was not taking other residents' food or beverages and to ensure there was adequate staff to provide the residents with beverage refills. There were 11 residents residing in the secure unit. The deficient practice had the potential to place the residents at risk for unmet care needs. Findings include: A review of the policy titled Allocation of Human Resources Nursing Staff, with a review date of 12/29/2023, revealed the Intent stated: It is the intent of this center to allocate nursing staff to meet nursing needs of patients. During the lunch observation on the secure unit on 2/21/2024 at 12:43 pm, there was one Certified Nursing Assistant (CNA) supervising 11 residents who resided on the unit. There were two rooms across the hall from each other that were designated for dining. The CNA was in one room feeding a resident which also had five…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, resident and staff interviews, record review, and review of the facility policy titled Suprapubic Catheter Care, the facility failed to ensure that nursing staff provided routine indwelling urinary catheter care for one resident (R) (R15), from a sample of 16 residents. This deficient practice had the potential to increase R15's risk of urinary tract infection. Findings include: A review of the policy titled Suprapubic Catheter Care, with a review date of 12/29/2023, revealed the intent of the policy was to provide guidelines for the care of new and established suprapubic catheters. The Guideline section included a line that stated: Clean the insertion site and catheter daily with soap and water. A review of R15's clinical record revealed that she had diagnoses that included but were not limited to, neurogenic bladder, and quadriplegia. A review of the 12/8/2023 Quarterly Minimum Data Set (MDS) assessment revealed that R15 was assessed with a Brief Interview for Mental Status (BIMS) of 11 (indicating moderate cognitive impairment) and having an indwelling…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interviews, record review, and review of an instructional document titled Enhanced Barrier Precautions, published by the Center for Disease Control and Prevention (CDC), the facility failed to ensure that nursing staff wore Personal Protective Equipment (PPE) following recommended practice and failed to ensure Activities of Daily Living (ADL) care was provided in a sanitary manner for one resident (R) (R15), from a sample of 16 residents. These deficient practices had the potential to increase R15's risk of infection. Findings include: A review of R15's clinical record revealed diagnoses included but were not limited to, neurogenic bladder and quadriplegia. A review of the 12/8/2023 Quarterly Minimum Data Set (MDS) assessment revealed that R15 was assessed as having an indwelling urinary catheter and being incontinent of bowel. A review of the care plan revealed a care area of a self-care deficit and needed assistance from staff with ADL care. Interventions assigned to the Certified Nursing Assistant (CNA) and Nurse included PPE when providing care. The…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and a review of the facility policies titled, Storage Areas and Cleaning and Sanitizing, the facility failed to securely close open food items in the dry storage; remove dented cans from potential use; and demonstrate proper sanitizing practices with the three-compartment sink for 54 of 57 residents consuming an oral diet. Findings include: Review of the policy titled Storage Areas revealed that items should be covered, sealed, labeled, and dated appropriately. Dry storage and dented cans should be stored separately in a clearly labeled area. Review of the policy titled Cleaning and Sanitizing revealed that three-compartment sink items should be fully submerged in the sanitizer solution according to the manufacturers' guidelines. Observation on 1/27/2023 at 8:55 a.m. of the dry storage area revealed an opened 22-ounce bag of orange beverage drink mix that was not securely closed. Continued observation revealed a plastic bin with dried pasta, this bin contained an open bag of elbow macaroni and two bags of spaghetti noodles that were opened…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interviews, and a review of the facility policy titled, Information Technology - Safeguarding and Storage of Protected Health Information (PHI), the facility failed to ensure resident medical records for disposal were kept securely for 57 residents. Findings include: A review of the facility policy, Information Technology - Safeguarding and Storage of Protected Health Information (PHI), policy number HIPAA 164.530, dated 2021, revealed the facility was to maintain PHI in a safe and secure location that is easily accessible for authorized use, limit unauthorized access, and safeguard against loss and tampering of PHI. A further review revealed that records/PHI would not be kept in public areas, and when unattended, PHI would be stored in a locked office or storage. A review of the facility's shredding service invoice, ticket number 450221, revealed that the company picked up documents from the facility on 1/16/2023 at 10:05 a.m. and was scheduled to service the facility again on 4/10/2023. An observation of the document disposal containers on 1/29/2023 at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, staff interview, and review of facility policy titled, Medication Administration - General and Enteral Tube Medication Administration, the facility failed to ensure the medication error rate was less than five percent (5%). A total number of 28 medication opportunities were observed, and there were six errors for one of five residents (R) (R #5), for an error rate of 21.43%. Findings include: Review of the facility policy titled Medication Administration - General dated 2019 revealed the intent of the policy is to ensure medications are administered as prescribed, in accordance with good nursing principle. Medications are administered in accordance with a valid prescriber order. Prior to medication administration: the nurse should read the administration directions on the MAR (medication administration record) and verify correct medication, dose, and directions for use. Review of the facility policy titled Enteral Tube Medication Administration dated 2019 revealed it is recommended that crushed medications not be combined and given all at once…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.