Nhc Healthcare Ft Oglethorpe

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of facility policy, the facility failed to ensure residents reviewed for accuracy of medical records had active physician orders for respiratory care and current pressure ulcer status for one of one resident (Resident (R) 36) reviewed for respiratory care and one of two residents (R22) reviewed for pressure ulcers out of a total of 30 residents in the sample. The deficient practice had the potential for facility residents to not receive appropriate care and services to meet their needs for oxygen usage and wound care treatment.Findings include:Review of the facility's policy titled, Respiratory Manual, dated July 2019, revealed The purpose of delivering oxygen by nasal cannula is to.correct hypoxemia by increasing available alveolar oxygen.diminish the myocardial workload by correcting hypoxemia. Check for a complete physician order.Review of the facility's policy titled, Documentation Guidelines, dated May 2025, revealed Medications and Treatments are…

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, record review, resident and staff interviews, and facility policy review, the facility failed to ensure catheter drainage bags were not in direct contact with the floor for one of one resident (Resident (R) 55) reviewed for catheters out of 32 sample residents. In addition, the facility failed to ensure staff performed adequate hand hygiene between residents during medication administration for three residents (R118, R48, and R54) reviewed for medication administration. These deficient practices had the potential to place residents at risk for the spread of infection and cross-contamination and created a risk for an increased potential for urinary tract infectionsFindings include:1. Review of the facility policy titled, MRSA (Methicillin-resistant Staphylococcus aureus) Recommendations by sited, dated February 2025 revealed, .under Patients with Urinary Catheters, indicated keep drainage bags off the floor., but below the level of the patients bladder.Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed that…

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, record reviews, and staff interviews, the facility failed to ensure that direct care nursing staff were evaluated to provide competent nursing care for the residents, by not completing competency/skills checklist for three Licensed Practical Nurses (LPN) and one Registered Nurse (RN). Findings include: Review of facility documentation titled Annual Nursing Competencies Check-Offs, revealed in-service education for nursing personnel were not signed and dated to indicate the personnel completed the trainings to ensure quality care of the residents. The facility was unable to provide annual competencies that were signed and dated for the following randomly selected staff: LPN GG, LPN CC, LPN PP and RN OO. Interview on 10/12/22 at 9:25 a.m. with Certified Nursing Assistant (CNA) NN revealed she has worked at this facility for about four weeks, she has not received any orientation training. She further revealed she shadowed another CAN for one week after being hired and was then assigned independent assignments. Interview on 10/11/22 at 4:43 p.m. with the Director…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and review of the facility policy titled Medication Storage in the Facility, the facility failed to ensure that two of six medication carts (200 Hall Cart and 400 Hall Cart) were locked and secured when the cart was out of view of the nurse and failed to properly store medication for one of 30 Sampled residents (R) (R#66). Findings include: 1. Review of the facility policy titled Medication Storage in the Facility dated 1/1/19 revealed: Medications and biologicals are stored safely, securely and properly following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel or staff members lawfully authorized to administer medications. B. Only licensed nurses, pharmacy personnel and those lawfully authorized to administer medications are permitted to access medications. Medication rooms, carts and medication supplies are locked when not attended by persons with authorized access. An…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to ensure that two handrails were firmly and securely attached to the wall on two of seven halls (100 Hall and 300 Hall) and failed to ensure that handrails were not a safety hazard based on one handrail had a missing end piece with a one-inch piece of silver, firm and sharp object protruding from the end. Findings include: An observation on 10/11/22 at 2:40 p.m. revealed a handrail on the wall between rooms [ROOM NUMBERS] to have a piece of the handrail missing and to have a one-inch piece of silver, firm and sharp object protruding from the end. An observation on 10/11/22 at 2:45 p.m. revealed a loose handrail on the wall between rooms [ROOM NUMBERS]. When surveyor tugged on handrail, it came loose from the wall and fell to the floor. An observation on 10/11/22 at 2:50 p.m. revealed a loose handrail on the wall between rooms 311-313. R#63 pulled on it as he rolled his wheelchair and the handrail fell from the wall to the floor. The resident was no…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, the facility failed to place a privacy bag over the indwelling Foley Catheter of one of 30 sampled residents (R) #336. Findings include: Review of the Quarterly Minimum Data Set (MDS) dated [DATE] for R#366 revealed in section (H) Bowel and Bladder - Indwelling Foley Catheter, and always incontinent of bowel. (I) Active Diagnosis (including but not limited to) - Neurogenic bladder. (N) Medications - antidepressant, diuretic, and opioid seven days a week. Review of the medical record for R#336 revealed that resident admitted from hospital on 9/12/22, with foley catheter need for neurogenic bladder. Change catheter monthly. During an observation on 10/11/22 at 1:30 p.m. of R#336 in her room revealed her catheter bag to be hanging, uncovered, on the left side of the frame of the bed and visible from the hallway. During an observation on 10/12/22 at 9:12 a.m. of R#336 in her room revealed her catheter bag to be hanging uncovered, on the left side of the bed frame visible from 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and policy reviews, the facility failed to assess one of 30 sampled residents (R) R#106 for the ability to self-administer medications before leaving medications at the bed side. Findings include: Review of the facility policy titled Medication Administration - General Guidelines dated 1/1/19 revealed: Medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so. Personnel authorized to administer medications do so only after they have been properly oriented to the facility's medication distribution system (procurement, storage, handling and administration). The facility has staff and a medication distribution system to ensure safe administration of medications without unnecessary interruptions. B. Administration: 1) Medications are administered only by licensed nursing, medical, pharmacy or other personnel authorized by state laws and regulations to administer medications. 2)…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff, family, and hospital staff, the facility failed to ensure one of three residents (R) (R#109) reviewed for transfer and/or discharge residents was permitted to return to the facility after being transferred to the hospital. Findings include: An interview with R#109's daughter on 10/11/22 at 11:45 a.m., revealed that the resident was due to return from the hospital on [DATE]. Transportation was set up for 6:00 p.m. The daughter stated that when transportation had arrived, that they told the hospital that the facility did not have a bed for a COVID positive resident. The daughter told the hospital that they would take the resident home so that the resident didn't have to stay another night in the hospital. Interview with Social Service Director (SSD) on 10/14/22 at 10:43 a.m. revealed that the hospital tried to send R#109 back to the facility on the weekend, and she stated that the ADON said that they did not have a room available because the resident was COVID…

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, interviews, and record reviews, the facility failed to provide appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one of 30 sampled residents (R) (R#95). Findings include: A review of the clinical record revealed that R#64 was admitted to the facility 11/20/20 with diagnoses including but not limited to postviral fatigue syndrome, Hemiplegia, muscle wasting atrophy, ataxia, anorexia, hypertension, adult failure to thrive and Major Depressive Disorder. A review of the Quarterly Minimum Data Set (MDS) revealed R#95 has a Brief Interview for Mental Status (BIMS) of zero, indicating sever cognize impairment; requires extensive assistance with dressing, toileting, and personal hygiene. One person assistance was required with eating and bathing. A review of the Restorative Nursing Services Policy with revised date of July 2017 revealed that residents will receive restorative nursing care as needed to help promote optimal safety and independence and goals and objectives are individualized and…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to follow Physician's Order for one of two residents (R) (R#66) who received nutrition via gastric feeding tube. Findings include: During an observation on 10/11/22 at 10:45 a.m. a syringe and tubing were observed uncovered in a graduate container at bedside. Unable to visualize any type of labeling on either the syringe or tubing. During an observation on 10/12/22 at 10:57 a.m., tube feeding supplies were at R#66 bedside table uncovered and undated syringe. A review of physician's orders revealed Tube Feeding- Change daily and date: irrigation set, syringe, tubing once a Day 7:00 p.m. - 7:00 a.m. A review of R#66's Medication Administration Record (MAR) revealed there is an order on the MAR for documentation of when the feeding supplies are to be replaced and dated. An observation on 10/13/22 at 9:40 a.m. of Licensed Practical Nurse (LPN) AA of a bolus tube feeding revealed: LPN AA washed her hands and donned gloves, inserted [NAME]…

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.