Cottages At Rockmart, The

Based on observations, staff interviews, and review of the facility policy titled, Date and Label, the facility failed to ensure opened food item in the kitchen's dry storage area, emergency preparedness supply, and refrigerator were properly labeled and dated. The deficient practice had the potential to affect 98 out of 99 facility residents who received an oral diet.Findings include: Review of the facility's policy titled Date and Label, dated March 2024, under the section titled Dry Storage revealed, 1. Date each box, package, can, spice container, pasta bag, flour bag, bulk container, etc. upon delivery 2. When food is removed from the original box or when placed in a generic container, the individual food or generic container must be labeled with the name of the item inside and original delivery date. 6. Discard food that has expired or passed the used by date. Under the section titled Refrigerated Foods revealed,1. Food that is defined as Ready-To-Eat (RTE) or a Prepared foods or a food that is a high risk for food poisoning (Time/Temp Controlled Food), and BULK containers…

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, record review, and review of the facility policies titled, Catheter Management Care, Anchoring and Changing, and Handwashing/Hand Hygiene, the facility failed to maintain infection control practices related to hand washing during catheter care for one of five residents (R) (R76) with an indwelling urinary catheter. This failure had the potential to cause R76 to have increased urinary tract infections (UTI). Findings include:Review of the facility policy titled Catheter Management Care, Anchoring and Changing revised January 2025 revealed each resident who is incontinent of bladder and has an indwelling catheter receives appropriate treatment of services to prevent urinary tract infections and to restore as much bladder functions as possible. Review of the Procedure for providing catheter care revealed . 5. Wash hands, assemble equipment. 10. For the male resident, use a gloved hand and a washcloth with peri-wash to cleanse the meatus outward, utilizing only one pass of the washcloth per cleaning stroke. 12. After cleansing area, place soiled…

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, staff interviews, facility document review, and review of the facility policy titled Abuse Policy, the facility failed to protect residents from sexual abuse by another resident by not completing a thorough investigation of an allegation of resident-to-resident sexual abuse for one of three incidents of abuse reviewed. Specifically, following an incident of alleged sexual abuse involving two residents (R) (R1and R2), the facility did not interview other residents or assess residents who were cognitively impaired to ensure they had not experienced abuse.Findings included:Review of the facility policy titled Abuse Policy, reviewed 1/2025, revealed, It is our goal to achieve and maintain an abuse-free environment. The Administrator is designated as the Abuse Coordinator for the facility. The Administrator assumes the responsibility for the overall coordination and implementation of our facility's abuse prevention program policies and procedures. The policy revealed V. Investigation, which included 6. Should an incident or suspected incident of resident abuse,…

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, staff interviews, and review of facility policy titled, Oxygen (O2) Concentrator, the facility failed to ensure respiratory equipment was maintained in a sanitary manner for one of 21 residents (R) (R34) who receive oxygen therapy. The deficient practice had the potential to place R34 at an increased risk of respiratory complications and infection. Findings include: Review of the facility policy titled Oxygen Concentrator revealed under Care of the Concentrator: Follow manufacturer recommendations for the frequency of cleaning filters and servicing the device, external filters will be cleaned weekly. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed in section O (Special Treatments, Procedures, and Programs) that R34 was receiving oxygen therapy while in the facility. Review of the physician orders for R34 revealed clean oxygen concentrator filter weekly - every day shift every Friday when oxygen is in use. Observation on 11/22/2024 at 10:10 am and 11/23/2024…

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, staff interviews, and review of the facility policy titled, Medication Orders, the facility failed to ensure a stop date was implemented, not to exceed 14 days for psychotropic medications for one of six residents (R) (R12) reviewed for unnecessary medications. Findings include: A review of the facility policy titled Medication Orders, effective 11/28/2017 revealed that as needed (PRN) orders for psychotropic medications are limited to 14 days. If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she would document their rationale in the resident's medical record and indication the duration of the PRN order. A review of R12's physician (MD) orders dated 9/23/2024 revealed an order for 0.5 mg (milligrams) of lorazepam by mouth (PO) every four hours PRN for anxiety. The stop date was documented as indefinite. A review of the Medication Administration Record (MAR) revealed R12 was administered lorazepam 0.5 mg PO on 9/27/2024 at 9:36 am. During an interview 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.

Based on observations, staff interviews, facility document review, review of the Center for Disease (CDC) guideline titled, Handle With Care: Protect Your Vaccine, Protect Your Patients, and review of the facility's policy titled, Medication Storage in the Facility, the facility failed to store vaccines under proper temperature controls with twice daily monitoring in two of six refrigerators used to store medications and biologicals. The deficient practice created the potential for residents to receive vaccinations with altered effectiveness. The facility census was 78 residents. Findings include: A review of the facility's policy titled Medication Storage in the Facility dated June 1, 2018 revealed the Temperature section included F. The facility should check the refrigerator or freezer in which vaccines are stored, at least two times a day, per CDC [Center for Disease Control] guidelines. A review of the CDC guideline titled Handle With Care: Protect Your Vaccine, Protect Your Patients, dated 3/19/2024, included Check and record storage unit min/max (minimum/maximum) temperatures…

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's policies titled, Glucometer Disinfection, Laundry, and the User And Care Guide Manual, the facility failed to ensure the infection control process was followed by one Licensed Practical Nurse (LPN) on cleaning and disinfecting a glucometer (a device used to measure blood glucose) after using it on one of two residents (R) (R31) with a physician order for a glucometer reading. In addition, the facility failed by not using a barrier before placing the glucometer on any surface. The facility also failed to clean the dryer lint screens from two of twelve dryers. Findings include: Review of the facility policy titled Glucometer Disinfection dated January 2024 revealed under Policy: The purpose of this procedure is to provide guidelines for the disinfection of capillary-blood glucose sampling devices to prevent transmission of blood borne diseases to residents and employees. Under Policy Explanation and Compliance Guidelines: . 2. The facility will ensure multi-use blood glucometers will be cleaned and disinfected after…

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, interview, and policy review, the facility failed to ensure three of 21 sampled residents (R) (R14, R20, and R36) and/or their representatives were provided with written transfer/discharge notice that stated the reason for transfer, the place of transfer, and other information regarding the transfer or appeal information. Findings include: Review of the facility policy titled Transfer or Discharge, Emergency, revised December 2016, showed: Policy Statement Emergency transfers or discharges may be necessary to protect the health and/or well-being of the resident(s). Policy Interpretation and Implementation .4. Should it become necessary to make an emergency transfer or discharge to a hospital or other related institution, our facility will implement the following procedures: a. Notify the resident's Attending Physician; b. Notify the receiving facility that the transfer is being made; c. Prepare the resident for transfer; d. Prepare a transfer form to send with the resident; e. Notify 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 observation, interview, and policy review, the facility failed to ensure foods were stored and/or labeled in the snack and kitchen areas in two of four cottages. This deficient practice had the potential to affect 30 of 58 residents who received meals and/ or snacks prepared in the facility's four snack areas and four cottage kitchens. Findings include: Review of the facility policy for Dating and Labeling, titled Georgia Nutrition Consulting, Inc., Dating and Labeling, (Rev. August 2017): Policy: The elderly, young children and those with a poor immune system are very susceptible to becoming sick from foods that are not handled in a proper and safe manor. The government has mandated with this statement that labeling, dating, and monitoring refrigerated food, including, but not limited to leftovers, so it is used by its us-by-date or frozen (when applicable) or discarded. All foods, whether frozen, fresh, or cooked have specific guidelines for discarding. Some foods follow an expiration date listed 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 interview, record review, and policy review, the facility failed to ensure one of 21 sampled residents (R) (R29) was accurately assessed for insulin use and the completion of a level two preadmission screening and resident review (PASARR). This failure could affect the care planning for the resident to receive all required services. Findings include: Review of the facility policy titled Conducting an Accurate Resident Assessment, revised July 2017, showed: Policy: The purpose of this policy is to assure that all residents receive an accurate assessment, reflective of the resident's status at the time of the assessment, by staff qualified to assess relevant care areas. Definition: Accuracy of assessment means that the appropriate, qualified health professionals correctly document the resident's medical, functional, and psychosocial problems and identify resident strengths to maintain or improve medical status, functional abilities, and psychosocial status using the appropriate Resident Assessment Instrument (RAI) (i.e., comprehensive, quarterly, significant change in…

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 interview and record review, the facility failed to ensure two of three residents (R) (R14 and R20) with new mental health diagnoses received a Level II PASARR review for potential services. Findings include: Review of the undated facility policy titled Resident Assessment - Coordination with PASARR Program showed: Policy: This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Policy Explanation and Compliance Guidelines: .9. Any resident who exhibits a newly evident or possible serious mental disorder, intellectual disability, or a related condition will be referred promptly to the state mental health or intellectual disability authority for a level II resident review. Examples include: a. A resident who exhibits behavioral, psychiatric, or mood related…

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 review, the facility failed to provide range of motion (ROM) services for one of 21 sampled residents (R) (R48). Findings include: Review of the policy titled Resident Mobility and Range of Motion, revised July 2017, indicated Interventions may include therapies, the provision of necessary equipment, and/or exercises and will be based on professional standards of practice and be consistent with state laws and practice acts. Review of R48's electronic medical record (EMR) Face Sheet under the Profile tab revealed R48 was originally admitted to the facility on [DATE] with diagnoses that included Contracture of muscle left ankle and foot, contracture of muscle of her left upper arm, contracture of muscle multiple sites, contracture of left and right hand. Contractures are the fixed shortening of a muscle or tendon resulting in joint deformity. Review of the annual Minimum Data Set (MDS) found under the MDS tab with an Assessment Reference Date (ARD) of…

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, and record review, the facility failed to ensure one of two residents (R) (R14) reviewed for accident hazards was informed of the risks and benefits of assist or enabler bar use while in bed. Findings include: Review of the undated facility policy titled Positioning / Enabling Devices showed: Policy: When determined necessary, positioning/enabling devices will be used to attain and maintain the highest possible level of wellbeing/functioning for each resident. Procedure: If a positioning/enabling device is determined necessary, the following steps will be taken: 1. The Restraint / Enabler Decision Tree will be completed. 2. The Therapy Department screen/evaluate [sic] resident to assist in determining appropriate device to meet resident's needs. 3. Resident and or responsible party will be educated regarding the use of the device. 4. A consent form will be signed by requesting resident if alert and oriented, or by the responsible party. 5. The enabler quarterly update will be utilized to decide continued use. 6. Orders will include a medical reason…

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.