Jones Co Rest Home

Based on observation, interviews, record reviews, and facility policy review, the facility failed to honor resident food dislikes by placing food items on meal trays that were identified as dislikes for one (1) of four (4) days of observation. Resident #58. Findings included: A review of the facility's Resident Rights Policy, revised 12/4/2016, revealed, . Responsibilities .The facility must support the resident in the exercise of his or her rights . Procedure . 6. Resident Rights. The resident has the right to a dignified existence, self-determination . A review of the facility's booklet titled A Matter of Rights: A Guide to Your Rights and Responsibilities as a Resident with a copyright date of 2017 revealed, . Freedom of Choice - You are entitled to make decisions, whenever possible, for yourself based on your interests and preferences . On 03/17/2025 at 12:27 PM, during an interview and observation, Resident #58 was observed eating lunch independently. The lunch tray included lasagna and mashed potatoes with gravy. Resident #58 stated that she has told kitchen staff repeatedly…

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 and record review the facility failed to provide a reason for a resident transfer for one (1) of 23 residents sampled. Resident #5 Findings Include: A review of the facility's Notice of Transfer or Discharge dated 09/02/24 revealed there was no explanation for the resident's discharge to the hospital. A review of the facility's Notice of Transfer or Discharge dated 12/14/24 revealed there was no explanation for the resident's discharge to the hospital. A record review of the facility's admission Record revealed the facility admitted the resident on 5/20/16 with diagnoses including Heart Failure. On 3/20/25 at 8:05 AM, an interview with the Social Services Director revealed the Charge Nurse is responsible for filling in the Notice of Resident Transfer or Discharge form and the Business Office Coordinator mails the form to the Resident Representative (RR). On 03/20/25 at 9:50 AM, an interview with Registered Nurse (RN) #1 Charge Nurse revealed she has never filled in the Notice of Resident Transfer or Discharge at the time a resident is sent to the hospital. RN #1…

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 interviews, record review, and facility policy review, the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) assessment after a resident experienced two (2) or more declines in activities of daily living and an increase in behavioral symptoms for one (1) of twenty-three (23) sampled residents. Resident #10. Findings included: A review of the facility's MDS (Minimum Data Set), CAA (Care Area Assessments), and Care Plan Documentation Policy, revised 11/14/2023, . It is the purpose of this facility to provide documentation in the medical record for MDS, CAA, and care plan purposes . Discussion: 1. The staff completing each portion of the MDS is responsible for ensuring that documentation is found in the medical record to support the coding they perform . A review of the Long Term Care Resident Assessment Instrument (RAI) User's Manual Version 1.19.1 dated October 2024 revealed, . A 'significant change' is a major decline or improvement in a resident's status that: 1. Will not normally resolve itself without intervention by staff or 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 interviews, record review, and facility policy review, the facility failed to notify the state mental health authority following a significant change in status for one (1) of two (2) residents reviewed for Preadmission Screening and Resident Review (PASRR) Level II. Resident #10 Findings included: A review of the facility's policy titled PASRR Screening with a review date of 11/19/2023 revealed, . This facility coordinates assessments with the preadmission screening and resident review (PASRR) 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: . 7. Any Level II resident who experiences a significant change in status will be referred promptly to the state mental health or intellectual disability authority for additional review. 8. Any resident who exhibits a newly evident or possible serious mental disorder, intellectual disability, or a related condition will be referred…

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 facility policy review, the facility failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by date, food items not discarded by the use-by date, spoiled foods not discarded, food items without an identifying label, food items improperly stored, and food items opened and not sealed for one (1) of three (3) kitchen observations and had the potential to affect all residents who receive food items from the kitchen. Findings Include: A review of the facility's policy, Food and Supply Storage, revised 1/22, revealed, . All food .shall be stored in such a manner as to prevent contamination .Procedures .Cover, label and date unused portions and open packages .Discard food past the use-by or expiration date .Dry Storage .Foods that must be opened must be store in .approved containers that have tight-fitting lids .Hang scoop. Scoops may be stored in bins on a scoop holder .Refrigerated Stored .sort produce daily to remove spoiled pieces . On 10/23/23 at 11:45 AM, during 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.

Based on interviews, record review, and facility policy review the facility failed to ensure grievances related to dietary services were resolved for ten (10) of 24 sampled residents. (Resident #1, #18, #22, #42, #58, #61, #67, #94, #96 and #104) Findings include: Review of the facility's, Grievance Policy revised 06/23/23 revealed, .To ensure the resident, our resident representatives right, to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without the fear of discrimination or reprisal .Responsibilities .The facility will review grievances in a timely manner and must make prompt efforts to resolve grievances .Procedure .4. Grievances may be voiced orally to the department manager, to the Grievance Official, during resident council .8. Any immediate action needed to prevent further violations of any residents' rights will be taken .10. The grievance official will take steps to resolve the grievance and record information about the grievance and those actions on the grievance form. 11. Steps to resolve 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 observation, staff interviews, record review, and facility policy review, the facility failed to ensure staff washed or sanitized hands during Percutaneous Endoscopic Gastrostomy (PEG) site care for one (1) of two (2) residents reviewed with PEG tubes. Resident # 38 Findings Include: Review of the facility's policy, Infection Prevention and Control Program Policy, revised 8/22/2019, revealed, Purpose: To establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections . During PEG site care, on 10/24/23 at 10:20 AM, for Resident # 38, Licensed Practical Nurse (LPN) #1 did not wash or sanitize her hands or change her gloves after removing the soiled dressing from the PEG site. She used the same gloves to clean the site. LPN #1 also did not wash or sanitize her hands before she donned a clean pair of gloves and applied the treatment to the PEG site. On 10/25/23 at 02:38 PM, in an interview with LPN #1, she confirmed…

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 interviews, record review, and facility policy review, the facility failed to provide written notification of transfer to the resident and the Resident's Representative (RR), for a resident transferred to the hospital for one (1) of two (2) resident records reviewed for hospitalizations. Resident #65 Findings include: Record Review of the facility's policy, Resident Transfer and Discharge Policy, with a revision date of 3/11/22, revealed, . 7. Emergency Transfers/Discharges initiated by the facility for medical reasons e. Complete and send the following forms at the time of transfer: i. Notice of Bed Hold for the resident representative ii. Notice of transfer for the resident representative . At 12:35 PM on 10/23/23, in an interview with Resident #65, she revealed she had been admitted to the hospital several times due to tremors and pneumonia. She stated she was not given anything in writing from the facility at the time of her transfers to the hospital. A record review of the Physician Order Sheet, for Resident #65, revealed there was an order dated 9/18/23, to send 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 interviews, record review and facility policy review, the facility failed to provide the Resident and the Resident Representative (RR) with written notification of the bed hold policy at the time of transfer to the hospital for one (1) of two (2) residents reviewed for hospitalizations. Resident #65 Findings include: Record Review of the facility's policy, Notice of Bed Hold and Return Policy, with a revision date of 1/9/20, revealed, It is the policy of this facility to provide written information to the resident and/or the resident representative regarding bed hold policies prior to and upon transferring a resident to the hospital . On 10/23/23 at 12:35 PM, in an interview with Resident #65, she revealed she had been admitted to the local hospital several times due to tremors and pneumonia. She stated at the time of her hospitalizations, she had not received anything in writing from the facility regarding their bed hold policy. A record review of the Physician Order Sheet, for Resident #65, revealed there an order dated 9/18/23, to send the resident to the ER (Emergency…

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 facility policy reviews, the facility failed to properly sanitize the food processors for pureed diets which could affect 11 of 11 residents receiving puree diets for one (1)of three (3) days survey. Findings include: Review of the facility policy titled Dietary Employee Hygiene and Personal Cleanliness, revealed, Purpose: To maintain a high level of sanitation during all activities in the food service area .Test solutions with test strips regularly to ensure that they are maintaining the proper strength of sanitizer for food contact surfaces .Concentration - not using enough sanitizing agent will result in an inadequate reduction of microorganisms. On 03/03/21, 11:02 AM, during an Observation of the kitchen three compartment sink revealed a dietary staff member #1 was washing a food processor. Dietary staff member #1 washed the food processor in the soapy water, rinsed it in the second sink and placed the food processor in the third sink of clear water. The dietary member took the food processor out of the water and was walking away when…

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 reviews, and facility policy review, the facility failed to maintain a medication error rate of less than five percent (5%) for one of six (6) medication administration observations. The medication error rate was seven (7) percent. Resident #66. Findings include: Review of the facility's policy titled, Administration and Charting of Medications Policy, dated April 2019, revealed: It is the policy of this facility to administer medications per physician's order. All medications shall be administered and charted under the supervision of licensed personnel in accordance with laws and regulations governing such acts. Administer the medications and ensure that the resident swallows medications administered via oral route. On 03/03/21, at 08:45 AM, upon entrance into Resident # 66's room, with LPN #2, a medication cup was observed on the bedside table with two (2) pills in the cup. On 03/03/21, at 8:50 AM, interview with LPN #2 revealed the medication looks like her evening medication was not given on 3/2/21 by the medication nurse. LPN #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 observation, staff interviews, record reviews, and facility policy reviews the facility failed to prevent the possible spread of infection as evidenced by the wound care nurse touching multiple surfaces with contaminated gloves for one (1) of four (4) wound care observations. Resident #74. Findings Include: The facility's policy, Clean Dressing Change, reviewed date 3/11/2020 revealed, To provide wound care in a manner to decrease potential for infection and/or cross-contamination. On 03/04/21, at 08:54 AM, an observation of wound care being done by Licensed Practical Nurse (LPN) #1/Wound Care Nurse. LPN #1/Wound Care Nurse applied clean gloves and closed the privacy curtain with right gloved hands. She picked up the bed control, adjusted the bed, and removed Resident #74's wound dressing without changing gloves. A record review of Resident #74's Face Sheet revealed resident was admitted on [DATE], with a primary diagnosis of unspecified Dementia Disturbance. A record review of the Physician order,…

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.