Trend Health & Rehab Of Meridian LLC

Based on record review, staff interview, and facility policy review, the facility failed to ensure PRN (as needed) psychotropic medications were limited to a 14-day duration or renewed with documented physician rationale for one (1) of three (3) sampled residents. Resident #1. Findings include:A review of the facility's policy Use of Psychotropic Medication(s), dated 4/28/25 revealed .Policy: It is the intent of this policy to ensure that residents only receive psychotropic medications when other nonpharmacological interventions are clinically contraindicated.Policy Explanation and Compliance Guidelines: 16. Psychotropic medications used on a PRN (as needed) basis must have a diagnosed specific condition and indication for the PRN use documented in the resident's medical record and is subject to the limitations as noted: a. PRN orders for psychotropic medications, excluding antipsychotics, shall be limited to no more than 14 days.b. PRN orders for antipsychotic medications only, shall be limited to 14 days with no exceptions. A record review of the admission Record revealed 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 record review, staff interview, and facility policy review, the facility failed to ensure the comprehensive care plan was revised when a resident experienced multiple falls and failed to ensure all care plan interventions were dated to reflect new or revised individualized interventions for one (1) of three (3) sampled residents. Resident #1Findings include:A review of the facility's policy Care Plans - Comprehensive, dated 10/2016, revealed .An individualized (person centered) comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident.Policy Interpretation and Implementation.6. Identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident.8. Assessments of residents are ongoing and care plans are revised as information about the resident and the resident's condition change.A record review of the Care Plan Report revealed Resident #1 had a Focus of (Proper Name of Resident) had an actual fall…

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 clinical judgment, the facility failed to ensure a resident received treatment and care in accordance with professional standards and physician orders to maintain or improve respiratory status. This failure was evidenced by not administering Albuterol Sulfate HFA (Hydrofluoroalkane) Inhalation Aerosol Solution 108 (90 Base) mcg/act (micrograms/actuation) as ordered for shortness of breath and/or wheezing. This deficient practice affected one (1) of (1) resident (Resident #11) reviewed for respiratory care.Findings Include:A review of the facility's policy, Specific Medication Administration Procedures II B8 Oral Inhalation Administration, revised January 2018, revealed, . Sequencing of inhaler medication: Bronchodilators are given first (example: albuterol), short-acting agents before long-acting agents.A record review of Resident #11's admission Record revealed the facility admitted the resident on 6/24/25 with diagnoses including Chronic Diastolic Congestive Heart Failure and Essential (Primary) Hypertension.A record review of Resident #11's…

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 interviews, record review and facility policy review, the facility failed to provide necessary care and services to assist a resident with a known diagnosis of depression and anxiety in adjusting to a significant life stressor (bereavement) for one (1) of sixteen (16) sampled residents (Resident #9).Findings include:A record review of the policy Dignity and Respect, no date, revealed, You have the right to dignity and respect in the care you receive and the setting you live in. This includes the right .aims to reach or maintain for you the highest achievable level of physical, mental, and social well-being .On [DATE] at 2:20 PM, during an initial interview, Resident #9 told SA that her son had recently died, and she needed to talk with someone about it. When asked if she had informed staff, she stated, I have told every person who comes into my room. When asked if she would like to speak with Social Services or a therapist, she responded, Yes, one of them.On [DATE] at 2:27 PM, SA observed Certified…

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 facility policy review, the facility failed to ensure medications were securely stored and not accessible to residents for one (1) of 16 sampled residents, Resident #16. Findings include: A review of the facility's policy titled, Medication Storage in the Facility, undated, revealed, .Only licensed nurses, pharmacy personnel, and those lawfully authorized to administer medications (such as medication aides) are permitted to access medications. Medication rooms, carts, and medication supplies are locked when not attended by persons with authorized access.On 7/22/25 at 8:33 AM, during an observation of Resident #16's room, a bottle of TUMS and a bag of cough drops were noted in the resident's bedside basket. On 7/22/25 at 11:15 AM, during an observation and interview, the Director of Nursing (DON) accompanied the surveyor to Resident #16's bedside and confirmed that the TUMS and cough drops were present in the resident's room.On 7/22/25 at 11:30 AM, during an interview, the DON stated that medications are not to be stored at 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 interview, record review and facility policy review the facility failed to prevent the possibility of the spread of infection as evidenced by no barrier used during eye drops (Resident #13) and not properly cleaning a glucometer between residents (Residents #12 and 24) for three (3) of nine (9) direct care observations. Resident # 12, Resident #13 and Resident #24. Findings Include: Review of the facility's policy, Infection Prevention and Control Program, revised 5/23 revealed, .Policy Explanation and Compliance Guidelines .10. Equipment Protocol: a. All reusable items and equipment requiring special cleaning, disinfection, or sterilization shall be cleaned in accordance with our current procedures governing the cleaning and sterilization of soiled or contaminated equipment . Review of the facility's policy, Specific Medication Administration Procedures, revised 1/2018 revealed, .Procedures .G. Use a barrier (e.g., clean disposable tray or plastic cup) to carry medication containers into the resident's room .This will serve as a barrier between 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 resident and staff interview, record review, and facility policy review, the facility failed to prevent abuse of a resident for one (1) of four (4) residents reviewed for abuse. Residents #25 Findings include: A review of the facility's Abuse Policy and Procedure, undated, revealed, Each resident of this facility has the right to be free from .physical .abuse .Abuse is defined as the willful infliction of injury .with resulting physical harm, pain or mental anguish . In an interview, on 04/10/24 at 10:00 AM, with Resident #25, he stated that on 04/09/24 on the 3-11 shift while being transferred from his wheelchair to his bed. He stated Certified Nurse Aide (CNA) #1 was rough with him. Resident #25 revealed the CNA positioned the lift sling underneath him and when she put the leg straps around his legs, she jerked up on them real hard. He stated that he told her that it hurts when she does that and the other nurse aides do not have to do it that way, but she did not respond to him. He admitted that he had not reported this to anyone. An interview on 04/10/24 at 3:15 PM, with…

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 interview, record review and facility policy review the facility failed to report abuse in a timely manner for one (1) of four (4) residents reviewed for abuse. Residents #25 Findings include: A review of the facility's policy, Staff Reporting, revised 3/21/22, revealed, All employees of this facility must immediately report any incidents or suspected incident of resident . abuse . Any employee who has knowledge or reason to believe that a resident has been a victim of abuse is under a duty to immediately report such incident or suspicion to the charge nurse or administrator without fear of reprisal . On 4/10/24 at 10:00 AM, in an interview with Resident #25, he stated that on 4/09/24 on the 3-11 shift, Certified Nurse Aide (CNA) #1 was rough with him during a transfer. He stated the CNA placed the sling underneath him and then she put the leg straps around his leg, and jerked on it hard, causing him pain. He stated he told the CNA that it hurt, and the other CNAs do not do it that way, but she did not respond to him. On 4/10/24 at 3:15 PM, Resident #25…

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, facility investigation and policy review, the facility failed to protect a resident from misappropriation of property for one (1) of four (4) residents sampled. Resident #1 Findings include: A review of the facility's policy, Abuse Policy and Procedure, dated 1/24/22, revealed .Each resident of this facility has the right to be free from verbal, sexual, physical and mental abuse, involuntary seclusion, corporal punishment, neglect and/or misappropriation of resident property . A review of the facility's policy Vulnerable Adult Act dated 3/21/22 revealed, A 'Vulnerable Adult' is any adult person unable to care for his or her self due to a physical or mental decline .Any nursing home resident is considered to be a vulnerable adult .the following situations are considered CRIMES OF ABUSE against a vulnerable adult .5. Theft or misuse of a resident's personal belongings, personal funds (sic), or bank account .It is the policy of this facility that no employee shall accept any gifts, money, or things from a resident . Record review of the facility's…

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 staff, resident and Resident Representative interviews, record reviews, and facility's policy review, the facility failed to provide an activities program on weekends for three (3) of 49 residents. Resident #14, Resident #44, and Resident #45. Findings include: Review of the facility's policy, Activities Program dated 12/2008 revealed, .An ongoing program of activities is designed to meet the needs of each resident .2. Activities are scheduled daily .6. Individualized and group activities are provided that .b. Are offered at hours convenient to the residents, including evenings, holidays and weekends . Record review facility's Activities Calendar for December 2022 revealed there were scheduled activities on weekends that would require the assistance of the facility staff to implement for the residents. Resident #14 In an interview on 01/03/23 at 12:46 PM, with Resident #14's daughter, she said Resident #14 was a pastor of a church and enjoyed spiritual activities, such as listening to gospel music, talking to people, and having the Bible read to him. She stated that she had…

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 interview, record review, and facility policy review, the facility failed to provide incontinent care in a manner to prevent the possibility of urinary tract infections (UTI) for one (1) of two (2) residents reviewed for incontinent care. Resident #42. Findings include: Review of the facility's, Perineal Care Policy revised 1/2010, revealed .It is the policy of the facility to provide perineal cleanliness and comfort to the resident, to prevent infections .Procedure .For a female resident .b. Wash perineal area .c. Instruct or assist the resident to turn on her side .e. Wash the rectal area thoroughly . During observation of incontinent care on 01/03/23 at 11:00 AM, the State Agency (SA) observed Certified Nurse Aide (CNA) #1 providing incontinent care. CNA #1 began incontinent care by turning the resident on her side and wiping her rectal area. She then placed a clean brief on the resident and positioned her in the bed. CNA #1 did not clean the front perineal area of the resident. During an interview on 01/05/23 at 01:47 PM, the Director of Nursing (DON)…

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, record reviews, and facility's policy review the facility failed to prevent the possible spread of infection by placing dirty linen directly onto the floor and not washing or sanitizing hands after contact with body fluids during incontinent care for one (1) of two (2) residents reviewed for incontinent care. Resident # 42. Findings Include: Review of the facility's policy, Infection Prevention and Control Program, dated 9/2022, revealed, .This facility has established and maintained 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 as per accepted national standards and guidelines .Policy Explanation and Compliance Guidelines: .9. Equipment Protocol .c. Reusable items potentially contaminated with infectious materials shall be placed in an impervious clear plastic bag .11. Linens: a. Laundry and direct care staff shall handle, store, process, and transport linens to prevent spread of infections…

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.