Dyersburg Health And Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to provide an environment free of hazardous materials for 1 of 68 (Resident #52) sampled for accident hazards. The findings include: 1. Review of the facility revised policy titled, Environmental Services Safety Procedures, dated 3/1/2025, revealed .It is the policy of this facility to ensure general safety procedures.Staff will ensure equipment ( .cords, ladders, or chemicals) is properly stored and not left unattended in areas that are accessible to residents. 2. Review of the medical record revealed Resident #52 was admitted to the facility on [DATE], with diagnoses including Chronic Obstructive Pulmonary Disease, Anxiety, and Seizures. Review of the annual Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #52 did not have a Brief Interview for Mental Status (BIMS) score completed and had modified independence for cognitive skills for daily decision making. Observation in Resident #52's room 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to follow physician's orders and provide care and services for oxygen therapy for 1 of 4 (Resident #7) sampled residents reviewed for respiratory care. The findings include: 1. Review of the undated facility policy titled, Oxygen Administration, revealed .Oxygen is administered to residents who need it, consistent with professional standards of practice.Oxygen is administered under orders of a physician. Review of the undated facility policy titled, Medication Administration, revealed .Medications are administered by licensed nurses.as ordered by the physician. 2. Review of the medical record revealed Resident #7 was admitted to the facility on [DATE], with diagnoses including Paraplegia, Epilepsy, Tracheostomy, Muscle Weakness, and Chronic Obstructive Pulmonary Disease. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #7 was severely cognitively impaired, coded for oxygen…

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 facility policy review, medical record review, observation, and interview, the facility failed to ensure that residents received the necessary treatment and services consistent with professional standards of practice to promote healing when the facility failed to document wound care treatments for 1 of 3 (Resident #1) sampled residents reviewed for pressure ulcers. The findings include: 1. Review of the facility policy titled, Wound Treatment Management, dated 12/3/2024, revealed .Wound treatments will be provided in accordance with physician orders .Treatments will be documented on the Treatment Administration Record . 2. Review of medical record revealed Resident #1 was admitted to the facility on [DATE], with diagnoses including Osteomyelitis of Vertebra, Sacral and Sacrococcygeal Region, Pressure Ulcer of Sacral Stage 4, and Paraplegia. Review of the Physician's Order dated 5/11/2024, revealed .CLEAN L [left] GROIN W/ [with].SKIN PREP PERIWOUND MIX SSD [silver sulfadiazine a topical antibiotic]…

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 policy review, medical record review, observation, and interview, the facility failed to ensure respiratory equipment was stored properly and covered for 4 of 7 sampled residents (Resident #13, #28, #41, and #136) reviewed for respiratory care and 2 of 2 nurses (Licensed Practical Nurse (LPN) #3 and #4) failed to provide proper respiratory care for 1 of 1 sampled resident (Resident #22) observed for tracheostomy care. The findings include: Review of the facility's policy titled, Administering Medications through a Small Volume (Handheld) Nebulizer, revised 10/2010, revealed .Store in a plastic bag with the resident's name and the date on it . Review of the medical record, revealed Resident #13 was admitted to the facility on [DATE], with diagnoses of Fracture of the Right Femur, Dementia, Anxiety, Osteoarthritis, Cerebral Infarction, Depression, Morbid Obesity, and Hypertension. Review of the Physician's Order dated 4/1/2021, revealed an order for CPAP (Continuous Positive Airway Pressure) at night 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.

Based on policy review, observation, and interview, the facility failed to promote and enhance the residents' dignity when staff did not close the blinds when performing pressure injury treatments, did not knock on the residents' doors prior to entering the residents' room, and did not close the blinds when weighing a resident for 5 of 25 sampled residents (Resident #75, #30, #47. #71, and #23) reviewed. The findings include: Review of the facility's policy titled, Quality of Life--Dignity, revised 8/2009, showed .Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality .Residents shall be treated with dignity and respect at all times .Staff will knock and request permission before entering residents' rooms . 1. Observation in the resident's room on 1/12/2020 at 2:30 PM, showed Registered Nurse (RN) #2 entered Resident #75's room without knocking or verbally announcing her presence. Observation in the residents' shared room on 1/13/2020 at 8:20 AM, showed Certified Nursing Assistant (CNA) #9 entered Resident #30 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 medical record review, observation, and interview, the facility failed to provide and document treatments for arterial wounds for 1 of 1 sampled residents (Resident #47) reviewed with arterial wounds (wounds caused by poor blood perfusion and circulation to the lower extremities). The findings include: Review of the medical record, showed Resident #47 was admitted to the facility on [DATE] with diagnoses of Unspecified Open Wound Right Ankle, Diabetes, Diabetic Neuropathy, Hypertension, Atherosclerotic Heart Disease, Anxiety, Peripheral Vascular Disease, and Dementia. Review of the significant change Minimum Data Set (MDS) dated [DATE], showed Resident #47 had 1 venous/arterial wound. Review of the Care Plan revised 11/13/2019, showed, .Right Ankle Arterial wound .Interventions .administer .treatments as ordered . Review of the Physician's Orders, showed the following treatment orders: 1.Order Date .9/13/2019 .clean open area to right outer ankle with wound cleanser and apply xeroform [occlusive non…

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 review of the Prevention and Treatment of Pressure Ulcers: Quick Reference Guide, policy review, medical record review, observation, and interview, the facility failed to document ordered treatments and accurately assess pressure ulcers for 4 of 6 sampled residents (Resident #23, #32, #56, and #74) reviewed for pressure ulcers. The findings include: Review of the Prevention and Treatment of Pressure Ulcers: Quick Reference Guide, provided by the NPAUP (National Pressure Ulcer Advisory Panel) dated 2014, showed, .Stage I: Non blanchable [skin does not lose redness when pressure applied] Erythema [redness of skin]. Intact skin with non-blanchable redness of a localized area usually over a bony prominence .Stage II: Partial Thickness Skin Loss .presenting as a shallow open ulcer with a red pink wound bed .May also present as an intact or open/ruptured serum-filled blister .Stage III: Full Thickness Skin Loss .subcutaneous fat may be visible but bone, tendon, or muscle are not exposed. Slough [dead tissue]…

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 policy review, observation, and interview, the facility failed to properly store garbage in a covered dumpster on 5 of 11 days (1/15/2020, 1/17/2020, 1/18/2020, 1/20/2020, and 1/22/2020) of the survey. The findings include: Review of the facility policy titled, Food-Related Garbage and Refuse Disposal, revised 10/2017, showed, .Outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter . Observation at the facility's outside dumpsters on 1/15/2020 at 1:51 PM and 7:45 PM, showed the gate of the fence surrounding the dumpsters opened, 2 bags of trash hanging out of left side of the large dumpster, gloves and loose trash lying on the ground around the dumpsters. Observation at the facility's outside dumpsters on 1/17/2020 at 7:15 PM, showed the gate of the fence surrounding the dumpsters opened, 3 garbage bags lying on the ground on the left side of the large dumpster, 1 trash bag hanging out of the left side of the large dumpster, and 1 trash bag hanging out of the top of the large dumpster. Observation of the facility's dumpsters…

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 policy review, medical record review, observation, and interview, the facility failed to assess 2 of 2 sampled residents (Resident #36 and Resident #37) for medication self-administration. The findings include: Review of the facility's policy titled, Self-Administration of Medications, revised 12/2016, showed, .Residents have the right to self-administer medications if the interdisciplinary team has determined that it is clinically appropriate and safe for the resident to do so .As part of their overall evaluation, the staff and practitioner will assess each resident's mental and physical abilities to determine whether self-administering medications is clinically appropriate for the resident .The staff and practitioner will periodically (for example, during quarterly MDS [Minimum Data Set] reviews) reevaluate a resident's ability to continue to self-administer medications . 1. Review of the medical record, showed Resident #36 was admitted to the facility on [DATE], with diagnoses of Chronic Obstructive…

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 the medical record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were completed accurately for antipsychotic medication use, pressure injuries, and anticoagulant medication use for 3 of 28 sampled residents (Resident #21, #23, and #30) reviewed. The findings include: 1. Review of the medical record, showed Resident #21 was admitted to the facility on [DATE] with diagnoses of Dementia with Behavioral Disturbance, Major Depressive Disorder, and Hypertension. Review of the quarterly Minimum Data Set (MDS) dated [DATE], showed Resident #21 had received antipsychotic medications for 7 days of the past 7 days (10/11/2019-10/17/2019). Review of the Physician's Orders dated October 2019, showed there was no order for antipsychotic medications for Resident #21. Review of the Medication Administration Record (MAR) dated October 2019, showed no antipsychotic medications were administered to Resident #21. During an interview conducted on 1/17/2020 at 1:02 PM, the MDS…

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.