Accura Healthcare of Pomeroy, LLC

Inspectors wroteBased on observations, staff interviews, Electronic Health Record (EHR) review, and policy review, the facility failed to complete appropriate hand hygiene for 3 of 4 residents observed (Resident #16, #19 and #20). The facility further failed to apply a gown when completing catheter care on a resident (Resident #2) with Enhanced Barrier Precautions (EBP). The facility reported a census of 24 residents.

Inspectors wroteBased on clinical record review, staff interviews, and policy review the facility failed to ensure resident's current code status was available for 1 out of 14 residents reviewed (Resident #10). The facility reported a census of 24 residents.

Inspectors wroteBased on clinical record review, Center for Medicare and Medicaid (CMS) Long Term Care (LTC) Facility Resident Assessment Instrument (RAI) User Manual and staff interview the facility failed to complete a Minimum Data Set (MDS) Significant Change in Condition Assessment (SCSA) for 2 of 14 residents reviewed (Resident #3 and #5). The facility reported a census of 24 residents.

Inspectors wroteBased on clinical record review and staff interviews, the facility failed to provide care and services according to accepted standards of clinical practice for 1 of 1 resident reviewed (Residents #15) for insulin administration. The facility reported a census of 24 residents.

Inspectors wroteBased on staff interview, resident interview and Electronic Health Record (EHR) review the facility failed to provide treatment and services to residents that had decreased range of motion to prevent further decrease in range of motion to 2 of 4 residents (Resident #5 and #16). The Facility reported a census of 24 residents.

Inspectors wroteBased on observation, interview and record review the facility failed to provide complete assessments and interventions for 1 of 5 residents reviewed. Staff reported that Resident #2 had on-going agitation that lead to hitting of staff, and regular bruising on his arms from various causes. The chart lacked documentation of these concerns until 7/5/25, when he reported allegations of rough treatment with dark bruising on his arms. The facility reported a census of 26 residents.

Inspectors wroteBased on observation, interviews and record review the facility failed to administer medications as ordered for 2 of 5 residents reviewed (Resident #1 and #3.) Within a 5-week timeframe staff reported 3 medication errors for Resident #1. Staff left medications for Resident #3 unattended, and the cup of pills was later discovered on the food tray in the kitchen. The facility reported a census of 26 residents.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that staff were orientated and trained to care for residents. Temporary nurses and Certified Nurse Aides (CNA) were expected to perform the job duties without proper training. The facility reported a census of 36 residents.

Inspectors wroteBased on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report for Quarter 1, 2025 review, facility staffing reports review, and staff interviews, the facility failed to submit accurate staff reports for the PBJ Staffing Data Report. The facility reported a census of 26 residents.

Inspectors wroteBased on clinical record review, staff interviews, and facility policy, the facility failed to notify the physician and family regarding a skin condition after a fall (Resident #1). The facility reported a census of 26 residents.

Inspectors wroteBased on clinical record review and staff interview the facility failed to notify the Long Term Care (LTC) Ombudsman for 1 of 1 residents reviewed who transferred to the hospital (Resident #9). The facility reported a census of 26 residents.

Inspectors wroteBased on observation, interviews and record review the facility failed to develop a comprehensive care plan for 1 of 13 residents reviewed. Staff utilized a seat buckle in the wheel chair for Resident #15 and the care plan lacked a focus area or interventions for monitoring. Staff failed to include the details related to seat buckle use and did not define interventions to be used during the use of seat buckle. The facility reported a census of 26 residents.

Inspectors wroteBased on record, policy, and chart review, the facility failed to follow through with physician's orders for 1 of 13 residents reviewed. Staff were monitoring the blood glucose levels for Resident #23 four times a day and the physician directed them to contact him/her according to the established parameters. In a 3-month timeframe, the blood glucose levels were outside those parameters 8 times, and staff failed to contact the doctor. The facility reported a census of 26 residents.

Inspectors wroteBased on observation, interview and record review the facility failed to follow through with an intervention for edema management for 1 of 1 resident reviewed. Resident #23 had chronic edema and staff were directed to apply edema wear to her lower extremities in the morning and to remove it at night. The resident was observed to be without the compression stockings all day and staff documented that the task had been completed. The facility reported a census of 26 residents.

Inspectors wroteBased on interview and record review the facility failed to notify family and physician after a medication error for 1 of 1 Resident reviewed, (Resident #25). From 2/16/24 - 3/12/24, Resident #25 was given 40 milligrams (mg) of pantoprazole instead of the prescribed 20mg daily dose. The facility reported a census of 37 residents.

Inspectors wroteBased on observation, record review and interviews the facility failed to ensure care plan was updated in a timely manner for 1 of 14 residents reviewed, (Resident #1). Resident #1 had specific orders for her bilevel positive airway pressure (BiPAP) machine. On 3/8/24, the order changed from 2liters (L) of oxygen to 6L and the care plan did not reflect this change. The facility reported a census of 37 residents.

Inspectors wroteBased on observation, interview and record review the facility failed to follow physician's orders for 2 of 14 residents reviewed, ( Residents #25 and #1). Resident #25 had an order for pantoprazole 20 milligram (mg), when the pharmacy sent 40mg tablets, staff failed to check the right dose and administered the wrong dose daily, from 2/16/24 through 3/12/24. Resident #1 had specific orders for her bilevel positive airway pressure (BiPAP) machine, staff failed to set the oxygen on the correct level. The facility reported a census of 37 residents.

Inspectors wroteBased on observation, interview and record review the facility failed to assess and intervene in a timely manner for 1 of 14 resident reviewed, (Resident #6). Resident #6 fell out of his wheel chair when it rolled off of the van lift. He sustained an injury to his right foot and staff failed to contact the doctor when the resident had reported increase in pain and decrease in movement. The facility reported a census of 37 residents.

Inspectors wroteBased on interviews, record and policy review the facility failed to provide post-dialysis assessments for 1 of 1 resident reviewed, (Resident #12). The facility reported a census of 37 residents.