Hampton Nursing and Rehabilitation

Inspectors wroteBased on interview and record review, the facility failed to ensure adequate nursing staff to ensure that the needs of the residents were met, resulting in insufficient and unmet resident care needs, and residents' feelings of frustration.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents were treated with dignity and had their needs met timely for a private group of residents and Resident #10, Resident #39 and Resident #41, resulting in complaints of being talked down to, feelings of sadness , diminished self-worth and not having their needs met as they wished.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide a homelike shower room for the 100-Hall and failed to ensure a clean functioning shower room for the 200-Hall shower room for all residents who use the shower rooms for hygiene, resulting in black residue on shower tiles, chipped off sharp tile edges and a non-functioning shower on the 200-Hall.

Inspectors wroteBased on observation, interview and record review, the facility failed to 1) Follow care plans for Activities of Daily living (ADL) care for two residents (#5, #96) and 2.) follow care plan for daily dressing change for Resident #18, resulting in Resident #18 and Resident #96 to appear to be in need of showers and hair care, and Resident #18 to have a post-surgical incision dressing change timely.

Inspectors wroteBased on observation, interview and records review, the facility failed to ensure that Activities of Daily Living (ADL) care was provided for 5 Residents (#5, #10, #38, #41 and #96) of 5 residents reviewed for personal hygiene/showers, resulting in poor hygiene and the potential for skin irritation, body odor and feelings of embarrassment, diminished self-worth, complaints of unkempt personal hygiene, feelings of sadness, overall feeling bad and a lack of dignity.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a dressing change was completed as ordered for one resident (Resident #18) of 2 residents reviewed for skin, resulting in Resident #18 having a lower back post-surgical incision with dressing that was not changed daily as ordered with the likelihood for infection and prolonged illness.

Inspectors wroteBased on observation, interview and record review, the facility failed to follow care-planned interventions and prevent skin breakdown for one resident (Resident #6) out of three residents reviewed for skin problems, resulting in new skin breakdown with the likelihood of further skin breakdown and pain.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safe medication storage for the 200 Hall medication cart of 2 carts reviewed, resulting in the 200 Hall medication cart to be found parked in the middle of the 200 hallway left unlocked and accessible for residents, visitors and state surveyor to access the medications.

Inspectors wroteBased on interview and record review the facility failed to provide declination documentation and education of immunization refusal for one resident (Resident #28) of 5 residents reviewed for immunizations, resulting in the lack of documentation of resident immunization education and declination of vaccines.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide timely responses to call lights, ensure that call lights were within reach and ensure that privacy curtains were within reach and used for seven residents (Resident #1, Resident #4, Resident #20, Resident #36, Resident #38, Resident #39, Resident #244) and five rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER] and room [ROOM NUMBER]), resulting in unmet care needs, unmet privacy needs and with the likelihood of feelings of anger and hopelessness.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide Activities of Daily Living (ADL) care for four residents (Resident #5, Resident #21, Resident #33 and Resident #36) out of nineteen residents reviewed for ADL care, resulting in long jagged fingernails, missed showers and unkept appearance.

Inspectors wroteBased on observation, interview and record review, the facility failed to prevent the development of a facility-acquired pressure injury and ensure that timely nutritional care plans are updated and implemented with the development of the pressure injury for one resident (Resident #39) of three residents reviewed for pressure ulcers resulting in deep tissue injury to R39's left heel and potential for lack of nutritional intervention to hasten the healing of pressure injury and potential for pain and discomfort.

Inspectors wroteBased on observation, interview and record review, the facility failed to apply bilateral palm protectors for one resident (Resident #21) of two residents reviewed for range of motion, resulting in the likelihood of decreased range of motion and discomfort.

Inspectors wroteBased on observation, interview and record review, the facility failed to store narcotics properly for one resident (Resident #1) during the medication administration task, resulting in narcotics not being double locked and stored in a medication cup.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the resident's food preferences were honored, food was palatable, and an adequate amount of food and choices were offered according to the care plan to one resident (Resident #39), resulting in weight loss and potential for anger and frustration, malnutrition and poor wound healing.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that proper communication and documentation of Hospice services were provided to one resident (Resident#26) of two residents reviewed for hospice services, resulting in the lack of receipt of progress notes assessments to resident's medical record with ineffective or delayed communication and collaboration of services between the facility and hospice service, lack of residents and staff awareness of hospice schedule and potential for unmet needs, pain and suffering.

Inspectors wroteBased on observation, interview and record review, the facility failed to wear Personal Protection Equipment (PPE) properly in Enhanced Barrier Precautions (EBP) rooms (101, 103 and 208), resulting in the likelihood of cross-contamination and further spread of the infections requiring barrier precautions.

Inspectors wroteBased on interview and record review, the facility failed to follow the plan of care and provide appropriate assistance (2-person transfer) during a transfer in bed for one resident (Resident #1) of three residents reviewed for transfer status, resulting in the resident rolling out of bed, sustaining a right upper arm abrasion and a left lower leg skin tear with the likelihood of further injury.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain plumbing in good repair, and store nursing supplies in a manner that protects the integrity of the packaging, resulting in the potential for the contamination of domestic water supplies and the contamination of supplies, affecting all residents and staff in the building.

Inspectors wroteBased on observation, interview and record review, the facility failed to operationalize policies and procedures to ensure medication and medical supply storage and disposal per professional standards of practice for one of one medications' room and one resident (Resident #30) of one resident reviewed, resulting in a lack of documentation of refrigerated medication temperature monitoring, medications stored at Resident #30's bedside, expired medications and medical supplies, and the potential for unauthorized medication administration and for all residents to receive medications and medical supplies with altered efficiency.

Inspectors wroteThis Citation Pertains to Intake Number MI00136782. Based on interview and record review, the facility failed to employ policies and procedures to ensure that one resident (Resident #12) of four residents reviewed were spoken to and treated in a respectful and dignified manner resulting in a staff member using profane language when speaking to the Resident, calling the Resident a f***ing bi**h, and with the likelihood for psychosocial distress utilizing the reasonable person concept.

Inspectors wroteThis Citation pertains to Intake Number MI00129487 Based on interview and record review the facility 1) Failed to complete a pain assessment and administer pain medications, 2) Failed to investigate an allegation of roughness during care that led to untreated shoulder pain, and 3) Failed to to readmit Resident #47 after evaluation at the emergency room for untreated pain, resulting in Resident #47 being repositioned incorrectly by facility staff which caused excruciating shoulder pain that was not appropriately addressed by the facility. Subsequently the resident was transferred to the emergency room and upon return (a few hours later) was refused readmission to the facility. Findings Include: Resident #47: [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to implement and operationalize policies and procedures for comprehensive assessment, monitoring, and management of skin integrity and prevention pressure ulcers (wounds caused by pressure) for one resident (Resident #2) of two residents reviewed, resulting in a lack of implementation and monitoring of planned interventions, lack of comprehensive assessment and documentation of skin integrity, and Resident #2 developing a Deep Tissue Injury (DTI- pressure injury with unknown depth) pressure ulcer, unnecessary pain, and the likelihood for decline in overall health status.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure administration of enteral feeding (liquid nourishment provided directly into the stomach through a feeding tube) solution per professional standards of practice and manufacturer recommendations for one (#4) of one resident reviewed, resulting in tubing being utilized longer than recommended time frame, and the potential for infection and illness.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide a Percutaneous Inserted Central Catheter (PICC) line per standards of practice for one resident (Resident #6), resulting in cross-contamination with the likelihood of infection.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide Continuous Positive Airway Pressure (CPAP) storage and cleaning per standards of practice for two residents (Resident #33, Resident #40), resulting in cross-contamination, dirty equipment with the likelihood of infection.