Louisburg Healthcare and Rehabilitation Center

Inspectors wroteThe facility reported a census of 54 residents, one kitchen and one kitchenette. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to prevent the potential for food borne bacteria. This placed the residents at risk of food borne illnesses.

Inspectors wroteThe facility reported a census of 54 residents; the sample included 16 residents. Based on interviews, record reviews and observation, the facility failed to ensure a safe and sanitary environment in all areas of the facility including the laundry area. This deficient practice placed the residents at risk for contaminated laundry.

Inspectors wroteThe facility reported a census of 54 residents; the sample included 16 residents. Based on interview, observation, and record review, the facility failed to inform Resident (R) 4, R8, R18, R43 and R49 and/or their representative regarding the risks related to psychotropic (alters mood or thoughts) medications. These practices had the potential to lead to uninformed decisions regarding treatment.

Inspectors wroteThe facility reported a census of 54 residents. The sample included 16 residents including one resident reviewed for dignity. Based on observation, interview, and record review, the facility failed to show respect and dignity to one Resident (R) 10 when staff left the window-blinds open during cares. This placed the resident at risk for impaired dignity and embarrassment.

Inspectors wroteThe facility reported a census of 54 residents; the sample included 16 residents. Based on observation, interview, and record review the facility failed to complete a thorough Minimum Data Set (MDS) for Resident (R)10, when staff did not complete the analysis of findings for the triggered Care Area Assessments (CAA). This placed the resident at risk for impaired care due to unidentified care needs.

Inspectors wroteThe facility reported a census of 54 residents; the sample included 16 residents. Based on interviews, record reviews and observation, the facility staff failed to implement adequate Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) personal protective equipment (PPE- gowns, face shields and/or eyeglasses/goggles, and gloves) for Resident (R) 8 while accessing her gastrostomy tube (G-tube: tube surgically placed through an artificial opening into the stomach) for flushing. The facility failed to ensure a sanitary environment in the laundry area. This deficient practice placed the resident at risk infections related to lack of proper PPE usage and possible contaminated laundry.

Inspectors wroteThe facility reported a census of 54 residents. Based on observation, interview, and record review, the facility failed to ensure the posted daily nurse staffing sheets included accurate and identifiable information to include the daily licensed and unlicensed staff actual worked hours.

Inspectors wroteThe facility reported a census of 54 residents. Based on interview and record review, the facility failed to electronically submit complete and accurate staffing information to the Federal regulatory agency through Payroll-Based Journaling (PBJ) when the facility failed to accurately submit hourly staffing data for all weekend personnel. The facility failed to submit complete and accurate staffing information to the Federal regulatory agency through PBJ when the facility failed to accurately submit hourly staffing data for all weekend personnel.

Inspectors wroteThe facility reported a census of 33 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria.

Inspectors wroteThe facility reported a census of 33 residents. Based on interview and record review, the facility failed to provide residents opportunities to change their declinations for the influenza/pneumococcal vaccine.

Inspectors wroteThe facility reported a census of 33 residents. Based on interview and record review, the facility failed to provide residents opportunities to change their declinations for the COVID vaccination.

Inspectors wroteThe facility reported a census of 33 residents with 16 residents selected for review, which included two residents reviewed for range of motion. Based on observation, interview, and record review, the facility failed to provide consistent restorative services to one Resident (R)6 of the two residents reviewed for range of motion.

Inspectors wroteThe facility reported a census of 33 residents, with 16 residents sampled, including six residents reviewed for accidents. Based on interview, record review, and observation, the facility failed to ensure appropriate interventions initiated for one Resident (R)12, and failed to utilize appropriate interventions to prevent a fall for R 139, which resulted in a non-injury fall when staff failed to utilize a gait belt while toileting the resident.

Inspectors wrote- Review of resident R7 Physician Order Sheet, dated 12/30/21, revealed diagnoses included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), dementia (progressive mental disorder characterized by failing memory, confusion) and abnormality of gait and mobility. - The Quarterly Minimum Data Set (MDS), dated [DATE], assessed the resident Brief Interview for Mental Status (BIMS) of 15, that indicated the resident had normal cognition. The resident required supervision for transfers and ambulated with a walker. The resident's balance was always steady and the resident had no impairment in functional range of motion in her upper or lower extremities. [...]

Inspectors wroteThe facility reported a census of 39 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions to prevent the spread of food borne illnesses to the residents of the facility.

Inspectors wroteThe facility had a census of 39 residents. Based on observation, record review, and interview, the facility failed to provide a sanitary environment for residents and staff in the kitchen.

Inspectors wroteThe facility reported a census of 39 residents. Based on observation, record review, and interview the facility failed to maintain a comfortable room temperature for one resident's room.

Inspectors wroteThe facility reported a census of 39 residents with 15 residents sampled. Based on interview and record review, the facility failed to complete an accurate quarterly assessment for one Resident (R)135, regarding falls.

Inspectors wrote- Review of resident R7 Physician Order Sheet, dated 12/30/21, revealed diagnoses included Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), dementia (progressive mental disorder characterized by failing memory, confusion) and abnormality of gait and mobility. The Quarterly Minimum Data Set (MDS), dated [DATE], assessed the resident Brief Interview for Mental Status (BIMS) of 15, that indicated the resident had normal cognition. The resident required supervision for transfers and ambulated with a walker. The resident's balance was always steady, and the resident had no impairment in functional range of motion in her upper or lower extremities. [...]

Inspectors wroteThe facility reported a census of 39 residents with 15 residents included in the sample, including four residents reviewed for Activities of Daily Living (ADLs). Based on observation, interview, and record review, the facility failed to ensure appropriate personal hygiene was provided for two dependent Residents (R)33, regarding facial shaving and R 29, regarding nail care.

Inspectors wroteThe facility reported a census of 39 residents with 15 selected for review which included three residents reviewed for skin conditions/non-pressure wounds. Based on observation, interview and record review, the facility failed to provide wound care in a sanitary manner to one resident (R)7's vascular heel ulcer (a wound caused by poor circulation.)