Martha Coker Green House Home

Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to maintain a clean and sanitary refrigerator, label, and date open items in the refrigerator and freezer for one (1) of six (6) houses and failed to check and record food temperatures before serving meals for four (4) of six (6) houses reviewed during survey. Findings Include: House #5 Review of the facility policy titled, Cleaning of Food and Nonfood Contact Surfaces with a revision date of 1/24, revealed under, Food Contact Surfaces . To prevent cross -contamination, kitchenware and food-contact surfaces of equipment shall be washed, rinsed, and sanitized after each use and following any interruption of operations during which time contamination may have occurred. Also revealed, Food Contact Surfaces (meaning: [...]

Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to accurately code the Minimum Data Set (MDS) assessment for discharge deposition for one (1) of 15 elder assessments reviewed.

Inspectors wroteBased on record reviews, staff interviews, and facility policy reviews, the facility failed to submit a correct Pre-admission Screening and Resident Review (PASRR) for an Elder identified as having a mental illness. This issue involved one (1) of three (3) elders reviewed for PASRR. Elder #8. Findings Included: A review of the facility's policy titled Resident Assessment-Coordination with PASARR Program revealed: This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receive care and services in the most integrated setting appropriate to their needs. A record review of the PASRR, dated 12/27/23, for Elder #8 revealed that he had a diagnosis of Schizophrenia; [...]

Inspectors wroteBased on observation, elder and staff interview, record review, and facility policy review, the facility failed to implement a comprehensive care plan for nail care for two (2) of sixteen sampled elders. Elder #7 and #31 Findings Include: Review of the facility policy titled Comprehensive Care Plans date implemented 10/2022 revealed, Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. Resident #31 Record review of Elder #31's Care Plan with a revision date of 9/11/2024 revealed, Focus: [...]

Inspectors wroteBased on observation, elder and staff interview, and facility policy review, the facility failed to provide the necessary nail care for an elder dependent on staff for assistance with Activities of Daily Living (ADL) for two (2) of sixteen sampled elders. Elder #7 and #31 Findings Include: Review of the facility policy titled, Nail Care dated 10/2022 revealed, Policy: The purpose of this procedure is to provide guidelines for the provision of care to a resident's nails for good grooming and health . 3. Routine cleaning and inspection of nails will be provided during ADL care on an ongoing basis Resident #31 During an observation and interview on 9/24/24 at 11:25 AM, with Elder #31 revealed long jagged fingernails on both hands measuring approximately three-eighths (3/8) inch in length with a dark brown substance underneath. The elder revealed he would like his nails cut. [...]

Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to use hand hygiene during wound care to prevent the possibility of the spread of infection for one (1) of four (4) care observations. Elder #44 Findings Include: Review of the facility policy titled Clean Dressing Change with no revision date revealed under, Policy: It is the policy of this facility to provide wound care in a manner to decrease potential for infection and/or cross-contamination. Record review of Elder #44's Treatment Administration Record (TAR) for September 2024, revealed an order dated 9/24/24, Apply collagen powder to wound bed. May dampen collagen powder with normal saline before application. Apply sureprep to peri area around wound, cover with bordered dressing daily until healed. every day shift for sacral wound. [...]

Inspectors wroteBased on staff interviews, record review, and facility policy review, the facility failed to accurately complete section N of the Minimum Data Set (MDS) for a resident, as evidence by the incorrect coding of anticoagulant medication use during the 7-day observation look-back period for 1 (one) out of 19 residents sampled for anticoagulant use.

Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy the facility failed to implement a resident's comprehensive care plan for fluid restriction for one (1) of 15 care plans reviewed.

Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy the facility failed to follow a resident's physician prescribed fluid restriction for one (1) of 15 resident records reviewed.

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to discard expired food, and label and date opened food items for four (4) of six (6) kitchens observed.

Inspectors wroteBased on observation, record review, facility policy review, and staff interview, the facility failed to preserve a resident's dignity by failing to provide meals to all residents at a table at the same time for one (1) of two (2) resident dinning observations, Resident #25.

Inspectors wroteBased on observation, record review, staff interview, and facility policy review, the facility failed to implement an activity care plan, for one (1) of 18 resident care plans reviewed, Resident #5.

Inspectors wroteBased on observation, resident interview, staff interview, record review, and facility policy review, the facility failed to revise Resident #19's activity care plan for one (1) of 18 care plans reviewed.

Inspectors wroteBased on observation, staff interview, resident interview, record review and facility policy review the facility failed to provide activities on a scheduled basis for one (1) of 16 residents observed for activities, Resident #5.

Inspectors wroteBased on observation, facility policy review and staff interview the facility failed to prevent the possible spread of infection during medication pass for one (1) of three (3) medication administration observation.