NHC Healthcare, Kennett

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's dignity was maintained while performing incontinence care for one resident (Resident #5) out of one sampled resident. The facility census was 98. Review of the facility's policy titled, Patient Rights, revised September 2024, showed: - We provide the resident with privacy; - Privacy is maintained during toileting, bathing, and other activities of personal hygiene, except when assistance is needed for safety and well being. 1. Review of Resident #5's quarterly Minimum Data Set (MDS), a federal mandated assessment to be completed by the facility, dated 03/31/25, showed: - Dependent for toileting; - Dependent for personal hygiene; - Dependent for showering; - Sometimes understands others; - Makes self understood; [...]

Inspectors wroteBased on interview and record review, the facility failed to follow one resident's (Resident #27) care plan regarding smoking out of two sampled residents. The facility failed to ensure staff utilized safe transfer techniques for one resident (Resident #87) when staff failed to transfer the resident with the assist of a gait belt (a device used to aid in the safe movement of a person from one place to another) out of two sampled residents. The facility census was 98. The facility did not provide a smoking policy. Review of the facility's policy titled, Gait Belts For Transfer, dated 01/08/08, showed: - Gait belts are provided to assist staff to safely transfer or ambulate residents; - Apply belt around the resident's waist; - To transfer, assist the resident to a standing position by grasping the belt at the waist from underneath. 1. Review of Resident #27's medical record showed: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a urinary indwelling catheter (a tube inserted into the bladder to drain urine) drainage bag was kept off the floor for two residents (Residents #5 and #249) and to ensure proper cleaning of the catheter tubing for one resident (Resident #81) out of three sampled residents. The facility census was 98. Review of the facility's policy titled, Skills Checklist: Catheter Care, undated, showed: - While holding the catheter, clean down the catheter tube; - Clean with strokes moving away from the urethra; - Use a clean portion of the washcloth for each stroke. The facility did not provide a policy related to the positioning of urinary catheters. 1. Review of Resident #5's medical record showed: - admitted on [DATE]; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for supplemental oxygen therapy for one resident (Resident #247) out of four sampled residents. The facility's census was 98. Review of the facility's policy titled, The Basics of Oxygen, dated 01/12/14, showed: - Nasal cannula (plastic tubing inserted into the nose to deliver additional oxygen) oxygen range from one to six liters. The facility did not provide a policy about following physician orders regarding oxygen. 1. Review of Resident #247's medical record showed: - An admission date of 04/18/25; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two medication carts were locked while unattended out of a sample of three medication carts. This had the potential to affect all residents. The facility census was 98. Review of the facility policy titled, Medication Storage In The Facility, revised 02/25/25, showed: - Medication and biologicals are stored safely, securely, and properly; - Medication rooms, carts, and medication supplies are locked when not attended by persons with authorized access. 1 Observations on 04/29/25 at 11:20 A.M. - 11:56 A.M., of the Hall D medication cart showed: - At 11:20 A.M., the unlocked and unattended medication cart sat against the outside of the nurse's station and faced D Hall. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These deficient practices had the potential to affect all residents. The facility census was 83. Review of the facility's policy titled, Safe Food Storage, revised 01/2011, showed: - To equip dietary partners with the knowledge and ability to properly store food items in a safe manner which preserves food quality; - All time/temperature control for safety (TCS), ready-to-eat food prepped in-house and leftover, cooked food items must be labeled with the following information: name of food item and the date by which it should be eaten or discarded; - Always discard in-house prepped food items made with previously cooled/stored food with the discard date of the previously cooked item; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 83. Review of the facility's policy titled, Homelike Environment, revised May 2017, showed: - Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; - The facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. - These characteristics include a clean, sanitary and orderly environment. Observations made on 03/12/24 at 2:22 P.M. and 03/13/24 at 11:24 A.M., of the G hall, showed: [...]

Inspectors wroteBased on interview and record review, the facility failed to provide restorative services for four residents (Residents #1, #13, #19 and #60) out of six sampled residents. The facility census was 83. Review of the facility's policy titled, Nursing Policies, dated 02/2023, showed: - An active program of restorative nursing care will be directed toward assisting each patient to achieve and maintain his or her highest level of self-care and independence. Self-care is encouraged in all patients to the degree possible. Assistive devices may be provided based on assessed needs of the individual patient. - Restorative nursing services are available to all patients. The services are provided by a licensed nurse, a certified nursing assistant, a temporary nurse aide, or other staff who are specifically trained in restorative services. [...]

Inspectors wroteBased on interview and record review, the facility failed to conduct at least twelve hours of nurse aide in-service education per year, failed to provide the required annual competencies of Dementia Care (care of a resident with an impaired ability to remember, think, or make decisions) for two out of two nurse aides sampled and for Abuse Prevention for one out of two nurse aides sampled. The facility census was 83. 1. Record review of the facility's 2023 in-service records showed: - Certified Nurse Aide (CNA) E with a hire date of 07/13/2021; - CNA E attended a total of eight hours and 45 minutes of in-services; - CNA E did not attend an annual competency in-service on Dementia Care. 2. Record review of the facility's 2023 in-service records showed: - CNA F with a hire date of 10/03/2022; - CNA F attended a total of one hour of in-service; [...]

Inspectors wroteBased on interview and record review, the facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) for one resident (Resident #39) out of three sampled residents. The facility census was 74 . 1. Record review of Resident #39's SNF ABN form showed: - The resident discharged from skilled Medicare services on 6/25/22, and remained in the facility; - The resident received and signed the form on 6/27/22; - The facility failed provide the SNF ABN form to the resident at least two calendar days before the skilled Medicare services ended. During an interview on 8/19/22 at 10:49 A.M., the Administrator said the Social Services Director (SSD) was responsible for the ABN's and he/she has been out for about three months for an illness and it just got missed. The admission coordinator was filling in also. She said it should have been signed prior to 6/25/22. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor and keep one resident's (Resident #19) equipment in good, working order. The facility also failed to maintain a safe, clean, comfortable and homelike environment. This deficient practice had the potential to affect all residents at the facility. The facility census was 74. 1. Observations showed: - On 8/16/22 at 9:40 A.M., 8/18/22 at 11:00 A.M., and on 8/19/22 at 10:15 A.M., Resident #19's geri chair (a medical recliner chair designed to allow resident to get out of bed and to be able to sit comfortable in a variety of positions while being fully supported) left arm rest with plastic covering, torn one and one-half inches by three inch area with the outer side of the arm rest torn open with foam exposed; [...]