NHC Healthcare, West Plains

Inspectors wroteBased on interview and record review, the facility failed to issue the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) form at least two calendar days before skilled Medicare services ended for one resident (Resident #81) out of three sampled residents. The facility census was 68. [...]

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 68. Review of the facility's policy titled, Homelike Environment, revised May 2017, showed:- Residents are provided with a safe, clean, comfortable homelike environment, and encouraged to use their personal belongings to the extent possible;- The facility staffing 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. 1. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to identify, assess, and provide supportive interventions for two residents (Residents #3 and #10) out of two sampled residents with a diagnosis of post-traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and server anxiety, as well as uncontrollable thoughts to the event). The facility census was 68. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control precautions by not following Enhanced Barrier Precautions (EBP - precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO - microorganisms that are resistant to one or more classes of antimicrobial agents) or any resident who has a chronic wound and/or indwelling medical device) and failed to perform appropriate hand hygiene and glove changes during wound and incontinent care for one resident (Resident #16) out of three sampled residents. The facility census was 68. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an environment free from accident hazards. Staff failed to secure access to soiled laundry and chemicals in an unlocked soiled linen laundry room. The room contained a sink basin of bleach water and an open container of multipurpose cleaner solution. The unlocked, unlatched soiled linen room presented a potential hazard to all residents who were able to move freely around the facility with 14 residents at increased risk due to their mental capacity from a diagnosis of dementia (a group of thinking and social symptoms that interferes with daily functioning) or Alzheimer's disease (a progressive disease that destroys memory and other important mental functions). The facility census was 61. Review of the facility policy titled, Chemical Storage, undated, showed: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain proper infection control practices during incontinent care for two residents (Residents #5 and #16) out of four sampled residents, catheter (a tube inserted into the bladder to drain urine) care for one resident (Resident #21) out of one sampled resident, and wound care for two residents (Residents #5 and #58) out of two sampled residents. The facility failed to ensure proper infection control measures during administration of insulin for one resident (Resident #37) out of one sampled resident and touched medications with bare hands for one resident (Resident #118) out of five sampled residents. The facility also failed to ensure proper infection control measures during laundry services. The facility census was 61. [...]

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 one resident (Resident #61) out of three sampled residents. The facility census was 61. Review of the facility's policy titled, Catheter Care, undated, showed: - The policy didn't address catheter tubing or drainage bags not touching the floor. 1. Review of Resident #61's medical record showed: - admitted on [DATE]; - Diagnosis of urine retention. Review of the resident's Physician Order Sheet (POS), dated February 2025, showed: -An order to change the indwelling/suprapubic (catheter inserted through the abdomen into the bladder for urine drainage) catheter every 30 days. [...]

Inspectors wroteBased on interview and record review, the facility failed to provide documentation of ongoing assessments, monitoring, and communication between the facility and the dialysis (a process for removing waste and excess water from the blood) center for one resident (Resident #264) out of one sampled resident. The facility census was 61. Review of the facility's policy titled, Care of a Hemodialysis Patient, undated, showed: - Will communicate concerns with dialysis center of any pertinent information/changes with communication observation sent with resident; - The hemodialysis access site will be observed every shift to ensure the dialysis dressing is intact and if there are any signs and symptoms of infection. Should signs and symptoms of infection be noted, the physician will be contacted; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication cart was locked while unattended and failed to ensure a safe medication system when leaving medications unattended and unsupervised for one resident (Resident #16) out of ? sampled residents during a medication pass. This had the potential to affect all residents. The facility census was 61. Review of the facility policy titled, Specific Medication Administration Procedures, dated 01/01/19, showed: - All medication storage areas (carts) are locked at all times unless in use and under direct observation of the medication nurse/technician. Review of the facility policy titled, Medication Storage in the Facility, dated 01/01/19, showed: - Medication rooms, carts, and medication supplies are locked when not attended by persons with authorized access; [...]