Rainelle Healthcare Center

Inspectors wroteReference complaint# 2667227 Based on Record review and staff interview, the facility failed to ensure the safety and security of resident property; specifically medication. This was discovered during the normal Long Term Survey Process and has the ability to affect more than a limited number of residents. Resident Identifiers #1, 15, 39, 56, 64, 65. Census 55. Based on Record review and staff interview, the facility failed to ensure the safety and security of resident property; specifically, medication. This was discovered during the normal Long Term Survey Process and had the ability to affect more than a limited number of residents. This citation was issued at past noncompliance. Resident identifier: #64. Facility census: 55.

Inspectors wroteBased on observation, record review, and staff interview the facility failed to provide an environment free from accident hazards including, provide bed side floor mat for a resident that was in a care plan and ordered by physician and non-locking doors to general shower room and linen room. This was true for Resident #23 and has the potential affect a larger number of residents. Resident identifier: #23. Facility census: 55.

Inspectors wroteBased on record review and staff interviews the facility failed to ensure each resident in a nursing facility is screened for a mental disorder (MD) or intellectual disability (ID) prior to admission by not ensuring Pre-admission screening and resident review (PASSR) reflected the medical diagnosis prior to admission to facility and updated the PASSR. This was found true for one (1) of four (4) reviewed during the Long Term Care Survey process. Resident identifier: #17. Facility census: 55. Findings Include: a) Resident #17 During record review completed on 05/20/26 at 11:00 Am found resident # 17 has a diagnoses of Major Depressive Disorder Recurrent unspecified on 11/17/23 resident was admitted to the facility on [DATE]. [...]

Inspectors wroteBased on observation, staff interview and and record review, the Facility failed to implement a resident's care plan by failing to use a floor mat for Resident #23 with a a history of falls. Resident identifier: #23. Facility Census 55. a) Resident #23 A review of Resident #23's physician orders on 05/19/26 revealed the following: Fall mat to patients left side. Order date 04/23/26. A review of the care plan on pages 19 and 20 revealed: Focus -Resident is at risk for falls related but not limited to history of falls, Parkinson's, Tremor etc Interventions- include fall mat to patients left side of bed when in bed. Date initiated 02/02/26. On 05/20/26 at 4:02 PM Resident #23 was observed lying in bed with eyes closed, bulb call light in reach, bilateral bed bolsters but absence of fall mat to left side. [...]

Inspectors wroteBased on interview, record review and observation the facility failed to ensure resident #10 was provided sunscreen prior to an outside activity. Resident identifier #10. Facility Census: 55. Findings Include: a) Resident #10 After observation of Resident #10 it was evident that the resident had a sunburn. Resident #10 stated that she had been outside for an activity and was not offered sunscreen prior to going outside, therefore Resident #10 suffered a sunburn. Resident #10 sunburn resulted in an order for aloe vera to be applied to affected areas. This deficient practice was verified by the Administrator on 5/20/26 at 2:39 PM.

Inspectors wroteBased on resident interview, staff interview and record review the facility failed to protect the resident's rights to communicate with individuals confidentially by opening Resident #15's package before giving it to her. This failed practice was a random opportunity for discovery during the Long-Term Care Survey Process. Resident identifier #15. Facility Census 52.

Inspectors wroteBased on record review and staff interview, the facility failed to implement the comprehensive care plan in the area of falls. This deficient practice had the potential to affect one (1) of six (6) residents investigated for the care area of falls. Resident identifier: #12. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice. Neurological checks were not performed according to professional standards of practice after an unwitnessed fall. This deficient practice had the potential to affect one (1) of six (6) residents reviewed for the care area of falls. Resident identifier: #12. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. This deficient practice affected one (1) of six (6) residents investigated for the care area of falls. Resident #12 experienced actual harm from the fall because she experienced pain after the fall and required evaluation in the emergency room. X-ray examination showed an abnormality of the hip and further evaluation was recommended. However, the resident experienced another fall before further imaging could be obtained. After the second fall, the resident was found to have a hip fracture, requiring surgical intervention. Resident identifier: #12. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure medical records were complete and accurate regarding fall risk evaluations for one (1) of six (6) residents reviewed for the care area of falls. Resident identifier: #54. Facility census: 52.

Inspectors wroteBased on record review and staff interview, the facility failed to thoroughly investigate an allegation of verbal abuse. This failed practice was found true for (1) one of (3) three residents reviewed for abuse during the survey process. Resident identifier: #53. Facility census: 49.

Inspectors wroteBased on staff interview and record review the facility failed to follow physician's orders. The facility failed to administer medication as ordered, failed to complete the Neuro checks after a fall, and failed to follow physician's orders for low Blood Sugars. Resident identifiers: # 41, #19, #34, #23, #9, and #44. Facility census 53.

Inspectors wroteBased on record review, resident and family interview, and staff interview the facility failed to obtain and maintain timely and appropriate pharmaceutical services that support residents' healthcare needs, goals, and quality of life that are consistent with current standards of practice. This was true for one (1) out of four (4) reviewed for receiving medications from the pharmacy in a timely manner. Resident identifier: Resident #41. Facility census 54.

Inspectors wroteBased on record review and staff interview, the facility failed to notify the physician when the Resident's oxygen saturation dropped outside of the specified physician's order for notification. This was a random opportunity for discovery. Resident identifier: #54. Facility census: 53.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident was provided a safe and orderly discharge from the facility. This was found for one (1) of two (2) residents reviewed for the care area of discharges. Resident identifier #54. Facility census: 53.

Inspectors wroteBased on record review and staff interview the facility failed to ensure the medical record was complete and accurately documented. This failed practice was true for one (1) out of four (4) residents reviewed for insulin. Resident identifiers: #34.

Inspectors wroteBased on record review and staff interview the facility failed to ensure an accurate staff posting with the total number and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift. This was true for 10 out of 14 days reviewed. Facility census 54.

Inspectors wroteBased on medical record review, resident and staff interviews, the facility failed to report an allegation of neglect to the appropriate state entities within the timeframe's a outlined in the regulation and guidelines. This was true for one (1) resident reviewed for abuse/neglect. Resident identifier: #45. Facility census: 54.

Inspectors wroteBased on medical records and staff interview, the facility failed to identify and treat Resident #17's pressure ulcers present on admission. This was true for one (1) of one (1) reviewed for care area of pressure ulcers. Resident identifier: #17. Facility census: 54.

Inspectors wroteBased on observations, medical record review and staff interviews the facility failed to provide supervision to prevent accidents and a safe environment for other residents. This failed practice had a potential to affect more than an isolated number of residents. Resident Identifiers: Resident #42. Facility Census: 54 Findings Included: A review of the facility policy titled Elopement with a revision date of 05/31/22 found the following. The Center will strive to prevent unsafe wandering while maintaining the least restrictive environment for the patients who are at risk for elopement. a) Resident #42 Several observation made throughout the Long-Term Care Survey Resident #42 was ambulating continuously aimlessly throughout the facility. During a review on 01/04/23 revealed Resident # 42 had the follow incidents: [...]

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a resident who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan. Facility failed to send a communication form completed by dialysis, failed to complete a pre and post assessment by licensed nurses consistently and failed to address a recommendation by dialysis facility. This was true for one (1) of one (1) resident reviewed for the care area of dialysis during the annual Long-Term Care Survey Process (LTCSP). Resident identifier: #45. Facility census: 54.

Inspectors wroteBased on review of the Quality Assessment and Assurance (QA&A) Committee sign-in sheets and staff interview, the facility failed to ensure the required staff (Infection Preventionist (IP) and two (2) other staff members) attended the meetings as required. This had the potential to affect all residents residing at the facility. Facility census: 58.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure the continuing competence of nurse aides, must be no less than 12 hours per year. This failed practice was true for one (1) out of five (5) staff reviewed for continuing competences of nurse aides. Facility census 54.