Yalobusha County Nursing Home

Inspectors wroteBased on observations, interviews and facility policy review, the facility failed to ensure the residents' food was stored, thawed and monitored under sanitary conditions for two (2) of four (4) kitchen tours. Findings Include Review of the facility policy titled, Refrigerator/Freezer Temperature Checks with no revision date, revealed, The kitchen supervisor and/or the Dietary Manager shall check all refrigerator temperatures and freezer temperatures at least twice daily . Review of the facility policy titled, Food Preparation and Service' with no revision date, revealed, .Thawing Frozen Food 1. Foods will not be thawed at room temperature. Thawing procedures include. a. thawing in the refrigerator.b. completely submerging in cold running water.c. thawing in the microwave, then cooking and serving immediately.d. thawing as part of a continuous cooking process. [...]

Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to accurately complete the Minimum Data Set (MDS) assessment for four (4) of 26 MDS assessments reviewed. Resident #10, #15, #16, and #92 Findings Include: Review of the facility policy titled MDS Assessment Accuracy and Correction undated, revealed, The facility shall submit a correct MDS assessment as required by scheduling requirements. The MDS shall be completed and verified by the Registered Nurse and to be accurate to the best of that nurse's knowledge . Resident #10 Record review of the Bowel and Bladder Program Screening dated 8/11/25, revealed Resident #10 always voids without incontinence, she never was incontinent of stool and that she was independent with toileting. [...]

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure residents were invited and given the opportunity to participate in their Care Plan meetings for three (3) of five (5) residents reviewed for care planning. Resident #3, Resident #9, and Resident #38. Findings Include: [...]

Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to ensure that drugs and biologicals were stored in a secure manner to prevent unauthorized access for two (2) of four (4) days of survey.

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to develop a care plan for the behavior of wandering for one (1) of four (4) resident care plans reviewed. Resident #1, who had documented wandering behaviors, wandered into a resident room and hit a resident, resulting in that resident sustain a nasal bone fracture.

Inspectors wroteBased on staff and resident interview and record review the facility failed to provide adequate supervision to reduce the risk of an accident/hazards when a resident with behaviors of wandering did not have any increased supervision/monitoring put in place resulting in the physical assault of a resident for one (1) of four (4) residents reviewed for accidents. (Resident #1)

Inspectors wroteBased on resident and staff interview, record review and facility policy review, the facility failed to allow a resident to exercise his right to take a shower as evidenced by the resident not being offered a shower for one (1) of 24 residents reviewed during survey. Resident #61. Findings Include. A review of the facility policy titled Resident's Rights with no revision date revealed Each and every resident has the right to .9. Receive adequate and appropriate health care and protective support services . An interview on 03/04/24 at 2:22 PM, with Resident #61 revealed that he gets a bed bath automatically without being asked about a shower and that he would love to have a shower and have water running on him. The resident revealed that he can't remember the last time he has had a shower. [...]

Inspectors wroteBased on resident and staff interview, record review and facility policy review, the facility failed to ensure the residents code status on the advance directive matched the residents code status order on one (1) of 24 residents advanced directives reviewed. Resident #17.

Inspectors wroteBased on observation, staff interview, and facility policy review the facility failed to provide a safe, clean environment, as evidenced by a dirty wheelchair with torn armrest for Resident #10 and dirty privacy curtains for room numbers 118 and 120 for three (3) of four (4) survey days.

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to incorporate a Preadmission Screening and Resident Review (PASARR) recommendation for specialized mental health services for a resident admitted with a mental illness for one (1) of four (4) residents reviewed for PASARR. Resident #73 Findings Include: Review of the facility's undated policy titled PASSAR [Preadmission Screening and Resident Review] and Resident Status Changes Policy revealed, The facility shall complete the pre-admission screening and resident review upon admission to the facility. The facility shall maintain these records within the resident chart at all times. The facility shall proceed with PASARR [Preadmission Screening and Resident Review] level II [two] screenings as indicated in the initial assessment. [...]

Inspectors wroteBased on observation, resident and staff interview, record review and facility policy review the facility failed to implement a care plan for a physician ordered brace for one (1) of 24 residents care plans reviewed. Resident #26 Findings Include: A review of the facility policy titled Care Plan Policy , with no revision date, revealed. Purpose: To ensure the facility establishes a guide to resident care to promote the physical and psychological well-being of residents newly admitted and long-term residents residing within the facility . Record review of the Care Plan with a problem on set date of 6/19/19 revealed .requires maintenance of ADL (Activities of Daily Living) functions with risk for decline .Approaches .Brace to left upper extremity to be donned in AM (morning) upon awakening and removed before going to bed in PM (evening). [...]

Inspectors wroteBased on observation, resident and staff interview, record review and facility policy review, the facility failed to apply a physician ordered brace for one (1) of six (6) residents sampled for range of motion. Resident #26.

Inspectors wroteBased on staff interview and record review, the facility failed to include the required components in the arbitration agreement for three (3) of 3 arbitration agreements reviewed.

Inspectors wroteBased on observation, staff and resident interviews, record review, and facility policy review, the facility failed to report an allegation of abuse for one (1) of three (3) incidents reviewed.