PINEVIEW, GA- CROSSVIEW CARE CENTER

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey.

Allow residents to self-administer drugs if determined clinically appropriate.

Based on observations, resident and staff interviews, record review, and review of the facility policy titled, Medication Administration Guidelines, the facility failed to ensure four of 20 residents (R) (R3, R10, R22, and R27) did not have unsecured unauthorized medications stored at the bedside. This deficient practice had the potential to allow unauthorized access of medications to other residents and visitors in the facility.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on observations and staff interviews, the facility failed to ensure a safe/clean/comfortable/homelike environment for one of three hallways (100 Hall), four of 34 bedrooms and two of 17 bathrooms on the100 Hall. Specifically, the hallways had a loose handrail along the interior corridor, the frame on the exit door was jagged with rough edges at the bottom of the door, an old rusty inoperable heater was attached to the wall there were chips and scratches on the floor as residents entered the dining area. Additionally, residents’ rooms and bathrooms contained black and sticky substances on the floors, basins uncovered, scraped and jagged closet doors, broken tiles, tiles pulled away from the wall, tiles with stains and dark brown sticky substance covering the floor and peeling paint. The facility census was 67 residents.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Based on observations, staff interviews, record review, and review of the facility policy titled, RAI/Care Planning Management, the facility failed to implement the care plan for one of five residents (R) R17. Specifically, the facility failed to ensure the plan of care was followed for R17 related to oxygen administration.

Provide safe and appropriate respiratory care for a resident when needed.

Based on observations, resident and staff interviews, record review, and review of the facility policy titled, Oxygen, Administration-Delivery Device , the facility failed to ensure oxygen was administered as ordered by the physician for one of five residents (R), R17.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Based on staff interviews, record review, and review of the PBJ (Payroll Based Journal) [NAME] Report for the First Quarter (Q1) of Fiscal Year 2024, the facility failed to accurately report direct care staffing data to the Centers for Medicare and Medicaid (CMS). The facility census was 67 residents.

Provide and implement an infection prevention and control program.

Based on observations, staff interviews, and review of a job description titled, Laundry Worker, the facility failed to follow infection control practices by not having a clean and sanitary environment in the laundry department and a heavy buildup of dust, dirt, and grime to prevent cross contamination of dirty and clean laundry. The census was 67 residents.