Kit Carson Nursing & Rehabilitation Center
KIT CARSON NURSING & REHABILITATION CENTER in JACKSON, CA — inspection on August 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a concurrent interview and record review on 8/20/25 at 2:11 PM, with the DON, Resident 1's record titled, Progress Notes, dated 4/26/25 through 8/8/25 were reviewed.
The DON confirmed Resident 1's suprapubic catheter monitoring were not consistently completed for the 72-hour duration as required on the above dates and shifts.
The DON stated monitoring the suprapubic catheter for 72 hours after it was changed was to ensure if there was a change in Resident 1's condition, nursing could coordinate with the physician in case there were additional changes or orders that needed to be carried out.
The DON further stated there was a risk for Resident 1 to acquire an infection and was at risk for pain.
A review of the facility policy titled, Change of Condition, revised 7/24, indicated, .
Routine Medical Change .
All symptoms and unusual signs will be communicated to the physician promptly .
Document resident change of condition and response in nursing progress notes .
Follow-up .
The licensed nurse responsible for the resident will continue assessment and documentation every shift for seventy-two (72) hours . 3. A review of Resident 1's clinical document titled, Care Plan Report, undated, indicated there was not a care plan in place for Resident 1's suprapubic catheter changes or for Resident 1's UTI from 6/23/25.
During a concurrent interview and record review on 8/20/25 at 2:11 PM, Resident 1's care plans were reviewed with the DON.
The DON confirmed Resident 1's care plans had not been updated to include Resident 1's UTI on 6/23/25 and it should have been.
The DON further stated there was not a care plan in place for catheter changes and there should have been.
The DON stated the importance of having the care plans in place was to ensure licensed nurses had a guide on how to take care of the Resident 1's suprapubic catheter. A review of the facility policy and procedure titled, Policy and Procedure - Care Plan, revised 9/2024, indicated, . A care plan is the summation of the resident concerns, goals, approaches and interventions in order to meet the goals and help minimize if not totally eradicate residents' problems . the evidence of a care plan that has been reviewed should include but not be limited to the new interventions that have been added in addition to the current ones .
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