Fernandina Beach Rehabilitation And Nursing Center
FERNANDINA BEACH REHABILITATION AND NURSING CENTER in FERNANDINA BEACH, FL — inspection on June 27, 2024.
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 tour of the facility on 06/25/24 at 9:38 AM, Resident #57 was observed lying in her bed.
She appeared thin.
A review of the resident's medical record revealed she had suffered weight loss. On 12/23/23, Resident #57 weighed 108 pounds, and on 06/18/24, she weighed 84.7 pounds.
This indicated the resident lost 21.57% of her body weight within six months.
She was admitted to the facility on [DATE] with a medical history significant for dementia, anxiety, depression, weakness, transient ischemic attack (TIA), and osteoarthritis.
A review of the Quarterly Minimum Data Set (MDS) assessment, completed on 04/12/24, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 6 out of 15 possible points, indicating severe cognitive impairment.
She required staff assistance to set up her meal trays, and it was documented that she had suffered unintentional weight loss.
A Care Plan was revised during the survey week regarding Resident #57's weight loss.
Review of the resident's active physician's orders revealed she was ordered to receive a regular diet with regular textured foods and thin consistency liquids. An order was written on 03/15/24 for Ensure chocolate nutritional supplement to be given three times a day.
An observation was made on 06/25/24 at 12:45 AM of Resident #57 in her bed with her lunch meal tray. A staff member set her tray up for her.
Continued observation revealed that she consumed approximately 25% of her meal.
There was no Ensure supplement present on her tray.
A review of her nutritional intake records revealed she had consumed zero percent of her Ensure supplement 41 times between 06/01/24 and 06/26/24. A 30-day look back of meal consumption revealed she consumed 50% or less of 48 of her documented meals.
A review of progress notes regarding Resident #57's weight status, revealed that on 01/18/24, an Interdisciplinary Team (IDT) meeting discussed the weight loss, stating Overall decline and generalized weakness.
Has had a significant weight loss recently. PO [oral] intake is poor.
Doesn't go to the dining room anymore.
Will try and bring her to the dining room to see if the environment during meals helps cue her to eat.
Further review of progress notes revealed that on 01/31/24, an IDT meeting discussed the weight loss again, stating Can add Ensure Clear [supplement] TID [three times per day].
105470
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 105470 B.
Wing 06/27/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Fernandina Beach Rehabilitation and Nursing Center 1625 Lime Street Fernandina Beach, FL 32034