Rockcastle Health & Rehabilitation Center
Rockcastle Health & Rehabilitation Center in Brodhead, KY — inspection on June 29, 2024.
Found 2 citations. 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
Review of R41's admission record revealed the facility admitted the resident on 12/18/2017, with diagnoses of acquired absence of left leg above knee, diabetes mellitus with diabetic neuropathy, muscle weakness, and limitation of activities due to disability.
Review of R41's Quarterly Minimum Data Set (MDS) Assessment with an Assessment Reference Date (ARD) of 06/26/2020, revealed the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of 15 of 15, which indicated intact cognition.
Continued review of R41's MDS Assessment revealed the resident's functional status for locomotion on the unit revealed the facility assessed that activity to have not occurred.
Per the MDS Assessment review the facility assessed R41's (ADL) support as family and/or non-facility staff provided care 100% of the time over the entire 7-day period.
Further review revealed the facility assessed R41's locomotion off the unit for self-performance as the activity occurred once or twice with one-person physical assist (with self-sufficiency once in wheelchair).
Review of R41's Care Plan, dated 08/31/2020, revealed the facility added an intervention to place the right foot petal on the wheelchair prior to transportation needs for right leg.
Review of R41's Care Plan revealed the facility added a problem for ADL functional status on 02/01/2023, for transfers for the resident to have extensive assist X2 (times two) staff with use of a sliding board.
Continued review revealed after the first incident in 2020, the facility added the right foot pedal to the wheelchair at all times intervention.
Review of the facility's Event Report dated 08/29/2020, noted by Registered Nurse (RN 5) revealed an incident occurred at 2:45 PM (on that date) involving R41.
The resident sustained an injury to the right knee while being transported.
Continued review revealed the leg was extended during transportation under the wheelchair.
The Certified Nursing Assistant (CNA) had stated the resident was being wheeled down the hall, and resident had been asked to keep the leg up and to let the CNA know if his leg became tired.
Further review of the Event Report revealed the CNA said the resident did not say anything but suddenly let the leg fall causing the leg to jerk back under the wheelchair, overextending the right leg.
Further review revealed the Physician was contacted and an order was obtained for an x-ray and to add the right leg pedal to the wheelchair.
Review of R41's Progress Note dated 08/29/2020 at 4:04 PM, documented by RN 5, revealed awaiting mobile x-ray of right knee.
Further review revealed the resident had been given pain medication with effective relief for right leg pain.
Review of the mobile x-ray report of R41's right leg dated 08/29/2020 at 7:59 PM, revealed no acute fracture or dislocation seen.
However, a small joint effusion and diffuse osteopenia were noted.
185246
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 185246 B.
Wing 06/29/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Rockcastle Health and Rehabilitation Center 371 West Main Street Brodhead, KY 40409
Review of R29's electronic medical record (EMR) Face Sheet revealed the facility admitted the resident on 02/29/2016, with diagnoses of adult failure to thrive, multiple sclerosis (MS), age-related physical debility, osteoporosis without current pathological fracture and dementia.
Review of the Quarterly Minimum Data Set (MDS) Assessment with the Assessment Reference Date (ARD) of 04/14/2023, revealed the facility assessed R29 as being rarely or never understood and was unable to be interviewed.
Further review revealed the facility also assessed R29 as totally dependent and to require maximal assistance of two (2) for transfers.
Review of the Comprehensive Care Plan (CCP), dated 12/21/2022, for R29 revealed the facility developed a focus for Activities of Daily Living (ADLs) Functional Status/Rehabilitation Potential Profile Care Guide with an intervention to use a mechanical lift, with the green lift sling for the resident's transfers.
185246
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 185246 B.
Wing 06/29/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Rockcastle Health and Rehabilitation Center 371 West Main Street Brodhead, KY 40409