Oakview Nursing & Rehabilitation Center
Oakview Nursing & Rehabilitation Center in Calvert City, KY — inspection on June 13, 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
Review of an Admission Minimum Data Set (MDS) Assessment, dated 04/25/2024, revealed R66 was assessed to have a Brief Interview for Mental Status (BIMS) of a twelve out of fifteen, indicating the resident was cognitively intact.
Review of R66 ' s hospital records dated 04/26/2024, revealed she underwent an open reduction internal fixation trimalleolar due to multiple fractures of the left ankle and returned to the facility the same day.
Record review revealed no documented evidence the facility developed a Comprehensive Care Plan for R66 related to skin integrity or incisional care until 05/07/2024.
Review of an office visit with R66 ' s Podiatric surgeon, dated 04/29/2024, revealed a well-padded below-the-knee splint with plaster cast material was placed on the left lower extremity, R66 was to remain non-weight bearing, use rest, ice, compression, and elevation to the left lower extremity and return to the clinic in one week for a follow up and x-ray evaluation.
Review of an office visit with R66 ' s Podiatric surgeon, dated 05/03/2024, revealed R66 was to remain non-weight-bearing. An order was given for Medi-Honey to be applied to the anterior wound daily after a sterile saline cleanse was performed. A sterile below the knee pneumatic boot was fitted and dispensed.
New orders were given to cleanse the wound with saline and change the dressing once a day.
Review of an emergency room visit note, dated 05/15/2024, revealed R66 had been seen at her Podiatric Surgeon ' s office earlier that day and presented with diffuse redness, swelling of the left ankle, purulent and foul-smelling drainage from her wounds.
Further review revealed R66 met sepsis criteria and a sepsis workup was ordered. R66 was admitted with Cellulitis and treated with Intravenous Antibiotics (Vancomycin and Cefepime).
Review of a consult note from the Infectious Disease physician, dated 05/20/2024, revealed R66 remained on Intravenous Antibiotics (Vancomycin and Cefepime), some serous drainage with minimal cloudiness to the incision sites as well as an open portion of the incision on the left ankle being open.
Further review revealed a result of positive blood cultures for Staphylococcus hominis and Staphylococcus epidermidis which resulted in Vancomycin and Cefepime being discontinued and R66 was ordered Clindamycin 600 mg orally every eight hours for fourteen days.
Review of R66 ' s hospital discharge summary revealed she was discharged on [DATE] to a Skilled Nursing Facility for continuation of wound care and rehabilitation.
185195
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 185195 B.
Wing 06/13/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oakview Nursing & Rehabilitation Center 10456 US Highway 62 Calvert City, KY 42029