Liberty Care And Rehabilitation Center
Liberty Care and Rehabilitation Center in Liberty, KY — inspection on June 14, 2024.
Found 3 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
During an interview with the Corporate Nurse Consultant (CNC), on 06/14/2024 at 9:24 AM, she stated she was notified the morning of the incident regarding R37's injury.
The CNC stated the resident's finger was injured at some point during her transport to her room to provide care.
She stated R37 should have been care planned for grabbing the wheels during transport in order for staff to watch for this.
She further stated she expected staff to follow all safety procedures, and watch residents during transport and transfers to avoid injuries.
The CNC stated it was important to provide a safe and comfortable environment for residents and to prevent accidents and injury to residents and staff.
The State Survey Agency Surveyor attempted to contact the Provider at the University Hospital on 06/14/2024 at 7:55 AM.
During a conversation with the emergency department's Case Manager, she stated she would have the Provider call. No return call was received.
During an interview with the Administrator, on 06/14/2024 at 9:24 AM, she stated she was notified of R37's injury by the DON.
The Administrator stated the injury was caused by the wheelchair.
She further stated after the incident the facility assessed all residents in wheelchairs for positioning and safety; and spoke covers had been placed on all specialty wheelchairs.
The Administrator stated it was her expectation staff ensure important safety measures were in place in order to provide a safe and comfortable environment for residents.
She stated this was important to prevent accidents and injury to residents and staff.
During an interview with the Medical Director, on 06/14/2024 at 1:10 PM, he stated he was informed about the incident regarding R37. He stated he was told the aide pulled the wheelchair in the opposite direction and the resident's fingers were caught in the wheelchair spokes. He further stated he ordered the resident to be transferred to the ER.
The Medical Director stated it was his expectation staff provide for the safety and well-being of the residents.
185408
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 185408 B.
Wing 06/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Liberty Care and Rehabilitation Center 616 S Wallace Wilkinson Blvd Liberty, KY 42539
Review of R37's electronic medical record (EMR) Face Sheet revealed the facility admitted the resident on 12/09/2022, with diagnoses which included Alzheimer's disease, severe dementia with agitation, mood disturbances, psychotic disturbances, and cognitive communication deficit.
Review of R37's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/24/2024, revealed the facility assessed the resident to have a Brief Interview for Mental Status (BIMS) score of two (2) out of fifteen, indicating severe cognitive impairment.
Additional review revealed the facility assessed the resident as requiring substantial/maximal assist of two (2) for chair to bed, and bed to chair transfers and as independent with locomotion in a specialized wheelchair.
185408
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 185408 B.
Wing 06/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Liberty Care and Rehabilitation Center 616 S Wallace Wilkinson Blvd Liberty, KY 42539
Review of R322's electronic medical record (EMR) Face Sheet revealed the facility admitted the resident on 06/07/2024 with a diagnosis of latent tuberculosis (TB).
Review of R322's Physician's Orders, dated 06/07/2024, untimed, revealed orders for rifampin 300 milligrams (mg), two (2) tablets, to be administered daily between 7:00 AM and 11:00 AM.
Review of the Shipping Manifest from the pharmacy, dated 06/07/2024, revealed it did not list the rifampin.
Review of the Shipping Manifest from the pharmacy, dated 06/10/2024, revealed thirty (30) rifampin 300 mg tablets, arrived at the facility on that date at 8:15 PM, which was after the scheduled administration time for the medication.
Review of 322's Medication Administration Record (MAR), dated June 2024, revealed the resident did not receive the medication on 06/08/2024, 06/09/2024, or 06/10/2024 as the medication was unavailable.
In an interview with Registered Nurse (RN)1, on 06/13/2024 at 9:53 AM, revealed R322 did not receive the rifampin on 06/08/2024, 06/09/2024, or 06/10/2024, because the pharmacy was out of the medication.
In an interview with the Staff Development/Infection Control RN, on 06/13/2024 at 10:29 AM, she stated the facility was unable to obtain the rifampin medication for R322, until four (4) days after it was ordered.
Further interview revealed it would be important to ensure rifampin was administered as ordered for the resident's diagnosis of latent TB.
185408
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 185408 B.
Wing 06/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Liberty Care and Rehabilitation Center 616 S Wallace Wilkinson Blvd Liberty, KY 42539