Blumenthal Health And Rehabilitation Center
Blumenthal Health and Rehabilitation Center in Greensboro, NC — inspection on January 9, 2025.
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
F-F580: Based on record review and interviews with the Medical Director and staff, the facility failed to notify the physician at the onset of pain and when the x-ray could not be completed stat (immediately) after
jeopardy to resident health or results indicated an acute nondisplaced (the bone does not break completely and there will be a crack on the safety bone) transverse (horizontal and perpendicular to the bone) left femur (thigh bone) fracture.
The physician was not made aware of the fracture until 11/22/24 and was not notified the orthopedic consult ordered on
was not manageable on night shift (11/20/24 and 11/21/24).
Failure to notify the physician delayed orthopedic medical management, care and treatment and put the resident at high risk for complications such as deep vein thrombosis, pneumonia, bed sores, and increased risk for mortality. Resident #1 had an aspiration event (foods, stomach contents, or fluids are breathed into the lungs) while hospitalized which resulted in acute hypoxic respiratory failure (low levels of oxygen in your blood) and IV antibiotics were initiated on 11/24/24.
The resident was prescribed additional oral antibiotics for three days after discharge back to the facility on [DATE].
This deficient practice affected 1 of 5 residents reviewed for notification of change (Resident #1).
F-F684: Based on record review and interviews from the Medical Director, the Nurse Practitioner (NP), Orthopedic Surgeon, Responsible Party (RP) and staff the facility failed to recognize the seriousness of the injury Resident #1 sustained from a fall and identify the need for urgent orthopedic evaluation. Resident #1 reported pain in her left hip on 11/17/24 following a fall. A STAT (with no delay) x-ray was ordered on Sunday 11/17/24, was not completed until 11/18/24, and revealed a nondisplaced (the bone does not break completely and there will be a crack on the bone) transverse (horizontal and perpendicular to the bone) left femur (thigh bone) fracture. On 11/19/24 the NP ordered scheduled opioid medication for increased pain and ordered an orthopedic consultation at the request of Resident #1's RP.
The resident remained in the facility awaiting an orthopedics consultation scheduled for 11/26/24.
The Medical Director was not aware of the fracture until he saw Resident #1 on 11/22/24 at which time he ordered the resident to be sent to the emergency department if she could not be seen by the orthopedist that day. Resident #1 was seen by the orthopedist on 11/22/24 and was sent directly to the hospital and a left femur intramuscular nail surgery was performed on 11/23/24.
While hospitalized , Resident #1 had an aspiration event (foods, stomach contents, or fluids are breathed into the lungs) which resulted in acute hypoxic respiratory failure (low levels of oxygen in your blood) and Intravenous (IV) antibiotics were initiated on 11/24/24.
The resident was prescribed additional oral antibiotics for three days after discharge back to the facility on [DATE].
The Orthopedic Surgeon indicated an injury like Resident #1's required an immediate transfer to the hospital for evaluation by an orthopedic specialist and that the risks of complications increased with the delay of care such as deep vein thrombosis (blood clots in veins deep in the body), pneumonia, and bed sores.
This deficient practice affected 1 of 5 residents reviewed for falls (Resident #1).
345006
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 345006 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Blumenthal Health and Rehabilitation Center 3724 Wireless Drive Greensboro, NC 27455
The facility failed to immediately notify the medical provider of the new onset of pain.
The medical provider was not called until 2:14 PM and at that time the medical provider gave new orders for a stat x-ray and Tylenol 500mg every 6 hours as needed for pain.
The Tylenol order was not entered until 3:05pm on 11/17/2024.
The stat x-ray was not obtained on 11/17/2024.
The nursing staff failed to notify the medical provider that the stat x-ray could not be obtained on 11/17/2024.
On 11/18/2024 the x-ray of the left hip was obtained at 9:23 am.
The x-ray resulted on 11/18/2024 12:54 pm and the impressions were an acute transverse, nondisplaced intertrochanteric femur fracture.
The resident's RP and NP were informed of the results on 11/18/2024 at 2:59 pm.
345006
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 345006 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Blumenthal Health and Rehabilitation Center 3724 Wireless Drive Greensboro, NC 27455