Maggie Valley Nursing And Rehabilitation

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 36217

Based on observations, record review, and interviews with resident, staff, and law enforcement agent, the facility failed to protect a resident's right to be free from abuse when a family member (Family Member #2) pinched and twisted Resident #2's upper right shoulder during a visit. A staff member that intervened at the time of the incident asked Resident #2 if she was okay and Resident #2 started crying and appeared distressed. Resident #2 reported the incident resulted in pain, bruises, and soreness in her right shoulder and right forearm areas. In addition, the facility failed to protect a resident's right to be free from abuse when a family member (Family Member #1) grabbed and pinched Resident #1's right arm during a visit. Resident #1 stated Family Member #1 grabbed and pinched her right arm so hard that it caused a lot of pain and circular bruises to her right antecubital (the front of the elbow) area.

This affected 2 of 3 residents reviewed for abuse (Resident #2 and Resident #1).

The findings included:

1. Resident #2 was admitted to the facility on [DATE] with diagnoses including heart failure and anxiety disorder.

The admission Minimum Data Set (MDS) assessment dated [DATE] coded Resident #2 with intact cognition.

She had adequate hearing and vision with clear speech.

She did not exhibit behavioral symptoms during the review period and used a wheelchair or limb prosthesis for locomotion.

The MDS indicated she required partial/moderate assistance on staff for transfer.

The incident report dated 05/15/25 prepared by the Director of Nursing (DON) revealed the incident occurred at 3:00 PM.

Family Member #2 was noted to be sleeping in Resident #2's roommate's bed and was asked by the staff to stop doing that.

Then, he got into a verbal argument with Resident #2 and was seen by staff hitting, pinching, and shoving Resident #2's wheelchair when she was sitting in it.

Family Member #2 was separated from Resident #2 and asked to leave the facility immediately.

Local law enforcement was notified, and Family Member #2 was picked up by the law enforcement agent after leaving the facility. Resident #2 was evaluated by the psychiatric Nurse Practitioner (NP) who was in the facility for anxiety related to the incident. Resident #2 stated: He can't help it. He has dementia.

The incident report indicated Resident #2 had bruises on her right shoulder and right antecubital areas after the incident.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

345102

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 345102 B.

Wing 05/29/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Maggie Valley Nursing and Rehabilitation 75 Fisher Loop Maggie Valley, NC 28751