Crestview Health & Rehabilitation
Crestview Health & Rehabilitation in Mooresville, NC — inspection on June 13, 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 CPR Nurse #4 and the Staff Development Coordinator observed NA #3's compression were not effective or deep enough to create recoil and had to instruct NA #3 that his compressions were not deep enough before switching NA #3 out with another staff member that could assist. NA #3 and NA #4 were not certified in CPR for Healthcare Providers.
Emergency Medical Services (EMS) arrived and placed a backboard under Resident #70 and continued CPR. Resident #70 expired.
A review of a document provided by the facility titled, Orientation Overview with no date noted, indicated that on day 1 and day 2 of orientation new staff would watch a video on emergency preparedness.
The required paperwork was listed as CPR card (required for Nurses only, but good to have for other staff), facility codes and security access, and included a facility tour.
345179
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 345179 B.
Wing 06/13/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Accordius Health at Mooresville 752 E Center Avenue Mooresville, NC 28115
F-F684: Based on record review, and Resident, staff, Physician Assistant (PA), and Medical Director (MD) interviews the facility failed to perform a comprehensive assessment including vital signs before moving a
jeopardy to resident health or care. On 5/27/2024 at 10:40 pm Nurse #1, Nurse #2, Nurse #3, Nurse Aide (NA) #1, and NA #2 responded safety to Resident #40's room after they heard Resident #44 yell that Resident #40 was on the floor. Resident #40 was found face down on the floor.
Nurse #1 and Nurse #2 rolled Resident #40 over, transferred Resident
#40 was placed back in bed, Nurse #3 assessed Resident #40 and obtained vital signs at which time she noticed Resident #40's left leg was internally rotated and shorter than the right leg.
Nurse #3 immediately summoned Emergency Medical Services (EMS) but after review of his chart and speaking to the Director of Nursing (DON), she was instructed to cancel EMS because Resident #40 had an advance directive that indicated Do Not Hospitalize unless his comfort needs could not be met at the facility. An x-ray was performed on 5/28/2024 which revealed Resident #40 had sustained an acute fracture of the proximal left femur (thigh bone). Resident #40 was transferred to the hospital on 5/28/2024 where he was admitted for further evaluation and pain management.
The deficient practice was identified for 1 of 3 residents reviewed for change of condition (Resident #40).
During an interview with Social Worker (SW) #1 on 06/07/24 at 9:11 AM, the SW explained that she was the one responsible for writing Resident #62's smoking care plan and that the Resident was a safe smoker who could smoke unsupervised.
The SW was asked to review Resident #62's smoking care plan that stated the Resident was both a supervised and unsupervised smoker and the SW acknowledged the discrepancy in the care plan and stated she had made a mistake.
The SW stated Resident #62 was able to smoke unsupervised.
An interview was conducted with the Director of Nursing (DON) on 06/07/24 at 10:03 AM.
The DON explained that social services wrote the smoking care plans and she expected the care plan to accurately reflect the Resident's ability to smoke unsupervised.
345179
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 345179 B.
Wing 06/13/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Accordius Health at Mooresville 752 E Center Avenue Mooresville, NC 28115