Mcv Health Care Facilities, Inc

Review of the facility's undated accidents and supervision policy revealed residents will remain as free of accident hazards as possible.

Each resident would receive adequate supervision and assistive devices to prevent accidents.

Review of the facility's use of gait belts policy dated October 2022 revealed the facility would use gait belts with all residents that could not independently ambulate or transfer for the purpose of safety.As a result of the incident, the facility took the following actions to correct the deficient practice by 03/21/26: On 03/10/26, Resident #08 was sent to the hospital for evaluation and treatment after the fall. Resident #08 returned to the facility on [DATE] with no new orders.On 03/10/26, Registered Nurse (RN) #44 educated CNA #242 on the proper usage of gait belts and that gait belts were to be used at all times during transfers when a resident required any hands on assistance for transfers or ambulation.On 03/11/26 the DON educated all nurses, CNAs and therapy staff on the gait belt policies and that gait belts were to be utilized by nurses, CNAs and therapy staff with hands on assistance or guidance when ambulating or transferring residents.

This included transfers to and from bed, to the wheelchair, to the recliner, to the shower chair, and during ambulation when staff must have their hands touching the resident in order to steady them.

Gait belts were to be in staff member's pocks or on their person as part of the uniform.

The education was completed 03/21/26. On 03/16/26, the facility initiated an ongoing audit of appropriate gait belt usage give times ten observations a week for the first week, eight observations a week for the second week, six observations a week for the third week and four observations a week for the fourth week.This deficiency represents past non compliance investigated under Complaint Number 2802547.