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Complaint Investigation

Athens Nursing And Rehabilitation Center

August 1, 2024 · Athens, PA · 200 South Main St
Citations 1
CMS Rating 2/5
Beds 90
Provider ID 396137
Healthcare Facility
Athens Nursing And Rehabilitation Center
Athens, PA  ·  View full profile →
Inspection Summary

ATHENS NURSING AND REHABILITATION CENTER in ATHENS, PA — inspection on August 1, 2024.

Found 1 citation. 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.

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Inspection Findings

FF3502
Minimal harm or environment). The sign included handwritten, Droplet, in black marker over the word, Contact. The sign for Some affected

Observation of Resident 3's room doorway on August 1, 2024, at 12:23 PM revealed a sign for contact precautions.

The sign included handwritten, Droplet, in black marker over the word, Contact.

The sign for contact precautions did not include reference to eye protection.

The door included a yellow PPE organizer that included gowns, gloves, surgical masks, and N95 masks.

Clinical record review for Resident 3 revealed nursing documentation dated July 29, 2024, at 2:16 PM that Resident 3 tested positive for COVID during routine testing.

Interview with Employee 3 (registered nurse) on August 1, 2024, at 12:49 PM confirmed that Residents 1 and 3 were the only residents in the facility currently isolated for COVID-19 infection.

Employee 3 confirmed that the signage on the doorways for Residents 1 and 3 did not include measures necessary for droplet precautions (eye protection); and that the facility used the sign intended for contact precautions and just overwrote the word, Contact, with, Droplet.

Observation of Resident 1's room on August 1, 2024, at 1:04 PM revealed Employee 2 (nurse aide) inside the doorway removing personal protective equipment.

Employee 2 removed a blue surgical (not N95) mask.

Interview with Employee 2 on August 1, 2024, at 1:05 PM indicated that she just finished emptying the urine storage bag for Resident 1's indwelling urinary catheter (catheter inserted through the penis and into the bladder to drain urine).

Employee 2 confirmed that she needed to be within a few feet of Resident 1 to access his urine collection bag.

Employee 2 stated that she, just grabbed the one on top (surgical mask versus N95 mask), and that the sign, doesn't say, which mask is required.

Employee 2 verified N95 masks were available in the PPE organizer.

Employee 2 questioned, Well, why do they have them (blue surgical masks) there?

The surveyor reviewed the above concerns regarding COVID isolation precautions during an interview with the Nursing Home Administrator and Employee 1 (clinical consultant) on August 1, 2024, at 1:14 PM.

483.80(a)(1)(2)(4)(e)(f) Infection Control

Previously cited deficiency 6/14/24

28 Pa.

Code 201.18(b)(3)(d)(e)(1) Management

28 Pa.

Code 211.12(d)(1)(5) Nursing services

396137

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ATHENS, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ATHENS NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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