Oak View Health And Rehabilitation
Oak View Health And Rehabilitation in Conway, SC — inspection on February 11, 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
Review of R424's electronic medical record (EMR) revealed his code status orders were CPR/Full Code- no tube feed effective [DATE]. R424's care plan reflects Full Code status. R424's EMR contained a paper Emergency Medical Services Do Not Resuscitate Order signed by R424's Responsible Party (RP) and a physician on [DATE] requesting DNR status.
There was also a Physician order dated [DATE] at 1845 for DNR, which was signed by a Nurse and a Physician.
On [DATE] at 12:16 PM, R424, who had a Brief Interview for Mental Status (BIMS) score of 8, which indicated moderate intact cognition stated, I want to die, I don't want them to save me.
During a telephone interview on [DATE] at 12:30 PM, R424's RP confirmed R424 wishes to be a DNR.
During an interview on [DATE] at 2:15 PM with Licensed Practical Nurse (LPN)1 and Registered Nurse (RN)1, they stated, If there was a code, we would go to PointClickCare (PCC) and verify the code status. We will check vitals and start CPR. We then would call out for a Code Blue and then continue to monitor with CPR until EMS comes and takes over.
During an interview with LPN2 on [DATE] at 2:19 PM, she stated in order to verify code status, she would check the EMR.
When asked to confirm R424's code status, LPN2 went into the EMR and stated he was a Full Code.
During an interview with the Director of Nursing (DON) on [DATE] at 2:30 PM, she stated she would look under the MISC tab in the EMR for the code status and look at the doctor ' s orders. If a resident was not breathing, they would call a code blue .
425121
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 425121 B.
Wing 02/11/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oak View Health and Rehabilitation 3300 4th Avenue Conway, SC 29527
Review of R103's Face Sheet revealed R103 was admitted to the facility initially on 06/19/24, with a readmission on 10/28/24, with diagnoses including but not limited to: pressure ulcer of right heel- stage 4, osteomyelitis, ankle and foot, methicillin resistant staphylococcus aureus infection as the cause.
Review of R103's Physician Orders dated 09/30/24 revealed, paint right heel with betadine, cover with ABD pad, every day shift for wound healing; cleanse right heel with dakins, apply mesalt and border every day shift for wound healing.
Review of Physician Orders dated 10/03/24, revealed, cleanse right hell with Dakins solution and apply Mesalt and border gauze every day shift for wound healing and as needed.
Review of R103's Progress Notes dated 10/03/24, documented, During report nurse stated resident has maggots in right heel wound.
Review of Nurses Notes dated 10/03/24 at 7:10 PM, revealed, Doctor notified and new orders to send resident out for further evaluation.
425121
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 425121 B.
Wing 02/11/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oak View Health and Rehabilitation 3300 4th Avenue Conway, SC 29527
Review of the facility policy titled Food Receiving and Storage with revised date of ,d+[DATE], documented, Policy Interpretation and Implementation: . 8.
All foods stored in the refrigerator or freezer will be covered, labeled and dated . 12.
Functioning of the refrigeration and food temperatures will be monitored at designated intervals throughout the day .
During an interview on [DATE] at 9:50 AM, the Dietician stated that she works part-time 8 hours per week and has more of a clinical based role and is not involved in the day-to-day operations.
The Dietician concluded that she was not aware that the kitchen staff was not using sanitizer in the three compartment sink or for dishwasher use.
During the initial tour of the kitchen on [DATE] at 9:00 AM, revealed the following:
Dry storage:
2 - 6 pounds (lbs) cases of corn stored on the floor.
425121
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 425121 B.
Wing 02/11/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oak View Health and Rehabilitation 3300 4th Avenue Conway, SC 29527