Hurricane Health And Rehabilitation
Hurricane Health and Rehabilitation in Hurricane, UT — inspection on July 30, 2024.
Found 2 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
the resident had readmitted to the facility.
The nurse also documented Resident 3 had a large left arm
tolerated.
Resident 3's medical record included the resident's hospital discharge documentation that was dated 5/1/24.
Per the hospital discharge documentation, upon Resident 3's presentation to the emergency room for the evaluation of the resident's left knee pain, x-ray results revealed the resident an acute left distal femoral shaft fracture. Resident 3 was initially hospitalized in the intensive care unit for close monitoring and treatment.
On 7/30/24 at 11:28 PM, an interview was conducted with the Transportation Supervisor (TS). TS stated that on 4/22/24, TD1 called the facility to inform them that a resident had slid from the wheelchair during transport because TD 1 had to break hard. TS stated the incident occurred on the road just next to the facility. TS stated on 4/22/24, when the transportation van entered the parking lot, he was present along with a physical therapist, a nurse and the operations manager. TS stated when the van door was opened, it was apparent the resident had not been secured properly and the lap belt was not on. He stated Resident 3 was in notable pain and paramedics were called.
On 7/30/24 at 1:48 PM, an interview was conducted with the facility's Operations Manager (OM).
The OM explained that on 4/22/24, the day of incident involving Resident 3, the facility immediately updated and revised their process for ensuring transportation staff were trained and monitored.
The OM stated the facility retained all prior training and included an observed daily check off for every transport to ensure the transportation driver did not forget anything before the facility van moved.
The OM stated the onboarding process included new training on how to secure residents in the transportation van, as well as a post-training examination.
The OM also stated that if an employee, who had been used to transport residents, had not provided transportation services within the previous 30 days, an observed check off would be required to ensure the drivers skills remained acceptable.
F-F689.
Due to the facility's corrective measures, the noncompliance was determined to be past-noncompliance.
The facility's corrective action plan, which was developed and implemented by 4/23/24, included the following measures:
a. On 4/22/24, the date of the incident involving Resident 3, the facility entered into an agreement with an organization to implement and provide training and new protocols to transport facility residents.
The organization utilized by the facility had experience manufacturing wheelchair securement's and occupant restraint systems for transporting individuals with special needs.
All staff who performed transportation services for the facility were reeducated on proper securement of residents during transport, which included training videos produced by the contracted organization.
Transportation staff attested to the completion of the training by signing training records.
Transportation staff were then required to complete a post-training test.
b. On 4/22/24, all staff members who performed transportation services were required to read and sign the Fleet Safety Program book.
c. On 4/23/24, staff members were interviewed regarding safety during transportation.
Administrative staff also interviewed residents to determine if there were additional concerns about safety during transportation.
d.
The facility's Quality Assurance Performance Improvement (QAPI) Committee approved the updated driver safety training program and implemented the following QAPI activities:
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
465101
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 465101 B.
Wing 07/30/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Hurricane Health and Rehabilitation 416 North State Street Hurricane, UT 84737
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.