Inspection Reports for
Bailey Creek Health and Rehab

The facility was found deficient in multiple areas including failure to ensure resident privacy and dignity, inadequate notification of hospital transfers and bed hold policies, unsafe environmental hazards, improper medication storage, failure to follow dietary and infection control standards, and insufficient dementia training for nursing aides.

The complaint investigation involved allegations against CNA #1 for verbal abuse and threatening behavior towards Residents #2, #3, #4, and #6. The facility initially found the allegations unsubstantiated, but residents reported continued mistreatment and retaliation. The Administrator admitted to unsubstituting the abuse allegation to protect employees and acknowledged a personality conflict. Multiple residents had cognitive assessments documented, with some residents severely cognitively impaired.

The facility failed to ensure a thorough investigation of verbal abuse allegations involving CNA #1. The investigation was deemed unsubstantiated by the facility, but residents reported ongoing issues and dissatisfaction with the handling of the complaints. The CNA was suspended during the investigation and later reassigned to avoid contact with certain residents.

The complaint investigation was substantiated based on the findings that staff did not follow the care plan requiring two-person assistance for Resident #1, leading to a fall on 11/17/2023. The resident was found on the floor with a head injury and later passed away on 1/26/2024 related to electrolyte imbalance. Witness statements confirmed the CNA was providing care alone despite the care plan.

The facility failed to ensure residents were free from accidents by allowing staff to not follow Resident #1's care plan, which required two-person assistance for bed mobility, dressing, and toileting. A fall occurred on 11/17/2023 when a CNA provided care alone, resulting in the resident falling out of bed and sustaining a head injury. The care plan was not consistently followed, and documentation was incomplete.

The facility was found deficient in maintaining a safe, clean, and homelike environment, including issues with dirty air-conditioning/heating units and corroded sinks. Deficiencies were also noted in care planning for oxygen use, personal hygiene related to fingernail care for dependent residents, and failure to post oxygen in use signage for residents requiring oxygen therapy.

The facility failed to maintain the bath and shower rooms and resident rooms in good repair, with issues such as stained ceiling tiles, broken tiles, and cluttered bathrooms posing potential hazards. Additionally, the kitchen had multiple sanitation violations including uncovered food items, unwashed hands by staff, rust and residue on equipment, and contaminated ice scoop holders, all posing risks of foodborne illness.