Inspection Reports for
Conway Healthcare and Rehabilitation Center

The complaint investigation focused on Resident #81's discharge despite an appeal, medication errors including a significant error causing hospitalization of Resident #52, failure to respond to alarms and call lights for Residents #8 and #69, and infection control breaches during perineal care for Residents #69 and #74.

The facility failed to comply with regulations by discharging Resident #81 despite an appeal being filed, resulting in minimal harm. Medication errors were identified, including a significant error causing hospitalization of Resident #52 due to administration of another resident's medications. The facility also failed to respond timely to feeding tube alarms and call lights for Residents #8 and #69, and did not ensure proper hand hygiene during perineal care for Residents #69 and #74, risking cross contamination.

The facility failed to maintain a safe environment due to floor clutter, detached wall vinyl, detached wall rails, and wall damage posing potential hazards for falls. Maintenance requests for these issues were not documented, and repairs had not been made at the time of inspection.

The facility failed to maintain a safe environment due to multiple hazards including clutter on the floor in resident rooms, detached wall vinyl and wall rails, discolored stains and debris in the dining room, and wall gashes near resident beds. Maintenance was not available at the time of inspection, and no maintenance requests for these issues were found in the facility's Maintenance Request Book.

The complaint investigation was triggered by allegations of resident abuse, failure to provide adequate care and protection, medication concerns, infection control lapses, and immunization deficiencies. Immediate Jeopardy was identified related to resident-to-resident abuse but was removed after corrective actions were verified.

The facility was found deficient in multiple areas including failure to ensure residents' call devices were within reach, failure to protect residents from abuse and altercations, failure to update care plans accurately, inadequate interventions to prevent contracture worsening, failure to ensure psychotropic medications were used appropriately, unsanitary food preparation and storage conditions, lapses in infection control practices related to laundry handling and trash management, and failure to provide pneumococcal vaccinations to residents.

The investigation was complaint-driven, focusing on personal hygiene issues for Residents #02 and #03. The complaint was substantiated with observations of dirty fingernails, body odor, and missed showers/baths as documented and confirmed by staff interviews.

The facility failed to provide scheduled showers/baths, maintain clean fingernails, and shave male residents as required, affecting at least two residents. Observations, interviews, and record reviews confirmed residents had dirty fingernails, body odor, and were not shaved as scheduled.

The facility was found deficient in multiple areas including failure to ensure residents were informed about advance directives, failure to provide Medicaid/Medicare beneficiary notifications, inadequate PASARR screenings for residents with mental disorders or intellectual disabilities, failure to provide scheduled showers for dependent residents, failure to provide oxygen therapy as ordered, and failure to ensure pureed food items were prepared to appropriate consistency.

The facility was found deficient in multiple areas including failure to provide residents with information and documentation regarding advance directives, failure to notify residents about Medicare Part A service termination, failure to conduct or update PASARR screenings for residents with mental disorders or intellectual disabilities, failure to provide scheduled showers for dependent residents, failure to ensure oxygen therapy was administered as ordered, and failure to provide pureed food items with appropriate consistency.