Inspection Reports for
Countryside Health & Rehab of Newton County
610 East Court Street, Jasper, AR, 72641
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than Arkansas average
Arkansas average: 5.2 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Nov 15, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements including accuracy of Minimum Data Set (MDS) assessments, care planning, medication administration, infection control, and safety practices.
Findings
The facility was found deficient in multiple areas including inaccurate MDS assessments for hospice and enteral feeding, incomplete care plans, medication administration errors including incorrect dosing and improper insulin handling, failure to follow mechanical lift safety protocols, improper food handling and hand hygiene by dietary staff, and inadequate infection control practices during meal service and medication administration. Additionally, water safety issues were noted due to a boil water notice without proper signage.
Deficiencies (7)
Failed to ensure accurate MDS assessment for hospice care and enteral feeding for sampled residents.
Failed to develop and implement a complete care plan for pressure ulcer treatment.
Failed to ensure staff performed accurate medication administration and documented current diagnoses; medication errors occurred including incorrect doses and improper insulin administration technique.
Failed to ensure mechanical lift was used according to policy, including locking wheels during transfers.
Medication error rate exceeded 5%, with 3 errors out of 36 opportunities for 2 residents.
Failed to ensure proper handwashing and food safety practices by dietary staff during food preparation.
Failed to ensure infection prevention and control during meal service and medication administration; water fountains were contaminated and no signage was posted during a boil water notice.
Report Facts
Medication error rate: 8.33
Medication dose: 20
Medication dose: 50
Medication dose: 42
Medication dose: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse / Minimum Data Set / Assistant Director of Nursing | Named in medication administration errors and insulin handling deficiencies |
| RN #1 | Registered Nurse | Observed and instructed LPN #2 on insulin syringe technique |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding MDS accuracy, medication errors, and insulin administration |
| Administrator | Facility Administrator | Interviewed regarding staff expectations, medication administration, and infection control |
| Dietary Manager | Dietary Manager | Interviewed regarding dietary staff hand hygiene and food safety training |
| RCNA #8 | Restorative Certified Nursing Assistant | Observed failing to lock mechanical lift wheels during resident transfer |
| CNA #9 | Certified Nursing Assistant | Observed failing to perform hand hygiene properly during meal service |
Inspection Report
Routine
Deficiencies: 7
Date: Oct 6, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care plans, medication administration, respiratory care, pharmaceutical services, medication error rates, medication storage, and infection prevention and control.
Findings
The facility was found deficient in developing and implementing comprehensive resident-centered care plans, safe respiratory care practices, availability of medication supplies, maintaining medication error rates below 5%, secure medication storage, and consistent infection prevention and control practices. Several residents' care plans lacked documentation of medications, medication errors were observed, and infection control protocols were not consistently followed.
Deficiencies (7)
Failed to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured for Residents #14, #15, and #34.
Failed to ensure the mask on the Bilevel Positive Airway Pressure (BiPAP) was stored in a plastic bag to minimize infection risk for Resident #22.
Failed to ensure medications and supplies were readily available, specifically no needles for Lantus insulin pens for Resident #34.
Failed to maintain a medication error rate of less than 5%, with a 6.45% error rate observed during medication pass for Residents #23, #29, and #34.
Failed to ensure physician's orders were followed to prevent a significant medication error for Resident #34 related to insulin administration.
Failed to ensure safe and secure storage and administration of medications, leaving medications unattended on a resident's bedside table (Resident #33).
Failed to provide and implement an infection prevention and control program consistently, including hand hygiene and cleaning of glucometer devices during procedures and medication administration for Residents #22, #25, #34, and #39.
Report Facts
Medication error rate: 6.45
Medication opportunities observed: 31
Medication errors: 2
Residents observed during medication pass: 9
Residents with medication errors: 3
Units of Lantus insulin ordered: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding responsibility for completing and updating residents' care plans and confirmed deficiencies in care plan documentation. |
| Registered Nurse #1 | Registered Nurse (RN) | Observed and interviewed regarding medication administration, glucometer cleaning, and medication storage practices. |
| Licensed Practical Nurse #1 | Licensed Practical Nurse (LPN) | Interviewed regarding BiPAP mask storage and medication administration practices. |
| Director of Nursing | Director of Nursing (DON) | Interviewed multiple times regarding care plan responsibilities, medication administration, infection control policies, and medication storage. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse (LPN) | Observed and interviewed regarding medication administration, hand hygiene, and dropping medication vial on the floor. |
| Infection Control Nurse / RN #3 | Infection Control Nurse (ICN) / Registered Nurse (RN) | Interviewed regarding infection control practices including glucometer cleaning and hand hygiene. |
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