Inspection Reports for Effingham Care & Rehabilitation Center

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during the follow-up survey.

A State Licensure survey was conducted at Effingham Care & Rehabilitation Center from December 17, 2024, through December 19, 2024, to assess compliance with state health regulations.

The facility failed to obtain an annual purified protein derivative (PPD) skin test for tuberculosis or chest x-ray every five years for three of ten employees reviewed, placing residents at risk of communicable diseases from untested staff.

A standard survey was conducted from December 17, 2024, through December 19, 2024, including an investigation of Complaint Intake Number GA00236572 in conjunction with the standard survey.

The standard survey revealed the facility was in substantial compliance with the Health portion of the Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities.

Complaint Intake Number GA00236572 was investigated in conjunction with the standard survey.

A State Licensure survey was conducted at Effingham Care & Rehabilitation Center from December 17, 2024, through December 19, 2024, to assess compliance with state health regulations.

The facility failed to obtain an annual purified protein derivative (PPD) skin test for tuberculosis or chest x-ray every five years for three of ten employees reviewed, placing residents at risk of communicable diseases from untested staff.

A standard survey was conducted from December 17, 2024, through December 19, 2024, including an investigation of Complaint Intake Number GA00236572 in conjunction with the standard survey.

The standard survey revealed the facility was in substantial compliance with the Health portion of the Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B-Requirements for Long Term Care Facilities.

Complaint Intake Number GA00236572 was investigated in conjunction with the standard survey.

The Life Safety Code Survey was conducted to assess compliance with 42 CFR Subpart 483.90(a) and NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.

The facility was found not in substantial compliance due to deficiencies in the installation of the fire alarm system and electrical equipment. Specifically, the fire alarm panel circuit breaker lacked a lockout, and a power strip in the Social Worker's office was not properly mounted off the floor.

A Life Safety Code Survey was conducted to assess the facility's compliance with fire safety and related National Fire Protection Association standards as required for Medicare/Medicaid participation.

The facility was found not in substantial compliance with fire alarm system installation and electrical equipment installation requirements. Specific deficiencies included the lack of a lockout on the fire alarm panel circuit breaker and a power strip not properly mounted off the floor in the Social Worker's office.

The document is a statement of deficiencies and plan of correction for Effingham Care & Rehabilitation Center following a survey completed on 11/22/2022.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited in the prior standard survey conducted on 2022-09-25.

All deficiencies cited as a result of the 9/25/2022 Standard Survey were found to be corrected during the revisit survey.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found in compliance with the Life Safety Code requirements and the Emergency Preparedness Program was in compliance with 42 CFR § 483.73.

A State Licensure survey was conducted from September 23, 2022, through September 25, 2022, to assess compliance with physical plant standards and other regulatory requirements.

The facility failed to ensure that the emergency call light system in four of eight resident bathrooms on the secured memory unit was functioning properly. Call lights in bathrooms of Rooms 322/324, 318/320, 313/315, and 311 did not activate when tested.

A standard survey was conducted at Effingham Care Center from September 23, 2022, through September 25, 2022, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance due to non-functioning emergency call light systems in four of eight resident bathrooms on the secured memory unit, which failed to activate when tested.

A COVID-19 Focused Infection Control Survey was conducted from 9/13/2021 to 9/14/2021 to assess the facility's compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.

The facility was found to be in compliance with 42 CFR §483.73 and §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey was conducted to assess the facility's compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparedness.

The inspection was conducted as a Licensure Survey to assess compliance for facility licensure.

No deficiencies were identified during the Licensure Survey.

A standard survey was conducted at Effingham Care and Rehabilitation Center from February 24, 2020 through February 27, 2020 to assess compliance with Medicare/Medicaid regulations.

The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B-Requirements for Long Term Care Facilities.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found in substantial compliance with the Life Safety Code requirements and the Emergency Preparedness Program was also in substantial compliance with 42 CFR 483.73.

An Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00195621, GA00196099, and GA197946.

The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaints were unsubstantiated and no deficiencies were cited.

Complaints investigated were unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited during the standard survey conducted on August 13-16, 2018.

All deficiencies cited in the prior standard survey were found to be corrected, and the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited survey tags have been corrected during the follow-up survey.

The inspection was conducted due to a complaint investigation regarding failure to follow the care plan for Resident #60, specifically related to bed positioning and skin monitoring.

The facility failed to keep Resident #60's bed in the lowest position, resulting in a fall and hip fracture. Additionally, the facility failed to ensure weekly skin assessments by licensed nursing staff and proper communication of skin issues by CNAs, leading to an unstageable pressure sore.

The complaint investigation found substantiated failures related to Resident #60's care plan, including bed safety and skin monitoring. CNA AA was terminated for failure to follow safety policy and care plan.

A standard survey was conducted to assess compliance with Medicare/Medicaid regulations for Effingham Care & Rehabilitation Center, focusing on resident care plans, pressure ulcer prevention and treatment, and fall prevention.

The facility was found not in substantial compliance with regulations, with deficiencies including failure to keep a resident's bed in the lowest position resulting in a fall and hip fracture, failure to perform weekly skin assessments leading to delayed identification of a pressure sore, and inadequate fall prevention supervision.

The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 Edition.

The facility was found not in substantial compliance with fire safety requirements, specifically failing to maintain proper fire sprinkler coverage in the kitchen food prep sink area and walk-in cooler, and failing to maintain four corridor doors from resident rooms with positive latching hardware as required.

A standard survey was conducted in conjunction with complaint #GA00179459 at Effingham Care Center from September 25, 2017 through September 28, 2017.

The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B. No deficiencies were cited related to complaint #GA00179459.

Complaint #GA00179459 was investigated and no deficiencies were cited related to this complaint.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

Effingham Care Center was found in substantial compliance with the Life Safety Code requirements during the survey.