Inspection Reports for Haywood Lodge and Retirement Center

Multiple deficiencies were cited related to physical plant conditions including unsafe outside premises, poor housekeeping, fire safety system failures, inadequate hot water temperature, and lack of exhaust ventilation in specified areas.

The visit was complaint-related, focusing on allegations that the facility did not provide adequate referral and follow-up care for residents with uterine and rectal prolapse. The complaint was substantiated based on observations, record reviews, and interviews.

The facility failed to ensure that 2 of 11 sampled residents received proper referral and follow-up care for prolapse conditions, resulting in a Type A2 violation. Staff were observed managing prolapse conditions without proper medical oversight or documentation, posing substantial risk for serious physical harm.

The facility failed to ensure that 3 of 3 medication aides had completed required state-approved medication aide training courses. Additionally, the facility failed to ensure medications were administered as ordered for 1 of 5 sampled residents, specifically an antibiotic medication and an antibiotic eye ointment, resulting in potential harm to the resident.

The complaint investigation found that Staff B and Staff C tested positive for THC without physician prescriptions and were still employed. The facility did not require or complete follow-up drug screens as required.

The facility failed to ensure that 2 of 3 sampled staff who tested positive for controlled substances (THC) and did not have a physician's prescription were not employed by the facility. Interviews and record reviews revealed lack of follow-up drug screens and no prescriptions for the positive drug tests.

The visit included a complaint investigation related to Resident #3's broken wheelchair causing pain and lack of treatment, which was substantiated as serious neglect (Type A1 violation).

The facility failed to protect Resident #3 from neglect by not repairing or replacing a broken wheelchair causing pain and not providing medication for pain for one year, resulting in serious neglect (Type A1 violation). Additionally, the facility failed to notify the local county Department of Social Services of incidents involving injuries requiring emergency medical treatment for Residents #1 and #5.

Complaint investigation was conducted as part of the visit on 09/15/21 and 09/16/21. Specific substantiation status is not stated.

The facility failed to ensure annual care plans were completed for residents, medications were administered as ordered including correct dosages, medication aides observed residents taking medications, and residents had physician orders for self-administration of medications. Additionally, the facility failed to implement an infection prevention and control program consistent with state guidelines, including visitation restrictions during the COVID-19 pandemic.

Deficiencies were cited related to the lack of current fire and building safety inspection reports, missing escutcheons at sprinkler heads with openings into the attic, plastic ceiling access panels in the basement not rated for one-hour fire resistance, and a loose top hinge on a door preventing proper latching to resist smoke and fire passage.

The facility was found deficient in maintaining current sanitation and fire safety inspection reports, timely inspection of the range hood fire suppression system, conducting and documenting fire safety rehearsals on each shift, maintaining fire-rated doors and walls, and ensuring proper operation of building equipment such as exhaust fans.

The facility failed to maintain hot water temperatures within the required range in six private resident rooms on the Maples hallway, served pureed diets that did not meet physician orders for two residents, and failed to notify the County Department of Social Services of accidents requiring emergency medical evaluation for two residents.