Inspection Reports for Nhc Healthcare Charleston

The facility failed to consistently utilize gowns as part of PPE for enhanced barrier precautions when administering medications via a feeding tube to one resident out of a sample of 18, creating potential risk for infection transmission. Interviews with staff revealed inconsistent understanding and application of gown use during feeding tube medication administration and dressing changes.

The complaint investigation was substantiated with findings that the facility had insufficient staffing, especially on weekends, leading to delayed response to call lights and inadequate care. Residents and family members reported long wait times for assistance, and staff acknowledged staffing challenges. The facility had multiple grievances related to call light response delays.

The facility failed to provide timely and dignified care to residents, resulting in incidents such as a colostomy bag explosion and residents being left wet due to delayed assistance. Staffing shortages, especially on weekends, contributed to delays in care and medication administration. The facility also failed to order and administer medication in a timely manner for one resident.

The complaint investigation was triggered by reports of inadequate staffing and delayed response to call lights, resulting in residents having to wait long periods for assistance, including incidents of residents wetting themselves and delayed colostomy care. Family members and residents reported these issues, and staff interviews confirmed staffing shortages, especially on weekends.

The facility failed to ensure timely and dignified care for residents, including delayed assistance with toileting and colostomy care, failure to administer prescribed medication on time, and insufficient staffing especially on weekends, resulting in minimal harm or potential for harm to several residents.