Hayesville House

The facility failed to maintain matching therapeutic diet menus for guidance of food service staff. Specifically, three out of four sampled residents with physician-ordered therapeutic diets, including mechanical soft and pureed diets, did not have corresponding menus available in the kitchen.

The facility failed to ensure required staffing hours were met across all three shifts. Based on census reviews from September through October 2023, staff hours provided were insufficient to meet the regulatory requirements for the number of residents in the Special Care Unit.

The facility failed to maintain required staffing hours across all three shifts for a census of 35 to 36 residents. Specifically, multiple shifts between 09/23/23 and 10/08/23 showed significant shortages in staff hours on the first, second, and third shifts. Interviews with a resident's family member and a medication aide confirmed that the facility was frequently short-staffed, particularly on weekends.

The facility failed to maintain resident rooms in a clean and orderly manner free of hazards. Specifically, 10 out of 28 observed resident rooms contained dark gray mold growth on the air output vents of the through-the-wall heat pump units.

The facility failed to maintain the resident rooms in a clean and orderly manner, as evidenced by mold growth on the air output vents of through-the-wall heat pumps in multiple rooms across the 400, 300, and 100 halls. Specifically, 10 out of 28 observed rooms contained dark gray mold on the heat pump units. Additionally, there was no set schedule for cleaning these units, with staff only cleaning them as needed.

The facility failed to report allegations of sexual abuse against a staff member to the Health Care Personnel Registry. Specifically, the facility documented an allegation of inappropriate touching by a Personal Care Aide during incontinence care but did not notify the required registry.

The facility failed to report allegations of sexual abuse involving a staff member to the Health Care Personnel Registry (HCPR). Investigations revealed that a staff member was observed inappropriately touching a resident's private area during incontinence care and using excessive force during personal care.

The facility failed to provide minimum required staffing in the Special Care Unit during several periods in January and February 2016. Specifically, staff hours on the first, second, and third shifts were insufficient to meet the regulatory requirements based on the resident census.