MONROE, NC – ACCORDIUS HEALTH AT MONROE

Based on observations, interviews with the resident and staff and record review, the facility failed to secure a resident’s wheelchair according to manufacturer’s instructions resulting in the wheelchair moving during transport causing the resident to strike her head on the window in 1 of 2 resident sampled for facility van transport (Resident #11).

The facility also failed to maintain a safe environment by utilizing electric drop cords, which were not Ground Fault Circuit Interceptor protected and had resident care equipment plugged into them, in two of eight areas reviewed for environment (Resident #35’s room and the Dining Room), not covering glass fluorescent light tubes in three of four areas reviewed for protected lighting (dining room, 100 Hall, and 200 Hall), and failed to secure a package of disinfectant bleach wipes for 1 of 3 wound care observations.

Immediate Jeopardy began on 1/30/20 when Resident #11 was not secured in her wheelchair according to manufacturer’s instructions while being transported in the facility’s transport van and she hit her head on a van window. Immediate Jeopardy was removed on 02/07/20, the date of the facility’s alleged removal of the immediate jeopardy, the facility implemented an acceptable credible allegation of Immediate Jeopardy removal. The facility remains out of compliance at a lower scope and severity of [NAME] (no harm with the potential for more than minimal harm that is not immediate jeopardy) for findings #2, #3, #4 and #5 to correct the deficient practice and to ensure monitoring systems put in place to remove the Immediate Jeopardy are effective.