Kerr Lake Nursing and Rehabilitation Center in Henderson, NC was fined $32,269 by CMS across 2 separate penalties following 11 deficiency citations identified during federal surveys.

Kerr Lake Nursing and Rehabilitation Center (Henderson, NC) — $32,269 in CMS Fines

Outcome: Kerr Lake Nursing and Rehabilitation Center in Henderson, NC was fined $32,269 by CMS across 2 separate penalties following 11 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.


• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.


• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.


• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.