Aaron Manor Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Aaron Manor Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF700Oct 24, 2024

  Based on observations, interviews, and record review conducted during the Recertification Survey from 10/17/2024 to 10/24/2024, the facility did not ensure residents were assessed for safe use of bed (side) rails prior to installation, did not review the risks and benefits of bed rails with the resident or resident representative, and did not obtain informed consent prior to the installation of bed rails for 6 of 12 residents (Resident #13, #42, #49, #107, #112 and #128) reviewed for accidents. […]

• No harm, potential for more than minimal, isolatedF584Oct 24, 2024

  Based on observations, interviews, and record review conducted during a Recertification Survey from 10/17/2024 to 10/24/2024, for one of one kitchen, the facility did not provide housekeeping and maintenance services necessary to maintain a clean, comfortable, and homelike environment. Specifically, there was wall damage that was previously identified but not repaired. The findings are: The facility policy Healthcare Services Group, Inc. and its subsidiaries HCSG Policy 028, revised 09/2017, included all food preparation areas, food service areas, and dining areas will be maintained in a clean and sanitary condition. […]

• No harm, potential for more than minimal, isolatedF759Oct 24, 2024

  Based on observations, interviews, and record review conducted during the Recertification Survey from 10/17/2024 to 10/24/2024, for two (Resident #73 and #96) of five residents reviewed, the facility did not ensure a medication error rate of five percent or less. There were two medication errors for 27 opportunities resulting in a medication error rate of 7.4 percent. Specifically, a narcotic pain medication was signed for but not administered until eight hours after its scheduled time. A second medication was pre-poured that was not labeled as to what it was or who it was for and the medication nurse was not aware of what the medication for for or where to apply it. […]

• No harm, potential for more than minimal, isolatedF761Oct 24, 2024

  Based on observations, interviews, and record review conducted during the Recertification Survey from 10/17/2024 to 10/24/2024, for one (3-400 Unit) of two medication storage rooms reviewed, the facility did not ensure that all drugs and biologicals were properly stored in accordance with State and Federal Laws. Specifically, the 3-400 Unit controlled medication (medications whose possession and use of are regulated by the government due to their potential for serious side effects) cabinet, contained several blister packs of controlled medications that were secured with one locked door (versus two). The exterior door of the cabinet was unlocked. […]

• No harm, potential for more than minimal, isolatedF880Oct 24, 2024

  Based on observations, interviews, and record review conducted during the Recertification Survey from 10/17/2024 to 10/24/2024, for four (Residents #11, #13, #51 and #61) of 11 residents reviewed, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections. Specifically, two Certified Nursing Assistants did not wear the appropriate personal protective equipment (equipment used to prevent or minimize exposure and transmission of diseases/infections) when transferring a resident on enhanced barrier precautions (an infection control practice that involves wearing gloves and gowns during high-contact patient… […]