Abbott Skilled Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Abbott Skilled Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880May 21, 2025

  Based on observations, interviews and records reviewed, the facility failed to implement the infection prevention and control program. Specifically, the facility failed to implement an infection control surveillance plan for identifying, tracking, monitoring and/or reporting of infections, communicable diseases and outbreaks among residents and staff. Findings include: Review of the facility policy titled Infection Control, undated, indicated the following: -The facility has an established infection control program which has been designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease and infection. […]

• No harm, potential for more than minimal, widespreadF812Mar 2, 2022

  Based on observation, interview, and record review, the facility failed to properly sanitize and document the parts per million (ppm) for the chemical sanitizing dish machine. Findings include: During a kitchen walk through on 3/2/2022 at 11:20 A.M., the surveyors observed the dish machine reaching a temperature of 135 degrees Fahrenheit. It was unclear whether the dish machine was a high temperature machine or a low temperature, chemical sanitizing machine. During an interview on 3/2/2022 at 11:25 A.M., the Food Service Director said that in November 2021, the dish machine was converted from a high temperature machine to a low temperature machine and that a chemical sanitizing agent was used to help clean the dishes. […]

• No harm, potential for more than minimal, patternF880Nov 15, 2023

  Based on observation, record review and interview the facility failed to ensure infection control standards of practice for the prevention of infections were implemented. Specifically, housekeeping staff failed to perform hand hygiene after removing personal protection equipment (PPE) and moving from one resident room to another. The facility has one resident care unit. Findings include: Review of the Facility's policy entitled, The infection Prevention Program, dated August 2017, indicated the following: This facility has developed and maintains an Infection Control Prevention Program that provides a safe, sanitary, and comfortable environment to help prevent the development and transmission of infection. […]

• No harm, potential for more than minimal, patternF757Apr 19, 2023

  Based on records reviewed and interview, the facility failed to ensure an Abnormal Involuntary Movement Scale (AIMS) assessment (a test used monitor for adverse consequences of antipsychotic medication) was completed for 3 Residents(#23, #8 and #32) who were receiving antipsychotic medications out of a total sample of 17 Residents. Findings include: Review of the facility policy titled, Psychotropic Medication Management, dated 10/14/17, indicated psychoactive medication management will include adequate monitoring and an Abnormal Involuntary Movement Scale (AIMS) assessment. 1.) For Resident #23 there was no documentation to support an Abnormal Involuntary Movement Scale (AIMS) assessment was completed. […]

• No harm, potential for more than minimal, patternF759Mar 2, 2022

  Based on observation, interview, record review and policy review, the facility failed to ensure that it was free of a medication error rate of greater than 5%. The surveyor observed 2 of 3 licensed nurses make errors while administering medications. Eight (8) errors in 32 opportunities were observed resulting in a medication error rate of 25%. This affected 3 Residents (#8, #22 and #29) out of a total of 6 residents observed. Findings include: Review of facility policy titled 'Medication Administration- General guidelines', revised December 2019, indicated the following: -Right resident, right drug, right dose, right route and right time, are applied for each medication being administered. -Medications are administered in accordance with written orders of the prescriber. […]