Abbyshire Place Health and Rehabilitation Center L

In the surveyor’s words

From the most serious findings on record at Abbyshire Place Health and Rehabilitation Center L, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Feb 22, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, guidelines from the Centers for Disease Control (CDC), guidance from the [NAME] County Local Health Department (LHD), the facility's [CONDITION(S)]-CoV-2 (Covid-19) timeline, review of resident and staff testing logs, observations, record reviews, review of the facility's COVID-19 policies and procedures, and staff interview, the facility failed to implement effective and recommended infection control practices, including the appropriate use and/ or doffing of personal protective equipment (PPE) to prevent the spread of COVID-19 within the facility. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2024

  Based on observation and interview, the facility failed to maintain proper hand hygiene during tray line. This had the potential to affect all 90 residents in the building. Findings included: Observation of lunch tray line on 02/07/24 which began at 10:55 A.M. revealed the following: At 11:03 A.M., Dietary Aide (DA) #104 touched her face three times and did not wash her hands. DA #104 then began touching trays and drinks. At 11:15 A.M., DA #104 touched her ear, then placed her hands on her hips. […]

• No harm, potential for more than minimal, widespreadF563Feb 22, 2022

  Based on review of QSO-20-39-NH revised 11/12/21 from the Centers for Medicare and Medicaid Services (CMS), family interview, staff interview, and policy review, the facility failed to ensure residents were afforded the right to receive visitors of their choosing. This affected one resident (Resident #60) and had the potential to affect all residents in the facility. Findings include: A review of a CMS memo QSO-20-39- NH revised 11/12/21 titled Nursing Home Visitation- Covid-19 revealed visitation was now allowed for all residents at all times. The guidance under indoor visitation revealed the facility must allow indoor visitation at all times and for all residents, as permitted under the regulations. […]

• No harm, potential for more than minimal, patternF921Feb 12, 2024

  Based on observation, staff interview, and record review the facility failed to maintain a clean, homelike environment related to walls in disrepair and a dirty bathroom. This affected five residents (#5, #11, #52, #57, and #72) who resided in rooms [ROOM NUMBER]. The facility census was 90. Findings include: 1. Record review of Resident #72 revealed an admitted [DATE] with pertinent diagnoses of hemiplegia and hemiparesis, contracture right and left hip, protein calorie malnutrition, polyneuropathy, epilepsy, hypertension, depression, hyperlipidemia, gastrostomy status, cerebral infarction, pain, and vascular dementia, Record review of Resident #57 revealed an admitted [DATE] with pertinent diagnoses of: obstructive and reflux uropathy, chronic kidney disease stage three, chronic pain… […]

• No harm, potential for more than minimal, isolatedF689Jul 22, 2024

  Based on record review, review of the facility's fall investigation, review of a self-reporting incident (SRI) and for an allegation of neglect and the facility's related investigation, observation, staff interview, family interview and policy review, the facility failed to ensure a resident with cognitive impairment, who was at risk for falls and had a history of falls, received the appropriate level of supervision to prevent him from falling in the facility's enclosed patio area. This affected one (Resident #65) of three residents reviewed for falls. Findings include: Review of Resident #65's medical record revealed he was admitted to the facility on [DATE]. […]