Abercorn Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Abercorn Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 24, 2025

  Based on observations, record review, and interviews, the facility failed to provide adequate supervision to prevent accidents during incontinence care for one (Resident (R) 295) of four sampled residents reviewed for accidents. The failure resulted in a fall with injury, two fractured knees, and a fractured hip, requiring transfer to the hospital for evaluation. Findings include: Review of R295's Clinical Census located under the Census tab of the electronic medical record (EMR) revealed the resident was admitted on [DATE], with diagnoses which included anxiety, muscle weakness, and hemiplegia and hemiparesis following cerebrovascular disease affecting left dominant side. R295 was discharged to the hospital on 10/26/23. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observation, staff interviews, and review of the facility's policies titled Food Storage Principles, the facility failed to ensure opened food items in the walk-in cooler/freezer were labeled and dated. In addition, the facility failed to discard one food item by the expiration date. This had the potential to affect 80 residents receiving oral diets from the kitchen. Findings Include:Review of the Food Storage policy, revised 11/14/2025, documented under procedure 1. Train employees regarding proper food storage procedures. 5. […]

• No harm, potential for more than minimal, patternF880Feb 26, 2026

  Based on observation, interviews and review of the facility policy titled Hand Washing/Hygiene, the facility failed to ensure that staff were washing or sanitizing their hands while passing out lunch trays to the residents. The deficient practice had the potential to place residents at risk for infections from cross contamination.Findings include: Review of the Hand Washing/Hygiene Policy, revised 8/2023, documented Procedure. 3. The Centers for Medicare and Medicaid State Operations Manual indicates that hand hygiene should be performed: (d), before and after assisting a resident with meals. Observation of dining on 02/25/2026 at 12:10 PM, revealed the residents were brought into the dining area and sat at the tables without washing their hands. […]

• No harm, potential for more than minimal, patternF554Jan 24, 2025

  Based on observations, record review, interviews, and policy review, the facility failed to ensure four (Resident (R) 93, R23, R95, and R34) of 90 facility residents observed during initial screening had medications available for self-administration and stored at the bedside only when assessed to do so safely and with a physician's order. These failures placed all four residents at risk for medication errors, overdose, or misappropriation of medications. Findings include: Review of the facility's policy titled, Self-Administration of Medications, dated 06/28/24, revealed, The resident has the right to self-administer medications if the interdisciplinary team [IDT] has determined that this practice is clinically appropriate . […]

• No harm, potential for more than minimal, patternF698Jul 8, 2022

  Based on record review, review of the policy titled [CONDITION(S)], and staff/resident interviews, the facility failed to ensure that the only two residents (R) (#3 and #6) in the facility on [CONDITION(S)] were transported/received [CONDITION(S)] treatments per the physician orders; and failed to provide ongoing communication and collaboration with the transportation and [CONDITION(S)] facilities regarding [CONDITION(S)] care and services. Findings include: 1. Resident #3 admitted to the facility on [DATE], with the diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The most recent Minimum Data Set (MDS) was a Quarterly Assessment with the Assessment Reference Date (ARD) of 6/16/22. […]