Aberjona Rehabilitation and Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 22, 2022

  Based on observation, record review and interview, the facility failed to ensure physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Review of facility policy titled 'PICC Catheter Dressing Change', policy number V-C, revised April 2017 indicated the following: -Assessment of the PICC site to include external catheter length -Documentation of the catheter assessment, including external catheter length. Resident #56 was readmitted to the facility in March 2022 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #56's Minimum Data Set Assessment (MDS) dated [DATE] indicated the Resident was cognitively intact and scored a 13 out of 15 on the Brief Interview for Mental Status Exam (BIMS). […]

• Actual harm, isolatedF692Apr 22, 2022

  Based on observation, interview, policy review, and record review, the facility 1) Failed to maintain acceptable parameters of nutritional status by providing adequate interventions to maintain usual body weight and prevent significant weight loss for 1 Resident (#59); and 2) Failed to ensure hydration was monitored for 1 Resident (#101) resulting in the need for intravenous hydration, out of a total sample of 23 residents. Findings include: 1. For Resident #59, the facility failed to address a significant weight loss. Review of the facility's policy titled Monitoring Resident's weights, undated, indicated the following: *Nurse team leader initiates daily weight. *If weight differs (plus or minus) 5 pounds, recheck weight. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2024

  Based on observation, policy review, and interview, the facility failed to store food in accordance with professional standards for food service safety. Specifically, the facility failed to: 1. Ensure food was labeled and dated. 2. Ensure beard nets were worn in the food preparation area. 3. Ensure employee meals were not stored with resident food and ingredients. Findings include: Review of policy titled Food Safety Requirements, revised 2/2023, indicated, but was not limited to the following: -Food will be stored, prepared, distributed, and served in accordance with professional standards for food service safety. -Dry food storage - keep foods/beverages in a clean, dry area off the floor. […]

• No harm, potential for more than minimal, isolatedF658May 15, 2024

  Based on record review, policy review and interviews, the facility failed to provide services that met professional standards of quality for one Resident (#261) out of a total sample of 22 residents. Specifically, the facility failed to follow a physician order for documenting total volume intake for Resident #261. Findings include: Review of facility policy titled Care and Treatment of Feeding Tubes, dated 2/2023, indicated the following: -Feeding tubes will be utilized according to physician orders, which typically include: the kind of feeding and its caloric value, volume, duration, mechanism of administration, and frequency of flush. […]

• No harm, potential for more than minimal, isolatedF641Mar 29, 2023

  Based on record review and interview the facility failed to ensure the Minimum Data Set (MDS) Assessment was accurate for one Resident (#37) out of a total sample of 22 residents. Specifically, the MDS indicated Resident #37 was on a hospice care program while a resident in the facility. Resident #37 was admitted to the facility in 1/2023 and has diagnoses that include anemia, unspecified severe protein-calorie malnutrition, unspecified dementia, and pressure ulcer of other site, stage 4. Review of the comprehensive Minimum Data Set Assessment (MDS) with an Assessment Reference Date of 1/22/23 indicated Resident #37 scored 10 out of 15 on the Brief Interview for Mental Status Exam, indicating moderately impaired cognition, required extensive assistance from staff for daily care. […]