Acadia Center For Nursing And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Acadia Center For Nursing And Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF636Feb 7, 2023

  Based on record review and interview during the Recertification Survey initiated on 1/31/2023 and completed on 2/7/2023, the facility did not ensure that Admission and Annual Minimum Data Set (MDS) assessments were completed within 14 calendar days after admission and not less than once every 12 months for 13 (Resident #4, #9, #22, #26, #59, #71, #73, #86, #94, #95, #98, #106, and #107) of 19 residents reviewed for Resident Assessment. Specifically, three (Resident #86, #106 and #107) of 19 Residents did not have an Admission MDS completed within 14 calendar days of admission and 10 (Resident #4, #22, #26, #59, #71, #73, #94, #95, and #98) of 19 had an Annual MDS assessment completed less than once every 12 months. […]

• No harm, potential for more than minimal, widespreadF638Feb 7, 2023

  Based on record review and interview during the Recertification Survey initiated on [DATE] and completed on [DATE], the facility did not ensure that Quarterly Minimum Data Set (MDS) assessments specified by the state and approved by the Center for Medicare and Medicaid Services (CMS) were completed not less frequently than once every 3 months for 19 (Resident #4, #9, #22, #25, #26, #48, #55, #59, #61, #71 #73, #79, #86, #90, #94, #95, #98, #106, and #107) of 19 residents reviewed for Resident Assessment. Specifically, the facility did not complete Quarterly Minimum Data Set Assessments at least every 92 days following the previous assessment for all 19 Residents sampled for Resident Assessment. […]

• No harm, potential for more than minimal, patternF812Sep 18, 2024

  Based on observations, record review, and interviews, during the recertification survey initiated on [DATE] and completed on [DATE], the facility did not ensure that food was stored in accordance with professional standards for food service safety. This was identified during the Kitchen Task. Specifically, expired and opened containers of food were observed in the refrigerator; The freezer was observed with frozen food products out of their original packaging with no label or date. Additionally, stored dry goods were unlabeled and undated in the basement dry storage area. The finding is: An undated facility policy titled Food Storage documented foods received shall be properly stored to maintain high quality and sanitary conditions. […]

• No harm, potential for more than minimal, isolatedF656Jul 29, 2026

  Based on observations, record review, and interviews, the facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident that included measurable objectives and timeframes to meet each resident's medical and nursing needs. This was identified for two (Resident #94 and Resident #122) of four residents reviewed for Accident Hazards. Specifically, 1) Resident #94 had a physician's order for bilateral floor mats when in bed. On multiple observations Resident #94 was observed in bed without the use of the floor mats. […]

• No harm, potential for more than minimal, isolatedF761Sep 18, 2024

  Based on observations, record review, and interviews during the Recertification Survey initiated on 9/11/2024 and completed on 9/18/2024, the facility did not ensure medications were properly stored in medication carts. This was identified for two (Unit A and Unit C) of four units reviewed during the Medication Storage Task. Specifically, loose unidentifiable medications were observed in medication carts in Unit A and Unit C; residents' hearing aids, hearing aid batteries, and nail clippers were stored in medication carts in Unit A and Unit C; and the Unit C Medication Storage Room refrigerator had a dried pink substance spilled on the refrigerator shelf. […]