Achieve Rehab And Nursing Facility

In the surveyor’s words

From the most serious findings on record at Achieve Rehab And Nursing Facility, in the surveyor’s own words.

• Actual harm, isolatedF600May 22, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that residents received adequate supervision to remain free from sexual abuse for one (Resident #80) of one reviewed for abuse. Specifically, on 03/12/2026, Maintenance Worker #9 observed the visitor of Resident #66 (roommate of Resident #80) lying on top of Resident #80 with their hands beneath Resident #80's blouse while touching their breasts. Subsequently, Resident #80 was transferred to the hospital on [DATE] for evaluation and returned to the facility. On 03/16/2026, there was documented evidence that Resident #80 reported severe difficulty sleeping, with no sleep the previous night. This resulted in actual psychosocial harm that was not Immediate Jeopardy. […]

• Actual harm, isolatedF693May 22, 2026

  Based on observation, interviews, and record review, the facility failed to ensure that a resident received the appropriate treatment and services to prevent complications of enteral feeding for one (Resident #129) of one reviewed for tube feeding. Specifically, Resident #129 was not administered enteral fluids for nutrition/hydration per physician orders. Subsequently, Resident #129 was hospitalized on [DATE] with a diagnosis of hypernatremia (high concentration of sodium in the blood). This resulted in actual harm to Resident #129 that was not Immediate Jeopardy The findings included: The facility policy titled, Kangaroo Enteral Feeding Pump Use and Management, revised 04/2026 documented only trained licensed nursing personnel shall initiate, adjust or discontinue enteral feedings. […]

• No harm, potential for more than minimal, widespreadF640May 22, 2026

  Based on interview and record review the facility failed to ensure that resident assessments were transmitted within the required time frame for ten (10) of ten (10) residents reviewed for resident assessments (Resident #15, Resident #46, Resident #78, Resident #81, Resident #87, Resident #97, Resident #120, Resident #127, Resident #128, and Resident #146). Specifically, 1) Resident #15 had an assessment reference date of 01/26/2026 and a submission date of 03/01/2026; 2) Resident #78 had an assessment reference date of 08/18/2025 and a submission date of 09/11/2025; 3) Resident #127 had an assessment reference date of 08/15/2025 and a submission date of 09/21/2025. […]

• No harm, potential for more than minimal, widespreadF812May 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure that food was stored or prepared in accordance with professional standards for food service safety. Specifically, 1) during kitchen tour on 05/17/2026, food was not properly labeled, refrigerator #1 was not maintained at a temperature to ensure food safety, and appliances and food prep/storage areas were not well maintained for cleanliness; 2) four (4) of four (4) units (1 East, 2 East, 1 West, and 2 West) pantries and refrigerators contained unlabeled and expired food items and were not well maintained for cleanliness; 3)Kitchen Aide # 20 was observed without a beard net on 05/17/2026 while in the kitchen collecting recyclables.The findings included:The Food Storage Policy last reviewed 07/15/2025 documented… […]

• No harm, potential for more than minimal, patternF550May 22, 2026

  Based on observation, interview, and record reviews the facility failed to ensure residents' rights to a dignified existence for two (2) of five (5) residents (Resident #11 and #152) reviewed for dignity and one (1) of 11 residents (Resident #97) observed during dining. Specifically, 1) Resident #11's uncovered nephrostomy drain bag was visible from the hallway 2) Resident #125 was observed dressed in a ripped/torn hospital gown and 3) Residents were served drinks in disposable plastic cups during meals. Additionally, Certified Nurse Aide #8 stood while they assisted Resident #97 with feeding during lunch on 05/17/2026. The findings included: The policy titled Dignity last reviewed 04/2025 documented that all residents are always treated with dignity and respect. […]