Adept Nursing & Rehab of Blue Hill

In the surveyor’s words

From the most serious findings on record at Adept Nursing & Rehab of Blue Hill, in the surveyor’s own words.

• Immediate jeopardy, patternF689Feb 13, 2024

  Licensure Reference Number 175 NAC 12-006.09D7 Based on observation, record review, and interview, the facility failed to ensure that staff were trained to check the function of individual resident elopement prevention equipment to prevent elopement (unsupervised wandering that leads to the resident leaving the facility without facility staff knowledge). This affected 4 (Residents 1, 2, 3, and 4) of 4 residents identified as at risk for elopement. The facility census was 33. Findings are: Record review of the facility policy titled Wandering and Elopement dated 7/1/20 revealed that the facility will provide a system to identify residents at risk for unsafe wandering and elopement. The facility will provide a program of supervision and interventions to minimize risk of resident elopements. […]

• Actual harm, isolatedF686Oct 4, 2022

  Licensure Reference Number 175 NAC 12-006.09D2b Based on observation, interview, and record review, the facility failed to implement interventions and treatment to promote healing of a newly identified pressure sore for 1 (Resident 2) of 3 sampled residents. The facility had a total census of 42 residents. The findings are: An observation on 10/4/22 at 10:18 AM revealed RN A (Registered Nurse) and LPN E Licensed Practical Nurse) provided wound care to Resident 2. Observations at this time revealed Resident 2 had a large ulcer to their left heel with a tan and white wound bed. Observations also revealed a moderate amount of red and brown drainage on the old dressing when it was removed by LPN E. […]

• No harm, potential for more than minimal, widespreadF584Aug 18, 2026

  Based on record review, observation, and interview, the facility failed to ensure that all areas were clean and free of dirt and debris, that malodorous areas were kept to a minimum, that resident areas were maintained and repaired when needed, and that the facility had a comfortable and homelike environment for all residents in the facility. This affected all residents in the facility. The facility census was 25. Record review of the blank, undated Resident admission Agreement given to all residents at the time of admission to the facility revealed the following:-the facility provides nursing and related services to help assure resident safety and that our residents attain or maintain the highest practicable physical, mental and psychosocial well-being as determined by resident… […]

• No harm, potential for more than minimal, widespreadF726Aug 18, 2026

  Licensure Reference Number 175 NAC 12-006.04(i)Licensure Reference Number 175 NAC 12-006.04(ii)Based on record review and interview, the facility failed to ensure that all nursing staff were given yearly and as needed competency reviews to determine competency related to medication administration and nursing cares. Based on record reviews and interviews, the facility failed to ensure that unlicensed staff had completed yearly competencies and skills testing ensuring knowledge of medication administration resident cares, and failed to ensure that licensed nursing staff had the knowledge to complete resident care tasks as they pertained to insulin administration and wound care. This affected all residents in the facility. […]

• No harm, potential for more than minimal, widespreadF801Aug 18, 2026

  Licensure Reference Number 175 NAC 12.006.04(H)(ii)Based on record review and interviews, the facility failed to have a qualified individual to act as the director of food and nutrition services. This had the potential to affect all the residents receiving food items from the kitchen. The facility census was 25.Findings are:Record review of a facility supplied document titled admission Agreement and not dated revealed the facility would provide nourishing palatable well-balanced diet that meets the residents daily nutritional and special dietary needs.Record review of a facility supplied document titled Facility Assessment and dated 04/07/2026 revealed in the section listed as information about our staff under food and nutrition services a type listing of Dietary Manager with the Regional… […]