Adept Nursing & Rehab of Midtown

In the surveyor’s words

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

• Actual harm, isolatedF692Oct 27, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D8 Based on observation, interview and record review; the facility failed to meet the nutritional needs for 1 (Resident 12) of 3 sampled residents. The facility staff identified a census of 39. The findings are: Record review of Resident 12's weight documented on 4/8/22 was 168.3 lbs. (pounds) and current documented weight on 10/23/22 was 141 lbs. which is a decrease of 16.22 % in 6 months or 27.3 lbs. Review of the Registered Dietician Evaluation dated 04/13/22 revealed Resident 12 is a nutrition risk. Weight is down. Tube feeding meets calorie needs and is adequate. Meal intake is poor. Resident 12 is offered meals but refuses. […]

• Actual harm, isolatedF686Aug 3, 2022

  Licensure Reference Number 175 NAC 12-006.09D2b Based on interview and record review, the facility failed to notify the provider and implement treatment after pressure ulcers were identified for 1 (Resident 1) of 3 residents reviewed. The facility had a total census of 46 residents. The findings are: A review of a Weekly Skin Check for Resident 1 dated 6/16/22 revealed Resident 1's skin was intact. A review of a Skin Alteration Evaluation for Resident 1 dated 6/22/22 revealed the following: -New skin alteration to the left side of Resident 1's sacrum (the bony structure at the base of the spine, connected to the pelvis) with an onset date of 6/22/22. The area was identified as a pressure ulcer, circular shaped, and measured 1.5cm (centimeters). […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2026

  Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure all food stored in the facility's kitchen was labeled, dated, and/or sealed, ensure refrigerators (fridge) and freezers did not contain expired products to prevent foodborne illness, and ensure the interior bottom, bottom vents of refrigerators and freezer, top of the double door oven, and all dishes, plates, and serving containers were stored and maintained in a clean and sanitary manner to prevent cross contamination. This had the potential to affect all residents that consumed food prepared in the facility kitchen. The total facility census was 49. […]

• No harm, potential for more than minimal, widespreadF804Nov 30, 2023

  Licensure Reference Number 175 NAC 12-006.11D Based on observation, interview and record review, the facility failed to serve food that was palatable and at safe temperatures to prevent the potential for food borne illness. This had the potential to affect all residents receiving food from the kitchen. Findings are: Interview on 11/27/23 at 2:40 PM with Resident 5 revealed the facility food is cold and bland. Observation on 11/29/23 at 12:10 PM of food temperatures on a test tray with Cook-B revealed: -the chilli was 177.4 degrees Fahrenheit, -the apple crisp was 152.0 degrees Fahrenheit -the lettuce salad with ranch dressing was 50 degrees Fahrenheit -the lettuce salad with ranch dressing temperature was rechecked at 59 degrees Fahrenheit and 60 degrees Fahrenheit (F) utilizing another… […]

• No harm, potential for more than minimal, widespreadF801Oct 27, 2022

  Licensure reference: 175 NAC 12-006.04D2a Based on record review and interviews, the facility failed to ensure the Dietary Department Manager met qualifications. This has the potential to affect all 39 residents of the facility. Findings are: A review of an undated staff list revealed Dietary Staff Member G was the Dietary Manager In an interview on 10/26/22 at 1:02 PM Dietary Staff Member G reported taking the dietary manager classes with an expectation the classes would be completed in November of 2022. In an interview on 10/27/22 at 11:29 AM, the Consultant Registered Dietitian reported being in the facility 6 hours every other week.