Alcott Rehabilitation Hospital

In the surveyor’s words

From the most serious findings on record at Alcott Rehabilitation Hospital, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jul 7, 2023

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), received immediate basic life-saving support, including cardiopulmonary resuscitation (CPR, any medical intervention used to restart a person's heartbeat and breathing after one or both have stopped), as per the resident's representative wishes and not by the Physician Orders for Life Sustaining Treatment (POLST - is a written medical order from a physician, nurse practitioner or physician assistant that helps give people with serious illnesses more control over their own care by specifying the types of medical treatment they want to receive during serious illness) form the Social Services Director (SSD) asked Resident 1 to sign on [DATE] despite Resident 1 being confused,… […]

• Actual harm, isolatedF689Jan 18, 2024

  Based on observations, interviews, and record reviews, the facility failed to provide supervision to one of three sampled residents (Resident 1), who had history of falls, diagnosis of fractured thigh bone, and dementia (impaired ability to remember, think, or make decisions that interferes with doing everyday activities), received the care, treatment and services to prevent falls. The facility failed to: -Provide the correct level of assistance (two or more while eating) per the comprehensive assessment and the fluid imbalance care plan. - Implement a comprehensive person-centered fall care plan to include supervision of Resident 1 to prevent falls. […]

• Actual harm, isolatedF600Oct 26, 2023

  Based on interview and record review, for one of three residents (Resident 1), the facility failed to protect Resident 1's right to be free from physical abuse by a Certified Nursing Attendant (CNA) in accordance with the facility's policy and procedures (P&P) titled Abuse, Neglect and Exploitation dated 12/19/2022. As a result, Resident 1 suffered a right femur (bone in the thigh) fracture (cracking or breaking of a bone) on 10/15/2023 and was transferred to a general acute care hospital (GACH) for further evaluation and management on 10/15/2023 at GACH at 5:15 PM. […]

• No harm, potential for more than minimal, patternF880Dec 4, 2025

  Based on observation, interview and record review, the facility failed to maintain infection control measures necessary to prevent the spread of infections by failing to:1. Ensure staff labeled laundry bins indicating if they were for clean or dirty items in the facility's laundry room.2. Discard and remove from the facility's storage room expired N95 (a disposable face mask that covers the user's nose and mouth which offers protection from small solid or liquid droplets found in the air) masks and expired Covid-19 (a respiratory illness that can spread from person to person) testing kits. […]

• No harm, potential for more than minimal, patternF880May 14, 2025

  Based on observation, interview, and record review the facility failed to ensure three of eight sampled staff (the Environmental Services Director [EVSD], Certified Nursing Assistant 2 [CNA 2] and Dietary Aide 1 [DA 1], maintained infection control practices (refers to policies and procedures used to minimize the risk of spreading infections) during a COVID-19 (a respiratory illness that can spread from person to person) outbreak (a rise in the number of cases of a disease) in the facility by failing to: 1.Ensure the EVSD performed hand hygiene (a general term that applies to hand washing, antiseptic hand wash, and alcohol-based hand rub) after throwing a cup in the trash for a resident (unidentified) in room A. 2. […]