Alexandria Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Alexandria Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 29, 2022

  Based on resident interview, staff interview, facility document review and clinical record review it was determined that the facility failed to protect one of 39 residents in the survey sample from resident-to-resident abuse, Resident #44. On 6/24/22, Resident #37 hit Resident #44, which required an emergency room visit where they were diagnosed with a closed fracture of the distal end of the left ulna (1), closed head injury, abrasion of the nose and a closed fracture of the nasal bone, resulting in harm. […]

• No harm, potential for more than minimal, widespreadF814Jun 29, 2022

  Based on observation, staff interview and facility document review, the facility staff failed to maintain the dumpsters in a sanitary manner for two of two dumpsters containing trash. On 6/28/22, the sliding side doors of two dumpsters were observed open and multiple flies were inside the dumpsters. The findings include: On 6/28/22 at 2:48 p.m., an observation of the facility dumpsters was conducted. Two of two dumpsters containing trash were observed with both sliding side doors completely open. Multiple flies were inside the dumpsters. No staff was utilizing the dumpsters at this time. On 6/28/22 at 2:50 p.m., an interview was conducted with OSM (other staff member) #4 (the dietary manager). […]

• No harm, potential for more than minimal, patternF812Apr 3, 2024

  Based on observation, staff interview, and facility document review it was determined facility staff failed to air dry steam table pans completely prior to storing them and store a measuring scoop in accordance with professional standards for food service safety in one of one kitchen. The findings include: On 4/1/2024 at 11:57 a.m., an observation was conducted of the facility kitchen with OSM (other staff member) #6, regional dietary manager. Observation of the kitchen area revealed a plastic bin that OSM #6 identified as thickener. A plastic measuring scoop was observed inside of the plastic bin resting on the thickener. […]

• No harm, potential for more than minimal, patternF730Jun 29, 2022

  Based on staff interview and employee record review, it was determined that the facility staff failed to ensure that 5 of 10 CNAs (certified nursing assistants) received annual performance reviews. The findings include: On 06/28/2022 a record review was conducted of the annual performance reviews of five CNAs. This review failed to evidence the annual performance reviews for the following CNAs: 1. CNA # 3 - hire date 12/17/2019, no evidence of performance review between 12/17/2019 and 12/17/2020. 2. CNA # 4 - hire date 10/18/2019, no evidence of performance review between 10/18/2019 and 10/19/2020. 3. CNA # 5 - hire date 05/20/2019, no evidence of performance review between 05/20/2019 and 05/20/2020. 4. […]

• No harm, potential for more than minimal, patternF909Jun 29, 2022

  Based on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to evidence bed inspection for risk of entrapment for 4 of 39 residents in the survey sample, Resident #16, Resident #66, Resident #96 and Resident #45. 1. The facility staff failed to inspect Resident #16's bed for risk of entrapment. Resident #16 was admitted to the facility on [DATE] with diagnoses that included but were not limited to: [CONDITION(S)] and anxiety disorder. Resident #16's most recent MDS (minimum data set) assessment, a quarterly assessment, with an assessment reference date of 3/20/22, coded the resident as scoring 15 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was cognitively intact. […]