Altoona Health & Rehab

In the surveyor’s words

From the most serious findings on record at Altoona Health & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF886Jun 13, 2022

  Based on record review, interviews, and review of the facility's policy titled Coronavirus Testing the facility failed to perform routine COVID-19 testing for all staff per the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) guidance. This had the potential to affect 43 of 43. Findings included: A review of the facility's policy titled, Coronavirus Testing, revised 03/14/2022, indicated . Expanded screening testing of asymptomatic healthcare personnel (HCP) should be as follows: HCP who are up to date with all recommended COVID-19 vaccine doses may be exempt from expanded screening testing. HCP who are not up to date with all recommended COVID-19 vaccine doses should continue expanded screening testing. […]

• No harm, potential for more than minimal, patternF812Jun 13, 2022

  Based on observations and interviews the facility failed to ensure temperatures were taken of all six bowls of soup heated in the microwave prior to serving to residents. This had the potential to affect 6 of 6 residents receiving soup from the kitchen. Findings included: 1. On 06/10/2022 at 4:23 PM, during observations of the tray line, Employee Identifier (EI) #6, a Cook, was observed making four cups of chicken broth using chicken base that was put in an insulated cup and hot water. The cups were stirred, lids placed on them, and set aside. At 5:05 PM, EI #6 placed two of the four cups of chicken broth in the microwave oven. Once heated, the cups were removed and placed on a resident's dinner tray and served. […]

• No harm, potential for more than minimal, isolatedF600Jun 8, 2023

  Based on interviews, resident record review, review of an online report submitted to the State Survey Agency, review of the facility's abuse investigation, and review of a facility policy titled, ADMINISTRATIVE ABUSE, the facility failed to protect Resident Identifier (RI) #1's right to be free from physical abuse on 01/31/2023 when Employee Identifier (EI) #5 Licensed Practical Nurse (LPN), was witnessed pinching and slapping RI #1. Physical abuse was witnessed by EI #3 Registered Nurse (RN) and EI #4 RN. This deficient practice affected RI #1, one of three residents reviewed for abuse concerns. Findings include: On 02/01/2023 at 6:27 AM, the State Survey Agency received an initial report from the facility regarding an allegation that EI #5, LPN, physically abused RI #1. […]

• No harm, potential for more than minimal, isolatedF607Jun 8, 2023

  Based on resident record review, interviews, review of an online report submitted to the State Survey Agency, review of the facility's investigation file, and review of a facility policy titled ADMINISTRATIVE ABUSE, the facility failed to ensure staff implemented one of the seven components of the abuse policy. Employee Identifier (EI) #3 Registered Nurse (RN) and EI #4 RN failed to immediately report physical abuse to the abuse coordinator after they witnessed EI #5 Licensed Practical Nurse (LPN) physically abuse Resident Identifier (RI) #1 on 01/31/2023, in accordance with the facility policy. […]

• No harm, potential for more than minimal, isolatedF656Nov 17, 2022

  Based on interviews, record review, review of a facility policy titled, NURSING COMPREHENSIVE CARE PLAN (DEVELOPING), and review of the facility's investigation regarding Resident Identifier (RI) #1's fall, facility staff failed to implement the fall care plan for transfers on 9/29/22, when RI #1 had a fall while being transferred from his/her bed. This affected one of three residents reviewed for care plan concerns. Findings Include: A review of a policy titled NURSING COMPREHENSIVE CARE PLAN (DEVELOPING), Revised 7/14, documented: . […]