Altoona Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jun 30, 2021

  Based on clinic record review, staff interviews, and facility policy review, the facility failed to adequately assess and notify the physician when a resident had a change in condition. The resident's heart stopped and the facility initiated CPR. The facility failed to provide effective Cardiopulmonary Resuscitation (CPR) in accordance with professional standards of care. The facility failed to perform CPR on a hard surface and failed to utilize an Automatic External Defibrillator (AED). Concerns were identified for 1 of 19 sampled (Resident #13). This failure resulted in immediate jeopardy to the health, safety, and security of the residents. 54 of 95 residents had a full code status. The facility reported a census of 95 residents. […]

• Immediate jeopardy, isolatedF684Jan 13, 2021

  Based on record review, and staff and provider interview the facility failed to provide treatment and care in accordance with professional standards of care for 1 of 3 sampled (Resident #12) who had an [DEVICE] (stabilizing frame to hold fractured bones in position). The facility failed to follow physician's orders [REDACTED].#12 attended follow up appointments. The lack of treatment and care resulted in Resident #12 developing osteo[DIAGNOSES REDACTED] (bone infection) which required hospitalization . The facility reported a census of 98. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #12 admitted to the facility on [DATE]. Resident #12 had memory problems and modified independence with decision making. […]

• Immediate jeopardy, isolatedF760Jan 13, 2021

  Based on observation, record review, policy review and resident and staff interviews, the facility failed to ensure that residents are free of any significant medication errors for 1 of 3 sampled (Resident #3). The facility failed to properly transcribe an order for [REDACTED]. Findings Include: 1. Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 had [DIAGNOSES REDACTED]. Resident #3 scored 15 on the Brief Interview for Mental Status (BIMS). A score of 15 identified intact cognition. […]

• Actual harm, isolatedF689Jul 16, 2026

  Based on observation, clinical record review, hospital record review, staff and resident interview, mechanical lift user manual, and facility policy review, the facility failed to ensure the safety of residents during a full body mechanical lift transfer for 1 of 3 residents reviewed for safe transfers (Res #2). This resulted in harm to Resident #2 when he fell from the mechanical lift sling during a transfer, resulting in a hip fracture and leg wound. The facility reported a census of 98 residents. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Based on observation, staff interview, facility policy review, and facility maintenance records, the facility failed to maintain the combination walk-in freezer and refrigerator in a clean and satisfactory condition. The facility reported a census of 89. Findings include: Observation on 04/08/24 at 1:15 PM revealed frost in the freezer had recently melted, formed an icicle, and dripped on an open box of chicken. The icicle that hung in the corner was approximately six inches in length at the time of the initial observation. On 04/11/24 at 09:02 AM Staff R, Dietary Supervisor stated they have been aware of the frost and drip issue for the duration of their employment, about one year. […]