Americana Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Americana Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF580May 28, 2024

  Based on interview and record review, the facility failed to ensure the physician was consulted regarding a signification change in respiratory status and failed to notify the physician of the need for oxygen administration orders related to oxygen levels and obtain timely a needed seasonal allergy and asthma medication for 1 of 4 sampled residents (Resident 1) reviewed for notification of changes including a significant change in resident health status. Resident 1 experienced harm when hospitalization and intubation was required for respiratory failure related to untreated respiratory symptoms. This failure placed residents at risk for medical complications and a diminished quality of life. […]

• No harm, potential for more than minimal, widespreadF812Dec 17, 2024

  Based on observation, record review and interview, the facility failed to ensure food items were labeled and dated when opened in 1 of 2 kitchen refrigerators, and in 1 of 1 nourishment refrigerators/freezers reviewed for proper food storage. This failure placed residents at risk for cross-contamination, food borne illness, and a diminished quality of life. Findings included . The facility's policy entitled, Nursing Unit Refrigerator Storage Guide, updated ,d+[DATE], documented, Label all resident food with Name, Room Number, Use By Date. Packaged foods when opened are labeled with use by date. The manufacturer's expiration date is the 'Use By' for unopened items. Use by dates should not exceed the manufacturer's expiration or best 'use by' date. […]

• No harm, potential for more than minimal, widespreadF921Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to ensure their plumbing system was maintained and in working order to prevent flooding in the kitchen for 1 of 1 kitchens reviewed for inspection. This failure placed all residents at risk for structural damage to the facility and an unsanitary environment. Findings included . Review of Kitchen Maintenance Log kept outside the kitchen entrance showed the following entries related to leaking plumbing in the kitchen. […]

• No harm, potential for more than minimal, patternF684Nov 21, 2025

  Based on interviews and record review, the facility failed to initiate bowel interventions for 5 of 8 residents (Resident 17, 24, 27, 2 & 6) reviewed for quality of care. This failure placed residents at risk for discomfort, experiencing health complications and a diminished quality of life.Findings included . Record review of the facility policy, titled, Bowel Protocol, revision date, May 2025, documented: 1. The licensed Nurse reviews the bowel monitor daily. 2. If a resident does not have a bowel movement for three days, the nurse administers the physician ordered bowel program. 3. […]

• No harm, potential for more than minimal, patternF694Nov 21, 2025

  .Based on observation, interview and record review, the facility failed to ensure intravenous (IV) access devices were assessed, maintained and monitored in accordance with professional standards of practice for 2 of 2 residents (Residents 1 & 46) reviewed for IV therapy. This failure placed residents at risk for unidentified complications including loss of vascular access, infection, and other potential negative health outcomes.Findings included .Review of the facility's Vascular Access Devices and Infusion Therapy Procedures policy, dated August 2021, showed upon admission or insertion staff would measure the external length of a Peripherally Inserted Central Catheter (PICC, a long, thin tube that's inserted through a vein in the arm and passed through to the larger veins near the… […]