Amherst Meadows Skilled Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Amherst Meadows Skilled Nursing and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 12, 2022

  Based on observation, medical record review, facility investigation, wound assessments, physician notes, review of the facility neglect policy and procedures, and interviews with facility staff, the facility failed to prevent an incident of neglect involving Resident #50. This resulted in Immediate Jeopardy with actual physical harm on 06/22/22 at approximately 1:30 P.M. when Resident #50, who was dependent on staff for mobility, was left sitting outside in the courtyard unattended with temperatures reaching 94 degrees Fahrenheit on 06/02/22 from 1:30 P.M. until 3:00 P.M. Licensed Practical Nurse (LPN) #144 found Resident #50 sitting outside in the heat, slumped over, eyes fixed, drooling, and not responding to verbal or touch stimuli at 3:00 P.M. on 06/22/22. […]

• Actual harm, isolatedF686Jul 19, 2022

  Based on observation, closed medical record review and interview the facility failed to prevent the development of an unstageable pressure ulcer to Resident #1's left lower leg. Actual harm occurred on 07/05/22 when Resident #1, who was cognitively impaired and dependent on staff for activity of daily living care, was discharged home and found to have an unstageable pressure ulcer to the left lower leg from a leg immobilizer. The facility failed to provide written evidence routine skin monitoring/skin checks had been completed for the resident related to the use of the immobilizer during her stay in the facility to prevent and/or timely identify the area. This affected one resident (#1) of three residents reviewed for pressure ulcers. […]

• No harm, potential for more than minimal, patternF812Apr 3, 2025

  Based on observation, staff interviews, and facility policy review, the facility failed to ensure food was stored in a sanitary manner, dented cans were removed from stock, and dietary staff wore facial hair coverings during food service. This had the potential to affect 78 residents who the facility identified as receiving meals from the kitchen. The facility census was 80. Findings Include: 1. Observation during the initial tour of the kitchen on 03/31/25 at 8:30 A.M. revealed two dented cans of diced potatoes and two dented cans of whole potatoes in the dry storage area can-rack used for stock. An interview on 03/31/25 at 8:45 A.M. with Dietary [NAME] #240 confirmed there were a total of four dented cans in the storage can-rack for use. […]

• No harm, potential for more than minimal, patternF886Mar 11, 2021

  Based on interview and record review, the facility failed to ensure one of three staff (State tested Nurse Aide (STNA) 20) reviewed for COVID testing, was tested twice a week per the county positivity rate. This failure had the potential to increase the risk of spreading COVID-19 in the facility and had the potential to affect any residents or staff of the facility who had not either been fully vaccinated for COVID-19 or had not recently tested positive for COVID-19. Findings include: Review the Centers for Medicare and Medicaid Services (CMS) website titled COVID-19 Nursing Home Data, revealed the following county positivity rate and color for the week ending February 24, ,2021. The county positivity rate was 15.5%-Red, which indicated staff were to be tested twice a week. […]

• No harm, potential for more than minimal, isolatedF686Sep 25, 2025

  Based on record review, interview and policy review the facility failed to assess and implement treatment for pressure ulcers for Resident #11. This affected one resident (Resident #11) of three residents reviewed for wound care. The facility census was 81.Findings include: Review of the medical record revealed Resident #11 was admitted on [DATE] with diagnosis including diabetes, congestive heart failure, coronary artery disease and an unstageable sacral pressure area. Resident #11 was admitted to the hospital on [DATE] and returned to the facility on [DATE].Review of Resident #11's minimum data set admission assessment dated [DATE] revealed Resident #11 was moderately cognitively impaired and required maximum assistance for all activities of daily living except for eating.Review of… […]