Apple Rehab Clipper

In the surveyor’s words

From the most serious findings on record at Apple Rehab Clipper, in the surveyor’s own words.

• Immediate jeopardy, isolatedF661Feb 3, 2023

  Based on record review, resident, and staff interview, it has been determined that the facility failed to reconcile all pre-discharge medications with the resident's post-discharge medications, for 1 of 5 reviewed, Resident ID #1. Findings are as follows: Record review of the facility's discharge policy titled, Discharge/Community states in part, Nursing will complete .interdisciplinary form and medication list .a review of medication regime, medication and treatments with the resident and/or family is conducted prior to discharge . Record review of a community complaint reported to the Rhode Island Department of Health on 1/23/2023, alleges Resident ID #1 was sent home with another resident's medications, (Resident ID #2). […]

• Immediate jeopardy, isolatedF726Feb 3, 2023

  Based on record review, resident, and staff interview, it has been determined that the facility failed to ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs, as identified through the plan of care for 1 of 5 residents reviewed for discharge services, Resident ID #1. Findings are as follows: Record review of a community complaint reported to the Rhode Island Department of Health on 1/23/2023, alleges that Resident ID #1 was sent home with another resident's medications (Resident ID #2). […]

• Immediate jeopardy, isolatedF761Feb 3, 2023

  Based on record review and staff interview, it has been determined that the facility failed to store medications in accordance with currently accepted professional principles for 1 of 10 residents reviewed relative to breaking the chain of custody of medications and administering them to a resident, Resident ID #2. Findings are as follows: According to U.S. Pharmacist article, published June 11, 2021 titled Uncovering the Impact of Storage on Generic Medications, states in part .Storage conditions are vitally important to the overall integrity and quality of medications, and the United States Pharmacopeial Convention, the FDA(Federal Drug Administration), and drug manufacturers provide guidelines for proper storage .From the point of manufacture to the distribution of a medication to a… […]

• Immediate jeopardy, isolatedF835Feb 3, 2023

  Based on record review, resident, and staff interview, it has been determined that the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain the highest practicable physical, mental, and psychosocial well-being of each resident for 1 of 5 residents reviewed, Resident ID #1. Findings are as follows: Record review of a community complaint reported to the Rhode Island Department of Health on 1/23/2023, alleges that Resident ID #1 was sent home with another resident's medications (Resident ID #2). […]

• Actual harm, patternF692May 23, 2024

  Based on surveyor observation, record review and staff interview, it has been determined that the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight and weight monitoring for 7 of 8 residents reviewed, Resident ID #s 4, 10, 12, 17, 38, 41 and 44. Findings are as follows: Review of the facility's undated policy titled, Weight Monitoring, states in part, PURPOSE: To establish a reference for a resident's body weight that is realistic and individually appropriate and to effectively monitor and communicate weight changes. CLINICAL POLICY: .Accurate and timely measurement of weight changes in all residents is an important tool in assessing their nutritional status. […]