Apple Rehab Guilford

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Aug 11, 2022

  Based on clinical record review, facility documentation review and interviews for 12 of 27 residents (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12) who were reviewed for medication administration, the facility failed to ensure the physician was notified timely when medication administration due at 9 and 10 PM on 7/23/2022 was not completed timely, in accordance with physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings include: Review of the facility reportable event dated 7/25/2022 identified while the facility was reviewing nurse performance for the 7/23/2022 evening shift, it was noted that 12 residents lacked signatures from RN #1 on the Electronic Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF684Aug 11, 2022

  Based on clinical record review, facility documentation review and interviews for 12 of 27 residents (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12) reviewed for medication administration, the facility failed to ensure medications were administered in accordance with physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] #16, #17, #18, #19, #20, #21, and #22) observed during medication administration, the facility failed to ensure medications administered timely. The findings include: A). […]

• No harm, potential for more than minimal, patternF684Feb 25, 2025

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 4 residents (Resident #33, 45, 70 and 85) the facility failed to provide care in accordance with professional standards of practice. For 3 of 3 residents, (Resident #33, 45 and 85), reviewed for accidents, the facility failed to ensure neurological assessments were completed according to the facility policy after the residents fell either without a witness or had a head strike, and for 1 of 6 residents (Resident #70) who were at risk for the development of pressure ulcers, the facility failed to ensure the LAL (low air loss) mattress was set according to the manufacturer recommendations, and failed to ensure the Braden Scale and the weekly body audits were completed per facility policy. […]

• No harm, potential for more than minimal, patternF812Feb 25, 2025

  Based on review of facility documentation, facility policies, and interviews, the facility failed to ensure food temperatures were routinely monitored prior to food service. The findings include: The facility's Cooked Foods Temperature Chart identified food temperatures must be documented when the food item completes the cooking process; supper food items included soup, meat, puree meat, ground meat, potato/starch, puree starch, vegetable, puree vegetable, and other. Review of the Cooked Foods Temperature Charts dated 12/17/24 through 1/4/25 and 1/12/25 through 2/22/25 failed to identify supper temperatures were documented on the following dates: 12/18/24 only soup and meat temperatures were documented, 12/25/24, 12/27/24, 12/30/24, 12/31/24 1/3/25, 1/4/25, 1/13/25, 1/14/25, 1/16/25,… […]

• No harm, potential for more than minimal, patternF584Oct 19, 2022

  Based on observations, review of facility documentation, facility policy, and interviews the facility failed to ensure a clean and comfortable homelike environment. The findings include: Observations on 10/17/22 at 10:40 AM through 11:40 AM, and on 10/17/22 at 2:18 PM with the Maintenance Supervisor, and the Housekeeping Manager identified the following issues: a. Damaged, chipped and/or marred bedroom walls on [NAME] unit in rooms 5, and 16. [NAME] unit in rooms 21, 22, 24, 28, 29, 31, and 32. East River unit in rooms 35, 36, 38, and 49. b. Damaged, chipped, rusty, and/or marred door frames in the bathroom on [NAME] unit in rooms 1, shower room. [NAME] unit in rooms 22, 21, and 24. East River unit in room 49. c. […]