Ardmore Center for Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Ardmore Center for Rehabilitation and Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF804Feb 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure food was served at a safe temperature to prevent a burn for 1 (#10) of 1 resident sampled for food related burns. The DON reported 51 residents received food from the facility kitchen. Findings: On [DATE] at 12:09 p.m., Resident #10 was observed sitting in the dining room eating lunch. The resident was observed to eat independently with set-up supervision. An Assistance with Meals policy, dated [DATE], read in part, Residents shall receive assistance with meals in a manner that meets the individual needs of each resident .Residents who cannot feed themselves will be fed with attention to safety, comfort and dignity. […]

• No harm, potential for more than minimal, patternF610Aug 30, 2024

  Based on record review and interview, the facility failed to: a. ensure an allegation of abuse was fully investigated for one (#1); and b. prevent the potential for further abuse while an investigation was in progress for one (#1) of three sampled residents reviewed for abuse. The DON identified 47 resided in the facility. Findings: An Abuse Policy, dated 10/01/2020, read in part, Begin taking written statements from the person reporting the allegation or suspicion and any witnessess including staff, family, and/or residents/patients. […]

• No harm, potential for more than minimal, patternF580Jul 17, 2024

  Based on record review and interview, the facility failed to ensure the physician and/or the resident's representative were notified after a change in the resident's condition for one (#1) of three sampled residents reviewed for notification. The DON identified 42 residents resided in the facility. Findings: An Assessing Falls and Their Causes policy, dated 11/23/20, documented to notify the resident's attending physician and family in an appropriate time frame after a fall. Res #1 had diagnoses which included Alzheimer's disease and psychosis. A witnessed fall report, dated 06/25/24, documented the resident was walking and grabbed onto the nurses' station, slid down the wall, and went to the ground. It was documented the resident was assessed and there were no injuries. […]

• No harm, potential for more than minimal, patternF812Sep 14, 2022

  Based on observation, record review, and interview, the facility failed to store and serve food to ensure food service safety. The Resident Census and Condition of Residents documented a census of 39 residents. Findings: On 09/12/22 at 9:56 a.m., a tour of the kitchen facility was conducted with the dietary manager (DM). Personal staff items, including an employee's purse and drink, were observed on the preparation counter. The DM reported staff were allowed to store personal items in her office if needed. The DM reported a designated area would be established for storage of personal items. The microwave and toaster were observed to have food debris build-up. The DM reported she did not currently have a cleaning schedule and equipment was cleaned as needed. […]

• No harm, potential for more than minimal, patternF880Sep 14, 2022

  Based on observation, record review, and interview, the facility failed to maintain their infection control program. The facility failed to label and date a solution used to sanitize a glucometer for one (#25) of one sampled resident for finger stick blood sugar (FSBS) monitoring. The DON identified eight residents who required FSBS monitoring. Findings: A policy titled, Finger Stick Blood Sampling, not dated, read in parts, .It is the policy of this facility to use lancets to obtain finger stick blood samples in a safe manner for residents and staff .Procedure .Clean the Glucometer with germicidal wipes/or bleach/h2o solution diluted with a 1 to 10 ratio before initial use, after final use and between each resident following manufacturer recommendations . […]