Aspen Ridge Transitional Rehab

In the surveyor’s words

From the most serious findings on record at Aspen Ridge Transitional Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Nov 9, 2021

  Based upon observation and interview, it was determined that the facility did not ensure that medications were labeled or stored appropriately. Specifically, insulin pens were not dated as to their opening date/expiration date, and labeling indicated that they should be refrigerated but were stored at room temperature. Findings include: On 11/9/21 at 12:30 PM, the medication cart in the 100 to 118 hallway was observed. The medication cart was observed to contain eight insulin pens that had been opened, but were not labeled with an open date. In addition, the pens were labeled as requiring refrigeration, but had been placed in the medication cart instead of the medication refrigerator. On 11/9/21 an interview was conducted with the Director of Nursing (DON). […]

• No harm, potential for more than minimal, patternF880Nov 9, 2021

  Based on observation and interview, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, a partially vaccinated resident was not placed on isolation precautions, a nurse was observed to not perform hand hygiene prior to administering eye drops to a resident, a nurse was observed to place medications into her hand while wearing a contaminated glove, and staff were observed to not be wearing the appropriate Personal Protective Equipment (PPE). Resident identifiers: 84. Findings include: 1. Resident 84 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF684Jan 16, 2025

  Based on interview and record review it was determined, for 1 of 21 sampled residents, that the facility did not ensure that the resident received treatment and care in accordance with professional standards of practice. Specifically, a resident reported constipation with no bowel movement for 4 days and treatment was not provided. Resident identifier: 13. Findings included: Resident 13 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which consisted of displaced intertrochanteric fracture of right femur, sondylosis, chronic kidney disease, and malignant neoplasmof prostate. On 1/14/25 at 9:43 AM, an interview was conducted with resident 13. […]

• No harm, potential for more than minimal, isolatedF758Jan 16, 2025

  Based on interview and record review, it was determined that for 1 of 21 sampled residents that the facility did not ensure that the attending physician or prescribing practitioner documented their rationale as to why PRN [as needed] medication order was extended beyond 14 days. Specifically, the resident had a PRN order for clonazepam, an anti-anxiety medication. The order had no end date and no rationale from the prescribing practitioner was documented in the medical record as to why the order was longer than 14 days. Resident Identifier: 23 Findings Include: Resident 23 was admitted on [DATE] with diagnoses which included anxiety disorder unspecified, major depressive disorder recurrent unspecified, and unspecified mood [affective] disorder. […]

• No harm, potential for more than minimal, isolatedF883Jan 16, 2025

  Based on interview and record review, it was determined that for 1 of 5 sampled residents that the facility did not ensure that the resident's medical record indicated that the resident either received the influenza immunization or did not receive the influenza vaccination immunization due to medical contraindications or refusal and that the facility did not ensure that the resident's medical record included documentation that the resident either received the pneumococcal immunization due to medical contraindication or refusal. Specifically, there was not documentation that the facility provided or that the resident refused the pneumonia and influenza immunization. […]