Austinburg NSG and Rehab CTR

In the surveyor’s words

From the most serious findings on record at Austinburg NSG and Rehab CTR, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Apr 5, 2021

  The following deficiency represents an incident of past noncompliance that was subsequently corrected prior to the survey. Based on closed record review, review of facility policy and procedures related to notification of change in condition and fall prevention and management, facility investigation, interviews with facility staff, and Primary Care Physician/ Medical Director #610 the facility failed to notify the physician for one resident (Resident #83), who received anticoagulant therapy, fell out of bed sustaining a head injury. This resulted in Immediate Jeopardy that presented actual harm on [DATE] at 3:00 A.M. when the facility failed to notify the physician when Resident #83 fell out of bed hitting her head, was assessed with [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF684Apr 5, 2021

  The following deficiency represents an incident of past noncompliance that was subsequently corrected prior to the survey. Based on closed record review, review of facility policy and procedures related to notification of change in condition and fall prevention and management, facility investigation, interviews with facility staff, and Primary Care Physician/ Medical Director #610 the facility failed to seek timely and appropriate care and treatment for one resident (Resident #83), who received anticoagulant therapy, fell out of bed sustaining a head injury. This resulted in Immediate Jeopardy that presented actual harm on [DATE] at 3:00 A.M. […]

• Actual harm, isolatedF686Apr 5, 2021

  Based on observation, interview, record review and policy review, the facility failed to ensure adequate interventions were implemented to prevent the development of a pressure ulcer to Resident #3's right hip area. Actual Harm occurred on 02/22/21 when Resident #3, who required one staff assist with bed mobility and transfers, was found to have an unstageable pressure ulcer (a wound caused by pressure that had full thickness tissue loss in which the base of the ulcer was covered by slough (nonviable dead tissue that is white or yellow in appearance) while getting ready for a shower and assessed by Registered Nurse (RN)/ Wound Nurse #604. This affected one resident (Resident #3) of three residents (Residents #3, #16, and #83) reviewed for pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF803Jan 30, 2025

  Based on observation, interview, record review and review of facility policy the facility did not ensure menu spreadsheets were followed to provide appropriate portion sizes to Resident #26, #40, #43, #55 and #57 who the facility identified as receiving pureed diets. In addition, the facility did not ensure all other residents receiving meals from the kitchen received appropriate portions sizes at meals excluding Resident #441 who received a full liquid diet and Resident #64 who the facility identified as receiving nothing by mouth (NPO). The facility census was 82. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Based on observations, interviews, and review of facility policy, the facility failed to ensure food was stored, prepared and served under sanitary conditions. This had the potential to affect all residents receiving meals from the kitchen excluding Resident #64 who the facility identified as receiving nothing by mouth (NPO). The facility census was 82. Findings include: 1. Observation of the kitchen on 01/27/25 from 8:11 A.M. to 8:45 A.M. with Dietary Supervisor (DS) #702 revealed the following concerns: The large industrial fan located in the corner of the kitchen revealed a build up of dust and debris on the blades and metal guard. On the inside top of the microwave used for resident fooods was an accumulation of food particles and dried food splatters. […]