Ayden Court Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Ayden Court Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 2, 2026

  Based on observation, record review, and interviews with facility staff, the Medical Director, the Nurse Consultant, Emergency Medical Services (EMS) paramedic, and the [NAME] President of Clinical Education and Research for the Passy-Muir Valve medical device company, the facility failed to maintain a staff member with the resident who had stopped breathing, immediately initiate a code, and immediately remove the Passy-Muir Valve (one-way speaking valve) to provide effective ventilation through the tracheostomy site (surgical opening made through the front of the neck into the trachea (windpipe)) during cardiopulmonary resuscitation (CPR) for Resident #1 when she was observed to have stopped breathing and had only a faint pulse. […]

• Immediate jeopardy, isolatedF600Mar 5, 2021

  Based on resident interview, staff interviews, physician interview and record review the facility failed to ensure a resident was free of physical abuse for 1 of 3 residents reviewed for allegations of abuse (Resident #61). This occurred when Nurse Aide #2 slapped Resident #61 with an open hand twice on the left side of the head and hit Resident #61 once with a closed fist in a facility hallway. The physical abuse resulted in Resident #61 having a red mark on the left side of his head. The findings included: Resident #61 was admitted to the facility on [DATE]. Resident #61's annual Minimum Data Set assessment dated [DATE] revealed he was assessed as cognitively intact. He was assessed to have adequate hearing, clear speech and was able to make himself understood by others. […]

• No harm, potential for more than minimal, widespreadF882May 12, 2026

  Based on record review and staff interviews, the facility failed to designate a qualified Infection Preventionist (IP) who had completed specialized training in infection prevention and control, to be responsible for the facility's Infection Prevention and Control Program. This had the potential to affect all residents in the facility.Findings included:In an interview on 5/5/2026 at 12:10 pm with Director of Nursing (DON), in the presence of the Regional Nurse Consultant, the DON stated the Infection Preventionist position was currently vacant, however she and the Assistant Director of Nursing (ADON) shared in the responsibilities of Infection Preventionist. She stated they both completed the programs out of state and she would work on retrieving the documentation. […]

• No harm, potential for more than minimal, patternF553Nov 16, 2023

  Based on resident and staff interviews and medical record reviews, the facility failed to invite a cognitively intact resident to participate in the planning of the resident's care for 2 of 3 residents (Resident #46 and Resident #125) reviewed for participation in care plans. The findings included: 1. Resident #46 was admitted to the facility on [DATE]. Diagnosis included, in part, chronic kidney disease. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #46 had intact cognition. Resident #46's medical record was reviewed and revealed the comprehensive care plan had been updated on 1/20/23, 4/7/23, 5/5/23 and 7/5/23. […]

• No harm, potential for more than minimal, patternF761Nov 16, 2023

  Based on observations and staff interviews, the facility failed to (1) discard expired medications in 1 of 3 medication storage rooms (Nurse Station #2 medication storage room) and (2) discard expired medications in 2 of 4 medication carts (600-hall medication cart and 300-hall medication cart) observed for storage and labeling. Findings included: 1. On 11/15/2023 at 3:55 p.m. in the observation of Nurse Station #2 medication storage room with the Director of Nursing (DON), the following were observed: - Six unopened vials of Ampicillin (an antibiotic for reconstitution) in a clear plastic bag with no label and each vial with a manufacturer's expiration date of 10/2023 were observed on a cart on the shelf underneath the locked emergency medication box. […]