Barclays Rehabilitation and Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Feb 23, 2024

  Based on interview and review of the Nurse Staffing Report and Payroll Based Journal (PBJ) Staffing Data Report, it was determined that the facility failed to ensure a Registered Nurse (RN) worked 7 days a week for at least 8 consecutive hours a day for 9 of 10 days reviewed. This deficient practice was evidenced by the following: Review of the PBJ Staffing Data Report for Quarter 1 2023 (October 1 - December 31) revealed the facility had no RN hours for the following dates: -10/01/23 (Saturday) -10/02/23 (Sunday) -10/09/23 (Sunday) -10/15/23 (Saturday) -10/16/23 (Sunday) -10/29/23 (Saturday) -10/30/23 (Sunday) -11/12/23 (Saturday) -11/13/23 (Sunday) -12/24/23 (Saturday) Review of the Employee Daily Schedule By Shift, provided by the facility, for the aforementioned dates, verified that… […]

• No harm, potential for more than minimal, patternF684Aug 20, 2025

  Based on observation, interview and record review, it was determined that the facility failed to provide necessary treatment services consistent with professional standards of practice by not ensuring a resident received blood sugar monitoring and insulin medication according to a physician's order for 1 of 5 residents (Resident #24) reviewed for unnecessary medications. The deficient practice was evidenced by the following.On 8/15/2025 at 11:45 AM, the surveyor observed Resident #24 self-propelling in the hallway, was talking to themselves, and appeared confused. The surveyor attempted to interview Resident #24, but they did not respond. […]

• No harm, potential for more than minimal, patternF756Aug 20, 2025

  Based on observation, interview and document review, it was determined that the facility failed to respond in a timely manner to the Consultant Pharmacist's (CP) monthly recommendations from May, June and July 2025, for 1 of 5 residents (Resident #24) reviewed for unnecessary medications. The deficient practice was evidenced by the following: On 8/15/2025 at 11:45 AM, the surveyor observed Resident #24 seated in a wheelchair self-propelling with their feet down the hallway. The resident was talking to themselves and appeared confused. […]

• No harm, potential for more than minimal, patternF584Feb 23, 2024

  Based on observation, interview, and review of other pertinent facility documentation, it was determined that the facility failed to maintain a safe clean, comfortable, and homelike environment by a.) ensuring that the resident's wheelchairs were cleaned and repaired in a timely manner and b.) ensuring that each resident had their own waste receptacle (trash can) in their room. This deficient practice was observed for 8 out of 8 residents (Resident #2, #6, #25, #29, #44, #65, #72 and #78) and 3 out of 9 rooms (Rooms 106, 125 and 130) observed during environmental rounds. […]

• No harm, potential for more than minimal, patternF656Feb 23, 2024

  Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to develop a person-centered comprehensive care plan to include a resident's indwelling urinary catheter for 1 of 2 residents (Resident #75) reviewed for urinary catheter. This deficient practice was evidenced by the following: On 02/15/24 at 10:13 AM, the surveyor observed Resident #75 in a geriatric (Geri) chair (a padded, reclining wheelchair). The resident stated he/she had a urinary catheter (a tube placed in the body to empty urine) that was recently changed. […]